- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT07741292
Niaoduqing Granules in Older Adults With Impaired Kidney Function
A Study of the Clinical Benefits of Niaoduqing Granules in Older Adults With Impaired Renal Function
This prospective real-world study will evaluate the clinical benefits of Niaoduqing Granules in older adults with impaired kidney function. Approximately 300 participants aged over 60 years with stage 3 to 5 chronic kidney disease who are not receiving dialysis will be enrolled at Huashan Hospital, Fudan University. The study will examine whether treatment with Niaoduqing Granules is associated with slower kidney function decline and improvements in nutrition, frailty, and other health outcomes.
Participants will receive 5 g of Niaoduqing Granules three times daily after meals for 12 months, while continuing their usual treatment for chronic diseases as directed by their physicians. Kidney function, laboratory results, nutritional status, frailty, cardiovascular and cerebrovascular events, and survival will be assessed during follow-up. Blood, urine, and stool samples will also be collected to study changes in gut microorganisms and blood metabolites that may help explain how Niaoduqing Granules affect health. Participants will be followed for up to 60 months.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Studietype
Registrering (Antatt)
Fase
- Fase 4
Kontakter og plasseringer
Studiekontakt
- Navn: Jing Chen, Professor and Chief Physician
- Telefonnummer: +86 021-52889000
- E-post: chenjing1998@fudan.edu.cn
Studiesteder
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Shanghai Municipality
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Shanghai, Shanghai Municipality, Kina, 20040
- Rekruttering
- Huashan Hospital, Fudan University
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Ta kontakt med:
- Jing Chen
- Telefonnummer: +86 021-52889000
- E-post: chenjing1998@fudan.edu.cn
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria:
- Participants with stage 3 to 5 chronic kidney disease who are not receiving dialysis.
- Age older than 60 years.
- The participant or a family member has sufficient literacy and is able to comply with dietary diary recording and other study-related examinations.
- The underlying cause of chronic kidney disease is clinically stable.
Exclusion Criteria:
- Malignancy, severe cardiovascular disease, osteoporosis, or severe hematopoietic system disease.
- Active infection, defined as C-reactive protein greater than 10 mg/L, or current use of nephrotoxic medications.
- Limb paralysis or major limb impairment.
- Use of immunosuppressive therapy, including cyclosporine or tacrolimus, within the 3 months before cohort enrollment, or use of corticosteroids at a dose equivalent to more than 10 mg/day of prednisone.
- Severe gastrointestinal disease affecting nutrient absorption.
- Current participation in, or participation within the previous month in, another study related to diet or medication.
- Known allergy to Niaoduqing Granules.
- Any condition that, in the investigator's judgment, makes the participant unsuitable for the study.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: Niaoduqing Granules
Participants will receive Niaoduqing Granules 5 g orally three times daily at 6:00, 12:00, and 18:00 after meals for 12 months.
Usual treatments for chronic kidney disease, age-related comorbidities, and other chronic conditions will be continued or adjusted according to specialist recommendations.
|
Niaoduqing Granules will be administered orally at a dose of 5 g three times daily at 6:00, 12:00, and 18:00 after meals with warm water for 12 months.
Usual treatments for chronic kidney disease, age-related comorbidities, and other chronic conditions may be continued or adjusted according to specialist recommendations.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Occurrence of Rapid Kidney Function Decline
Tidsramme: Every 12 months from baseline through Month 60
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Rapid kidney function decline is defined as an annual decrease in estimated glomerular filtration rate (eGFR) of more than 5%.
The occurrence of rapid kidney function decline will be determined using serial kidney function measurements obtained during follow-up.
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Every 12 months from baseline through Month 60
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Incidence of Chronic Kidney Disease Complications
Tidsramme: Every 12 months from baseline through Month 60
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The number and percentage of participants who develop chronic kidney disease complications, including renal anemia and/or chronic kidney disease-mineral and bone disorder (CKD-MBD), during follow-up.
Outcomes will be assessed using clinical evaluations and relevant laboratory test results collected according to the study protocol.
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Every 12 months from baseline through Month 60
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Occurrence of Malnutrition
Tidsramme: At baseline and every 12 months through Month 60
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Malnutrition will be assessed using the Global Leadership Initiative on Malnutrition (GLIM) criteria.
A participant will be classified as having malnutrition when at least one phenotypic criterion, including involuntary weight loss, low body mass index, or reduced muscle mass, and at least one etiologic criterion, including reduced food intake or absorption or disease burden/inflammation, are present.
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At baseline and every 12 months through Month 60
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Occurrence of Frailty
Tidsramme: At baseline and every 12 months through Month 60
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Frailty status will be assessed using a rapid geriatric frailty screening scale.
The number and percentage of participants identified as having frailty according to the screening assessment will be recorded.
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At baseline and every 12 months through Month 60
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Occurrence of Cardiovascular and Cerebrovascular Events
Tidsramme: From baseline through Month 60
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The number and percentage of participants who experience one or more cardiovascular or cerebrovascular events during follow-up.
Events include acute myocardial infarction, unstable angina, coronary heart disease, acute heart failure or worsening chronic heart failure, new-onset arrhythmia, acute cerebral infarction, transient ischemic attack, intracerebral hemorrhage, peripheral vascular disease, rheumatic heart disease, deep vein thrombosis, pulmonary embolism, valvular heart disease, or aortic disease.
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From baseline through Month 60
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All-Cause Mortality
Tidsramme: From baseline through Month 60
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The number and percentage of participants who die from any cause during the study follow-up period.
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From baseline through Month 60
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Samarbeidspartnere og etterforskere
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Urogenitale sykdommer
- Patologiske prosesser
- Ernæringsforstyrrelser
- Mannlige urogenitale sykdommer
- Nyresykdommer
- Urologiske sykdommer
- Kvinnelige urogenitale sykdommer
- Kvinnelige urogenitale sykdommer og graviditetskomplikasjoner
- Kronisk sykdom
- Sykdomsattributter
- Nyreinsuffisiens
- Patologiske tilstander, tegn og symptomer
- Ernæringsmessige og metabolske sykdommer
- Skrøpelighet
- Underernæring
- Nyresvikt, kronisk
Andre studie-ID-numre
- KY2024-1366
Plan for individuelle deltakerdata (IPD)
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