AzTrials
AzTrials

Kidney Disease, ChronicTEACH-PDNCT03816111

Targeted Education ApproaCH to Improve Peritoneal Dialysis Outcomes Trial

A study testing TEACH-PD Training Curriculum and Current standard PD training in people with Kidney Disease, Chronic and Peritoneal Dialysis Catheter-Associated Peritonitis, run by The University of Queensland at 48 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

For many patients peritoneal dialysis (PD) is the preferred form of dialysis to treat kidney disease as it provides greater flexibility and the ability to dialyse at home. However, PD use in Australia has been decreasing over the last 10 years. A big reason for this drop is the risk of infection. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
TEACH-PD Training Curriculum and Current standard PD training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,462 participants
Where
48 sitesin 2 countries
Study dates
22 Jul 2019to 30 Apr 2025
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients new to PD;
  • Patients > 18 years of age,
  • Need to undergo PD training;
  • Are able to provide informed consent

Who cannot join

None listed.

Trial locations and contacts

48 sites in 2 countries.

48 sites in 2 countries

Australia33 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia

  • Princess Alexandra Hospital

    Brisbane, Queensland

  • Cairns Hospital

    Cairns, Queensland

  • Canberra Hospital

    Canberra, Australian Capital Territory

  • Monash Health

    Dandenong, Victoria

  • St Vincent's Hospital Sydney

    Darlinghurst, New South Wales, 2010

  • Royal Darwin Hospital

    Darwin, Northern Territory, 0810

  • St Vincent's Hospital Melbourne

    Fitzroy, Victoria, 3065

  • Barwon Health

    Geelong, Victoria, 3220

  • Gosford Hospital

    Gosford, New South Wales

  • Austin Health

    Heidelberg, Victoria

  • Royal Brisbane and Women's Hospital

    Herston, Queensland, 4029

  • Royal Hobart Hospital

    Hobart, Tasmania, 7000

  • Launceston General Hospital

    Launceston, Tasmania, 7250

  • Lismore Hospital

    Lismore, New South Wales

  • Mackay Base Hospital

    Mackay, Queensland, 4740

  • Logan Hospital

    Meadowbrook, Queensland

  • Royal Melbourne Hospital

    Melbourne, Victoria

  • Fiona Stanley Hospital

    Murdoch, Western Australia, 6150

  • Sunshine Coast University Hospital

    Nambour, Queensland

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia, 6009

  • Orange Hospital

    Orange, New South Wales

  • Royal Perth Hospital

    Perth, Western Australia, 6000

  • Gold Coast University Hospital

    Southport, Queensland

  • Royal North Shore Hospital

    St Leonards, New South Wales

  • Liverpool Hospital

    Sydney, New South Wales

  • Nepean/Blacktown Hospital

    Sydney, New South Wales

  • Prince of Wales Hospital

    Sydney, New South Wales

  • Royal Prince Alfred/Concord Hospital

    Sydney, New South Wales

  • St George Hospital

    Sydney, New South Wales

  • Tamworth Hospital

    Tamworth, New South Wales

  • Toowoomba Hospital

    Toowoomba, Queensland

  • The Tweed Hospital

    Tweed Heads, New South Wales, 2485

Other trials in Australia

New Zealand15 sites
  • Waitakere Hospital

    Auckland, 0610

  • North Shore Hospital

    Auckland, 0620

  • Auckland Hospital

    Auckland

  • Middlemore Hospital

    Auckland

  • Wairau Hospital

    Blenheim, 7201

  • Christchurch Hospital

    Christchurch

  • Dunedin Hospital

    Dunedin

  • Gisborne Hospital

    Gisborne, 4010

  • Waikato Hospital

    Hamilton, 3204

  • Hawke's Bay Hospital

    Hastings

  • Nelson Hospital

    Nelson, 7010

  • Taranaki Hospital

    New Plymouth

  • Palmerston North/Whanganui Hospital

    Palmerston North

  • Wellington Hospital

    Wellington, 6021

  • Whangarei Hospital

    Whangarei

Other trials in New Zealand

About this study

Official title: A Pragmatic, Registry-based, International, Cluster-randomized Controlled Trial Examining the Use of TEACH-PD Training Modules for Incident PD Patients Versus Existing Practices on the Rate of PD-related Infections

For many patients peritoneal dialysis (PD) is the preferred form of dialysis to treat kidney disease as it provides greater flexibility and the ability to dialyse at home. However, PD use in Australia has been decreasing over the last 10 years. A big reason for this drop is the risk of infection. The best way to prevent PD related infections is to make sure that patients have good training in PD techniques. The researchers of this study have developed TEACH-PD, a new education package for training both PD nurses and PD patients.

