UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062937
Receipt number R000072019
Scientific Title A Prospective Observational Study of the Association Between Longitudinal Changes in Serum Soluble Klotho Levels and Dietary Intake Patterns in Patients Undergoing Living Donor Kidney Transplantation
Date of disclosure of the study information 2026/09/15
Last modified on 2026/09/15 20:58:34

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Basic information

Public title

Study of Changes in Serum Soluble Klotho Levels and Dietary Intake Patterns in Patients Undergoing Living Donor Kidney Transplantation

Acronym

K-MEAL Study (Klotho and Meal-based dietary Evaluation Across Living donor kidney transplantation)

Scientific Title

A Prospective Observational Study of the Association Between Longitudinal Changes in Serum Soluble Klotho Levels and Dietary Intake Patterns in Patients Undergoing Living Donor Kidney Transplantation

Scientific Title:Acronym

K-MEAL Prospective Observational Study

Region

Japan


Condition

Condition

Living Donor Kidney Transplantation

Classification by specialty

Nephrology Surgery in general Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to prospectively characterize longitudinal changes in serum soluble Klotho levels measured before living donor kidney transplantation and at one week and six months after transplantation, and to examine the associations between these changes and dietary intake patterns assessed using the Meal-based Diet History Questionnaire (MDHQ), as well as nutritional status.

Basic objectives2

Others

Basic objectives -Others

Assessment of the association between longitudinal changes in serum soluble Klotho levels and dietary intake patterns

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Longitudinal changes in serum soluble Klotho (sKl) levels before, one week after, and six months after living donor kidney transplantation

Key secondary outcomes

1) Associations of serum sKl levels and changes in serum sKl levels with kidney function parameters, including serum creatinine, eGFR, changes in eGFR, blood urea nitrogen, urinary protein excretion, and urinary albumin excretion
2) Associations of serum sKl levels and changes in serum sKl levels with markers of mineral metabolism, including serum phosphorus, magnesium, calcium, alkaline phosphatase, intact parathyroid hormone, 25-hydroxyvitamin D, and markers of tubular phosphate reabsorption
3) Associations of serum sKl levels and changes in serum sKl levels with energy, nutrient, and food group intakes assessed using the MDHQ
4) Associations of serum sKl levels and changes in serum sKl levels with diet quality indices, including the HEI-2015, NRF9.3, PRAL, and NEAP
5) Associations of serum sKl levels and changes in serum sKl levels with indicators of nutritional status, including GLIM criteria, PNI, CONUT, MDS, serum albumin, body weight, BMI, SMI, LAMA, IMAT, visceral fat, and subcutaneous fat
6) Associations of serum sKl levels and changes in serum sKl levels with clinical outcomes after kidney transplantation, including DGF, rejection, rehospitalization, and recovery of kidney graft function


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients aged 18 years or older who are scheduled to undergo living donor kidney transplantation at our hospital
2) Patients who provide written informed consent to participate in this study

Key exclusion criteria

1) Patients scheduled to undergo simultaneous multiple-organ transplantation
2) Patients undergoing deceased donor kidney transplantation
3) Patients who are considered unable to complete the Meal-based Diet History Questionnaire (MDHQ) because of cognitive impairment or other reasons
4) Patients who develop serious perioperative complications and are considered unable to continue participating in the study
5) Patients considered unsuitable for participation in this study by the principal investigator or other investigators

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Tetsuhiko
Middle name
Last name Sato

Organization

Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital

Division name

Division of Strategic Outreach Medicine

Zip code

466-8650

Address

2-9 Myoken-cho, Showa-ku, Nagoya, Aichi 466-8650, Japan

TEL

052-832-1121

Email

tetssato@nagoya2.jrc.or.jp


Public contact

Name of contact person

1st name Keigo
Middle name
Last name Hatakeyama

Organization

Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital

Division name

Department of Nutrition

Zip code

466-8650

Address

2-9 Myoken-cho, Showa-ku, Nagoya, Aichi 466-8650, Japan

TEL

052-832-1121

Homepage URL


Email

hatake@nagoya2.jrc.or.jp


Sponsor or person

Institute

Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital

Institute

Department

Personal name



Funding Source

Organization

Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital

Address

2-9 Myoken-cho, Showa-ku, Nagoya, Aichi 466-8650, Japan

Tel

052-832-1121

Email

IRB-JIMU@nagoya2.jrc.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 07 Month 03 Day

Date of IRB

2026 Year 07 Month 03 Day

Anticipated trial start date

2026 Year 09 Month 16 Day

Last follow-up date

2028 Year 10 Month 31 Day

Date of closure to data entry

2028 Year 11 Month 30 Day

Date trial data considered complete

2028 Year 12 Month 31 Day

Date analysis concluded

2029 Year 03 Month 31 Day


Other

Other related information

Factors examined for association include dietary intake and diet quality assessed using the Meal-based Diet History Questionnaire (MDHQ), kidney function, mineral metabolism, nutritional status, medication use, and the clinical course after kidney transplantation. The outcomes are serum soluble Klotho (sKl) levels before, one week after, and six months after living donor kidney transplantation and changes in sKl levels. Associations between these factors and the outcomes will be evaluated.


Management information

Registered date

2026 Year 09 Month 15 Day

Last modified on

2026 Year 09 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072019