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Not yet recruitingNCT07437053BOOST_CKDUpdated Nov 2, 2026

Sarcopenia in Chronic Kidney Disease (CKD) Patients

An Early Phase 1 interventional study of Valine and EEA in Chronic Kidney Disease and Sarcopenia, sponsored by The University of Texas Health Science Center at San Antonio. Not yet recruiting at 1 site in United States. Open to participants aged 45 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by The University of Texas Health Science Center at San Antonio · Early Phase 1, Interventional, and Treatment

Updated Nov 2, 2026Start date movedPrimary completion moved+1 moreGo to Updates ↓
Phase
Early Phase 1
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
45 Years to 75 Years
Sex
All
01

Study summary

Sarcopenia, or loss of muscle and strength is common in patients with poor kidney function. Although a high protein diet is generally recommended for sarcopenia, patients with poor kidney function are advised to follow a low-protein diet. In this study, we will evaluate the practicality and potential benefits of two different amino acids (molecules that form proteins) in improving sarcopenia in patients with advanced kidney disease.

The study aims to improve muscle mass and strength. All study procedures are free of cost and do not require significant time commitment. You will have time to ask questions and discuss the study with your family, primary care physician, and your kidney doctor to make the decision if this is right study for you to participate in.

Read the detailed description

The overall objective of this study is to evaluate the feasibility, tolerability, metabolic effects, and potential therapeutic potential of isolated valine or EAA in patients with CKD stage 5.

  • Primary Objective: To evaluate the feasibility, tolerability, and potential therapeutic benefits of isolated valine or EAA for the management of sarcopenia in patients with stage 5 CKD not on dialysis.
  • Secondary Objectives: To assess the effects of valine and EAA on measures of kidney function and anorexia in patients with stage 5 CKD not on dialysis.
02

Conditions studied

  • Chronic Kidney Disease
  • Sarcopenia

Keywords

  • Valine
  • Essential amino acid
  • Metabolic effects
03

In context

Renal Insufficiency, Chronic

3,090 studies on the registry are indexed under Renal Insufficiency, Chronic; 698 are open to participants now.

This study's planned enrollment of 20 is below the median of 73 across 2,157 interventional studies indexed under Renal Insufficiency, Chronic.

Browse Renal Insufficiency, Chronic studies →

Lead sponsor

The University of Texas Health Science Center at San Antonio is the lead sponsor of 445 studies on the registry; 89 are open to participants now.

Of its 65 completed or terminated interventional studies of FDA-regulated products, 35 (54%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
45 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Ability of participant to understand and the willingness to sign a written document.
  2. Males and females of age 45-75 yrs
  3. Hand grip strength of \<26 kg for male and \<16 kg for female
  4. Documented diagnosis of estimated (eGFR) of ≤15 mL/min/1.73 m2, based on CKD-EPI serum-creatinine based formula in the past ≥3 months in absence of acute kidney injury.
  5. Not on dialysis and is not expected to initiate dialysis or any kidney replacement therapy in next 4 months
  6. Receiving standard of care including dietary recommendation for diabetes, hypertension, CKD, and other comorbidities
  7. Patients who are on an SGLT2-i or GLP-1 agonist should be on a stable dose for at least 3 months prior randomization, with no dose adjustments expected in the next 4 months
  8. Serum HCO3 concentration 20-29 mmol/L based on two consecutive recent routine labs
  9. 7-9% based on most recent routine lab
  10. Serum albumin ≥3.8 g/dL based on most recent routine lab
  11. Blood ≥10 g/dL based on most recent routine lab
  12. Willingness to adhere to lifestyle management, including diet and exercise as recommended by care providers, and to the study intervention, procedures, and regimen.

Exclusion criteria

Exclusion Criteria:

  1. Any known history of /intolerance to valine or specific amino acids
  2. Any condition that may indicate the individual is not "metabolically stable" which may include active infection, currently on systemic antibiotic, hospitalization within 2 weeks on consenting, active , on agents, and unexplained significant weight loss during the past 3 months
  3. With a cardiac pacemaker and/or an implantable cardioverter-defibrillator
  4. Significant arthritis prohibiting strength test and walk gait speed test
  5. Significant comorbidities including heart failure (NY Class III or IV), neurological disorders, AIDS, etiology of CKD other than diabetes and hypertension, or any condition that could compromise the subject's ability to study procedures as judged by study clinician
  6. Currently taking any protein supplements
  7. Pregnant, lactating, childbearing women
  8. History of Maple syrup urine disease (MSUD)
  9. Scheduled for kidney transplantation or dialysis in next 4 months
  10. Current participation in another interventional trial
  11. Documented noncompliance with regard to clinic visits, medications, and lifestyle management.
  12. Documentation of current or history of substance abuse.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Treatment group Valine

    Daily oral consumption of 2 g valine, divided into two meals (1 g per meal, one packet), each equivalent to approximately 0.8 g of protein.

