High Flux Hemodialysis Thrice Versus Once
Recruitment status was Recruiting
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Purpose
To investigate the influence of different dialysis frequencies on the outcome of end-stage renal disease patients undergoing chronic hemodialysis therapy.
| Condition | Intervention | Phase |
|---|---|---|
|
End-Stage Renal Disease |
Device: high flux hemodialyzer (FX-60, FX-80 or FX-100) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Effects of Different Frequencies of High-Flux Membranes on Blood Pressure, Fluid Balance, and Indices of Nutrition, Inflammation, and Dialysis Adequacy in Chronic Hemodialysis Patients - Comparisons Between Thrice vs Once Weekly |
- blood pressure, fluid balance, and indices of nutrition, inflammation, and dialysis adequacy [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 80 |
| Study Start Date: | June 2008 |
| Estimated Study Completion Date: | March 2009 |
| Estimated Primary Completion Date: | February 2009 (Final data collection date for primary outcome measure) |
-
Device: high flux hemodialyzer (FX-60, FX-80 or FX-100)
This study will be conducted in the HD center at NTUH. Patients undergoing chronic HD for at least 6 months will be evaluated for eligibility. Patients with previous adverse reactions to FX series dialyzer will not be included in this study. Detailed demographic physical characteristics of the participants will be recorded, including age, gender, underlying diseases, blood pressure, intradialytic complications, as well as indices of nutrition, inflammation, and dialysis adequacy. Eligible patients will first undergo a 4-week run-in HD with conventional-flux dialyzer twice weekly plus high-flux dialyzer once weekly (i.e., basic formula), followed by random allocation into two separate groups. Patients in group A will continue HD with the basic formula, while those in group B will receive HD using high-flux membranes thrice weekly. Three months later, all participants will be put back on HD with basic formula for 1 month (wash-out period). Group A patients will then be switched to receive HD with high-flux membranes thrice weekly, and group B patients will be changed to undergo HD with basic formula for another 3 months. Laboratory tests will include monthly biochemistry and hemogram, plus blood and urine specimens taken on 4 occasions before and during the study (baseline, end of the first 3 months, end of wash-out, and end of the second 3 months) to investigate selective markers and indices for nutrition, inflammation, and dialysis adequacy.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- ESRD patients under regular thrice weekly HD for more than 3 months in NTUH HD center.
- Age: 18~80 years old.
- Blood flow during dialysis ≧ 250ml/min
Exclusion Criteria:
- Previous allergy to heparin or FX series dialyzer (FX-60, FX-80, FX-100)
- Pre-dialysis systolic blood pressure ≦ 100mmHg (2week prior to enrollment)
- Bacteremia, myocardial infarction or stroke in previous 3 months.
- Known diagnosis with dialysis related amyloidosis
Contacts and Locations| Contact: Yung-Ming Chen, M.D. | 00886-2-23123456 ext 5993 | chenym@ntuh.gov.tw |
| Taiwan | |
| National Taiwan University Hospital | Recruiting |
| Taipei, Taiwan, 100 | |
| Contact: Yung-Ming Chen, M.D. 00886-2-23123456 ext 5993 chenym@ntuh.gov.tw | |
| Principal Investigator: Yung-Ming Chen, M.D. | |
| Principal Investigator: | Yung-Ming Chen, M.D. | National Taiwan University Hospital |
More Information
No publications provided
| Responsible Party: | Yung-Ming Chen/M.D., National Taiwan University Hospital |
| ClinicalTrials.gov Identifier: | NCT00714662 History of Changes |
| Other Study ID Numbers: | 200803055R |
| Study First Received: | July 9, 2008 |
| Last Updated: | July 11, 2008 |
| Health Authority: | Taiwan: Department of Health |
Keywords provided by National Taiwan University Hospital:
|
high flux hemodialysis |
Additional relevant MeSH terms:
|
Kidney Diseases Kidney Failure, Chronic Urologic Diseases Renal Insufficiency, Chronic Renal Insufficiency |
ClinicalTrials.gov processed this record on June 18, 2013