About this trial
The study will test and compare the efficacy of a single essential amino acid valine with a combination of essential amino acids (EAA) supplement on fatigue, frailty, and cognitive function in end-stage kidney disease (ESKD) patients undergoing hemodialysis (HD) treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or Female
Age 18-64 years
Receiving 3 x weekly in clinic hemodialysis for at least 6 months
Disqualifiers
Hypersensitivity to amino acid(s) and/or any excipient
Clinical documentation of COVID-19
Concomitant intake of amino acids supplements
Current use or abuse of alcohol, marijuana, narcotic, or other substances
Trial design
Crossover
Treatments tested in this trial
Valine
DrugA medical food intended for use under medical supervision
EEA
DrugA medical food intended for use under medical supervision
Treatment groups
Trial outcomes
Primary outcomes
Brief Fatigue Inventory (BFI) score
Changes in global fatigue score measured with the 9-item Brief Fatigue Inventory (BFI). The first 3 questions assess fatigue severity, and the remaining 6 questions measure the impact of fatigue on activity, mood, walking, work, relationships, and enjoyment of life. Respondents rate each item on a 0-10 numeric scale, with 0 meaning "no fatigue" and 10 meaning "fatigue as bad as you can imagine." Scores of all 9 items yield global fatigue burden. A lower average global fatigue score indicates milder fatigue and a higher score severe fatigue.
Secondary outcomes
Handgrip strength test
Change in handgrip strength measured by a dynamometer in lbs
Trail Making Test (TMT)
Change in minutes to complete Trail Making Test (TMT) A and B
Other outcomes
Dialysate level of amino acids
How is this measured, are there different values for different aa's (if so each one should be reported separately)?
Plasma level of amino acids
How is this measured, are there different values for different aa's (if so each one should be reported separately)?
Blood valine metabolite 3-hydroxyisobutyrate (3-HIB)
Change in 3-hydroxyisobutyrate (3-HIB) levels
Blood valine beta-amino-isobutyric acid (BAIBA)
Change in beta-amino-isobutyric acid (BAIBA)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
The University of Texas Health Science Center at San Antonio
Lead sponsor
National Center for Advancing Translational Sciences (NCATS)
Collaborator
IIMS-UT Health San Antonio
Collaborator