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ExerciseCKDNCT07483697

Multimodal Intervention for Early Chronic Kidney Disease in Young People: Dysbiosis and Inflammation (CKD)

A study testing symbiotic in people with Exercise and Diet Interventions, run by Centenario Hospital Miguel Hidalgo at 1 site in Mexico.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

Chronic kidney disease (CKD) is a progressive condition associated with substantial morbidity, mortality, and healthcare costs. Early detection and timely intervention are critical to modify disease trajectory, particularly in adolescents and young adults. Read more about this study

Who is it for?
Ages 14 to 35 years
Conditions the study is for
Exercise, Diet Interventions, Symbiotic
What is being tested?
symbiotic
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
1 siteMexico
Study dates
25 Apr 2026to 3 Nov 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 14 to 35 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Persistent albuminuria (ACR >30 and <300 mg/g).
  • Estimated GFR >60 mL/min/1.73 m².
  • No identifiable secondary cause of kidney disease.

Who cannot join

  • Hypoalbuminemia.
  • Nephrotic syndrome.
  • Persistent macroalbuminuria (ACR >300 mg/g).
  • Secondary or hereditary kidney disease.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Karla Valencia V Pérez Hernández contact

+524491126729

valencia.iaier@gmail.com

Mexico1 site
  • Instituto de Atención Integral de Enfermedades Renales del Estado de Aguascalientes

    Aguascalientes, Aguascalientes, 20180

Other trials in Mexico

About this study

Official title: Multimodal Intervention and Its Association With Reduced Dysbiosis and Inflammation in Early Chronic Kidney Disease in Young People: a Prospective Study

Chronic kidney disease (CKD) is a progressive condition associated with substantial morbidity, mortality, and healthcare costs. Early detection and timely intervention are critical to modify disease trajectory, particularly in adolescents and young adults. Emerging evidence supports the role of the gut-kidney axis in CKD progression, whereby intestinal dysbiosis contributes to systemic inflammation and accumulation of microbiota-derived uremic toxins. This randomized controlled clinical trial aims to evaluate whether a multimodal intervention consisting of a controlled diet, structured exercise, and a symbiotic administered for 180 days improves uremic toxin burden, systemic inflammation, and early renal outcomes compared with standard care plus placebo.

Read the detailed description

This is a prospective, randomized, controlled clinical trial with repeated measurements and longitudinal follow-up. Participants aged 14-35 years with early-stage CKD, defined by persistent albuminuria despite preserved glomerular filtration, will be recruited through an institutional renal screening program in Aguascalientes, Mexico. The intervention targets the gut-kidney axis through sustained lifestyle modification and microbiota modulation. The primary mechanistic hypothesis is that reducing intestinal dysbiosis will decrease microbiota-derived uremic toxins and systemic inflammation, potentially attenuating early markers of renal disease progression.

Written informed consent will be obtained from participants aged 18 years or older. For participants under 18 years of age, written assent will be obtained along with informed consent from a parent or legal guardian.

Being tested
symbiotic, Placebo
Keywords
CKD, exercise, symbiotic, diet
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • symbioticDietary supplement

    1. Lifestyle interventions (diet + exercise)
    2. Microbiota modulation with probiotics, prebiotics, and symbiotic
    3. It will be quantified using IL-1β, IL-6 and TNF-α for their role in the chronic inflammatory response associated with dysbiosis and accumulation of intestinal uremic metabolites described in CKD.
  • PlaceboOther

    1. Lifestyle interventions (diet + exercise) 2. Their role in the chronic inflammatory response associated with dysbiosis and accumulation of intestinal uremic metabolites described in CKD will be quantified using IL-1β, IL-6 and TNF-α. 3. placebo
Study groups in NCT07483697
Study groupRoleWhat they receive
Multimodal InterventionExperimentalParticipants will receive a controlled diet, a structured exercise program, and an oral symbiotic supplement administered once daily at a fixed dose for 180 days.
Receives: Dietary Supplement: symbiotic
ControlPlacebo comparatorParticipants will receive the same controlled diet and structured exercise program plus an oral placebo indistinguishable from the symbiotic, administered once daily for 180 days.
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in gut-derived uremic toxin levels

    Change in gut-derived uremic toxin levels (including indoxyl sulfate and p-cresyl sulfate), measured in serum, from baseline

    Measured: 180 days

  2. Primary Outcome Measure:

    Change in gut-derived uremic toxin levels (including indoxyl sulfate and p-cresyl sulfate), measured in serum,

    Measured: 180 days.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Mar 2026
  2. Study start25 Apr 2026 (estimated)
  3. Primary completion1 Aug 2026 (estimated)
  4. Study completion3 Nov 2026 (estimated)

Resources

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Interventional (Clinical Trial) Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single-blind (Participant) Primary Purpose: Prevention Duration: 180 days
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07483697
Sponsor's protocol ID
INAER-Nutri01
Acronym
CKD
Status last verified
Mar 2026
First submitted
26 Feb 2026
Last updated
19 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Wehedy E, Shatat IF, Al Khodor S. The Human Microbiome in Chronic Kidney Disease: A Double-Edged Sword. Front Med (Lausanne). 2022 Jan 17;8:790783. doi: 10.3389/fmed.2021.790783. eCollection 2021.

    PubMed 35111779
  • Wakino S, Hasegawa K, Tamaki M, Minato M, Inagaki T. Kidney-Gut Axis in Chronic Kidney Disease: Therapeutic Perspectives from Microbiota Modulation and Nutrition. Nutrients. 2025 Jun 9;17(12):1961. doi: 10.3390/nu17121961.

    PubMed 40573072
  • Voroneanu L, Burlacu A, Brinza C, Covic A, Balan GG, Nistor I, Popa C, Hogas S, Covic A. Gut Microbiota in Chronic Kidney Disease: From Composition to Modulation towards Better Outcomes-A Systematic Review. J Clin Med. 2023 Mar 1;12(5):1948. doi: 10.3390/jcm12051948.

    PubMed 36902734
  • Swanson KS, Gibson GR, Hutkins R, Reimer RA, Reid G, Verbeke K, Scott KP, Holscher HD, Azad MB, Delzenne NM, Sanders ME. The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of synbiotics. Nat Rev Gastroenterol Hepatol. 2020 Nov;17(11):687-701. doi: 10.1038/s41575-020-0344-2. Epub 2020 Aug 21.

    PubMed 32826966
  • Rysz J, Franczyk B, Lawinski J, Olszewski R, Cialkowska-Rysz A, Gluba-Brzozka A. The Impact of CKD on Uremic Toxins and Gut Microbiota. Toxins (Basel). 2021 Mar 31;13(4):252. doi: 10.3390/toxins13040252.

    PubMed 33807343
  • Perez-Torres A, Caverni-Munoz A, Gonzalez Garcia E. Mediterranean Diet and Chronic Kidney Disease (CKD): A Practical Approach. Nutrients. 2022 Dec 25;15(1):97. doi: 10.3390/nu15010097.

    PubMed 36615755
  • Noce A, Marchetti M, Marrone G, Di Renzo L, Di Lauro M, Di Daniele F, Albanese M, Di Daniele N, De Lorenzo A. Link between gut microbiota dysbiosis and chronic kidney disease. Eur Rev Med Pharmacol Sci. 2022 Mar;26(6):2057-2074. doi: 10.26355/eurrev_202203_28354.

    PubMed 35363356
  • Neale EP, Rosario VD, Probst Y, Beck E, Tran TB, Lambert K. Lifestyle Interventions, Kidney Disease Progression, and Quality of Life: A Systematic Review and Meta-analysis. Kidney Med. 2023 Apr 18;5(6):100643. doi: 10.1016/j.xkme.2023.100643. eCollection 2023 Jun.

    PubMed 37235039
  • Mitrovic M, Stankovic-Popovic V, Tolinacki M, Golic N, Sokovic Bajic S, Veljovic K, Nastasijevic B, Soldatovic I, Svorcan P, Dimkovic N. The Impact of Synbiotic Treatment on the Levels of Gut-Derived Uremic Toxins, Inflammation, and Gut Microbiome of Chronic Kidney Disease Patients-A Randomized Trial. J Ren Nutr. 2023 Mar;33(2):278-288. doi: 10.1053/j.jrn.2022.07.008. Epub 2022 Aug 19.

    PubMed 35995418
  • Chen L, Shi J, Ma X, Shi D, Qu H. Effects of Microbiota-Driven Therapy on Circulating Indoxyl Sulfate and P-Cresyl Sulfate in Patients with Chronic Kidney Disease: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Adv Nutr. 2022 Aug 1;13(4):1267-1278. doi: 10.1093/advances/nmab149.

    PubMed 34905018
  • Liu C, Yang L, Wei W, Fu P. Efficacy of probiotics/synbiotics supplementation in patients with chronic kidney disease: a systematic review and meta-analysis of randomized controlled trials. Front Nutr. 2024 Aug 6;11:1434613. doi: 10.3389/fnut.2024.1434613. eCollection 2024.

    PubMed 39166132
  • Levin A, Ahmed SB, Carrero JJ, Foster B, Francis A, Hall RK, Herrington WG, Hill G, Inker LA, Kazancioglu R, Lamb E, Lin P, Madero M, McIntyre N, Morrow K, Roberts G, Sabanayagam D, Schaeffner E, Shlipak M, Shroff R, Tangri N, Thanachayanont T, Ulasi I, Wong G, Yang CW, Zhang L, Robinson KA, Wilson L, Wilson RF, Kasiske BL, Cheung M, Earley A, Stevens PE. Executive summary of the KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease: known knowns and known unknowns. Kidney Int. 2024 Apr;105(4):684-701. doi: 10.1016/j.kint.2023.10.016.

    PubMed 38519239
  • Kwon YJ, Joo YS, Yun HR, Lim LR, Yang J, Lee HS, Kim HM, Lee H, Lee JE, Lee JW. Safety and impact of the Mediterranean diet in patients with chronic kidney disease: a pilot randomized crossover trial. Front Nutr. 2024 Sep 4;11:1463502. doi: 10.3389/fnut.2024.1463502. eCollection 2024.

    PubMed 39296514
  • Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int. 2024 Apr;105(4S):S117-S314. doi: 10.1016/j.kint.2023.10.018. No abstract available.

    PubMed 38490803
  • Holle J, Bartolomaeus H. Gut-derived metabolites as treatment targets in chronic kidney disease-an avenue toward personalized medicine. Pediatr Nephrol. 2025 May;40(5):1505-1510. doi: 10.1007/s00467-024-06609-w. Epub 2025 Jan 16. No abstract available.

    PubMed 39820506

Questions about this trial

What is this clinical trial studying?

A study testing symbiotic in people with Exercise and Diet Interventions, run by Centenario Hospital Miguel Hidalgo at 1 site in Mexico.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. 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: opening soon, as of the sponsor's last update on 19 Mar 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 Mexico. 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. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Karla Valencia V Pérez Hernández (+524491126729, valencia.iaier@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in gut-derived uremic toxin levels (time frame: 180 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07483697, which also lists 20 linked publications.

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 19 Mar 2026.

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