Kidney Failure, Chronic
Conditions
Brief summary
Gum Arabic is a naturally produced gummy exudate from Acacia Senegal tree. It's a complex polysaccharide with proven prebiotic properties. Through its effect on intestinal bacteria, it's expected to reduce systemic levels of toxic bacterial metabolites and reduce inflammatory markers.By increasing fecal bacteria mass it's also expected to reduce blood urea level. These changes are potentially beneficial to hemodialysis patients who suffer from disturbed intestinal flora and a chronic inflammatory status. The investigators hypothesize that supplementing the diet of hemodialysis patients with Gum Arabic for four weeks would reduce inflammatory markers, increase total anti-oxidant capacity and reduce blood urea concentration.
Interventions
Instantly soluble granules of Gum Arabic; 100% Acacia Senegal
Maltodextrin powder, easily soluble
Sponsors
Study design
Masking description
The placebo and the Gum Arabic are provided to patients in similar unlabeled packages
Intervention model description
Randomized and controlled clinical trial with parallel design
Eligibility
Inclusion criteria
* Adult end-stage renal disease patients maintained on regular hemodialysis
Exclusion criteria
* Chronic liver disease * Malignant condition * Inflammatory bowel disease * History of bowel resection * Long term antibiotic therapy * Pregnancy or lactation * Current use of immunosuppressive medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Highly sensitive C-reactive protein (hs CRP) level | 4 weeks | Change in serum level of highly sensitive C-reactive protein. |
| Total anti-oxidant capacity | 4 weeks | Change in serum total anti-oxidant capacity |
| Blood urea level | 4 weeks | Change in urea blood level |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Serum calcium | 4 weeks | Change in serum calcium level |
| Serum phosphorus | 4 weeks | Change in serum phosphorus level |
| Serum uric acid | 4 weeks | Change in serum uric acid level |
Countries
Sudan