    Drug: Valine

  • Experimental
    Treatment group EEA

    Daily oral consumption of 20 g essential amino acids (EAA), divided into two meals (10 g per meal, one packet), each equivalent to 5 g of protein and 3.14 g of branched chain amino acids (BCAA).

    Drug: EEA

Interventions

  • DrugValine

    A medical food intended for use under medical supervision

    Also known as: Valine Amino Acid Supplement

  • DrugEEA

    A medical food intended for use under medical supervision

    Also known as: Essential Amino Acid Supplement

06

What researchers measure

Primary outcomes

  1. Skeletal muscle strength (handgrip strength test)

    Change from baseline handgrip strength test value (kg) measured using a hand dynamometer to the end of each 6-Week intervention

    Time frame: Baseline to 14 weeks

  2. Muscle mass

    Change from baseline muscle mass using a bioelectrical impedance analysis to the end of each 6-Week intervention

    Time frame: Baseline to 14 weeks

  3. Physical performance (4-meter Walk Gait Speed Test or 4MWT)

    Change from baseline 4MWT (measured in second) to the end of each 6-Week intervention

    Time frame: Baseline to 14 weeks

  4. Incidence of patient-reported symptoms

    Change from baseline (number of symptoms) to the end of each 6-Week intervention

    Time frame: Baseline to 14 weeks

Secondary outcomes

  1. Functional Assessment of Anorexia/Cachexia Therapy (FAACT) Anorexia subscale

    Change from baseline scores (ranging from 0-48, with 0 being the worst possible score) to the end of each 6-Week intervention

    Time frame: Baseline to 14 weeks

Other outcomes

  1. Serum Cystatin C-based eGFR

    Change from baseline serum Cystatin C levels (mg/L) to the end of each 6-Week intervention

