Intestinal Transport of Microbial Metabolites in Chronic Kidney Disease

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01752738
Recruitment Status : Unknown
Verified May 2016 by Universitaire Ziekenhuizen Leuven.
Recruitment status was:  Active, not recruiting
First Posted : December 19, 2012
Last Update Posted : May 8, 2017
Information provided by (Responsible Party):
Universitaire Ziekenhuizen Leuven

Brief Summary:
Chronic kidney disease is associated with the accumulation of various metabolites, i.e., uremic retention solutes. Evidence is mounting that the colonic microbiome contributes substantially to these uremic retention solutes. Indoxyl sulfate and p-cresyl sulfate are among the most extensively studied gut microbial metabolites, and are associated with cardiovascular disease, chronic kidney disease progression and overall mortality. Mechanisms governing their intestinal uptake and metabolism, however, are currently unknown. The investigators aim to explore these transport characteristics in depth. Therefore, colonic biopsies will be sampled of patients with chronic kidney disease, analyzed and compared to available data of healthy controls. Insights in the mechanisms controlling intestinal transport and metabolism of indoxyl sulfate and p-cresyl sulfate is certainly relevant as it might lead to novel therapeutic targets in the treatment of chronic kidney disease.

Condition or disease
Chronic Kidney Disease

Study Type : Observational
Estimated Enrollment : 20 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: The Influence of Chronic Kidney Disease on Intestinal Transport of Gut Microbial Metabolites
Study Start Date : December 2013
Estimated Primary Completion Date : December 31, 2017
Estimated Study Completion Date : December 31, 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Kidney Diseases

Primary Outcome Measures :
  1. Percentage change in number of intestinal drug transporters and enzymes [ Time Frame: 4 years ]
    Influence of chronic kidney disease on intestinal drug transporters and enzymes responsible for uptake and metabolism of microbial metabolites

Biospecimen Retention:   Samples Without DNA
Serum, plasma, urine, faeces

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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients will be recruited from the nephrology outpatient clinic and dialysis center at University Hospital Leuven, Belgium.

Inclusion Criteria:

  • Age ≥ 18 and ≤ 85 years
  • Chronic kidney disease ≤ stage III (KDOQI), i.e., estimated glomerular filtration rate (MDRD) < 60 ml/min/m² or need of dialysis therapy 27
  • Scheduled colonoscopy for diagnostic purposes
  • Written informed consent

Exclusion Criteria:

  • History of gastro-intestinal disease (e.g., inflammatory bowel disease)
  • History of colon surgery
  • Recipient of a renal or other solid organ transplant
  • Exposure to antibiotics or drug therapy with a known influence on intestinal transporters (e.g., P-gp) or enzymes during 2 weeks before colonoscopy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01752738

University Hospitals Leuven
Leuven, Vlaams Brabant, Belgium, 3000
Sponsors and Collaborators
Universitaire Ziekenhuizen Leuven
Principal Investigator: Bjorn Meijers, MD, PhD UZ Leuven

Responsible Party: Universitaire Ziekenhuizen Leuven Identifier: NCT01752738     History of Changes
Other Study ID Numbers: S54909
First Posted: December 19, 2012    Key Record Dates
Last Update Posted: May 8, 2017
Last Verified: May 2016

Additional relevant MeSH terms:
Kidney Diseases
Renal Insufficiency, Chronic
Urologic Diseases
Renal Insufficiency