Probiotic supplementation to slow kidney disease progression

Effects of Probiotic Supplementation on Disease Progression in Patients With Moderate to Severe Chronic Kidney Disease: A Randomized Controlled Trial

Phase1; Phase2 Interventional Mansoura University · NCT06863194

This study is testing if taking probiotics can help people with moderate to severe chronic kidney disease feel better and slow down the progression of their condition.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Enrollment72 (estimated)
Ages18 Years and up
SexAll
SponsorMansoura University Academic / other
Drugs / interventionschemotherapy
Locations1 site (Al Mansurah, Dakahliya)
Trial IDNCT06863194 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates whether probiotic supplementation can slow the progression of moderate to severe chronic kidney disease (CKD) by improving kidney function, reducing inflammation, and altering gut microbiota composition. Participants will be randomly assigned to receive either probiotics or a placebo for six months, with regular clinic visits for monitoring kidney function and potential side effects. The study aims to determine the safety and efficacy of probiotics in reducing harmful uremic toxins and improving overall health in CKD patients.

Who should consider this trial

Good fit: Ideal candidates for this study are adults aged 18 and older diagnosed with moderate to severe chronic kidney disease (Stages III-IV).

Not a fit: Patients with early-stage CKD (Stages I or II), those on dialysis, or individuals with significant gastrointestinal diseases may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could provide a novel therapeutic approach to slow the progression of chronic kidney disease and improve patient outcomes.

How similar studies have performed: While some previous studies have shown inconsistent results regarding probiotics in CKD, this trial aims to provide clearer insights into their efficacy, making it a potentially novel approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults aged ≥ 18 years (both males and females).
* Diagnosed with Chronic Kidney Disease (CKD) Stage III or IV, confirmed by eGFR.
* Stable medical condition with no recent hospitalization for acute kidney injury or other serious illnesses.
* Not currently on probiotic supplementation or prebiotic therapy.
* Willing to provide informed consent and comply with the study protocol, including clinic visits and sample collection.

Exclusion Criteria:

* CKD Stage I, II, or V, or on dialysis.
* Currently using probiotics or prebiotics as part of their diet or treatment.
* History of active malignancy (cancer) or undergoing chemotherapy.
* Significant gastrointestinal disease (e.g., inflammatory bowel disease, irritable bowel syndrome, or recent GI surgery).
* Pregnant or breastfeeding women (due to safety concerns).
* Patients with autoimmune diseases (e.g., lupus, rheumatoid arthritis).
* Individuals on long-term antibiotic or anti-inflammatory medication that could interfere with microbiota composition.
* Individuals with severe behavioral or cognitive disorders that may prevent adherence to the study protocol.

Where this trial is running

Al Mansurah, Dakahliya

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Kidney Disease, ChronicRenal Insufficiency, ChronicGut DysbiosisUremic ToxinsChronic Kidney DiseaseProbioticsGut MicrobiotaIndoxyl Sulfate
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.