E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Preoperative fasting in combination with a low-dose laxative and postoperative recovery and complications in living kidney donors |
Preoperatief vasten in combinatie met een lage dosis laxantia en het postoperatief herstel en complicaties in levende nierdonoren |
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E.1.1.1 | Medical condition in easily understood language |
Preoperative fasting and postoperative recovery after live kidney donation |
Preoperatief vasten en postoperatief herstel na levende nierdonatie |
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E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Therapeutic techniques [E02] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
to determine whether nutritional preconditioning by 2,5 days of fasting and a low dose laxative reduces postoperative fatigue score, 4 weeks after live kidney donation. |
Het primaire doel is om te onderzoeken wat het effect is van nutritionele preconditionering d.m.v. 2,5 dag vasten in combinatie met een lage dosis laxantia op de ernst van de postoperatieve vermoeidheid 4 weken na donornefrectomie. |
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E.2.2 | Secondary objectives of the trial |
to assess the feasibility of the fasting diet, possible side effects/burden, duration of postoperative hospital stay, renal function of donor and transplanted patient and the use of urinary extracellular vesicles in renal transplantation. |
het onderzoeken van de werkbaarheid van het vasten-dieet, mogelijke neveneffecten/last, duur van postoperatieve opnameduur, nierfunctie van de donor en de ontvanger en het gebruik van urinary extracellular vesicles rondom niertransplantatie. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Adult patients and donors opting for living kidney donation and transplantation at Erasmus MC, University Medical Center in Rotterdam, the Netherlands and University Medical Center Groningen in Groningen, the Netherlands
In order to be eligible to participate in this study, a subject going for live kidney donation must meet all of the following criteria: - Age between 18 and 70 years old - BMI between 19 and 35 kg/m2 - Provide written consent |
Patiënten en donors die voor levende nierdonatie en transplantatie gaan in het Erasmus MC, Universitair Medisch Centrum Rotterdam, Nederland en Universitair Medisch Centrum Groningen in Groningen, Nederland
Om geïncludeerd te kunnen worden in deze studie, dienen potentiele kandidaten te voldoen aan: - Leeftijd tussen 18 en 70 jaar oud - BMI tussen 19 en 35 kg/m2 - Informed Consent |
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E.4 | Principal exclusion criteria |
A potential subject who meets any of the following criteria will be excluded from participation in this study: - Participants of the cross-over kidney donation program - Participation in another prospective trial/study for live kidney donors
Another exclusion criterium for participation in this study is the use of double anticoagulants (f.i. Ascal (Carbasalate Calcium) and Clopidogrel (Plavix)) in the recipients (to-be-transplanted). |
Een potentiële deelnemer die aan één van de volgende criteria voldoet wordt geexcludeerd van deelname: - Deelnemers aan het nationale crossover programma - Deelname andere trial
Een los exclusiecriterium voor deelname in deze studie is het gebruik van dubbele anticoagulantia, bijvoorbeeld Ascal & Clopidogrel in de potentiële ontvangers
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E.5 End points |
E.5.1 | Primary end point(s) |
Postoperative fatigue, scored by 36-Item Short Form Health Survey (RAND-36) |
Postoperatieve vermoeidheid, gescoord door 36-Item Short Form Health Survey (RAND-36). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
The primary endpoint will be measured 4 weeks after surgery. |
De primaire uitkomst wordt 4 weken na de operatie gemeten. |
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E.5.2 | Secondary end point(s) |
Postoperative fatigue, measured by QoR-40, scored 4 weeks after surgery.
Postoperative hospital admission time, measured in days since surgery.
Adherence to the fasting regime
Physical activity before, during and after hospital stay
Postoperative recovery of renal function in the donor
Postoperative recovery of renal function in the transplanted patient
Determination of upregulation of cytoprotective genes / anti-inflammatory markers
Investigate the use and merit of uEV in renal transplantation in human subjects and the effect of fasting on uEV
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Postoperatieve vermoeidheid, gemeten dmv QoR-40, 4 weken na operatie
Postoperatieve duur van ziekenhuisopname, gemeten in dagen sinds de operatie.
Werkbaarheid / therapietrouw aan het dieet
Fysieke activiteit voor, tijdens en na ziekenhuisopname en operatie
Postoperatief herstel van nierfunctie in de donor
Postoperatief herstel van nierfunctie in de ontvanger
Determinatie van upregulatie van cytoprotectieve genen / anti inflammatoire markers
Onderzoeken van het gebruik en nut van urinaire extracellulaire vesicles (uEV) in niertransplantatie in the mens en het effect van vasten op uEV.
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Within the first week after live kidney donation, or 4 weeks after surgery. |
Binnen de eerste week na levende nierdonatie of 4 weken na de operatie. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Geen intake volgens de huidige richtlijnen (6 uur voor de operatie |
Refrain from intake according to usual guidelines (6 hours before surgery) |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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After the last visit of the last subject (Last visit is 3 months after live kidney donation |
Na de laatste studiegerelateerde afspraak van de laatste proefpersoon. Laatste afspraak is i.p. 3 maanden na levende nierdonatie |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |