Sarcopenia in Chronic Kidney Disease (CKD) Patients
Starting soon · Early Phase 1
Conditions studied: Chronic Kidney Disease, Sarcopenia
In brief
Sarcopenia, or loss of muscle and strength is common in patients with poor kidney function. Although a high protein diet is generally recommended for sarcopenia, patients with poor kidney function are advised to follow a low-protein diet. In this study, we will evaluate the practicality and potential benefits of two different amino acids (molecules that form proteins) in improving sarcopenia in patients with advanced kidney disease. The study aims to improve muscle mass and strength. All study procedures are free of cost and do not require significant time commitment. You will have time to ask questions and discuss the study with your family, primary care physician, and your kidney doctor to make the decision if this is right study for you to participate in.
Key facts
- Study ID
- NCT07437053
- Run by
- The University of Texas Health Science Center at San Antonio
- People needed
- 20
- Starts
- 2026-06-01
- Expected to finish
- 2027-10-30
- Last updated by the study team
- 2026-02-27
Who can join
Age: 45 and older, up to 75. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Ability of participant to understand and the willingness to sign a written informed consent document.
- Males and females of age 45-75 yrs
- Hand grip strength of <26 kg for male and <16 kg for female
- Documented diagnosis of estimated glomerular filtration rate (eGFR) of ≤15 mL/min/1.73 m2, based on CKD-EPI serum-creatinine based formula in the past ≥3 months in absence of acute kidney injury.
- Not on dialysis and is not expected to initiate dialysis or any kidney replacement therapy in next 4 months
- Receiving standard of care including dietary recommendation for diabetes, hypertension, CKD, and other comorbidities
- Patients who are on an SGLT2-i or GLP-1 agonist should be on a stable dose for at least 3 months prior randomization, with no dose adjustments expected in the next 4 months
- Serum HCO3 concentration 20-29 mmol/L based on two consecutive recent routine labs
- HbA1c 7-9% based on most recent routine lab
- Serum albumin ≥3.8 g/dL based on most recent routine lab
- Blood hemoglobin ≥10 g/dL based on most recent routine lab
- Willingness to adhere to lifestyle management, including diet and exercise as recommended by care providers, and to the study intervention, procedures, and regimen.
You may not qualify if…
- Any known history of hypersensitivity/intolerance to valine or specific amino acids
- Any condition that may indicate the individual is not "metabolically stable" which may include active infection, currently on systemic antibiotic, hospitalization within 2 weeks on consenting, active malignancy, on immunosuppressive agents, and unexplained significant weight loss during the past 3 months
- With a cardiac pacemaker and/or an implantable cardioverter-defibrillator
- Significant arthritis prohibiting strength test and walk gait speed test
- Significant comorbidities including heart failure (NY Class III or IV), neurological disorders, HIV AIDS, etiology of CKD other than diabetes and hypertension, or any condition that could compromise the subject's ability to study procedures as judged by study clinician
- Currently taking any protein supplements
- Pregnant, lactating, childbearing women
- History of Maple syrup urine disease (MSUD)
- Scheduled for kidney transplantation or dialysis in next 4 months
- Current participation in another interventional trial
- Documented noncompliance with regard to clinic visits, medications, and lifestyle management.
- Documentation of current or history of substance abuse.
Where it is running
- The University of Texas Health Science Center at San Antonio — San Antonio, Texas, United States
Full record on ClinicalTrials.gov
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