Improvement of nutritional state by intradialytical parenteral nutrition in children treated with haemodialysis

ISRCTN ISRCTN59440030
DOI https://doi.org/10.1186/ISRCTN59440030
Secondary identifying numbers HIM/2007/059
Submission date
18/06/2010
Registration date
16/07/2010
Last edited
16/07/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Mara Medeiros
Scientific

Dr. Marquez 162
Colonia Doctores
Mexico City
06720
Mexico

Study information

Study designProspective randomised active controlled crossover group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details below to request a patient information sheet
Scientific titleImprovement of nutritional state by intradialytical parenteral nutrition in children treated with haemodialysis: A prospective, randomised, controlled, crossover trial
Study acronymIDPN (Comparación de la mejoría nutricional por alimentación enteral vs. parenteral intradialítica en niños en programa de hemodiálisis)
Study objectivesIntradialytic parenteral nutrition (IDPN) is an effective intervention to improve the nutritional state of children treated with haemodialysis
Ethics approval(s)The local research ethics committee (Comisión de Etica Hospital Infantil de México Federico Gómez) approved on 29th of February 2008 (ref: HIM/2007/059)
Health condition(s) or problem(s) studiedMalnutrition/Haemodialysis pediatric patients
InterventionMalnourished children undergoing haemodialysis treatment (aged 6-17 years) will be included in the study. None will be receiving growth hormone. Each patient will receive a three month course of either Treatment A or Treatment B. For ethical reasons there is no washout period and patients will be switched to another three months of either Treatment A or B in order to complete the other arm of the crossover design.
1. Treatment A: Dietary supplementation providing a third daily calorie intake three times per week.
2. Treatment B. A three months course of intradialytical parenteral nutrition in every haemodialysis session (three times per week). The IDPN will provide a third of the required daily calorie intake, amino acids and lipids, will be adjusted by age and sex.
Intervention typeOther
Primary outcome measureImprovement in ABN score (anthropometry-bioimpedance analysis-nutrition) at 3 and 6 months
Secondary outcome measures1. improvement in inflammation biomarkers (IL-6, TNF alpha)
1. Peripheral blood gene expression of IL6, TNF alpha, IFN gamma, 18s-rRNA at baseline, 3 and 6 months
2. Adverse events to nutritional intervention
Overall study start date28/05/2008
Completion date28/05/2011

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Years
Upper age limit17 Years
SexBoth
Target number of participants20
Key inclusion criteria1. Patients aged 6-17 years
2. Anthropometry-BIA nutrition (ABN) Score <10.33
3. Functional haemodialysis vascular access
4. Expected time in haemodialysis at least 6 months
5. No evidence of active infection
6. Informed consent/assent properly signed
Key exclusion criteria1. Hepatic dysfunction
2. Congenital anomalies in amino acid metabolism
3. Use of immunosuppressive drugs
4. Treatment with growth hormone
Date of first enrolment28/05/2008
Date of final enrolment28/05/2011

Locations

Countries of recruitment

  • Mexico

Study participating centre

Dr. Marquez 162
Mexico City
06720
Mexico

Sponsor information

Baxter Healthcare Corporation (USA)
Industry

Renal Discoveries
1620 Wauegan Road
McGaw Park, Illinois
60085
United States of America

Website http://www.baxter.com/healthcare_professionals/grants_program/renal_discoveries_egp.html
ROR logo "ROR" https://ror.org/02d6ew870

Funders

Funder type

Industry

Baxter Healthcare Corporation (USA) - Renal Discoveries BAXTER Extramural grant

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan