Kidney DiseasesPET KIDNEYNCT05482243
Protein and Exercise Training in Chronic KIDNEY Disease
A study testing Whey protein in people with Kidney Diseases and Muscle Loss, run by Maastricht University Medical Center at 1 site in Netherlands.
Trial summary
When patients progress to the final stage of chronic kidney disease (CKD) and require hemodialysis treatment, they typically have lost so much muscle function that they are no longer physically independent. Read more about this study
- Who is it for?
- Ages 18 to 80 yearsHealthy volunteers can take part
- Conditions the study is for
- Kidney Diseases, Muscle Loss
- What is being tested?
- Whey protein
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteNetherlands
- Study dates
- 1 Jan 2023to 2 Dec 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
- In order to be eligible to participate in this study, a patient with CKD must meet all of the following criteria:
- (e)glomerular filtration rate (GFR) <45 ml/min/1.73m2
- Age: 18 - 80 y
- Able to provide written informed consent
- In order to be eligible to participate in this study, a healthy subject must meet all of the following criteria:
- (e)GFR >60 ml/min/1.73m2 without albuminuria
- Age: 18 - 80 y
- Able to provide written informed consent
- A potential subject with CKD who meets any of the following criteria will be excluded from participation in this study:
- Insulin-dependent diabetes mellitus or two or more oral glucose lowering medications
- Active inflammatory disease / malignancies
- Uncontrolled hypertension (>160/100mm Hg), unstable angina pectoris, or arrhythmia
- Pulmonary disease restricting exercise performance (e.g. COPD)
- A history of neuromuscular problems
- Cognitive Impairment
- Diagnosed GI tract diseases / dysphagia
- Allergies to milk proteins / Lactose intolerance
- Pregnancy
- Hospitalization <1 months prior to study period
- Participation in any structured exercise program
- Any medications known to affect protein metabolism (i.e. corticosteroids or prescription strength acne medications).
- Use of DOAC, vitamin-K-antagonist, or multiple anticoagulants.
- Dialysis treatment or previous kidney transplantation
- A potential healthy subject who meets any of the following criteria will be excluded from participation in this study:
- Insulin-dependent diabetes mellitus or two or more oral glucose lowering medications
- Active inflammatory disease / malignancies
- Uncontrolled hypertension (>160/100mm Hg), unstable angina pectoris, or arrhythmia
- Pulmonary disease restricting exercise performance (e.g. COPD)
- A history of neuromuscular problems
- Cognitive Impairment
- Diagnosed GI tract diseases / dysphagia
- Allergies to milk proteins / Lactose intolerance
- Pregnancy
- Hospitalization <1 months prior to study period
- Participation in any structured exercise program
- Any medications known to affect protein metabolism (i.e. corticosteroids or prescription strength acne medications).
- Use of DOAC, vitamin-K-antagonist, or multiple anticoagulants.
Trial locations and contacts
1 site in 1 country.
Netherlands1 site
Maastricht University Medical Center+
Maastricht, Limburg, 6229ER
About this study
Official title: Protein Supplementation and Exercise Training to Increase Muscle Protein Synthesis Rates in Patients With Advanced Chronic Kidney Disease
When patients progress to the final stage of chronic kidney disease (CKD) and require hemodialysis treatment, they typically have lost so much muscle function that they are no longer physically independent. However, due to disease- and hemodialysis-related muscle catabolism, dietary protein and exercise interventions are only capable to attenuate the decline in physical function of patients on hemodialysis treatment. Therefore, lifestyle interventions to increase muscle function should be implemented before hemodialysis is required. However, it is still a matter of debate whether muscle protein synthesis rates of patients with advanced CKD can be increased with a patient-tailored dietary protein and exercise intervention.Therefore, the current study will assess MPS rates during habitual lifestyle and during an interventional program including dietary protein and exercise in patients with advanced CKD. In addition, we will compare MPS rates during free-living conditions between patients with advanced CKD and healthy controls.
- Conditions
- Kidney Diseases, Muscle Loss
- Being tested
- Whey protein
- Medical subject headings
- Kidney Diseases, Muscular Atrophy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Whey proteinDietary supplement
Also called Resistance exercise
Throughout 1 week (either in week 1 or 2), all participants will perform a 1-week resistance type exercise-training program, consisting of two different exercises. Leg press and leg extension exercise will be performed on regular weightlifting machines (Technogym, Rotterdam) at 3 days during the 1-week period (e.g. Monday-Wednesday-Friday). During the resistance exercise training protocol, participants will continue their habitual diet as usual. However, patients with CKD will be provided with a protein supplement following the exercise sessions.
| Study group | Role | What they receive |
|---|---|---|
| Habitual lifestyle period | No intervention | * All participants will be encouraged to keep their diet and physical activity similar to before the study period. Subjects will be asked to record their food intake and wear an Actical physical activity monitor for 3 days throughout the habitual lifestyle period (2 week days and 1 weekend day). * All participants will be asked to ingest 20 mL deuterated water and take a saliva sample daily |
| Exercise training period | Experimental | * All participants will be encouraged to keep their diet and physical activity similar to before the study period. Subjects will be asked to record their food intake and wear an Actical physical activity monitor for 3 days throughout the exercise training period (2 week days and 1 weekend day).
* Participants will be asked to ingest 20 mL deuterated water and take a saliva sample daily
* Participants will visit the University three times with 2-day intervals (e.g. Monday-Wednesday-Friday) for an exercise training session as described in 5.6.
* Following the training sessions, participants will be provided with a protein supplement as described in 5.7.
* Before and after ingestion of the protein supplement, participants will be asked to fill in a gastrointestinal tolerance and palatability survey. Receives: Dietary Supplement: Whey protein |
What is being measured
The primary outcome is the main question the study is designed to answer.
Muscle protein synthesis rates
Muscle protein synthesis rates as measured by the deuterated water method
Measured: 1-week period
Secondary outcomes (8)
Physical activity levels
as measured by accelerometry
Measured: 1-week period
Dietary intake (energy/macronutrient)
as measured by dietary diaries
Measured: 1-week period
Leg fat free mass
as measured by DEXA
Measured: Baseline
Body composition
as measured by BIA
Measured: Baseline
Type I and II skeletal muscle fiber size
of muscle biopsy of vastus lateralis
Measured: Baseline
Skeletal muscle mitochondrial bioenergetics
of muscle biopsy of vastus lateralis
Measured: Baseline
Muscle strength
1-RM max testing of leg press and leg extension
Measured: Baseline
Aerobic capacity
VO2-peak test on ergometer
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Aug 2022
- Study start1 Jan 2023
- Primary completion2 Dec 2024
- Study completion2 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Kidney DiseasesStudies of the same condition, open and under way.
- More trials run by Maastricht University Medical CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- Randomized crossover study (1-week intervention vs. 1-week habitual lifestyle) for both patients with advanced CKD and healthy controls
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Maastricht University Medical Center
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Luc JC van Loon, Prof. Dr., Principal investigator, Maastricht University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05482243
- Sponsor's protocol ID
- METC 22-032
- Acronym
- PET KIDNEY
- Status last verified
- Jan 2026
- First submitted
- 28 Jul 2022
- Last updated
- 16 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Not yet determined
Study at a glance
From the registry record, last updated by the sponsor on 16 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Protein Supplementation and Exercise Training to Increase Muscle Protein Synthesis Rates in Patients With Advanced Chronic Kidney Disease
- ClinicalTrials.gov ID
- NCT05482243
- Acronym / sponsor ID
- PET KIDNEY / METC 22-032
- Conditions
- Kidney Diseases, Muscle Loss
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Maastricht University Medical CenterUniversity, hospital or other
- Study start
- 1 Jan 2023 (actual)
- Primary completion
- 2 Dec 2024 (actual)
- Study completion
- 2 Dec 2024 (actual)
- First posted
- 1 Aug 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
When patients progress to the final stage of chronic kidney disease (CKD) and require hemodialysis treatment, they typically have lost so much muscle function that they are no longer physically independent. However, due to disease- and hemodialysis-related muscle catabolism, dietary protein and exercise interventions are only capable to attenuate the decline in physical function of patients on hemodialysis treatment. Therefore, lifestyle interventions to increase muscle function should be implemented before hemodialysis is required. However, it is still a matter of debate whether muscle protein synthesis rates of patients with advanced CKD can be increased with a patient-tailored dietary protein and exercise intervention.Therefore, the current study will assess MPS rates during habitual lifestyle and during an interventional program including dietary protein and exercise in patients with advanced CKD. In addition, we will compare MPS rates during free-living conditions between patients with advanced CKD and healthy controls.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Randomized crossover study (1-week intervention vs. 1-week habitual lifestyle) for both patients with advanced CKD and healthy controls
| Arm | Type | Receives |
|---|---|---|
| Habitual lifestyle period | No intervention | –* All participants will be encouraged to keep their diet and physical activity similar to before the study period. Subjects will be asked to record their food intake and wear an Actical physical activity monitor for 3 days throughout the habitual lifestyle period (2 week days and 1 weekend day). * All participants will be asked to ingest 20 mL deuterated water and take a saliva sample daily |
| Exercise training period | Experimental | Dietary Supplement: Whey protein* All participants will be encouraged to keep their diet and physical activity similar to before the study period. Subjects will be asked to record their food intake and wear an Actical physical activity monitor for 3 days throughout the exercise training period (2 week days and 1 weekend day). * Participants will be asked to ingest 20 mL deuterated water and take a saliva sample daily * Participants will visit the University three times with 2-day intervals (e.g. Monday-Wednesday-Friday) for an exercise training session as described in 5.6. * Following the training sessions, participants will be provided with a protein supplement as described in 5.7. * Before and after ingestion of the protein supplement, participants will be asked to fill in a gastrointestinal tolerance and palatability survey. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Whey proteinAlso: Resistance exerciseThroughout 1 week (either in week 1 or 2), all participants will perform a 1-week resistance type exercise-training program, consisting of two different exercises. Leg press and leg extension exercise will be performed on regular weightlifting machines (Technogym, Rotterdam) at 3 days during the 1-week period (e.g. Monday-Wednesday-Friday). During the resistance exercise training protocol, participants will continue their habitual diet as usual. However, patients with CKD will be provided with a protein supplement following the exercise sessions. | Dietary supplement | Exercise training period |
Primary outcome
Muscle protein synthesis rates
Time frame: 1-week period
Muscle protein synthesis rates as measured by the deuterated water method
8 secondary outcomes
Physical activity levels
Time frame: 1-week period
Dietary intake (energy/macronutrient)
Time frame: 1-week period
Leg fat free mass
Time frame: Baseline
Body composition
Time frame: Baseline
Type I and II skeletal muscle fiber size
Time frame: Baseline
Skeletal muscle mitochondrial bioenergetics
Time frame: Baseline
Muscle strength
Time frame: Baseline
Aerobic capacity
Time frame: Baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jan 2026.
- Individual participant dataSharing planned: Undecided. Not yet determined
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Luc JC van Loon, Prof. Dr. principal investigator
Maastricht University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Whey protein in people with Kidney Diseases and Muscle Loss, run by Maastricht University Medical Center at 1 site in Netherlands.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Muscle protein synthesis rates (time frame: 1-week period). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jan 2026.