Status:

COMPLETED

Role of AST120 for Sarcopenia Prevention in Pre-dialysis Chronic Kidney Disease

Lead Sponsor:

Gumi Cha Medical Center

Conditions:

Chronic Kidney Diseases

Eligibility:

All Genders

20+ years

Phase:

PHASE4

Brief Summary

This study is to assess the effect of 48 weeks administration of Renamezin capsule on prevention of sarcopenia in pre-dialysis patients with chronic kidney disease.

Detailed Description

Skeletal muscle atrophy, referred to as sarcopenia, and impaired physical performance are accompanied in chronic kidney disease patients during disease progression. Decreased physical performance deri...

Eligibility Criteria

Inclusion

  • Adult older than 19 years
  • Pre-dialysis chronic kidney disease
  • Serum creatinine level 2.0-5.0 mg/dL or MDRD or CKD-EPI eGFR 15-60 mL/min/1.73 m²
  • Serum albumin ≥ 3.0 g/dL
  • No previous use of oral absorbant during 4 weeks prior to screening
  • No change of treatment for chronic kidney disease during 4 weeks prior to screening
  • Written informed consent to participate in this clinical study
  • Capable of independent physical activity, an assisted device use is acceptable

Exclusion

  • Impaired GI peristalsis
  • Uncontrolled constipation
  • Prior renal transplant
  • On immunosuppressant (small dose users may be accepted according to the PI's decision)
  • GI ulcer or esophageal varix
  • Uncontrolled hypertension (systolic BP ≥180 mmHg or diastolic BP ≥110 mmHg)
  • History of admission for an acute cardiovascular incident within 3 months prior to screening
  • Current acute infection state
  • Liver function failure (ALT, AST over 2.5 times of normal reference range)
  • Uncontrolled diabetes patient (HbA1c \>10 % or fasting glucose \>250 mg/dL)
  • Malignancy (patients of post-remission 5 years without any recurrence can be enrolled, except for squamous cell carcinoma in situ)
  • Pregnancy, on breastfeeding
  • Not agreed to medical contraceptive use during participating in the study
  • Concurrent participation in another clinical trial
  • Drug or alcohol-dependent
  • Other clinical trial medication administration more than once within 30 days prior to enrollment
  • Expected dialysis or kidney transplantation within 3 months prior to enrollment
  • Dependent physical activity
  • Musculoskeletal disease that may debilitate functional independence
  • Lower limb amputee not using a prosthesis
  • Severe retinal disease (e.g., proliferative diabetic retinopathy, vitreous hemorrhage)
  • Claudication
  • Other patients inappropriate to participate by the PI's decision

Key Trial Info

Start Date :

November 23 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 14 2020

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT03788252

Start Date

November 23 2018

End Date

July 14 2020

Last Update

December 17 2020

Active Locations (1)

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CHA Gumi Medical Center

Gumi, Gyeongsangbuk-do, South Korea, 39295