Low-Protein Diet With Low-Protein Foods Versus a LPD Without LP Foods in Patients With Chronic Kidney Disease (CKD)
Randomized Controlled Trial of a Low-Protein Diet (LPD) With Low-Protein (LP) Foods Versus a LPD Without LP Foods in Patients With Chronic Kidney Disease (CKD): Efficacy and Feasibility Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ophélie Flageul
- Phone Number: +33 0299121962
- Email: o.flageul@slbpharma.com
Study Contact Backup
- Name: Vinciane Dumay
- Phone Number: +33 0756917356
- Email: v.dumay@slbpharma.com
Study Locations
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Abbeville, France, 80100
- Clinique sainte isabelle
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Aix-en-Provence, France
- Cabinet médical du Dr Magnant
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Besançon, France
- CHU Besançon
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Bordeaux, France
- Maison du Rein
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Bordeaux, France
- Polyclinique Bordeaux Nord Aquitaine
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Chalon-sur-Saône, France
- CH Chalon
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Clermont-Ferrand, France
- Chu Gabriel Montpied
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Le Mans, France
- CH Le Mans
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Lyon, France
- Hospices Civiles de Lyon
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Lyon, France
- Saint Joseph Saint Luc
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Marseille, France
- Hôpital la conception
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Mâcon, France
- CH Mâcon
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Paris, France
- APHP - Hôpital Necker
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Paris, France
- Tenon hospital -APHP
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Romans-sur-Isère, France
- Hôpital Drôme Nord
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Strasbourg, France
- Nouvel Hopital Civil
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Vienne, France
- Calydial
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Villefranche-sur-Saône, France
- Hôpital Nord-Ouest
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- CKD patient stage 3a-5 (<60 ml/min/1.73 m² estimated by CKD-EPI formula) and not on dialysis,
- With a good nutritional status (i.e., absence of malnutrition according to albumin, pre-albumine, BMI and no clinical and paraclinical criteria of malnutrition),
- Above 1g protein/ kg bw (ideal body weight),
- LPD-naïve patient,
- Motivated to LPD introduction (ensure during screening phase patient willingness to modify diet habits with counselling accurate follow-up),
- Available to attend the visits planned by the protocol and able to complete the data collection documents (diet record and self-administered questionnaires),
- Subject affiliated to a health insurance system or is a beneficiary (art. L.1121-11, Code of Public Health, France),
- Having given their informed written consent regarding its participation to the protocol.
Exclusion Criteria:
- Patient for whom dialysis or transplantation is planned/expected within the next 12 months
- Known allergic reactions to the ingredients present in FLAVIS products (milk, eggs, soy, nut),
- Uncontrolled Diabetes (HbA1C >8.5%),
- Active cancer (including a 5 years remission period),
- Psychiatric disorders or inability to follow the protocol,
- Evidence of any active infectious or uncontrolled inflammatory diseases,
- Inability to provide blood samples (poor venous capital),
- Inability to perform correct 24-hours urine collection,
- Any change of the chronic medication within 1 month before screening,
- Presence of any significant medical finding or significant history such as uncontrolled systemic diseases that may impact the safety, the interpretation of the results and/or the participation of the subject in the study according to the opinion of the investigator,
- Patient with an active implanted medical device
- Simultaneous participation in another clinical trial or subject still within the exclusion period of a previous clinical trial.
- Vulnerable subjects (art. L. 1121-5 à 8 et L. 1122-1-2, Code of Public Health, France) are also excluded from the clinical trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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No Intervention: COMPARATOR
Follow-up of the CKD patient according to current practice i.e. low protein diet.
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|
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Experimental: FLAVIS
Follow-up of the CKD patient according to the current practice i.e. low protein diet with the addition of of low-protein products (FLAVIS).
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Patients of the FLAVIS group will recevied FLAVIS products in addition to their diet follow-up.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Effectiveness in terms of protein intake of a LPD with LP foods (FLAVIS products) compared to standard products (LPD without consumption of LP foods)
Time Frame: 12 month
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Maroni formula : (Measurement of urea in urine + ([patient weight]*0.031))*6.25
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12 month
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Protein intake during the 12 months follow-up
Time Frame: 1 month, 3 month, 6 month and 9 month
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Maroni formula: (Measurement of urea in urine + ([patient weight]*0.031))*6.25
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1 month, 3 month, 6 month and 9 month
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Dietary adherence
Time Frame: baseline, 1 month, 3 month, 6 month and 12 month
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3-day dietary record correlated to a 24-hour urine collection
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baseline, 1 month, 3 month, 6 month and 12 month
|
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Dietary compliance for products under study
Time Frame: monthly up to 12 months
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quantities consumed of FLAVIS products.
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monthly up to 12 months
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Effects of the LPD on weight
Time Frame: baseline, 1 month, 3 month, 6 month and 12 month
|
Weight in kg
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baseline, 1 month, 3 month, 6 month and 12 month
|
|
Effects of the LPD on body composition: water
Time Frame: baseline, 1 month, 3 month, 6 month and 12 month
|
Water in litres
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baseline, 1 month, 3 month, 6 month and 12 month
|
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Effects of the LPD on body composition: muscles
Time Frame: baseline, 1 month, 3 month, 6 month and 12 month
|
Muscles in Kg
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baseline, 1 month, 3 month, 6 month and 12 month
|
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Effects of the LPD on body composition: body protein content
Time Frame: baseline, 1 month, 3 month, 6 month and 12 month
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Body protein content in Kg
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baseline, 1 month, 3 month, 6 month and 12 month
|
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Effects of the LPD on Blood
Time Frame: baseline, 1 month, 3 month, 6 month, 9 month and 12 month
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Blood Chemistry
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baseline, 1 month, 3 month, 6 month, 9 month and 12 month
|
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Effects of the LPD on Urine
Time Frame: baseline, 1 month, 3 month, 6 month, 9 month and 12 month
|
Urine Chemistry
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baseline, 1 month, 3 month, 6 month, 9 month and 12 month
|
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Patient quality of life
Time Frame: baseline, 3 month, 6 month and 12 month
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SF-36 questionnaire score which from 0 to 100
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baseline, 3 month, 6 month and 12 month
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Effects of the LPD on BMI
Time Frame: baseline, 1 month, 3 month, 6 month and 12 month
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Weight and height will be combined to report BMI in kg/m^2.
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baseline, 1 month, 3 month, 6 month and 12 month
|
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Effects of the LPD on diabetic patient glycemic profile
Time Frame: Baseline, 6 month and 12 month
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Hb1Ac will be measured
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Baseline, 6 month and 12 month
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Incidence of Adverse Events [Safety of the LPD]
Time Frame: 1 month, 3 month, 6 month, 9 month and 12 month
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Questioning and a clinical examination, biological analyses review
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1 month, 3 month, 6 month, 9 month and 12 month
|
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Incidence of Adverse Events [Safety of the LPD]
Time Frame: 3 month, 6 month and 12 month
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4-points Likert scale
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3 month, 6 month and 12 month
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Patient satisfaction with LPD
Time Frame: 3 month, 6 month and 12 month
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Auto-questionnaire with numerical scales, closed-ended questions and Likert scales
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3 month, 6 month and 12 month
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Laetitia Koppe, Dr, HCL
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Pathologic Processes
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Chronic Disease
- Disease Attributes
- Renal Insufficiency
- Pathological Conditions, Signs and Symptoms
- Behavior
- Treatment Adherence and Compliance
- Health Behavior
- Patient Acceptance of Health Care
- Renal Insufficiency, Chronic
- Patient Compliance
Other Study ID Numbers
Other Study ID Numbers
- EFFLAVIS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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