End-stage Renal DiseasePhase 4NCT01778283
Comparison of Cardiac Index and Cardiac Output Effect During Maintenance Hemodialysis Between Acetate-Free and Acetate-Based Online Hemodiafiltration
A Phase 4 study testing Acetate-free dialysis solution in people with End-stage Renal Disease, run by Chulalongkorn University at 1 site in Thailand.
Trial summary
The purpose of this study is to detemine whether effect of Acetate-free solution on cardiac index and cardiac output measured by saline dilution techniques compares with Acetate-based solution in online-hemodiafiltration Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- End-stage Renal Disease
- What is being tested?
- Acetate-free dialysis solution
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 22 participants
- Where
- 1 siteThailand
- Study dates
- Oct 2012to Nov 2012
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- End-stage renal disease patients with age over 20 years and stable clinical status
- Dialytic age > 6 months
- Maintenance hemodialysis with online-hemodiafiltration mode at King Chulalongkorn Memorial Hospital
- Use arteriovenous fistula or arteriovenous graft as vascular access for hemodialysis
- No vascular access recirculation
- No liver impairment
- No severe, intractable metabolic acidosis or alkalosis (HCO3 <15, >30)
- No pre-existing severe, intractable hypocalcemia (Ca < 7.5) or clinical of hypocalcemia
Who cannot join
- On hemodialysis via tunnel catheter
- Vascular access recirculation
- Liver dysfunction
- Severe, intractable metabolic acidosis or alkalosis (HCO3 <15, >30)
- Pre-existing severe, intractable hypocalcemia (Ca < 7.5) or clinical of hypocalcemia
- Acute or recent myocardial ischemia or congestive heart failure (within 1 months)
- Threatening arrhythmia (VT, VF, sustained SVT, AF with rapid ventricular response)
- Patients affected by acute or chronic infections, malignant tumor
Trial locations and contacts
1 site in 1 country.
Thailand1 site
Faculty of Medicine, Chulalongkorn University
Bangkok, Bangkok, 10330
About this study
The purpose of this study is to detemine whether effect of Acetate-free solution on cardiac index and cardiac output measured by saline dilution techniques compares with Acetate-based solution in online-hemodiafiltration
- Conditions
- End-stage Renal Disease
- Being tested
- Acetate-free dialysis solution
- Medical subject headings
- Kidney Failure, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Acetate-free dialysis solutionBiological
the hemodialysis solution that does not contain acetate as buffer
| Study group | Role | What they receive |
|---|---|---|
| Acetate-free solution first | Experimental | Acetate-free solution first : hemodialysis 4 hours with Acetate-free solution (Acetate 0 mEq/L Citrate 2 mEq/L) at the first session after enrollment, and then switch to Acetate-based solution (Acetate 3 mEq/L Citrate 0 mEq/L) at the next 4-hr hemodialysis session Receives: Biological: Acetate-free dialysis solution |
| Acetate-based solution first | Active comparator | Acetate-based solution first : hemodialysis 4 hours with Acetate-based solution (Acetate 3 mEq/L Citrate 0 mEq/L) at the first session after enrollment, and then switch to Acetate-free solution (Acetate 2 mEq/L Citrate 2 mEq/L) at the next 4-hr hemodialysis session Receives: Biological: Acetate-free dialysis solution |
What is being measured
The primary outcome is the main question the study is designed to answer.
cardiac index
cardiac index and cardiac output was measured by ultrasound dilution technique
Measured: 6 months
Cardiac output
cardiac index and cardiac output was measured by ultrasound dilution technique
Measured: 6 months
Secondary outcomes (3)
blood pressure
Measured: 6 months
peripheral vascular resistance
Measured: 6 moths
Patients' symptoms
dizziness, palpitation, nausea, cramp, numbness
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jan 2013 (estimated)
- Study startOct 2012
- Primary completionNov 2012
- Study completionNov 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for End-stage Renal DiseaseStudies of the same condition, open and under way.
