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A High Protein Egg White Pudding for People With Kidney Failure (HiPE KF)

Not Applicable
Not yet recruiting
Conditions
Frailty
Kidney Disease, Chronic
Kidney Failure
Registration Number
NCT06343727
Lead Sponsor
Seven Oaks Hospital Chronic Disease Innovation Centre
Brief Summary

The goal of this clinical trial is to compare protein supplements in patients with kidney failure on dialysis. The main questions it aims to answer are:

* To determine whether the supplementation of egg white protein pudding in a population of individuals with kidney failure on dialysis is feasible.

* To determine whether egg white protein pudding supplementation improves serum albumin similar to other standard nutritional supplements.

* To determine the effects of the egg white protein pudding on frailty measures, dietary intakes and analytes in the blood and urine. Participants will receive either the egg white pudding (experimental) or control (Ensure plus) at the end of their dialysis treatments 3-days per week for 12 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
54
Inclusion Criteria
  • Participant is willing and able to give informed consent for participation in the trial
  • Male or female aged ≥18 years with CKD
  • On chronic in-center hemodialysis for > 3 months
  • Serum albumin <35 g/L
  • No expected change in dialysis modality or relocation outside of Winnipeg during the intervention period (12 weeks)
Exclusion Criteria
  • Allergy to eggs
  • History of renal transplant
  • Serum albumin ≥ 35 g/L
  • Bowel diseases
  • Cancer
  • Pregnancy
  • Receiving chemotherapy treatment
  • Inability to consume treatment product
  • Allergy to study treatment ingredients
  • Planning on starting an exercise program during the duration of the trial
  • Inability to obtain written informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Eligibility to randomization ratioMeasured at the end of 12 weeks.

A ratio of eligibility to randomization will be collected at 12 months using pre-specified red-yellow-green progression criteria to investigate egg pudding intervention feasibility. The trial will be considered feasible if ratio falls within green zone (\>0.5). The outcome in the yellow zone (0.2-0.5) indicate that modifications to trial design may be necessary and in the red zone (\<0.2) will suggest the trial is not feasible.

Recruitment rate12 months

Recruitment rate will be assessed as the number of new participants enrolled per site per month during active recruitment using the red-yellow-green progression criteria.

Green: ≥ 0.75 participants/site/month - Feasible; Yellow: 0.25 - \<0.75 participants/site/month - Modification may be necessary; Red: \< 0.25 participants /site/month - Not feasible

Follow up rateMeasured at the end of 12 weeks.

Follow-up rate (% of participant outcomes) will be calculated using the red-yellow-green progression criteria.

Green: \> 90% - Feasible; Yellow: (75% - 90%) -Modifications may be necessary; Red: \<75% -Not feasible.

Adherence to InterventionMeasured at the end of12 weeks

Adherence to egg white product intervention (% of dispensed egg white protein consumed) will be calculated using red-yellow-green progression criteria.

Green: \> 75% - Feasible; Yellow: 50%-75% - Modifications may be necessary; Red: \<50% - Not feasible

Secondary Outcome Measures
NameTimeMethod
Hand grip strengthMeasured at the end of 12 weeks.

Measuring the amount of static force that the hand can squeeze around a dynamometer. Measured in kilograms and pounds.

Serum bicarbonateMeasured at the end of 12 weeks.

Serum bicarbonate concentration in milliequivalents per liter (mEq/L)

CalciumMeasured at the end of 12 weeks.

Total blood calcium concentration in mmol/L

Serum albuminMeasured at the end of 12 weeks.

Serum albumin is measured in grams per deciliter (g/dL)

Five rep chair stand timeMeasured at the end of 12 weeks.

the amount of time it takes for a participant to get up out of a chair five times measured in seconds

Urine albuminMeasured at the end of 12 weeks.

Total urine albumin concentration in µg/min

Change in gait speedMeasured at the end of 12 weeks.

Gait speed is measured by the predetermined distance/time to walk that distance (e.g., 5m/__sec)

Tandem balance timeMeasured at the end of 12 weeks.

Measured in Seconds

PotassiumMeasured at the end of 12 weeks.

The total blood potassium concentration in mmol/L

HbA1cMeasured at the end of 12 weeks.

Total blood glucose concentration in mmol/L

SodiumMeasured at the end of 12 weeks.

The total sodium concentration in mmol/L

phosphorusMeasured at the end of 12 weeks.

The total blood phosphorus concentration in mmol/L

chlorideMeasured at the end of 12 weeks.

Total blood chloride concentration in mmol/L

Trial Locations

Locations (2)

Seven Oaks General Hospital

🇨🇦

Winnipeg, Manitoba, Canada

Health Science Centre

🇨🇦

Winnipeg, Manitoba, Canada

Seven Oaks General Hospital
🇨🇦Winnipeg, Manitoba, Canada
Navdeep Tangri, PhD, MD
Principal Investigator
Rebecca Mollard, PhD
Sub Investigator
Dylan MacKay, PhD
Sub Investigator
Clara Bohm, MD
Sub Investigator
Jay Hingwala, MD
Sub Investigator

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