NCT05970094

Reduction of Metabolic Acidosis in Patients With Chronic Kidney Disease in Stage 4 and 5

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 20 (actual)
• Sponsor: University of Copenhagen · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The goal of this clinical trial is to learn about and test the effect of an acid/base diet, in chronic kidney patients with CKD stage 4 and 5 in an interventional study with a historical control. The hypothesize is, that an acid/base diet will reduce the degree of acidosis and the need for oral bicarbonate supplements.

Detailed description

Observational studies indicate that diets with a low "potential renal acid load (PRAL)" is associated with a lower serum-bicarbonate value. The aim is to investigate this association with an interventional studydesign. Participants will be asked to follow a restricted diet with a low "PRAL" during a 6 week trial divided in three periodes: two week free living control, two week intervention and a two week free living follow-up. The PRAL calculation tool will be used to create a diet low in acid, based on this the patients will receive individual diet plans. The diet will comply with national treshold guidelines for potassium and protein, this is due to the high risk of hyperkalemia in patients with chronic kidney disease. The patients will be asked to document their food and drink intake by taking pictures of their plates and cups before and after a meal, over a 24 hour period.

Conditions

• Kidney Diseases
• Metabolic Acidosis
• Renal Insufficiency
• CKD
• Pre-dialysis

Interventions

Type	Name	Description
OTHER	Low PRAL	Two weeks on a low PRAL diet compared to 2 week free living

Timeline

• Start date: 2023-03-06
• Primary completion: 2023-08-20
• Completion: 2023-11-20
• First posted: 2023-08-01
• Last updated: 2023-12-04

Locations

1 site across 1 country: Denmark