LEARN-6™: A Prospective, Observational Nursing Home Study
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Purpose
This is a prospective, multicenter, observational, hypothesis-generating study exploring mobility, Quality of Life and other physical performance measures among older, long-term stay Nursing Home subjects with CKD, with versus without anemia. Enrolled subjects will participate in the study up to a total of 26 weeks and be assessed at Weeks 1, 2, 14 and 26/End of Study. Based upon Week 1 hemoglobin and serum creatinine lab results, subjects will be categorized into 1 of 4 groups.
| Condition | Intervention |
|---|---|
|
Anemia Chronic Kidney Disease |
Other: Observations |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | Prospective Observational Study to Evaluate Physical Performance and Quality of Life in Older Long Stay Nursing Home Residents With Chronic Kidney Disease With and Without Anemia |
- The distance a subject walks, with or without an assistive device, and stand-by assistance of one person, or propels themselves in their wheelchair, with or without the use of their feet, over level ground [ Time Frame: Weeks 2, 14 and 26 ] [ Designated as safety issue: No ]
- Proportion of subjects with anemia, defined by WHO criteria [ Time Frame: Week 2 ] [ Designated as safety issue: No ]
- Among those with anemia, the proportion with anemia associated with CKD, nutritional deficiencies (iron, B12 and folate), GI bleed, and chronic disease based upon the study-specific anemia lab workup [ Time Frame: Weeks 2, 14 and 26 ] [ Designated as safety issue: No ]
- For all subjects, calculated GFR using the MDRD 4-variable and Cockroft-Gault equations [ Time Frame: Weeks 2, 14 and 26 ] [ Designated as safety issue: No ]
- Physical performance measures for all subjects with CKD, defined as eGFR <60 mL/min/1.73m2 [ Time Frame: Weeks 2, 14 and 26 ] [ Designated as safety issue: No ]
Biospecimen Retention: None Retained
N/A (None Retained)
| Enrollment: | 815 |
| Study Start Date: | September 2006 |
| Study Completion Date: | July 2008 |
| Primary Completion Date: | June 2008 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Group IV
No CKD, no Anemia
|
Other: Observations
This is a non-interventional, observational study; no investigational product is being used
|
|
Group III
Anemia, no CKD
|
Other: Observations
This is a non-interventional, observational study; no investigational product is being used
|
|
Group I
CKD, Anemia
|
Other: Observations
This is a non-interventional, observational study; no investigational product is being used
|
|
Group II
CKD, no Anemia
|
Other: Observations
This is a non-interventional, observational study; no investigational product is being used
|
Detailed Description:
Study Design: Multicenter, non-interventional, 26-week, prospective, observational study of older, long-term stay residents with CKD, with and without anemia, in US Nursing Homes.
Eligibility| Ages Eligible for Study: | 65 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Probability Sample |
Older, long-term stay nursing home residents with CKD, with and without anemia
Inclusion Criteria:
- Age > 65 years
- Long-term resident of NH as documented in medical record by Director of Nursing (DON) or Medical Director or as indicated in Minimum Data Set (MDS) Section Q
- Able to walk at least 1 step or propel wheelchair 1 revolution of wheel
- Able to follow a one-step instruction
- Written informed consent
Exclusion Criteria:
- Admitted to NH for short stay rehabilitation (anticipated stay less than 3 months)
- Receiving Renal Replacement Therapy (RRT)
- Major surgery within the past 3 months
- Life expectancy < 6 months or receiving palliative care
- Subject currently is enrolled in or has not yet completed at least 30 days since ending investigational device or drug study(s), or subject is receiving investigational agent(s)
- Subject currently is enrolled in an interventional trial
- Subject previously withdrawn from this study
Contacts and Locations
More Information
Additional Information:
No publications provided
| Responsible Party: | Global Development Leader, Amgen Inc. |
| ClinicalTrials.gov Identifier: | NCT00727571 History of Changes |
| Other Study ID Numbers: | 20050239 |
| Study First Received: | July 31, 2008 |
| Last Updated: | October 15, 2009 |
| Health Authority: | United States: Institutional Review Board United States: Quorom Institutional Review Board |
Keywords provided by Amgen:
|
Anemia Chronic Kidney Disease Quality of Life CKD Chronic Renal Insufficiency |
Additional relevant MeSH terms:
|
Anemia Kidney Diseases Renal Insufficiency, Chronic Kidney Failure, Chronic |
Hematologic Diseases Urologic Diseases Renal Insufficiency |
ClinicalTrials.gov processed this record on May 23, 2013