The current trial investigates the effect of renal diet therapy and nutritional education on the estimated Glomerular Filtration Rate (eGFR), blood pressure, and depression among patients with CKD. A total of 120 CKD patients (stages 3-4) (15<eGFR<60) were randomized into an intensive nutrition intervention group (individualized renal diet therapy plus nutrition counseling: 0.75 g protein/kg/day and 30-35 kcal/kg/day with sodium restriction) and a control group (routine and standard care) for 24 weeks. The primary outcome was the change in the eGFR. Secondary outcomes included changes in anthropometric measures, biochemistry [serum creatinine (Cr), uric acid, albumin, electrolytes, calcium, vitamin D, ferritin, Blood Urea Nitrogen (BUN), and hemoglobin], blood pressure, nutritional status, depression, and quality of life. The eGFR increased significantly in the intervention group compared with the control group (p<0.001). Moreover, serum levels of Cr and the systolic and diastolic blood pressures decreased significantly in the intervention group relative to the control group (p<0.001, p<0.001, and p=0.020, respectively). The nutrition intervention also hindered the increase in the BUN level and the depression score (p=0.045 and p=0.028, respectively). Furthermore, the reduction in protein and sodium intake was greater in the intervention group (p=0.003 and p<0.001, respectively). Nutritional treatment along with supportive education and counseling, contributed to improvements in renal function, blood pressure control, and adherence to protein intake recommendations. A significant difference in the mean eGFR between the groups was also confirmed at the end of the study using analysis of covariance (ANCOVA) (Β=-5.06; 95% CI: -8.203, -2.999).