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Effect of Probiotics on Immunosuppressant Therapy in Kidney Transplant Recipients
Sponsor: Federico II University
Summary
People who receive a donor kidney must take drugs to prevent their bodies from attacking the new organ. These drugs are called immunosuppressants. Probiotics are beneficial microbes that support gut health. They are often given to reduce immunosuppressant toxicity for the gut. The goal of this clinical trial is to learn if probiotics change the levels of immunosuppressants in the blood in patients who have received a kidney transplant. The main question it aims to answer is: • Does a short-term treatment with a probiotic mixture change the circulating levels of the immunosuppressant drugs cyclosporine A, tacrolimus, sirolimus, everolimus, mycophenolic acid, mycophenolate mofetil, and prednisolone? In addition, researchers will also see if probiotics reduce systemic inflammation or ameliorate renal function. Study participants will be patients with kidney transplant. At different times, each participant will take either probiotics or look-alike capsules with no probiotics. Researchers will compare the levels of immunosuppressant in the blood when participants take the probiotics with those when they take the capsules with no microbes. Study participants will have to: * Take oral capsules containing a probiotc mixture for one month and look-alike capsules with no probiotics for another month with a one-month interval between these two treatments; * Go to the hospital every 30 days for three months for the collection of blood samples; * Collect feces specimens for microbiome analysis every 30 days for three months and bring them to the hospital.
Official title: Probiotics for Immunosuppressant Therapy Optimization
Key Details
Gender
All
Age Range
18 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2025-06-18
Completion Date
2025-10-03
Last Updated
2026-10-20
Healthy Volunteers
No
Interventions
Probiotic formulation
A multistrain probiotic mixture, formulated in capsules for oral administration, containing L. plantarum, L. rhamnosus, L. acidophilus, L. casei, S. thermophilus, B. lactis and an extract of the plant Boswellia serrata. Capsules also contain microcrystalline cellulose, soy lecithin and magnesium dioxide as excipients.
Placebo
Placebo capsules contain only the excipients found in the probiotic preparation (microcrystalline cellulose, soy lecithin and magnesium dioxide). They are indistinguishable from probiotic capsules.
Locations (1)
AOU Federico II
Naples, Italy