Overview

Anit-Inflammatory and Anti-Oxidative Nutrition in Dialysis Patients

Status:
Completed
Trial end date:
2011-05-01
Target enrollment:
0
Participant gender:
All
Summary
Study of efficiency and safety of oral nutritional supplements with anti-inflammatory and antioxidative properties combined with an appetite stimulant with anti-inflammatory properties (pentoxiphylline) in treatment of malnutrition-inflammation-cachexia syndrome in maintenance hemodialysis patients
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Los Angeles Biomedical Research Institute
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Collaborators:
Abbott Nutrition
DaVita Dialysis
Treatments:
Anti-Inflammatory Agents
Pentoxifylline
Polystyrene sulfonic acid
Criteria
Inclusion Criteria:

- At least 3 months on maintenance hemodialysis,

- Last 3-month averaged serum albumin <4.0 g/dl,

- Average monthly Kt/V>1.2,

- Dialysis time between 3 and 5 hours,

- Functioning AV graft or fistula or tunnel catheter that will not switch for 6 months,

- Standardized dialysis treatment per DaVita protocol.

- In case the averaged 3-month is not <4.0 g/dl but last month serum albumin <4.0 g/dl
(worsening hypoalbuminemia) patient will be qualified, if 3-month averaged nPNA < 0.8
g/kg/day or a BMI < 20 kg/m2.

Exclusion Criteria:

- Peritoneal dialysis

- Terminal illnesses with life expectancy<6 months

- Maintenance hemodialysis less than 5 months

- Concurrent appetite stimulants

- Use of IDPN in the past 2-3 months

- Inability to follow and to comply with the instructions and guidelines

- Likelihood of pregnancy or intention to become pregnant

- Acute wasting condition or active systemic disease

- Pulse chemo therapy

- Non-compliance with dialysis treatment

- Dialysis catheter that may switch soon.