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Kidney DiseaseIVPNCT01947829

Interdialytic Kt/V Variability Measurement With Adimea (IVP STUDY)

An observational study of Kidney Disease, run by B.Braun Avitum AG at 2 sites in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Session-to-session variations in delivered Kt/V that may cause failure to achieve the prescribed dialysis dose may be significant in regular clinical practice. To date, this is not recognized due to monthly blood Kt/V measurements only. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Kidney Disease
How many people
120 participants
Where
2 sitesChina
Study dates
Oct 2013to Dec 2014
Phase
Observational
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients on chronic hemodialysis.

Who may be able to join

  • Patient on chronic hemodialysis for at least 6 months
  • Thrice dialysis therapy weekly
  • Stable fistula access
  • Documented three, monthly blood spKt/V from 1.0 to 1.4 or
  • Average of spKt/V<1.35 out of three consecutive blood measurements
  • Age ≥ 18 years
  • Voluntary participation and written informed consent

Who cannot join

  • Severe hematologic disorders (e.g. multiple myeloma)
  • Life expectancy less than 6 months
  • Single-needle dialysis
  • Patient was monitored with Adimea

Trial locations and contacts

2 sites in 1 country.

China2 sites
  • Beijing Friendship Hospital,Capital Medical University

    Beijing, 100050

  • China PLA General Hospital (301 hospital)

    Beijing, 100853

Other trials in China

About this study

Session-to-session variations in delivered Kt/V that may cause failure to achieve the prescribed dialysis dose may be significant in regular clinical practice. To date, this is not recognized due to monthly blood Kt/V measurements only. Suboptimal delivery of prescribed dialysis dose may be caused by low effective treatment time, vascular access dysfunction, hemodynamic stability, blood pump speed, membrane influences, lab value variability or others which may vary from session to session. Patients close to recommended target limits of dialysis dose may thus be "randomly" attributed to be adequately or inadequately dialyzed. Therefore, in the literature, use of average Kt/V values is recommended.

Adimea allows easy Kt/V determination in every session and thus documentation of the monthly achieved Kt/V in patients who repeatedly miss Kt/V. Knowledge, therefore, of session-to-session variability as well as knowledge of dialysis dose monitoring at every dialysis may enhance and secure delivery of adequate dialysis.

The main objective is the estimation of the pooled within-patient SDs (standard deviation) for single treatment Adimea and of urea kinetic modeling (UKM)/ blood spKt/V. Failure of Kt/V>1.2 delivery as well as its potential causes will be assessed. spKt/V target achievement is assessed by monitoring dose by Adimea at every dialysis. This shall demonstrate that session-to-session variability can be decreased with usage of Adimea.

Conditions
Kidney Disease
Keywords
hemodialysis, dialysis dose
Medical subject headings
Kidney Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01947829
Study groupRoleWhat they receive
Chronic HemodialysisNot described

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dialysis dose (spKt/V) measured by Adimea and Urea Kinetic Modeling (UKM)

    Measured: Six months prospective

Secondary outcomes (9)
  1. Treatment time

    Dialysis time per session

    Measured: Six months prospective

  2. Blood flow rate

    Initial blood flow rate [ml/min] at the beginning of dialysis session.

    Measured: 6 months prospective

  3. Dialysate flow rate

    Initial dialysate flow rate [ml/min] at the beginning of dialysis session.

    Measured: 6 months prospective

  4. Ultrafiltration volume

    Ultrafiltration volume [ml] reached at the end of dialysis session.

    Measured: 6 months prospective

  5. Dialyser size

    Membrane surface size [m2] of the dialyser used during dialysis session.

    Measured: 6 months prospective

  6. Hemoglobin

    Hemoglobin level [mmol/l or g/dl] before dialysis.

    Measured: 6 months prospective

  7. Hematocrit

    Hematocrit level [%] before dialysis.

    Measured: 6 months prospective

  8. Intact parathyroid hormone (iPTH)

    Intact parathyroid hormone level [pmol/l or ng/l] before dialysis.

    Measured: 6 months prospective

  9. C-reactive protein (CRP)

    C-reactive protein level [mg/l or g/dl] before dialysis.

    Measured: 6 months prospective

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Sep 2013 (estimated)
  2. Study startOct 2013
  3. Primary completionDec 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01947829
Sponsor's protocol ID
BA-O-H-1205
Acronym
IVP
Status last verified
Nov 2016
First submitted
18 Sep 2013
Last updated
23 Nov 2016
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Kidney Disease, run by B.Braun Avitum AG at 2 sites in China.

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 7 inclusion and 4 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 23 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in China. 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.

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?

Dialysis dose (spKt/V) measured by Adimea and Urea Kinetic Modeling (UKM) (time frame: Six months prospective). 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 23 Nov 2016.

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