The aim of this study is to find out whether TEACH-PD training reduces the number of PD related infections.

Read the detailed description

End stage kidney disease is fatal unless treated with dialysis or transplant. Peritoneal dialysis (PD) is a core dialysis modality offering home-based care for patients. PD utilization is frequently threatened beyond 5 years for most patients due to PD-related infections. Patient training is a critical cornerstone of mitigating infection risk and maximizing PD durability (technique survival), but training practices are characterized by a lack of standardization and severe heterogeneity.

There is no high-level evidence to inform PD training. Accordingly, a structured program encompassing how and what to teach PD patients at the inception of PD treatment has the potential to reduce serious PD-related infections, extend the longevity of PD, support cost-effective home-based dialysis care, and reduce costs and health service utilization associated with hospitalization and transition to haemodialysis. TEACH-PD is a standardised modular curriculum for both PD nurse trainers and patients that has been collaboratively developed by renal nurses, doctors, educationalists and patients, aligned to current International Society for Peritoneal Dialysis (ISPD) guidelines, utilizing modern adult learning principles. The TEACH-PD program is feasible and acceptable, as demonstrated in a successful pilot study.

The primary objective of TEACH-PD CRCT (Targeted Education ApproaCH to improve Peritoneal Dialysis outcomes - a Cluster Randomised Controlled Trial) is to determine whether implementation of standardised training modules based on ISPD guidelines targeting both PD trainers and patients results in a longer time to the composite end-point of exit site infections, tunnel infections and peritonitis in incident PD patients compared to existing training practices.

TEACH-PD is a registry-based, pragmatic, multi-center, multinational trial, randomising PD units to implementing TEACH-PD training modules targeted at PD trainers and incident PD patients versus standard existing practices.

An estimated 1,500 patient new to PD will be recruited from at least approximately 42-44 PD units in Australia and New Zealand.The study is being coordinated by the University of Queensland (operating through the Australasian Kidney Trial Network).

The TEACH-PD training modules have been developed by a core group of renal nurses from the HOME Network in conjunction with senior medical clinicians from the Australasian Kidney Trials Network, eLearning curriculum developers, consumer representatives, and education experts, in line with the ISPD guidelines, utilizing modern adult learning principles and best practice eLearning techniques. The modules will be implemented at PD units in Australia and New Zealand to formally evaluate whether, compared with standard care, a standardised training curriculum will reduce the rate of PD-related infections and improve technique survival, resulting in better outcomes for patients receiving PD and significant cost-savings to the community.

Being tested
TEACH-PD Training Curriculum, Current standard PD training
Keywords
Training
Medical subject headings
Renal Insufficiency, Chronic

What participants receive

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

  • TEACH-PD Training CurriculumBehavioural

    The TEACH-PD training modules have been developed by a core group of renal nurses from the HOME Network in conjunction with senior medical clinicians from the Australasian Kidney Trials Network, eLearning curriculum developers, consumer representatives, and education experts, in line with the International Society for Peritoneal Dialysis guidelines, utilizing modern adult learning principles and best practice eLearning techniques.

  • Current standard PD trainingBehavioural

    Current PD training materials and plan

Study groups in NCT03816111
Study groupRoleWhat they receive
TEACH-PD Training CurriculumExperimentalAll patients at sites randomized to this arm will receive the TEACH-PD Training Curriculum
Receives: Behavioral: TEACH-PD Training Curriculum
Current Standard PD TrainingActive comparatorAll patients at sites randomized to this arm will receive the unit's current PD training materials and plan
Receives: Behavioral: Current standard PD training

What is being measured

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

  1. Time to the first occurrence of any PD-related infection

    Time to the first occurrence of any PD-related infection including exit site infection, tunnel infection or peritonitis

    Measured: From the PD start date until first PD-related infection, assessed up to 4 years

Secondary outcomes (10)
  1. Time to first exit site infection

    Time to first exit site infection

    Measured: From the PD start date until first exit site infection, assessed up to 4 years

  2. Time to first tunnel infection

    Time to first tunnel infection

    Measured: From the PD start date until first tunnel infection, assessed up to 4 years

  3. Time to first episode of peritonitis

    Time to first episode of peritonitis

    Measured: From the PD start date until first peritonitis episode, assessed up to 4 years

  4. Time to infection-associated catheter removal

    Time to infection-associated catheter removal

    Measured: From the PD start date until first infection-associated catheter removal, assessed up to 4 years

  5. Incidence of technique failure - 30 days

    Incidence of technique failure defined as transfer to haemodialysis for greater than 30-days and/or death within this time

    Measured: Assessed at 30 days after transfer to HD or if death occurs within this period

  6. Incidence of technique failure - 180 days

    Incidence of technique failure defined as transfer to haemodialysis for greater than 180-days and/or death within this time

