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Other Postprocedural Cardiac Functional DisturbancesCAMRIDNCT02494843

Dynamic Effects of Online HDF on Cardiac Function and Myocardial Perfusion Utilising Cardiac MRI (CAMRID)

A study testing online Hemodiafiltration and Hemodialysis in people with Other Postprocedural Cardiac Functional Disturbances and Myocardial Perfusion, run by University of Nottingham.

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

The purpose of this study is to characterise, in detail, the cardiac structure, function and perfusion of those on haemodialysis and haemodiafiltration, comparing the two modalities to ascertain if haemodiafiltration provides relative myocardial protection compared to conventional haemodialysis. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
online Hemodiafiltration and Hemodialysis
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
No sites listed yet
Study dates
Nov 2014to 31 Dec 2015
Phase
Interventional
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18-75 years
  • Able to give informed consent
  • CKD5 on chronic haemodialysis
  • Receiving dialysis via an arteriovenous fistula
  • Must be able to follow simple instruction in English (on safety grounds for MRI scans)

Who cannot join

  • Change in ideal dry weight in 4 weeks prior to recruitment
  • Instability on dialysis in 4 weeks prior to recruitment leading to either:
  • Emergency medical attention
  • Infusion of additional fluid
  • Loss in consciousness
  • Arrhythmia
Show all 14Show fewer
  • Chest pain
  • Dialysed via a synthetic line or graft
  • Qa < 500ml/min
  • NYHA Stage IV heart failure
  • Active infection or malignancy
  • Contraindication to MRI scanning including claustrophobia
  • Mental incapacity to consent
  • Pregnancy or planning pregnancy

About this study

The purpose of this study is to characterise, in detail, the cardiac structure, function and perfusion of those on haemodialysis and haemodiafiltration, comparing the two modalities to ascertain if haemodiafiltration provides relative myocardial protection compared to conventional haemodialysis.

Read the detailed description

Trial Configuration: Non-blinded crossover pilot study Setting: Secondary care Sample size estimate: This is a pilot study therefore power calculations are not appropriate. A group size of 12 participants has been selected for feasibility.

Number of participants: 12 patients to complete study Description of interventions

  • 6 sessions of conventional haemodialysis each lasting 4 hours
  • 6 sessions of online haemodiafiltration each lasting 4 hours
  • 2 sessions of Cardiac MRI each lasting 6 hours in total to take place around 6th session of dialysis Randomisation and blinding: This is an open study. Statistical methods: All continuous variables will be tested for normality. The primary and continuous secondary endpoints will be compared between the two modalities using a paired t test or Wilcoxon signed rank test as appropriate. The association between categorical variables will be tested using the Chi squared or Fischer's Exact test. An alpha error at 0.05 will be judged as significant.
Being tested
online Hemodiafiltration, Hemodialysis

What participants receive

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

  • online HemodiafiltrationOther

    Also called Hemodiafiltration

    Effects of high efficiency online hemodiafiltration on cardiac structure, function and myocardial perfusion were compared with standard haemodialysis.

  • HemodialysisOther

    Also called Haemodialysis

    Effects of high efficiency online hemodiafiltration on cardiac structure, function and myocardial perfusion were compared with standard haemodialysis.

Study groups in NCT02494843
Study groupRoleWhat they receive
Online haemodiafiltrationActive comparatorNot described
Receives: Other: online Hemodiafiltration; Other: Hemodialysis
HaemodialysisActive comparatorNot described
Receives: Other: online Hemodiafiltration; Other: Hemodialysis

What is being measured

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

  1. The change in global cardiac perfusion (ml/min/100g) between conventional HD and HDF

    Measured: 2 week

Secondary outcomes (4)
  1. The change in segmental cardiac perfusion during conventional HD and HDF

    Measured: 2 week

  2. The change in global and segmental cardiac function as measured by phase-contrast MRI

    Measured: 2 week

  3. Serum markers of cardiac damage, renal, liver function, clotting, full blood count

    Bloods collected at the end of 2 week study period on the scan days on HD and HDF

    Measured: 2 weeks

  4. Reported tolerability of cardiac MRI scanning whilst having dialysis

    On 2 MRI study days

    Measured: On 2 MRI study days

Timeline

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

  1. First posted10 Jul 2015 (estimated)
  2. Study startNov 2014
  3. Primary completionMar 2015
  4. Study completion31 Dec 2015

Resources

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 N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02494843
Sponsor's protocol ID
14025
Acronym
CAMRID
Status last verified
Apr 2020
First submitted
7 Jul 2015
Last updated
30 Apr 2020
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing online Hemodiafiltration and Hemodialysis in people with Other Postprocedural Cardiac Functional Disturbances and Myocardial Perfusion, run by University of Nottingham.

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 5 inclusion and 14 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 30 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

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?

The change in global cardiac perfusion (ml/min/100g) between conventional HD and HDF (time frame: 2 week). 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 30 Apr 2020.

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