chronic kidney disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients with chronic kidney disease who were referred to the Outpatient Department of Nephrology at Osaka University Hospital 2) eGFR < 20 mL/min/1.73 m2 3) Taking anigiotensin-converting enzyme inhibitors or angiotensin II receptor blockers or angiotensin receptor neprilysin inhibitor 4) K < 5.5 mEq/L
Exclusion criteria
Exclusion criteria: 1) Being planned to intitate renal replacement therapies within 3 months 2) Having inflammatory bowel diseases 3) History of gastrointestinal tract surgery 4) Taking antibiotics within 1 month before the entry 5) Taking or being planned to start warfarin 6) Having dietary allergies 7) Having difficulty in oral intake 8) During pregnancy or breastfeeding 9) Unsuitable for participant in the trial by an attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in serum levels of indoxyl sulfate, p-Cresyl sulfate and trimethylamine N-Oxide | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Change in eGFR and urinary protein creatinine ratio 2) Change in serum bicarbonate levels 3) Change in systolic and diastolic blood pressure 4) Change in serum levels of calcium, phosphate, intact parathyroid hormone and intact fibroblast growth factor 23 5) Change in serum levels of acetic acid, propionic acid and butyric acid 6) Change in gut microbiome composition 7) Change in muscle strength 8) Dietary adherence 9) Oral medications including antihypertensive drugs, diuretics, potassium tablets, potassium binders, phosphate binders, calcium tablets, active vitamin D3 analogs and sodium bicarbonate | — |
Countries
Japan
Contacts
Osaka University Graduate School of Medicine Department of Inter-Organ Communication Research in Kidney Diseases