RecruitingPhase 1Phase 2NCT06863194

Probiotic Supplementation and Disease Progression in CKD: A Randomized Trial

Effects of Probiotic Supplementation on Disease Progression in Patients With Moderate to Severe Chronic Kidney Disease: A Randomized Controlled Trial


Sponsor

Mansoura University

Enrollment

72 participants

Start Date

Apr 3, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to learn whether probiotic supplementation can slow disease progression in patients with moderate to severe chronic kidney disease (CKD). The trial will also assess the safety of probiotics in these patients. The main questions the study aims to answer are: Does probiotic supplementation improve kidney function by reducing serum creatinine levels and protein in urine? Does it reduce inflammation and metabolic imbalances in CKD patients? Does it affect gut microbiota composition and lower harmful toxins in the body? Is probiotic supplementation safe and well-tolerated in CKD patients? Participants will: Be randomly assigned to receive either probiotics or a placebo for 6 months. Have clinic visits every 6 months for checkups, blood tests, and urine tests. Be monitored for any side effects and changes in kidney function. Researchers will compare the probiotic group to the placebo group to determine whether probiotics are effective in slowing CKD progression.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether taking probiotic supplements (beneficial bacteria) can slow the progression of chronic kidney disease (CKD) in people with moderate kidney disease. **You may be eligible if...** - You are 18 or older - You have been diagnosed with CKD Stage III or IV (confirmed by kidney function test eGFR) - Your condition is medically stable with no recent hospitalization for acute kidney injury - You are not currently taking probiotic supplements **You may NOT be eligible if...** - You have CKD stage I, II, or V, or are already on dialysis - You are currently taking probiotics or prebiotics - You have an active cancer or are receiving chemotherapy - You have a significant gastrointestinal disease Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGProbiotic Supplementation (Lactobacillus plantarum)

Participants in this group will receive Lactogemikan (Probiotic Supplement), which contains 10 billion CFU of Lactobacillus plantarum per tablet. The dose is one tablet daily for 6 months. This probiotic is intended to modulate gut microbiota, reduce systemic inflammation, and decrease uremic toxins (indoxyl sulfate) in CKD patients. The intervention will be compared to a placebo to evaluate its effectiveness in slowing CKD progression and improving metabolic and inflammatory markers.

DRUGPlacebo Tablets

Participants in this group will receive an inert placebo tablet that is identical in appearance, taste, and packaging to the probiotic supplement but contains no active probiotic ingredients. The dose is one tablet daily for 6 months. The placebo serves as a control to compare the effects of the probiotic intervention. Both groups will undergo identical monitoring and follow-up assessments to determine whether the probiotic has a significant effect on kidney function, inflammation, and gut microbiota composition.


Locations(1)

Urology and Nephrology Center, Mansoura University

Al Mansurah, Dakahliya, Egypt

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NCT06863194


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