Status:

TERMINATED

Randomized Multicenter Cross-over Study to Compare the Effect of Physioneal 35 to 40 on the Protein Metabolism

Lead Sponsor:

University of Erlangen-Nürnberg Medical School

Conditions:

Endstage Renal Disease

Eligibility:

All Genders

3-18 years

Phase:

PHASE4

Brief Summary

The purpose of this study is to demonstrate an increase in protein metabolism during treatment with Physioneal 35® (containing lactate 10 mmol/l, calcium 1.75 mmol/l) compared to treatment with Physio...

Detailed Description

* Fat oxidation (13C-enrichment in expiration breath samples for U-C13-algae turnover) * Growth markers (plasma levels of IgF-1, IgF-BP3, leptin) * Biochemical markers of anabolism (plasma levels of t...

Eligibility Criteria

Inclusion

  • Patients who are males or non-pregnant females between the ages of 3 months and 18 years.
  • Patients who are on regular automated peritoneal dialysis due to end stage renal failure for at least 3 months.
  • Patients and/or their parents must be capable of understanding the purpose and risks of the study.
  • Patients and/or their parents (or guardians) who are willing to give written informed consent and willing to participate in and comply with the study protocol.

Exclusion

  • Use of pure lactate, amino acid or oligosaccharide solutions for peritoneal dialysis
  • Peritonitis episode less than 6 weeks before enrolment
  • Hypercalcemia (serum) \> 2.75 mmol/l in three independent measurements during 10 days
  • Severe secondary hyperthyroidism (iPTH \> 500 ng/l)
  • Renal anemia with hemoglobin (blood) \< 10 mg/dl
  • Impaired hepatic function (AST/SGOT or ALT/SGPT \> 2 times the upper limit of the reference range)
  • Patients who are participating in another study that requires Ethics Committee approval. Non-interventional studies are permitted.
  • Pregnant female patients, females of childbearing potential who are unwilling or unable to use adequate contraception methods.
  • Severe respiratory insufficiency
  • Malnourishment (body weight \< -2.5 SDS for height and gender) or severe deterioration of fat metabolism
  • Patients with a history of malignancy of any organ system, treated or untreated
  • Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of the investigational product and the comparator, including
  • Major deterioration of the abdominal wall (e.g. dermal infections or burns, hernia)
  • Major deterioration of the abdominal cavity (e.g. ascites, ileus, adhesions, bowel perforation, defects of the diaphragm, tumours)
  • Patients with a history of viral infections such as HIV or hepatitis B, C.

Key Trial Info

Start Date :

September 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2012

Estimated Enrollment :

5 Patients enrolled

Trial Details

Trial ID

NCT00776191

Start Date

September 1 2008

End Date

May 1 2012

Last Update

June 4 2015

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Pediatric Nephrology, Universiy Children's Hospital

Cologne, Germany

2

Dept. of Pediatric Nephrology, University Hospital Erlangen

Erlangen, Germany

3

Dept. of Pediatric Nephrology, University of Hannover

Hanover, Germany, 30625

4

Dept. of Nephrology, children´s hospital Memmingen

Memmingen, Germany, 87700