Role of Activated Charcoal in Decreasing Blood Urea, Creatinine and Phosphorous

Study Overview
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Brief Summary
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The study aims to explore the ability of Oral activated charcoal to adsorb uremic toxins limiting the progression of chronic kidney disease and delaying the need for hemodialysis in patients with CKD stages III and IV. To compare its effect with the effect of dry seeds as absorbents of uremic toxins

Detailed Description
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In recent years, chronic kidney disease(CKD) has become a worldwide public health issue. The main factors affecting the prognosis of patients with chronic kidney disease are its complications, including cardiovascular and cerebrovascular diseases, malnutrition, inflammation, atherosclerosis syndrome, and anemia. The accumulation of uremic toxins, such as indoxyl sulfate and p-cresyl sulfate, is implicated in the progression of renal failure and cardiovascular disease. For many patients, chronic kidney disease (CKD) is a progressive condition marked by deteriorating renal function ultimately leading to end-stage renal disease (ESRD) and many patients refuse to start chronic hemodialysis. Therapeutic approaches that decrease the level of uremic toxins are a rational method for inhibiting this progression. Many researches have been done aiming to find alternatives for chronic hemodialysis either for economic issues or psychological issues especially in elderly patients, as example: Gum Arabic in the remedy and amelioration of kidney dysfunction and end-stage renal disease skin as excretory root for urea, increasing sweat from sweat glands can support kidney function by excreting a good amount of what kidneys naturally excrete. The oral charcoal adsorbent reduces serum levels of indoxyl sulfate through adsorption of indole converted from dietary tryptophan in the gastrointestinal tract decreasing serum creatinine and urea level . In this study, the clinical data supporting the role of oral activated charcoal in a dose of 30gm/ day for slowing the progression of CKD will be reviewed. In this study, a trial will be done using dry seeds (lentils as an example) as an absorbent for uremic toxins comparing its effect with the effect of oral activated charcoal.

Official Title
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Role of Oral Activated Charcoal in Decreasing Blood Urea, Creatinine and Phosphorous in Chronic Kidney Disease

Conditions
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Chronic Kidney Disease stage3

Intervention / Treatment
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* Drug: Activated charcoal
* Dietary Supplement: Dry seeds


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with CKD stages iii and iv Patients with age more than 18 years old Exclusion Criteria: Patients on regular hemodialysis Patients with age less than 18 years old

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: 1st group<br>Oral activated charcoal in a dose of 30 gm/day | Drug: Activated charcoal<br>* Activated charcoal<br>|
| Other: 2nd group<br>Dry seeds in a dose of 1 gm/ day | Dietary Supplement: Dry seeds<br>* Dry seeds<br>|
| No Intervention: 3rd group<br>control group | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean of blood urea, creatinine and phosphorous in patients with CKD before and after oral activated charcoal | to asses the mean of blood urea, creatinine and phosphorous in CKD patient before and after administration of activated charcoal | baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| comparison of dry seeds and activated charcoal in limitting progression of chronic kidney disease | To compare dry seeds with activated charcoal as as alternative natural cheap methods that may help in limitting progression of CKD by measuring blood urea, creatinine, and phosphorous in all 3 groups of the study | baseline |