- More trials run by Chulalongkorn UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 22 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chulalongkorn University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Khajohn Tiranathanagul, Chulalongkorn University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01778283
- Sponsor's protocol ID
- 297/55
- Status last verified
- Feb 2013
- First submitted
- 20 Dec 2012
- Last updated
- 15 Feb 2013
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 15 Feb 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Cardiac Index and Cardiac Output Effect During Maintenance Hemodialysis Between Acetate-Free and Acetate-Based Online Hemodiafiltration
- ClinicalTrials.gov ID
- NCT01778283
- Acronym / sponsor ID
- 297/55
- Conditions
- End-stage Renal Disease
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 22 participants (actual)
- Lead sponsor
- Chulalongkorn UniversityUniversity, hospital or other
- Study start
- Oct 2012
- Primary completion
- Nov 2012 (actual)
- Study completion
- Nov 2012 (actual)
- First posted
- 29 Jan 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to detemine whether effect of Acetate-free solution on cardiac index and cardiac output measured by saline dilution techniques compares with Acetate-based solution in online-hemodiafiltration
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Acetate-free solution first | Experimental | Biological: Acetate-free dialysis solutionAcetate-free solution first : hemodialysis 4 hours with Acetate-free solution (Acetate 0 mEq/L Citrate 2 mEq/L) at the first session after enrollment, and then switch to Acetate-based solution (Acetate 3 mEq/L Citrate 0 mEq/L) at the next 4-hr hemodialysis session |
| Acetate-based solution first | Active comparator | Biological: Acetate-free dialysis solutionAcetate-based solution first : hemodialysis 4 hours with Acetate-based solution (Acetate 3 mEq/L Citrate 0 mEq/L) at the first session after enrollment, and then switch to Acetate-free solution (Acetate 2 mEq/L Citrate 2 mEq/L) at the next 4-hr hemodialysis session |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- End-stage renal disease patients with age over 20 years and stable clinical status
- Dialytic age > 6 months
- Maintenance hemodialysis with online-hemodiafiltration mode at King Chulalongkorn Memorial Hospital
- Use arteriovenous fistula or arteriovenous graft as vascular access for hemodialysis
- No vascular access recirculation
Key exclusion criteria (8 listed)
- On hemodialysis via tunnel catheter
- Vascular access recirculation
- Liver dysfunction
- Severe, intractable metabolic acidosis or alkalosis (HCO3 <15, >30)
- Pre-existing severe, intractable hypocalcemia (Ca < 7.5) or clinical of hypocalcemia
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Acetate-free dialysis solutionthe hemodialysis solution that does not contain acetate as buffer | Biological | Acetate-based solution first, Acetate-free solution first |
Primary outcome
cardiac index
Time frame: 6 months
cardiac index and cardiac output was measured by ultrasound dilution technique
Cardiac output
Time frame: 6 months
cardiac index and cardiac output was measured by ultrasound dilution technique
3 secondary outcomes
blood pressure
Time frame: 6 months
peripheral vascular resistance
Time frame: 6 moths
Patients' symptoms
Time frame: 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Feb 2013.
Related trials for End-stage Renal Disease
Active, not recruitingPhase 2
Safety and Efficacy of Empagliflozin in Hemodialysis
End Stage Renal Disease
Not yet recruiting
Hypothermic Kidney Machine Perfusion With Omnisol
End Stage Renal Disease (ESRD), Kidney Transplant
Recruiting
Guiding Optimal Blood Pressure Management in Peritoneal Dialysis Pilot Trial
End Stage Kidney Disease (ESKD), Hypertension (HTN)
RecruitingObservational study
Physical Impairments in Children With Chronic Renal Failure
Chronic Kidney Failure, Chronic Kidney Diseases
RecruitingPhase 1
A Study to Test the Safety of the Study Drug Fosmanogepix and How the Body Handles It in Adults With Severe Kidney Failure on Dialysis
End Stage Renal Disease on Dialysis, Adult
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Acetate-free dialysis solution in people with End-stage Renal Disease, run by Chulalongkorn University at 1 site in Thailand.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Feb 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
cardiac index (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Feb 2013.