Uremic Toxin
Conditions
Keywords
Indoxyl sulfate
Brief summary
Investigate the nephroprotective effect of Activated Charcoal and Probiotic in limiting the progression of renal impairment in patients with chronic kidney disease and improving of renal function test and phosphate level. Condition or disease: chronic kidney disease
Detailed description
Chronic kidney disease (CKD) is characterized by a gradual decrease in the glomerular filtration rate (GFR) and proteinuria. CKD is a global health problem, and its incidence has been increasing. The estimated global prevalence of CKD is 8-14%. When kidney function deteriorates gradually, many metabolites accumulate in the body. These accumulated substances, termed as uremic toxins (UTs), can result in adverse pathophysiological outcomes. UTs can affect multiple organs and cause renal fibrosis, vascular calcification, anemia, peripheral arterial disease, adynamic bone disease, adipocyte dysfunction with insulin resistance, impaired immune system, and uremic pruritus. The pathophysiological mechanisms through which UTs cause multiple organ damage are complex and not completely understood. These mechanisms may include inflammation, reactive oxidative stress, cellular transdifferentiation, impaired mitochondria function, intestinal barrier destruction, and changes in intestinal microbiota.
Interventions
Sponsors
Study design
Masking description
None (Open Label)
Intervention model description
Interventional (clinical trial)
Eligibility
Inclusion criteria
* Patients with age more than 18 years old; * Patients with CKD; * Both genders will be included.
Exclusion criteria
* Patient with age less than 18 years old; * Inability or rejection to take activated charcoal or probiotic; * Clinically unstable; * Pregnant; * Unlikely to adhere to study procedure (eg. due to cognitive limitations, severe psychiatric disorder or alcoholism).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improving of blood urea | Baseline to 6 week | The concentration of blood urea(mmol/L),dL) ) in all blood samples |
| Indoxyl sulfate assay | Baseline to 6 week | The concentration of human indoxyl sulfates level by elisa technique in the subjects' blood samples |
| Improving of serum creatinine mg/dL | Baseline to 6 week | The concentration of serum creatinine(mg/dL) in all blood sample |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nutrition status | Baseline to 6 week | The concentration of albumin(g/dL) in the subjects' blood samples |
Countries
Iraq