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Dietary behavior of patients with urolithiasis and antiurolithic effects of selected local fruits

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SLCTR Registration Number

SLCTR/2019/031


Date of Registration

17 Sep 2019

The date of last modification

Sep 17, 2019



Application Summary


Scientific Title of Trial

Dietary behavior of patients with urolithiasis and antiurolithic effects of selected local fruits


Public Title of Trial

Anti-urolithic effect of selected local fruits on serum and urinary biomarkers in patients with urolithiasis: A Randomized Controlled Trial


Disease or Health Condition(s) Studied

Urolithiasis


Scientific Acronym

None


Public Acronym

None


Brief title

Effect of selected local fruits on biochemical parameters in urolithiasis


Universal Trial Number

UTN : U1111-1236-9898


Any other number(s) assigned to the trial and issuing authority

Ref: 06.09.2017: 3.1: ERC Ruhuna


Trial Details


What is the research question being addressed?

What is the effect of selected local fruits on urinary and serum parameters (citrate, tartaric acid, uric acid, oxalate, sodium, potassium, creatinine, phosphorus, and magnesium) of patients with urolithiasis?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Prevention


Study Phase

Not Applicable


Intervention(s) planned

  • Eight different local fruit types [Thambili ( Cocos nucifera), Hen-Kekiri ( Cucumis melovar conomon), Delum ( Punica granatum), Annasi ( Ananas comosus), Pipincha/Thiyambara ( Cucumis sativus Pipingna), Komadu/ Peni-Komadu ( Colocynthis citrullus),Kaju Puhulum ( Anacardium occidentals), Katuanodha ( Annona muricata)] will be used for the study which are believed to have diuretic and/or antiurolithic effect according to Sri Lankan traditional Aryurwedic Medicine.

  • Study participants will be recruited from Urology Surgical Unit and General Surgical Unit, Teaching Hospital, Karapitiya.

  • Block randomization will be used to allocate patients for the eight fruit groups (applicable for group1 and 3). Block size will be taken as 8. Computer generated random number table will be used for the sequence generation. Allocation is not concealed and blinding is not used for the study. Group 2 and 4 are used for comparison.

  • Group 1: Patients with confirmed urolithiasis will be advised to drink one type of fruit juice (500 mL) daily for 14 days.

  • Group 2: Patients with confirmed urolithiasis will be advised to drink a 500 mL of drinking water (other than usual intake) daily for 14 days.

  • Group 3: Voluntary participants without urolithiasis (negative imaging studies) will be advised to drink 500 mL of the same type of fruit juice daily for 14 days.

  • Group 4: Voluntary participants without urolithiasis (negative imaging studies) will be advised to drink 500 mL of drinking water (other than usual intake) daily for 14 days.

  • Intervention: 500 mL of fruit juice once daily for 14 days. Fruit juices will be prepared without added sugar or salt using ripened fruits (100g wet weight of the fruit for 250 mL of drinking water).

  • Control: 500 mL of drinking water once daily for 14 days.

  • Standard treatment for nephrolithiasis is the surgical management. The intervention/control treatment is administered while the patient is on standard treatment.

  • Blinding is not used.

  • Regular nutritional intake by the study subject will be estimated by a food frequency questionnaire validated for Sri Lankans.


Inclusion criteria

For Groups 1 and 2 • Age 20 to 70 years • Male or Female • Diagnosed with urolithiasis at the Urological and General Surgical Units (defined and confirmed by the imaging studies)

For Groups 3 and 4 • Age 20 to 70 years • Male or Female • Patients without urolithiasis (negative imaging studies)


Exclusion criteria

• Patients with major illnesses such as renal failure, acute infections including acute urinary tract infections (eg: payelonephritis), carcinoma, diabetes mellitus

• Unstable patients (Patients who are unstable mentally (patients with psychiatric disorders and dementia) or physically (bedridden patients)



Primary outcome(s)

1.
  1. Urine leukocytes, erythrocytes, nitrite and protein to exclude the presence of urinary tract infection (at baseline only) using the Dipstick test
[

At the baseline and at 15th day after the commencement of the intervention

]
2.
  1. Urine pH by using pH meter
[

At the baseline and at 15th day after the commencement of the intervention

]
3.
  1. Specific gravity by the urine strip test
[

At the baseline and at 15th day after the commencement of the intervention

]
4.
  1. Citrate, tartaric acid (tartrate), uric acid, oxalate, creatinine, phosphorus in urine using the spectrophotometric assay kits.
[

At the baseline and at 15th day after the commencement of the intervention

]
5.
  1. Presence of urinary crystals will be examined by light microscopic methods
[

At the baseline and at 15th day after the commencement of the intervention

]
6.
  1. Sodium, potassium in urine will be estimated by Ion Selective Electrode automated analyzers
[

At the baseline and at 15th day after the commencement of the intervention

]
7.
  1. Ionized calcium (or total calcium + albumin), magnesium, citrate, tartaric acid (tartrate), uric acid, oxalate, creatinine, phosphorus in serum using spectrophotometric assay kits.
[

At the baseline and at 15th day after the commencement of the intervention

]
8.
  1. Sodium, potassium in serum will be estimated by Ion Selective Electrode automated analyzers
[

At the baseline and at 15th day after the commencement of the intervention

]

Secondary outcome(s)

1.

None

[]

Target number/sample size

180 (100 in control group and 80 intervention group)


Countries of recruitment

Sri Lanka


Anticipated start date

2019-11-01


Anticipated end date

2021-12-31


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Research Grant, Faculty of Medicine, University of Ruhuna


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2017-09-06


Approval number

06.09.2017: 3.1


Details of Ethics Review Committee

Name: Ethical Review Committee, Faculty of Medicine, University of Ruhuna
Institutional Address:Ethical Review Committee, Faculty of Medicine, University of Ruhuna, PO Box 70, Galle, Sri Lanka.
Telephone:0912234801/803 Ext: 161
Email: ethics@med.ruh.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. C. M. Wickramatilake
Senior Lecturer
Dept. of Biochemistry Faculty of Medicine University of Ruhuna Galle.
091 2234801
0777909663
0912222314
chandimadhu@live.com

Contact Person for Public Queries

Dr. Satish Goonesinghe
Consultant Urological Surgeon
Teaching Hospital Karapitiya Galle
0912232176
0777751165

satkugo@gmail.com


Primary study sponsor/organization

Faculty of Medicine, University of Ruhuna

Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka
041-2222681, 041-2222682 041-2227001
0912222314
deanmedruh@gmail.com
http://www.medi.ruh.ac.lk/

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

Yes


IPD sharing plan description

Individual participant data that underlie the results being reported, will be shared after de-identification (text, tables, figures and appendices). The study protocol will also be shared. Data will be available beginning 3 months and ending 5 years following article publication. Data will be shared with investigators whose proposed use of the data has been approved by an independent review committee identified for this purpose, including for individual participant data meta analysis. Proposals should be directed to (inset email). To gain access, data requestors will need to sign a data access agreement


Study protocol available

Yes


Protocol version and date

Version 2


Protocol URL


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results