Viewing Study NCT03832166


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Study NCT ID: NCT03832166
Status: COMPLETED
Last Update Posted: 2020-11-27
First Post: 2019-02-01
Is Possible Gene Therapy: False
Has Adverse Events: False

Brief Title: Reducing Chronic Kidney Disease Burden in an Underserved Population
Sponsor:
Organization:

Raw JSON

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6 weeks; 6 months', 'description': 'Primary surrogate marker of eGFR'}, {'measure': 'Change from baseline of Urine albumin-to-creatinine ratio (ACR) at 6 weeks and 6 months', 'timeFrame': 'Baseline; 6 weeks; 6 months', 'description': 'Measure of renal damage'}, {'measure': 'Changes from baseline in fruit and vegetable intake at 6 weeks and 6 months', 'timeFrame': 'Baseline; 6 weeks; 6 months', 'description': 'Track changes in fruit and vegetable intake via ASA24 food diary'}, {'measure': 'Changes from baseline in dietary fat intake at 6 weeks and 6 months', 'timeFrame': 'Baseline; 6 weeks; 6 months', 'description': 'Track changes in fat (g) intake via ASA24 food diary'}, {'measure': 'Changes from baseline in caloric intake at 6 weeks and 6 months', 'timeFrame': 'Baseline; 6 weeks; 6 months', 'description': 'Track changes in total caloric(kcal) intake via ASA24 food diary'}], 'secondaryOutcomes': [{'measure': 'Changes from baseline in systolic and diastolic Blood pressure at 6 weeks and 6 months', 'timeFrame': 'Baseline; 6 weeks; 6 months', 'description': 'Measure changes in systolic/diastolic blood pressure (mm Hg) to assess cardiovascular disease risk (CVD)'}, {'measure': 'Changes from baseline in serum Lipoprotein levels at 6 weeks and 6 months', 'timeFrame': 'Baseline; 6 weeks; 6 months', 'description': 'Measure changes in total cholesterol, HDL, and LDL (mg/dL) by fingerstick to assess CVD risk'}, {'measure': 'Changes from baseline in serum Glycosolated hemoglobin A1C (HgA1C) levels at 6 weeks and 6 months', 'timeFrame': 'Baseline; 6 weeks; 6 months', 'description': 'Measure changes in HgA1C (mg/dL) by fingerstick as a marker of diabetes and to assess CVD risk'}, {'measure': 'Changes from baseline in Blood glucose at 6 weeks and 6 months', 'timeFrame': 'Baseline; 6 weeks; 6 months', 'description': 'Measure fasting glucose(mg/dL) as a marker of diabetes and to assess CVD risk'}, {'measure': 'Changes from baseline in Body mass index (BMI) at 6 weeks and 6 months', 'timeFrame': 'Baseline; 6 weeks; 6 months', 'description': 'Measure body mass index(lb/inches squared) to assess CVD risk'}]}, 'oversightModule': {'oversightHasDmc': True, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['CKD', 'Low Income', 'Diet', 'Fruits and Vegetables'], 'conditions': ['CKD', 'ESRD']}, 'referencesModule': {'references': [{'pmid': '26885959', 'type': 'BACKGROUND', 'citation': 'Mendu ML, Erickson KF, Hostetter TH, Winkelmayer WC, Olan G, Meyer RN, Hakim R, Sedor JR. Federal Funding for Kidney Disease Research: A Missed Opportunity. Am J Public Health. 2016 Mar;106(3):406-7. doi: 10.2105/AJPH.2015.303009. No abstract available.'}, {'type': 'BACKGROUND', 'citation': 'System USRD. Annual Data Report 2015: Epidemiology of Kidney Disease in the United States. Washington DC: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2015'}, {'pmid': '25125737', 'type': 'BACKGROUND', 'citation': 'Ojo A. Addressing the global burden of chronic kidney disease through clinical and translational research. Trans Am Clin Climatol Assoc. 