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Taking people in EgyptPhase 1/2

Tests a probiotic tablet in adults with chronic kidney disease

Tests whether a probiotic tablet affects kidney disease in adults with chronic kidney disease.

Plain-language title generated from the registry record
Registry title: Probiotic Supplementation and Disease Progression in CKD: A Randomized Trial

Key facts

Where
Al Mansurah, EgyptSee the site
Phase
Phase 1/2

Where in Egypt

  • Urology and Nephrology Center, Mansoura UniversityAl Mansurah, EgyptTaking people

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Trial details

Who runs it
Mansoura University
Trial code
NCT06863194
Record updated
16 May 2025
Original description
The goal of this clinical trial is to learn whether probiotic supplementation can slow disease progression in patients with moderate to severe chronic kidney disease (CKD). The trial will also assess the safety of probiotics in these patients.Read full original descriptionShow less

Effects of Probiotic Supplementation on Disease Progression in Patients With Moderate to Severe Chronic Kidney Disease: A Randomized Controlled Trial

The goal of this clinical trial is to learn whether probiotic supplementation can slow disease progression in patients with moderate to severe chronic kidney disease (CKD). The trial will also assess the safety of probiotics in these patients.

The main questions the study aims to answer are:

Does probiotic supplementation improve kidney function by reducing serum creatinine levels and protein in urine? Does it reduce inflammation and metabolic imbalances in CKD patients? Does it affect gut microbiota composition and lower harmful toxins in the body? Is probiotic supplementation safe and well-tolerated in CKD patients?

Participants will:

Be randomly assigned to receive either probiotics or a placebo for 6 months. Have clinic visits every 6 months for checkups, blood tests, and urine tests. Be monitored for any side effects and changes in kidney function. Researchers will compare the probiotic group to the placebo group to determine whether probiotics are effective in slowing CKD progression.

Inclusion: Adults aged ≥ 18 years (both males and females); Diagnosed with Chronic Kidney Disease (CKD) Stage III or IV, confirmed by eGFR; Stable medical condition with no recent hospitalization for acute kidney injury or other serious illnesses; Not currently on probiotic supplementation or prebiotic therapy; Willing to provide informed consent and comply with the study protocol, including clinic visits and sample collection.

Exclusion: Currently using probiotics or prebiotics as part of their diet or treatment; Individuals on long-term antibiotic or anti-inflammatory medication that could interfere with microbiota composition; History of active malignancy (cancer) or undergoing chemotherapy; Significant gastrointestinal disease (e.g., inflammatory bowel disease, irritable bowel syndrome, or recent GI surgery); Patients with autoimmune diseases (e.g., lupus, rheumatoid arthritis); Individuals with severe behavioral or cognitive disorders that may prevent adherence to the study protocol; CKD Stage I, II, or V, or on dialysis; Pregnant or breastfeeding women (due to safety concerns).

ClinicalTrials.gov NCT06863194