- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01450657
Observational Study of Kibow Biotics in Chronic Kidney Failure Patients
Observational Clinical Trials of Kibow Biotics (a Patented and Proprietary Probiotic Dietary Supplement) in Chronic Kidney Failure Patients, in Conjunction With Standardized Care of Treatment
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Probiotics are increasingly utilized clinically. As their safety and health benefits are established, it is reasonable to anticipate that probiotic bacteria will be incorporated into a growing number of clinical regimens, as a dietary supplement.
Extensive in vitro R&D investigations in Kibow's laboratories
Bacterial strains studied were a mixture of patented and proprietary strains of Streptococcus thermophilus (KB27), Lactobacillus acidophilus (KB31) and Bifidobacterium longum (KB35).
Oral administration of these bacterial formulations, tested in the 5/6th nephrectomized rat model (at Thomas Jefferson University, Phila., PA) and minipig model (at Indiana University, Indianapolis, IN), decreased both blood urea nitrogen (BUN) and serum creatinine (Scr) levels.
Two independent veterinarians investigated the effect of Kibow Biotics® in cats and dogs (of both genders and varying body weights) with moderate to severe kidney failure. Based on positive results, this formulation, marketed and distributed as AzodylTM, is currently licensed for veterinary applications to Vetoquinol USA.
Pilot scale studies, double blind, placebo controlled, cross-over studies for six months conducted in 45 patients in USA, Canada, Argentina, and Nigeria demonstrates reduction of BUN (P>95%) and improved quality of life (P>95%). Decrease in creatinine and uric acid levels were also observed. However, these studies were based on correlating the age of geriatric cats and dogs with moderate to significant kidney failure to human geriatric conditions. The proposed current study is being reevaluated based on correlating the weight basis of animal to human conditions. Hence, this is a does escalation study on ingestion of 1x (90 billion CFU/day), 2x (180 billion CFU/day), and 3x (270 billion CFU/day) dosages.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Thomas Jefferson University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age 18 to 75 years
- CKD Stages 3 and 4 as documented by prior medical history
- Serum Creatinine >2.5 mg/dL
- Stable and on CKD status 3 and 4 at least for a year or more
Exclusion Criteria:
- Pregnant or nursing women
- Refusal to sign the informed consent form
- Documented to have HIV/AIDS/Liver disease
- Active dependency on drugs or alcohol
- Any non-related medical, debilitating disease/disorder that would interfere with adherence to this study
- Currently on anticoagulant therapy
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Chronic Kidney Failure 3/4
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Month 1, one capsule three times daily (90 colony forming units); Month 2, two capsules three times daily (180 CFU's); Month 3 & 4, three capsules three times daily (270 CFU's).
Months 5 & 6 are washout periods, in which the patient receives no product.
All parameters are still monitored by the study site during months 5 & 6.
All medical, physical, clinical, QOL and other parameters will be monitored as well.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
15-20% Changes in BUN.
Time Frame: Baseline, 1 month, 2 months, 3 months, 4 months, 6 months.
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Baseline, 1 month, 2 months, 3 months, 4 months, 6 months.
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15-20% Change in Creatinine
Time Frame: Baseline, 1 month, 2 months, 3 months, 4 months, 6 months
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Baseline, 1 month, 2 months, 3 months, 4 months, 6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of life outcome based on questionnaire.
Time Frame: Baseline, 1 month, 2 months, 3 months, 4 months, 6 months
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Baseline, 1 month, 2 months, 3 months, 4 months, 6 months
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To observe inflammatory and oxidative stress biomarkers.
Time Frame: Baseline, 1 month, 2 months, 3 months, 4 months, 6 months
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Observe inflammatory and stress markers in metabolites from blood serum.
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Baseline, 1 month, 2 months, 3 months, 4 months, 6 months
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Observation and analysis of patient fecal matter.
Time Frame: Baseline, 1 month, 2 months, 3 months, 4 months, 6 months
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Observation and analysis of patient fecal matter to determine bacterial flora levels that are present in the stool.
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Baseline, 1 month, 2 months, 3 months, 4 months, 6 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Stephanie DeLoach, M.D., Thomas Jefferson University, Philadelphia, PA
Publications and helpful links
General Publications
- Ranganathan N, Friedman EA, Tam P, Rao V, Ranganathan P, Dheer R. Probiotic dietary supplementation in patients with stage 3 and 4 chronic kidney disease: a 6-month pilot scale trial in Canada. Curr Med Res Opin. 2009 Aug;25(8):1919-30. doi: 10.1185/03007990903069249.
- Ranganathan N, Ranganathan P, Friedman EA, Joseph A, Delano B, Goldfarb DS, Tam P, Rao AV, Anteyi E, Musso CG. Pilot study of probiotic dietary supplementation for promoting healthy kidney function in patients with chronic kidney disease. Adv Ther. 2010 Sep;27(9):634-47. doi: 10.1007/s12325-010-0059-9. Epub 2010 Aug 16.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- KIB002
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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