    Time frame: Baseline to 14 weeks

07

Study locations

1 site
08

References and documents

Publications

  • Duarte MP, Almeida LS, Neri SGR, Oliveira JS, Wilkinson TJ, Ribeiro HS, Lima RM. Prevalence of sarcopenia in patients with chronic kidney disease: a global systematic review and meta-analysis. J Cachexia Sarcopenia Muscle. 2024 Apr;15(2):501-512. doi: 10.1002/jcsm.13425. Epub 2024 Jan 24. PubMed 38263952 ↗
  • Alvestrand A, Furst P, Bergstrom J. Plasma and muscle free amino acids in uremia: influence of nutrition with amino acids. Clin Nephrol. 1982 Dec;18(6):297-305. PubMed 7151348 ↗
  • Ikizler TA, Burrowes JD, Byham-Gray LD, Campbell KL, Carrero JJ, Chan W, Fouque D, Friedman AN, Ghaddar S, Goldstein-Fuchs DJ, Kaysen GA, Kopple JD, Teta D, Yee-Moon Wang A, Cuppari L. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. Am J Kidney Dis. 2020 Sep;76(3 Suppl 1):S1-S107. doi: 10.1053/j.ajkd.2020.05.006. PubMed 32829751 ↗
  • Jiang S, Fang J, Li W. Protein restriction for diabetic kidney disease. Cochrane Database Syst Rev. 2023 Jan 3;1(1):CD014906. doi: 10.1002/14651858.CD014906.pub2. PubMed 36594428 ↗
  • Laidlaw SA, Berg RL, Kopple JD, Naito H, Walker WG, Walser M. Patterns of fasting plasma amino acid levels in chronic renal insufficiency: results from the feasibility phase of the Modification of Diet in Renal Disease Study. Am J Kidney Dis. 1994 Apr;23(4):504-13. doi: 10.1016/s0272-6386(12)80371-4. PubMed 8154485 ↗
  • Wu Y, Chen J, Tao Y, Xiao M, Xiong J, Chen A, Ma X, Li L, Jia H, Zhang Q, Xue Y, Jia Y, Zheng Z. Association between dietary protein intake and mortality among patients with diabetic kidney disease. Diabetes Metab Syndr. 2024 Jul;18(7):103091. doi: 10.1016/j.dsx.2024.103091. Epub 2024 Jul 27. PubMed 39084052 ↗
  • Tizianello A, Deferrari G, Garibotto G, Robaudo C, Lutman M, Passerone G, Bruzzone M. Branched-chain amino acid metabolism in chronic renal failure. Kidney Int Suppl. 1983 Dec;16:S17-22. PubMed 6588248 ↗
  • Block KP, Harper AE. Valine metabolism in vivo: effects of high dietary levels of leucine and isoleucine. Metabolism. 1984 Jun;33(6):559-66. doi: 10.1016/0026-0495(84)90012-x. PubMed 6727655 ↗
  • Burns J, Cresswell E, Ell S, Fynn M, Jackson MA, Lee HA, Richards P, Rowlands A, Talbot S. Comparison of the effects of keto acid analogues and essential amino acids on nitrogen homeostasis in uremic patients on moderately protein-restricted diets. Am J Clin Nutr. 1978 Oct;31(10):1767-75. doi: 10.1093/ajcn/31.10.1767. PubMed 707331 ↗
  • Masud T, Young VR, Chapman T, Maroni BJ. Adaptive responses to very low protein diets: the first comparison of ketoacids to essential amino acids. Kidney Int. 1994 Apr;45(4):1182-92. doi: 10.1038/ki.1994.157. PubMed 8007590 ↗
  • Sunsandee N, Thimachai P, Satirapoj B, Supasyndh O. Anti-sarcopenic effect of leucine-enriched branched-chain amino acid supplementation among elderly chronic kidney disease patients: a double-blinded randomized controlled trial. Int Urol Nephrol. 2025 Nov;57(11):3811-3819. doi: 10.1007/s11255-025-04560-9. Epub 2025 May 17. PubMed 40381110 ↗
  • Studenski SA, Peters KW, Alley DE, Cawthon PM, McLean RR, Harris TB, Ferrucci L, Guralnik JM, Fragala MS, Kenny AM, Kiel DP, Kritchevsky SB, Shardell MD, Dam TT, Vassileva MT. The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates. J Gerontol A Biol Sci Med Sci. 2014 May;69(5):547-58. doi: 10.1093/gerona/glu010. PubMed 24737557 ↗
  • Bhasin S, Travison TG, Manini TM, Patel S, Pencina KM, Fielding RA, Magaziner JM, Newman AB, Kiel DP, Cooper C, Guralnik JM, Cauley JA, Arai H, Clark BC, Landi F, Schaap LA, Pereira SL, Rooks D, Woo J, Woodhouse LJ, Binder E, Brown T, Shardell M, Xue QL, D'Agostino RB Sr, Orwig D, Gorsicki G, Correa-De-Araujo R, Cawthon PM. Sarcopenia Definition: The Position Statements of the Sarcopenia Definition and Outcomes Consortium. J Am Geriatr Soc. 2020 Jul;68(7):1410-1418. doi: 10.1111/jgs.16372. Epub 2020 Mar 9. PubMed 32150289 ↗

Individual participant data

Plan to share: Yes — This study will comply with the NIH Data Sharing Policy and Policy on the Dissemination of NIH-Funded Clinical Trial Information and the Clinical Trials Registration and Results Information Submission rule. As such, this trial will be registered at ClinicalTrials.gov, and results information from this trial will be submitted to ClinicalTrials.gov. In addition, every attempt will be made to publish results in peer-reviewed journals.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data may be available beginning 1 year after the end of the trial and publication of the primary outcomes, and will be available for 24 months.

Access criteria: Data may be available to researchers who provide a methodologically sound proposals. Proposals should be directed to the principal investigator. To gain access, data requestors will need to sign a data access agreement.

09

Updates

1 registry update since Sep 25, 2026
Start date
Aug 24, 2026→Jul 2027
Nov 2, 2026
Primary completion
Jul 31, 2027→Dec 2028
Nov 2, 2026
Study completion
Oct 30, 2027→Dec 2029
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    Start date Aug 24, 2026→Jul 2027
    Primary completion Jul 31, 2027→Dec 2028
    Study completion Oct 30, 2027→Dec 2029
    + 3 other changes: identifiers, verification date and responsible party

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07437053
Responsible party
Subrata Debnath (Assistant Professor, The University of Texas Health Science Center at San Antonio) — Principal investigator
First posted
Feb 27, 2026
Start date
Jul 2027 (estimated)
Primary completion
Dec 2028 (estimated)
Completion
Dec 2029 (estimated)
Last update
Nov 2, 2026

Study contacts

Subrata Debnath, PhD
Contact
nath@uthscsa.edu
210-567-4700
Subrata Debnath, PhD
principal investigator · The University of Texas Health Science Center at San Antonio

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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Discussion

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Studies of the drug tested here: Valine

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