2014;125:229-43; discussion 243-6.'}, {'pmid': '27047811', 'type': 'BACKGROUND', 'citation': 'Assari S. Distal, intermediate, and proximal mediators of racial disparities in renal disease mortality in the United States. J Nephropathol. 2016 Jan;5(1):51-9. doi: 10.15171/jnp.2016.09. 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Epub 2011 Aug 31.'}, {'pmid': '23393104', 'type': 'BACKGROUND', 'citation': 'Goraya N, Simoni J, Jo CH, Wesson DE. A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate. Clin J Am Soc Nephrol. 2013 Mar;8(3):371-81. doi: 10.2215/CJN.02430312. Epub 2013 Feb 7.'}, {'pmid': '24694986', 'type': 'BACKGROUND', 'citation': 'Goraya N, Simoni J, Jo CH, Wesson DE. Treatment of metabolic acidosis in patients with stage 3 chronic kidney disease with fruits and vegetables or oral bicarbonate reduces urine angiotensinogen and preserves glomerular filtration rate. Kidney Int. 2014 Nov;86(5):1031-8. doi: 10.1038/ki.2014.83. Epub 2014 Apr 2.'}, {'pmid': '26045089', 'type': 'BACKGROUND', 'citation': 'Navaneethan SD, Schold JD, Arrigain S, Jolly SE, Nally JV Jr. Cause-Specific Deaths in Non-Dialysis-Dependent CKD. J Am Soc Nephrol. 2015 Oct;26(10):2512-20. doi: 10.1681/ASN.2014101034. 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Kidney disease progression and screening cost-effectiveness among African Americans. J Am Soc Nephrol. 2012 Dec;23(12):1915-6. doi: 10.1681/ASN.2012101028. Epub 2012 Nov 15. No abstract available.'}, {'pmid': '25475746', 'type': 'BACKGROUND', 'citation': 'Maziarz M, Black RA, Fong CT, Himmelfarb J, Chertow GM, Hall YN. Evaluating risk of ESRD in the urban poor. J Am Soc Nephrol. 2015 Jun;26(6):1434-42. doi: 10.1681/ASN.2014060546. Epub 2014 Dec 4.'}, {'pmid': '25835731', 'type': 'BACKGROUND', 'citation': 'Wilson DK, Kitzman-Ulrich H, Resnicow K, Van Horn ML, St George SM, Siceloff ER, Alia KA, McDaniel T, Heatley V, Huffman L, Coulon S, Prinz R. An overview of the Families Improving Together (FIT) for weight loss randomized controlled trial in African American families. Contemp Clin Trials. 2015 May;42:145-57. doi: 10.1016/j.cct.2015.03.009. 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Epub 2014 Jul 1.'}, {'pmid': '28254171', 'type': 'BACKGROUND', 'citation': 'Jenkins DJA, Boucher BA, Ashbury FD, Sloan M, Brown P, El-Sohemy A, Hanley AJ, Willett W, Paquette M, de Souza RJ, Ireland C, Kwan N, Jenkins A, Pichika SC, Kreiger N. Effect of Current Dietary Recommendations on Weight Loss and Cardiovascular Risk Factors. J Am Coll Cardiol. 2017 Mar 7;69(9):1103-1112. doi: 10.1016/j.jacc.2016.10.089.'}, {'pmid': '21963019', 'type': 'BACKGROUND', 'citation': 'Thomson CA, Ravia J. A systematic review of behavioral interventions to promote intake of fruit and vegetables. J Am Diet Assoc. 2011 Oct;111(10):1523-35. doi: 10.1016/j.jada.2011.07.013.'}, {'pmid': '26356585', 'type': 'BACKGROUND', 'citation': 'Sharan AD, Schroeder GD, West ME, Vaccaro AR. Understanding a Value Chain in Health Care. J Spinal Disord Tech. 2015 Oct;28(8):291-3. doi: 10.1097/BSD.0000000000000319.'}, {'type': 'BACKGROUND', 'citation': 'Mundt L, Shanahan K. Textbook of Urinalysis and Body Fluids. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.'}, {'pmid': '28031343', 'type': 'BACKGROUND', 'citation': 'Ozyilmaz A, de Jong PE, Bakker SJL, Visser ST, Thio C, Gansevoort RT; PREVEND Study Group. Screening for elevated albuminuria and subsequently hypertension identifies subjects in which treatment may be warranted to prevent renal function decline. Nephrol Dial Transplant. 