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Chronic Kidney Disease (Stages 3b-5)POCKETNCT06901960

Monitoring Hyperkalemia Using Point-of-care AI-enabled ECG Device Among Patients With Chronic Kidney Disease Stages 3b-5

A study testing A mobile artificial intelligence-enhanced electrocardiogram device estimating plasma potassium categories (<5 mmol/L, 5 - <5.5 mmol/L, 5.5 - <6.0 mmol/L and ≥ 6.0 mmol/L) in people with Chronic Kidney Disease (Stages 3b-5), run by Peking University First Hospital at 3 sites in China.

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Trial summary

The clinical trial will be conducted in a real-world outpatients setting with the goal of learning if monitoring serum potassium frequently among patients with moderate-to-advanced stages of chronic kidney disease leading to optimal management of hyperkalemia (the reduced occurrence of serum potassium ≥ 5.0 mmol/L… Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Chronic Kidney Disease (Stages 3b-5)
What is being tested?
A mobile artificial intelligence-enhanced electrocardiogram device estimating plasma potassium categories (<5 mmol/L, 5 - <5.5 mmol/L, 5.5 - <6.0 mmol/L and ≥ 6.0 mmol/L)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,066 participants
Where
3 sitesChina
Study dates
2 Apr 2025to 31 Dec 2026
Phase
Interventional

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 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with chronic kidney disease stages 3b-5 (eGFR: 10 - <45 ml/min/1.73m²)
  • Patients with regular visits in the study sites to manage their chronic kidney disease (≥ 1 visit per 3 months during the past year before enrollment)
  • Willingness to participate in the study with signed informed consent

Who cannot join

  • Patients already under kidney replacement therapy or will receive kidney replacement therapy in 6 months
  • Unwillingness or without the ability to monitor hyperkalemia using the study device
  • Patients with heart pacemaker implanted

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Jinwei Wang, Ph.D. contact

+86-010-83572388

wangjinwei@bjmu.edu.cn

China3 sites, 3 recruiting
  • Peking University First Hospital

    Beijing, Beijing Municipality, 100034

    Jinwei Wang, Ph.D., +86-010-83572388, wangjinwei@bjmu.edu.cn

    Recruiting
  • The First Affiliated Hospital of Guangxi Medical University

    Nanning, Guangxi, 530021

    Ling Pan, M.D., +86-0771-5356533, nnpanling008@sina.com

    Not yet recruiting
  • Hubei Provincial Hospital of TCM

    Wuhan, Hubei, 430063

    Xue Xue, M.D., +86-027-88710029, 2672754432@qq.com

    Not yet recruiting

Other trials in China

About this study

Official title: Monitoring Hyperkalemia Using Point-of-care AI-enabled ECG Device Among Patients With Chronic Kidney Disease Stages 3b-5 to Reduce Rate of Hyperkalemia - a Practical Randomized Clinical Trial

The clinical trial will be conducted in a real-world outpatients setting with the goal of learning if monitoring serum potassium frequently among patients with moderate-to-advanced stages of chronic kidney disease leading to optimal management of hyperkalemia (the reduced occurrence of serum potassium ≥ 5.0 mmol/L during 6 months of follow-up). It will also learn about the adherence of using a mobile monitoring device.

Participants will:

  • Measure their serum potassium using an AI-enhanced point-of-care ECG device at least twice per week
  • Receive health education prompts to reduce intake of potassium rich foods if their electrocardiogram device measured serum potassium is abnormal
  • Receive alerts to visit nephrology clinic if their electrocardiogram device measured serum potassium is continuously abnormal
Being tested
A mobile artificial intelligence-enhanced electrocardiogram device estimating plasma potassium categories (<5 mmol/L, 5 - <5.5 mmol/L, 5.5 - <6.0 mmol/L and ≥ 6.0 mmol/L)
Keywords
Chronic kidney disease, hyperkalemia, ECG
Medical subject headings
Renal Insufficiency, Chronic, Hyperkalemia

What participants receive

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

  • A mobile artificial intelligence-enhanced electrocardiogram device estimating plasma potassium categories (<5 mmol/L, 5 - <5.5 mmol/L, 5.5 - <6.0 mmol/L and ≥ 6.0 mmol/L)Device

    A mobile AI-enhanced electrocardiogram device will be used to help patients monitor hyperkalemia. The device, shaped like a stick of chewing gum, collects time-series data of electrocardiogram lead I through two electrodes. Deep convolutional neural network algorithm can read the data and generated categories of plasma potassium (<5 mmol/L, 5 - <5.5 mmol/L, 5.5 - <6.0 mmol/L and ≥ 6.0 mmol/L). Study participants receive the device after randomization. The staff establishes a WeChat group for each participant and reminds them to monitor plasma potassium every 3 days. When the detected plasma potassium category falls in 5 - <5.5 mmol/L, they will be reminded to watch diet and to verify plasma potassium again. More intensive reminding (once daily) will be sent if plasma potassium category falls in 5.5 - <6.0 mmol/L or ≥ 6.0 mmol/L. An extra outpatient appointment will also be made as soon as possible for the patients when their detected plasma potassium category is ≥ 6.0 mmol/L.

Study groups in NCT06901960
Study groupRoleWhat they receive
Monitoring plasma potassium using ECG deviceExperimentalPatients in this arm will use AI-enhanced point-of-care ECG device to monitor their serum potassium level every 3 days for 6 months in addition to their regular outpatients follow-up. If ECG device detected hyperkalemia was reported, more intensive monitoring, education on diet or offer of making outpatient appointment, as appropriate, will be provided.
Receives: Device: A mobile artificial intelligence-enhanced electrocardiogram device estimating plasma potassium categories (<5 mmol/L, 5 - <5.5 mmol/L, 5.5 - <6.0 mmol/L and ≥ 6.0 mmol/L)
Regular outpatients follow-upNo interventionPatients in this arm will just follow their regular outpatients care without additional intervention.

What is being measured

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

  1. Incidence of serum potassium ≥ 5.0 mmol/L

    The serum potassium should be the laboratory measured one, which is obtained in the 3(±1) month and 6(±1) month follow-up in outpatients visit.

    Measured: Six months (+1 month if outpatients visit delayed) after enrollment into the study

Secondary outcomes (2)
  1. Average level of serum potassium

    The serum potassium should be the laboratory measured one, which is obtained in the 3(±1) month and 6(±1) month follow-up in outpatients visit.

    Measured: Six month (+1 month if outpatients visit delayed) after enrollment into the study

  2. Frequency of using AI-enhanced ECG device to monitor serum potassium

    The frequency will be monitored in intervention period for the intervention group and after intervention (up to 4 months) for both the original intervention and control groups.

    Measured: Six months (+1 month if outpatients visit delayed) after enrollment into the study and 3 months (+1 month if outpatients visit delayed) after the 6 months of intervention.

Timeline

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

  1. First posted30 Mar 2025
  2. Study start2 Apr 2025
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

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
1,066 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06901960
Sponsor's protocol ID
2024-943
Acronym
POCKET
Status last verified
Mar 2025
First submitted
24 Mar 2025
Last updated
17 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: IPD used in the results publication will be shared upon reasonable request.

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