Purpose

The primary goals of this study are to determine the contribution of dietary oxalate absorption, renal oxalate handling, and endogenous oxalate synthesis to urinary oxalate excretion in normal Body Mass Index (BMI) and obese calcium oxalate kidney stone formers.

Condition

Eligibility

Eligible Ages
Between 19 Years and 75 Years
Eligible Genders
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Normal Body Mass Index (≥ 18.5 to < 25); Obese Body Mass Index (≥ 30 to ≤ 45) - Able to provide informed consent - Willingness to consume controlled diet - Composition of most recent stone > 50% calcium oxalate, no uric acid component - First time or recurrent calcium oxalate stone former - 24-hour urine collections with creatinine values within 20% of appropriate ratio of creatinine (mg)/body weight (kg) for gender, and with creatinine values that are consistent between collections (within 20% of each other) - Willingness to stop supplements [vitamins, Ca (citrate or carbonate) and other minerals, herbal supplements, nutritional aids, probiotics] for 14 days before start and during study - Willingness to not undertake vigorous exercise during the controlled dietary study - Normal fasting blood Comprehensive Metabolic Panel - Hemoglobin A1c < 6.5% - No food allergies or intolerance to any of the food in study menus - Permitted/willing to discontinue medications for kidney stone prevention, including thiazides, allopurinol, and febuxostat and citrate preparations, for 14 days before start and during the studies. They will be instructed to restart these medications at the conclusion of the study

Exclusion Criteria

  • Diabetes - Abnormal fasting comprehensive metabolic panel (CMP) - Hemoglobin A1c (HbA1c) result ≥ 6.5% - Gout - Estimated Glomerular Filtration Rate (eGFR) <60 ml/min/1.73m^2 - Primary hyperoxaluria - Cystic fibrosis - Cystinuria - Uric acid stone former - Utilization of immunosuppressive medication - Nephrotic syndrome - Enteric hyperoxaluria - Gastrointestinal disorder that could impact oxalate transport - Sarcoidosis - Uncontrolled hypertension - Renal tubular acidosis - Primary hyperparathyroidism - Liver disease - Neurogenic bladder - Urinary diversion - Chronic diarrhea - Bariatric surgery - Active malignancy or treatment for malignancy within 12 months prior to screening - Pregnancy - Breast feeding/nursing - Females of child bearing age who are not able to use an effective method of birth control during the study - Mental/medical condition that is likely to impede successful study completion - Illness including flu / common cold / fever 14 days before study and during study - Diarrhea or other abnormal gastrointestinal event (e.g. abnormal bowel movements) 14 days before study or during study - Antibiotic use within last 6 months (based on recommendations of the NIH Human Microbiome Project, Protocol A) - Inability or unwillingness to undergo MRI

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Basic Science
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Controlled Dietary Study
Participants will consume the controlled diet for five days. After one day on the diet, subjects will provide three 24-hour urine collections. On the last dayof the diet, subjects will come in a fasted state to ingest a small amount of carbon-13 oxalate and sucralose, with hourly urine collections and blood samples being taken before and after the ingestion.
  • Other: Controlled Diet
    Participant will consume a controlled low oxalate diet for five days
  • Dietary Supplement: Carbon-13 Oxalate and Sucralose Ingestion
    Subjects will ingest a small amount of carbon-13 oxalate and sucralose, dissolved in water.

Recruiting Locations

University of Alabama at Birmingham
Birmingham, Alabama 35243-3353
Contact:
Demond Wiley
205-934-3671
kidneystone@uabmc.edu

More Details

Status
Recruiting
Sponsor
University of Alabama at Birmingham

Study Contact

Demond Wiley
205-934-3671
kidneystone@uabmc.edu

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.