UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025214
Receipt number R000029002
Scientific Title Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia: a randomized parallel-group pilot study
Date of disclosure of the study information 2016/12/10
Last modified on 2017/11/30 03:10:33

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Basic information

Public title

Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia: a randomized parallel-group pilot study

Acronym

Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia

Scientific Title

Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia: a randomized parallel-group pilot study

Scientific Title:Acronym

Effects of the nutritional supplementation in combination with exercise therapy for hemodialysis patients complicated with sarcopenia

Region

Japan


Condition

Condition

Hemodialysis patients complicated with sarcopenia

Classification by specialty

Nephrology Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the effect of exercise plus nutritional supplementation with that of exercise alone on body composition, muscle function and nutritional status in sarcopenic patients receiving hemodialysis

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

An amount change of the fat free mass

Key secondary outcomes

1. the value change of the skeletal muscle index, lower limb muscle mass, skeletal muscle mass, body cell mass, phase angle and body fat percentage
2. the amount change of the grip strength and knee extension strength
3. the value change of Short Physical Performance Battery(SPPB)
4. the value change of the Geriatric Nutrition Risk Index(GNRI) and Malnutrition-Inflammation Score(MIS)
5. the variation change in the biochemical parameters
6. the value change of the single-pool Kt/Vurea, normalized protein catabolic rate(nPCR) and the creatinine generation rate % (%CGR)
7. the incidence ratio of adverse events


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Food Behavior,custom

Interventions/Control_1

Exercise therapy with combination of nutritional supplementation: Dietary supplements such as energy of 276kcal, protein of 6.3g, branched-chain amino acid of 1.54g are taken in each day for 12 weeks with the exercise therapy of intervention 2.

Interventions/Control_2

Exercise therapy: At the first half of hemodialysis which conducted three times a week, A resistance exercise for 20 to 30 minutes in each time, the level is from mild to moderate as the subjective exercise intensity(11 to 13 in Borg index) is worked out for 12 weeks.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Subjects were enrolled after meeting all the following criteria.
1. Patients have undergone hemodialysis or hemodiafiltration three times a week for more than three months
2. Out-patients
3. Patients, 18 years age or older at the time of submitting written informed consent
4. Patients, after receiving a sufficient explanation upon participation in this study, agreed the consent document in full understanding and with a free will were enrolled as a subject
5. Patients who were diagnosed sarcopenia and pre-sarcopenia in the standard of Asian Working Group for sarcopenia(AWGS)

Key exclusion criteria

Persons, met any of the following criteria were excluded.
1. Patients not ensured of an adequate dialysis(below 1.2 in single-pool Kt/Vurea)
2. Patients with cardiovascular disease such as heart failure likely worsening within one week, unstable angina pectoris, myocardial ischemia induced with a low threshold value by slow walking on the level ground(2METS), a candidate for surgery of severe valvular disease, and exercise-induced arrhythmias
3. Patients with an acute systemic disease or fever
4. Patients with complicated severe hypertension, over 180mmHg systolic blood pressure or 100mmHg in diastolic blood pressure
5. Patients having complications with type 1 diabetes, poorly controlled type 2 diabetes and diabetic retinopathy
6. Patients having complication with severe liver disease
7. Patients having an allergy to milk and soy
8. Patients having complication with mental illness causing a communication difficulty
9. patients having a cardiac pacemaker implantation
10. Patients having a history of hospitalization less than one month before the enrollment
11. Additionally, patients, whose principal researcher determined unfit as a subject for the study

Target sample size

15


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasunori Suzuki

Organization

Kyoto Katsura Hospital

Division name

Department of Nephrology

Zip code


Address

17 Yamadahirao-cho, Nishikyo-ku, Kyoto, 615-8256, Japan

TEL

075-391-5811

Email

yasunori-suzuki@katsura.com


Public contact

Name of contact person

1st name
Middle name
Last name Yasunori Suzuki

Organization

Kyoto Katsura Hospital

Division name

Dialysis Center

Zip code


Address

17 Yamadahirao-cho, Nishikyo-ku, Kyoto, 615-8256, Japan

TEL

075-391-5811

Homepage URL


Email

yasunori-suzuki@katsura.com


Sponsor or person

Institute

Department of Nephrology, Kyoto Katsura Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 12 Month 10 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 11 Month 01 Day

Date of IRB


Anticipated trial start date

2017 Year 01 Month 26 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 12 Month 10 Day

Last modified on

2017 Year 11 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029002


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name