Evidence map›Paper›PMID 36079750›Full record

Trial reportNutrients2022

Effects of a Novel Amino Acid Formula on Nutritional and Metabolic Status, Anemia and Myocardial Function in Thrice-Weekly Hemodialysis Patients: Results of a Six-Month Randomized Double-Blind Placebo-Controlled Pilot Study.

Stefano Murtas, Roberto Aquilani, Gianmarco Fiori, Roberto Maestri, Paolo Iadarola, Cristina Graccione, Rita Contu, Maria Luisa Deiana, Fabrizio Macis, Romina Secci and 6 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 1 country.

Stefano MurtasNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Roberto AquilaniDepartment of Biology and Biotechnology "Lazzaro Spallanzani", University of Pavia, 27100 Pavia, Italy.
Gianmarco FioriCardiology Service-Quartu-Parteolla Health District, ASL of Cagliari, Quartu Sant'Elena, 09045 Cagliari, Italy.
Roberto MaestriDepartment of Biomedical Engineering, Scientific Institute of Montescano, IRCCS, ICS Maugeri S.p.A SB, 27100 Pavia, Italy.ORCID 0000-0002-2873-0430
Paolo IadarolaDepartment of Molecular, Medicine University of Pavia, 27100 Pavia, Italy.
Cristina GraccioneNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Rita ContuNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Maria Luisa DeianaNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Fabrizio MacisNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Romina SecciNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Antonella SerraNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Mariella CadedduNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Maura D'AmatoDepartment of Molecular, Medicine University of Pavia, 27100 Pavia, Italy.
Paola PutzuNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Mirella MarongiuNephrology Department, ASL of Cagliari, 09100 Cagliari, Italy.
Piergiorgio BolascoChronic Kidney Disease Treatment Conservative Study Group of the Italian Society of Nephrology, 00185 Rome, Italy.ORCID 0000-0001-9788-2342
University of Cagliari · ITUniversity of Pavia · ITIstituti Clinici Scientifici Maugeri · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Chronic Kidney Disease (CKD) induces metabolic derangement of amino acid (AA) kinetics, eliciting severe damage to the protein anabolism. This damage is further intensified by a significant loss of AAs through hemodialysis (HD), affecting all tissues with a high metabolic turnover, such as the myocardium and body muscle mass. (2) Aim: to illustrate the effects of a novel AA mixture in boosting mitochondrial energy production. (3) Methods: A strict selection of 164 dialysis patients was carried out, allowing us to finally identify 22 compliant patients who had not used any form of supplements over the previous year. The study design envisaged a 6-month randomized, double-blind trial for the comparison of two groups of hemodialysis patients: eleven patients (67.2 ± 9.5 years) received the novel AA mix (TRG), whilst the other eleven (68.2 ± 10.5 years) were given a placebo mix that was indistinguishable from the treatment mix (PLG). (4) Results: Despite the 6-month observation period, the following were observed: maintenance of target hemoglobin values with a reduced need for erythropoiesis-stimulating agents in TRG > 36% compared to PLG (p < 0.02), improved phase angle (PhA) accompanied by an increase in muscle mass solely in the TRG group (p < 0.05), improved Left Ventricular Ejection Fraction (LVEF > 67%) in the TRG versus PLG group (p < 0.05) with early but marked signs of improved diastolic function. Increased sensitivity to insulin with greater control of glycemic levels in TRG versus PLG (p = 0.016). (5) Conclusions: the new AA mix seemed to be effective, showing a positive result on nutritional metabolism and cardiac performance, stable hemoglobin levels with the need for lower doses of erythropoietin (EPO), insulin increased cell sensitivity, better muscle metabolism with less loss of mass.

Indexed as

AnemiaErythropoietinInsulinsKidney Failure, ChronicAmino AcidsHemoglobinsHumansMyocardiumPilot ProjectsRenal DialysisStroke VolumeVentricular Function, LeftAmino AcidsErythropoietinHemoglobinsInsulinsamino acid replacementhemodialysishydrationmetabolic and nutritional disorders

Identifiers

PMID36079750
PMCPMC9459903
OpenAlexW4293207252

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.