Evaluate the Efficacy and Safety of Amino Acid (15) Peritoneal Dialysis Solution in Peritoneal Dialysis Patients with Malnutrition.

Launched by CHENGDU QINGSHAN LIKANG PHARMACEUTICAL CO., LTD · Sep 11, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a special type of peritoneal dialysis solution that contains amino acids, aimed at helping patients with End Stage Renal Disease (ESRD) who are also experiencing malnutrition. The goal is to see if this solution is safe and effective for patients who are already undergoing peritoneal dialysis, a treatment that helps filter waste from the blood when the kidneys can no longer do so.

To be eligible for this trial, participants must be between 18 and 75 years old, have been stable on peritoneal dialysis for at least three months, and meet certain health criteria, such as specific blood protein levels. Participants will be randomly assigned to receive either the amino acid solution or a standard treatment, and they will be monitored throughout the trial. It’s important for potential participants to understand that they should not have any recent infections or other serious health issues that could interfere with the study. This trial is currently recruiting and aims to improve the care for patients who need dialysis.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. 18 to 75 years of age (including 18 and 75 years of age), regardless of sex;
• • 2. Stable CAPD patients treated with peritoneal dialysis for greater than or equal to 3 months;
• • 3. 25 ≤ serum ALB ≤ 40 g/L on two consecutive occasions prior to enrollment (two occasions one week apart);
• • 4. Blood potassium ≥ 3.5 mmol/L
• • 5. C-reactive protein (CRP) ≤ 2 x upper limit of normal (ULN);
• • 6. Carbon dioxide binding capacity \>18 mmol/L;
• • 7. Subjects voluntarily sign an informed consent form in writing prior to the commencement of any procedures related to the study, fully understand the purpose and significance of the trial, and are willing to comply with the trial protocol.
• Exclusion Criteria:
• • 1. Within the past 3 months prior to the screening period, there has been a history of peritonitis, other infections, or inflammatory diseases, with hospitalization records;
• • 2. The possibility of receiving a kidney transplant during the study period;
• • 3. Patients with inadequate dialysis and screening period kt/v\<1.4;
• • 4. Patients with hemoglobin less than 80g/L during the screening period;
• • 5. Patients who have used amino acid (15) peritoneal dialysate within 6 months prior to the screening period.
• • 6. Patients with bleeding events (active gastrointestinal hemorrhage, cerebral hemorrhage), cardiovascular and cerebrovascular events (cerebral infarction, myocardial infarction, etc., and NYHA grade ≥3 of cardiac function) within 30 days before screening period.
• • 7. In patients with active diarrhea during the screening period, as assessed by investigators, affecting nutrient absorption(Except for patients with chronic diarrhea, stool frequency \< 3 times/day);
• • 8. patients with contraindications to amino acid (15) peritoneal dialysis solutions: 1) hypersensitivity to any of the components of the product; 2) Serum urea level \>38 mmol/l; 3) Presence of uremic symptoms such as marked loss of appetite, nausea and vomiting at the time of screening; 4) Various inborn abnormalities of amino acid metabolism; 5) hepatic insufficiency (active hepatitis); active hepatitis B or C, cirrhosis, active liver disease or positive seropositivity for human immunodeficiency virus (HIV) within 6 months prior to screening; 6) Uncorrectable mechanical defects that the investigator assesses as affecting efficacy or increasing the risk of infection; 7) History of loss of peritoneal function or impairment of peritoneal function due to extensive adhesions;
• • 9. Suffers from a malignant tumor or has a life expectancy of \&lt;6 months;
• • 10. Routine daily use of 4.25% glucose dialysis solution during the screening period;
• • 11. Diabetic subjects with poor prior glycemic control, e.g., HbAlc \> 8%;
• • 12. Women during pregnancy or breastfeeding;
• • 13. Other circumstances that, in the opinion of the investigator, may make participation in this study inappropriate.