End Stage Renal Disease
Conditions
Keywords
Hemodialysis patients, Zinc, Anemia, Oxidative stress
Brief summary
The purpose of the study is to evaluate the effect of Zinc supplementation on health status of hemodialysis patients through measurement of the following before and after Zinc administration: Inflammatory markers, Oxidative stress markers and Anemia markers. Also, Evaluation of quality of life of hemodialysis patients before and after Zinc administration using Fatigue severity scale questionnaire.
Interventions
Zinc Sulphate Hard Gel capsules 110mg
Corn Starch filled Hard Gel Capsules
Epoetin alfa 2000-4000 IU solution for injection
Iron Hydroxide Saccharate Complex Solution for injection
Sponsors
Study design
Eligibility
Inclusion criteria
* Under regular hemodialysis for at least 6 months. * Clinically stable condition as outpatients. * Zinc-deficient patients (plasma Zinc concentrations less than 80 mcg/dl).
Exclusion criteria
* Patients taking any antioxidant supplements including vitamin E, Omega-3 fatty acids, green tea preparations or immunosuppressive medications within 2 months prior to enrollment in the study. * Patients receiving Al hydroxide phosphate binders. * Hospitalization in the previous month before the onset of the trial, or having active infection. * Patients with malabsorption diseases (e.g, Crohn's disease), liver diseases, cancers, mental retardation, dementia or psychiatric illness.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect on Anemic status (Measurement of Hemoglobin, Hematocrit, serum iron,Total Iron Binding Capacity and serum ferritin) | three months | at baseline and after 3 monthes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect on Oxidative stress (Measurement of Malondialdehyde, Total antioxidant capacity, Nitric oxide and Superoxide dismutase) | three months | Measurement of Malondialdehyde, Total antioxidant capacity, Nitric oxide and Superoxide dismutase at baseline and after 3 monthes. |
| Effect on Inflammatory status. (Measurement of C-Reactive protein and Interleukin-6) | three months | Measurement of C-Reactive protein and Interleukin-6 at baseline and after 3 monthes. |
| Effect on Fatigue (Fatigue Sevrity Scale) | three months | Using Fatigue Sevrity Scale at baseline and after 3 monthes. |
Countries
Egypt