2017 Apr 1;32(suppl_2):ii200-ii208. doi: 10.1093/ndt/gfw414.'}, {'pmid': '27927597', 'type': 'BACKGROUND', 'citation': 'Carrero JJ, Grams ME, Sang Y, Arnlov J, Gasparini A, Matsushita K, Qureshi AR, Evans M, Barany P, Lindholm B, Ballew SH, Levey AS, Gansevoort RT, Elinder CG, Coresh J. Albuminuria changes are associated with subsequent risk of end-stage renal disease and mortality. Kidney Int. 2017 Jan;91(1):244-251. doi: 10.1016/j.kint.2016.09.037. Epub 2016 Dec 4.'}, {'pmid': '25710660', 'type': 'BACKGROUND', 'citation': 'Levey AS, Becker C, Inker LA. Glomerular filtration rate and albuminuria for detection and staging of acute and chronic kidney disease in adults: a systematic review. JAMA. 2015 Feb 24;313(8):837-46. doi: 10.1001/jama.2015.0602.'}, {'pmid': '8169757', 'type': 'BACKGROUND', 'citation': 'Deci EL, Eghrari H, Patrick BC, Leone DR. Facilitating internalization: the self-determination theory perspective. J Pers. 1994 Mar;62(1):119-42. doi: 10.1111/j.1467-6494.1994.tb00797.x.'}, {'pmid': '19559135', 'type': 'BACKGROUND', 'citation': 'Carithers TC, Talegawkar SA, Rowser ML, Henry OR, Dubbert PM, Bogle ML, Taylor HA Jr, Tucker KL. Validity and calibration of food frequency questionnaires used with African-American adults in the Jackson Heart Study. J Am Diet Assoc. 2009 Jul;109(7):1184-1193. doi: 10.1016/j.jada.2009.04.005.'}, {'pmid': '15127062', 'type': 'BACKGROUND', 'citation': 'Subar AF. Developing dietary assessment tools. J Am Diet Assoc. 2004 May;104(5):769-70. doi: 10.1016/j.jada.2004.02.007. No abstract available.'}, {'pmid': '38046912', 'type': 'DERIVED', 'citation': 'Kitzman H, Montgomery AH, Khan M, Mamun A, Tecson KM, Allison P, Simoni J, Wesson DE. The Fruit and Veggies for Kidney Health Study: A Prospective Randomized Trial. Kidney Med. 2023 Oct 23;5(12):100736. doi: 10.1016/j.xkme.2023.100736. eCollection 2023 Dec.'}]}, 'descriptionModule': {'briefSummary': "To evaluate a scalable population health strategy to 1) screen, 2) identify, and 3) intervene with individuals at high risk of CKD progression to ESRD that could be implemented in other high risk communities and health care systems. This novel study will evaluate the feasibility and preliminary efficacy of providing F\\&V to individuals identified at high risk study for CKD and ESRD through community health screenings. Further, it will evaluate whether providing education as to how to prepare F\\&V for consumption, the latter being done for all F\\&V recipients in PI's preliminary published studies but its efficacy was not specifically tested, increases F\\&V intake and thereby reduces CKD progression risk as well as related clinical outcomes.", 'detailedDescription': '"Fruits and Veggies for Health" is a prospective, randomized two group study to evaluate a community-engaged screening, identification, and F\\&V intervention to improve CKD outcomes in 140 AA adults (greater than 18 years). Participants will be randomized to a 1) F\\&V only (F\\&V Only), or 2) F\\&V plus a nutrition/cooking program (F\\&V + Cook).'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': True, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Willingness to participate in 6 month F\\&V study\n* Positive urine dipstick.