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Omega-3 Fatty Acids that Affect the Immune System in Kidney Transplant Patients



Omega-3 Fatty Acids that Affect the Immune System in Kidney Transplant Patients

For Condition: Kidney Diseases
Status: Recruiting
Sponsor(s): National Institute of Allergy and Infectious Diseases (NIAID) ,
Synopsis: The purpose of this study is to evaluate the effectiveness of nutritional supplements in increasing the amount of omega-3 fatty acids (and arginine) in the red blood cell membranes and plasma of kidney transplant patients, and, secondarily, to compare patient compliance. The long-term goal of this study is to develop low risk therapies that will allow improved and lasting survival of donor tissue with minimal suppression of the immune system.
Details: Short-term survival rates of donor tissue after kidney transplantation have improved significantly in recent years because of improved immunosuppression. Rates of long-term tissue loss have changed less because of a high incidence of chronic rejection, infectious complications, and cardiovascular disease. Data suggest that both early and late complications might be reduced in transplant recipients by dietary intervention to raise levels of omega-3 fatty acids and arginine. Prior to transplantation, participants are randomized to one of three groups. Group 1 participants serve as controls and receive no dietary supplements. Participants in Group 2 receive daily nutritional supplements of arginine and canola oil according to body weight. Group 3 participants receive daily nutritional supplements of arginine and a fish oil emulsion according to body weight. All participants receive a standard, low-fat dietary consultation. The status of participants is evaluated peri-transplant and at 1, 3, 6, and 9 months.
Eligibility:
Study Type:
  Interventional, Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Minimum Age/Maximum Age: 4 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - End-stage renal disease. - Candidate to receive a living-related donor, living unrelated donor, or first cadaver kidney with at least 1 HLA mismatch. - Negative crossmatch with the intended donor. - Adults must have moderate to severe hypertension and/or take at least 1 medication for hypertension daily. - Willingness to comply with the dietary supplements, including canola oil, a flavored drink mix, or an orange flavored pudding. Exclusion Criteria: - Pregnancy or breast-feeding. - Women of childbearing age who are not willing or able to practice acceptable methods of contraception. - HIV-positive. - Positive test for HBV E-AG/DNA and HCV. - Received an organ transplant or plan to receive a multiple organ transplant. - Phenylketonuria. - Participation in other investigational studies within 30 days of the renal transplant. - Allergy or anaphylactic reactions to eggs or L-arginine. - ABO blood incompatibility. - Children who have previously received more than 5 blood transfusions. - History of stroke.
Total Enrollment: 75

Location and Contact Information:

Overall Study Official:
J.Alexander,  Principal Investigator,  Univerisy of Cincinnati College of Medicine

Univerisity of Cincinnati College of Medicine *Recruiting*
Cincinnati,  Ohio,  45267
United States
Recruiting Wesley  Alexander 513-558-6006

Washington Hospital Center *Recruiting*
Washington D.C.,  District of Columbia,  20010
United States
Recruiting Jimmy  Light 202-877-6029

Duke University Medical Center *Recruiting*
Durham,  North Carolina,  27710
United States
Recruiting Paul  Kuo 919-668-1856

University of Maryland School of Medicine *Recruiting*
Baltimore,  Maryland,  21201
United States
Recruiting Clarence  Foster 410-328-5408


Additional Information:
Study ID Numbers:
  DAIT ID01; 
Study Start Date: 
Record last reviewed: September 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00047983

Other Kidney Diseases Studies:
1. Study of the Safety and Efficacy of NC-503 in Secondary (AA) Amyloidosis

2. A Trial of Carboxypeptidase-G2 (CPDG2) and Thymidine for the Management of Patients with Methotrexate Toxicity and Renal Dysfunction

3. Dynamic Aspects of Amino Acid Metabolism

4. Omega-3 Fatty Acids that Affect the Immune System in Kidney Transplant Patients

5. Look AHEAD: Action for Health in Diabetes

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Omega-3 Fatty Acids that Affect the Immune System in Kidney Transplant Patients

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