    Measured: Assessed at 180 days after transfer to HD or if death occurs within this period

  7. Incidence of all-cause hospitalization

    Incidence of all-cause hospitalization collected via health department hospitalization data linkage

    Measured: Assessed from the PD start date, over up to 4 years

  8. Incidence of all-cause mortality

    Incidence of all-cause mortality

    Measured: Assessed from the PD start date, over up to 4 years

  9. Participant Quality of Life questionnaire

    Participant-reported Quality of Life measured using EQ-5D-5L (EuroQol-5 dimensions questionnaire). EQ-5D-5L measures quality of life using 2 methods - a descriptive scale and a Visual Analogue Scale. The descriptive scale comprises 5 dimensions (mobility, self care, usual activities, pain/discomfort, anxiety/ depression). Each dimension has 5 measurement levels: no problems (1), slight problems (2), moderate problems (3), severe problems (4), and extreme problems (5). Numbers associated with levels can be used to report an index score.

    The VAS records the respondent's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' (100) and 'the worst health you can imagine' (0).

    Measured: Completed at baseline, 6, 12, 18 and 24 months

  10. Health-care cost-effectiveness analysis

    Difference in the incremental cost per Quality Adjusted Life Years gained between treatment arms

    Measured: Assessed from the PD start date, over up to 4 years

Timeline

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

  1. First posted25 Jan 2019
  2. Study start22 Jul 2019
  3. Primary completion31 Mar 2025
  4. Study completion30 Apr 2025

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,462 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03816111
Sponsor's protocol ID
AKTN 17.03
Acronym
TEACH-PD
Status last verified
Mar 2026
First submitted
12 Dec 2018
Last updated
31 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the results reported in the primary publication, after deidentification (text, tables, figures and appendices) will be available for individual participant data meta-analysis.

Publications

  • Chow JS, Boudville N, Green S, Cho Y, Mihala G, Kasza J, Campbell R, Candler H, Hawley CM, Hickey LE, Kiriwandeniya C, Matsuyama M, Movva R, Pascoe EM, Reidlinger DM, Valks A, Velayudham P, Vergara L, Armstrong C, Buisman B, Equinox KL, Figueiredo AE, Fuge T, Haselden R, Hayat A, Howard K, Howell M, Jaure A, Jose MD, Lee A, San Miguel S, Moodie JA, Nguyen TT, Saweirs WW, Steiner-Lim GZ, Tomlins M, Upjohn M, Voss D, Walker RC, Johnson DW; Collaborative Authors. Standardised training for reducing peritoneal dialysis-related infection: a cluster randomised controlled study. EClinicalMedicine. 2026 Jul 23;98:104089. doi: 10.1016/j.eclinm.2026.104089. eCollection 2026 Aug.

    PubMed 42542615
  • Chow JSF; TEACH-PD Investigators. Baseline characteristics of the TEACH-PD trial participants compared with the contemporary Australian and New Zealand PD patient population: a multi-center, pragmatic, cluster-randomized, controlled trial of standardized peritoneal dialysis (PD) training versus usual care on PD-related infections. BMC Nephrol. 2026 Feb 20;27(1):194. doi: 10.1186/s12882-025-04440-5.

    PubMed 41721291
  • Chow JSF, Boudville N, Cho Y, Palmer S, Pascoe EM, Hawley CM, Reidlinger DM, Hickey LE, Stastny R, Valks A, Vergara L, Movva R, Kiriwandeniya C, Candler H, Mihala G, Buisman B, Equinox KL, Figueiredo AE, Fuge T, Howard K, Howell M, Jaure A, Jose MD, Lee A, Miguel SS, Moodie JA, Nguyen TT, Pinlac G, Reynolds A, Saweirs WWM, Steiner-Lim GZ, TeWhare B, Tomlins M, Upjohn M, Voss D, Walker RC, Wilson J, Johnson DW. Multi-center, pragmatic, cluster-randomized, controlled trial of standardized peritoneal dialysis (PD) training versus usual care on PD-related infections (the TEACH-PD trial): trial protocol. Trials. 2023 Nov 14;24(1):730. doi: 10.1186/s13063-023-07715-0.

    PubMed 37964367

Questions about this trial

What is this clinical trial studying?

A study testing TEACH-PD Training Curriculum and Current standard PD training in people with Kidney Disease, Chronic and Peritoneal Dialysis Catheter-Associated Peritonitis, run by The University of Queensland at 48 sites in 2 countries.

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 4 inclusion and 0 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 31 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in Australia, New Zealand. 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?

Time to the first occurrence of any PD-related infection (time frame: From the PD start date until first PD-related infection, assessed up to 4 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03816111, which also lists 3 linked publications.

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 31 Mar 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in