\n* African American (self declared) race\n* Access to internet via personal computer or mobile device\n* Ability to read and write in English\n\nExclusion Criteria:\n\n* Negative urine dipstick\n* Currently receiving dialysis or needing dialysis (stage 5 Kidney disease)\n* Have received or need kidney transplant\n* Pregnant or plan to become pregnant in the next 6 months\n* Baseline urine potassium \\> 60 mEq/g creatinine\n* Nephrotic proteinuria demonstrated on urine ACR measurement\n* Lacking access to the internet via personal computer or mobile device\n* Unable to read or write in English'}, 'identificationModule': {'nctId': 'NCT03832166', 'briefTitle': 'Reducing Chronic Kidney Disease Burden in an Underserved Population', 'organization': {'class': 'OTHER', 'fullName': 'Baylor Research Institute'}, 'officialTitle': 'A Prospective, Randomized Two Group Study to Evaluate the Feasibility and Initial Efficacy of a Community-engaged Screening, Identification, and F&V Intervention to Improve F&V Intake and CKD Outcomes in 140 AA Adults', 'orgStudyIdInfo': {'id': '1R21DK113440-01A1', 'link': 'https://reporter.nih.gov/quickSearch/1R21DK113440-01A1', 'type': 'NIH'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Fruits and Vegetables Only', 'description': 'This group will receive a prescribed amount of free fruits and vegetables (F \\& V) for 6 weeks through pick-up at a farm stand, or direct delivery. After 6 weekly pick-up/deliveries, participants will be provided vouchers and reminders to obtain F\\&V at farm stands for an additional 18 weeks with minimal contact', 'interventionNames': ['Other: Fruits and Vegetables']}, {'type': 'EXPERIMENTAL', 'label': 'Fruits and Vegetables and Cook', 'description': 'In addition to the prescribed amount of free F\\&V, participants will receive 6 weekly, group nutrition and cooking education classes based on "The Happy Kitchen" curriculum. Participants will also receive free ingredients to complete the recipe from each weekly session at home.', 'interventionNames': ['Other: Fruits and Vegetables', 'Other: Cooking']}], 'interventions': [{'name': 'Fruits and Vegetables', 'type': 'OTHER', 'description': 'Fruits and vegetables delivery, once/week for 24 weeks', 'armGroupLabels': ['Fruits and Vegetables Only', 'Fruits and Vegetables and Cook']}, {'name': 'Cooking', 'type': 'OTHER', 'otherNames': ['The Happy Kitchen'], 'description': 'Nutrition education and cooking instruction class, one class/week for 6 weeks', 'armGroupLabels': ['Fruits and Vegetables and Cook']}]}, 'contactsLocationsModule': {'locations': [{'zip': '75210', 'city': 'Dallas', 'state': 'Texas', 'country': 'United States', 'facility': 'Baylor Research Institute', 'geoPoint': {'lat': 32.78306, 'lon': -96.80667}}], 'overallOfficials': [{'name': 'Donald Wesson, MD, MBA', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Baylor RI'}]}, 'ipdSharingStatementModule': {'infoTypes': ['STUDY_PROTOCOL', 'SAP', 'ANALYTIC_CODE'], 'timeFrame': 'Data will be available within 6 mths of outcome publication', 'ipdSharing': 'YES', 'description': 'All IPD that underlie results in a publication'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Baylor Research Institute', 'class': 'OTHER'}, 'responsibleParty': {'type': 'SPONSOR'}}}, 'annotationSection': {'annotationModule': {'unpostedAnnotation': {'unpostedEvents': [{'date': '2022-10-17', 'type': 'RELEASE'}, {'date': '2022-11-09', 'type': 'RESET'}], 'unpostedResponsibleParty': 'Baylor Research Institute'}}}}