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CompletedNCT07555327Updated May 27, 2026

Clinical Observation of Renal Function Reactivation Following a GRAS-Based Protocol in Patients With Chronic Kidney Disease and Long-Term Renal Arrest.

An observational study in End-Stage Renal Disease (ESRD) Chronic Kidney Disease, Stage 5 Renal Regeneration Anuria Diabetic Nephropathy, Anuria and End-Stage Renal Disease (ESRD), sponsored by Amar h Zireg. Completed at 1 site in Algeria. Open to male participants. Per ClinicalTrials.gov, last updated 2026-05-27.

Sponsored by Amar h Zireg · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
8
Sex
Male
01

Study summary

This observational study documents the impact of a specific oral protocol (based on FDA-GRAS ingredients) on patients with Stage 5 Chronic Kidney Disease (CKD). The study observes 8 participants, including 6 with residual renal function and 2 patients with long-term total renal arrest (16 years and 22 years of anuria). The primary focus is monitoring the restoration of urine output and changes in renal biological markers.

Read the detailed description

This study follows 8 patients categorized into two sub-groups:

Sub-group A (6 patients): Individuals with residual urine output at baseline. Sub-group B (2 patients): Individuals in total renal arrest on long-term hemodialysis.

Case 1: Diabetic patient with 16 years of renal arrest. Case 2: Non-diabetic patient with 22 years of renal arrest.

All participants self-administered an oral protocol of GRAS-certified nutritional components. The investigators observed clinical outcomes over a 12-month period, focusing on the reactivation of dormant renal tissue and the evolution of filtration capacity.

02

Conditions studied

  • End-Stage Renal Disease (ESRD) Chronic Kidney Disease, Stage 5 Renal Regeneration Anuria Diabetic Nephropathy
  • Anuria
  • End-Stage Renal Disease (ESRD)
  • Chronic Kidney Disease, Stage 5
  • Renal Regeneration
  • Diabetes
  • Diabetes Complications
  • Non Diabetic Patients
  • Diabetes Mellitus ( Type 1 and Type 2)

Keywords

  • Renal Reactivation
  • Kidney Regeneration
  • Chronic Kidney Disease Stage 5
  • Hemodialysis Recovery
  • Anuria Reversal
  • GRAS Protocol
  • Limb Salvage Platform
  • Diabetic Nephropathy Recovery
03

In context

Kidney Failure, Chronic

2,108 studies on the registry are indexed under Kidney Failure, Chronic; 273 are open to participants now.

This study's enrollment of 8 is below the median of 120 across 442 observational studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

Amar h Zireg is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Male
Sampling method
Non-probability sample

Study population

The study population consists of a specific cohort of 8 adult patients (diabetic and non-diabetic) diagnosed with Stage 5 Chronic Kidney Disease (CKD). The group is characterized by a wide spectrum of renal impairment, ranging from patients with residual urine output to individuals in total renal arrest on long-term hemodialysis. A key feature of this population is the inclusion of patients with extreme periods of anuria, specifically documenting cases of 16 years and 22 years of total renal inactivity prior to the observation period

Eligibility criteria

Sampling Method: Non-Probability Sample

Criteria: Patients with confirmed Stage 5 CKD on or off dialysis, with documented periods of renal inactivity ranging from residual function to 20+ years of total arrest.ion Criteria:

  • Aged 18 and older" et "Diagnosed with ESRD (End-Stage Renal Disease)".

Exclusion Criteria:

  • Pregnant women
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
8 participants (actual)
Patient registry
No

Interventions

  • Dietary supplementCSR-CKD Oral Protocol

    A specific oral nutritional intervention consisting of synergistic FDA-GRAS (Generally Recognized As Safe) components designed to support renal tissue recovery and restoration of urine output.

06

What researchers measure

Primary outcomes

  1. Change in Daily Urine Output Volume

    Evaluation of the restoration of renal secretory function. We specifically monitor the transition from total anuria (0 mL/day) to a functional state (targeting a recovery of 3% to 6% of normal urine output volume or more).

    Time frame: Baseline and every month for to 6 months

Secondary outcomes

  1. Elimination of Chronic Diabetic Fatigue

    Assessment of patient energy levels and the reduction of chronic fatigue associated with CKD and Diabetes through a standardized quality-of-life questionnaire.

    Time frame: Baseline and every 3 months for 6 months

  2. Incidence of Treatment-Emergent Adverse Events

    Safety monitoring of the GRAS-based oral protocol throughout the observation period.

    Time frame: 12 months.

07

Study locations

1 site
  • Amar hocine Zireg
    Bordj Bou Arreridj, Wilaya de Bordj Bou Arréridj 34000, Algeria
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2026 to primary completion in Apr 2026, 2 months.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 20, 2026
First posted
Apr 29, 2026
StartActual
Feb 2, 2026
Primary completionActual
Apr 15, 2026
CompletionActual
May 19, 2026
Last update
May 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07555327
Lead sponsor
Amar h Zireg
Responsible party
Amar h Zireg (Sponsor-Investigator,, Amar Zireg) — Sponsor-investigator
First posted
Apr 29, 2026
Start date
Feb 2, 2026
Primary completion
Apr 15, 2026
Completion
May 19, 2026
Last update
May 27, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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