Automatic Adaptive System Dialysis (AASD)
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Purpose
AASD is a new dialysis technique based on the use of a mathematical model of intradialytic solutes and fluid kinetic, for the automatic elaboration of dialysate sodium and ultrafiltration rate profile. The aim of dialysate sodium and ultrafiltration rate profile is to obtain the higher stabilization of intradialytic extra cellular compartment, in consideration of end session targets: body weight and final patient's natremia. In this multicenter prospective controlled randomized trial the primary end-point is the clinical efficiency validation of AASD on intradialytic hypotension but also on thirst, cramps, headache, nausea, vomiting, hypotensive events observed in basal treatment (HD or HDF).
| Condition | Intervention |
|---|---|
|
Dialysis Intolerance |
Other: AASD dialysis technique |
| Study Type: | Interventional |
| Official Title: | Automatic Adaptive System Dialysis (AASD) for Dialysis Related Hypotension and Intolerance: a Prospective Long-term Multicenter Study |
- number of intradialytic hypotensive events
- percentage of dysequilibrium symptoms
| Arms | Assigned Interventions |
|---|---|
| No Intervention: basal hemodialysis | |
| Active Comparator: AASD | Other: AASD dialysis technique |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
Inclusion Criteria:Patients in HD/HDF (bicarbonate dialysis/hemodiafiltration) for at least 6 months
- aged more than 18 years
- on chronic thrice-weekly HD
- symptomatic hypotension during at least 30% of dialysis sessions on basal treatment in the last month before admission or/and 1 hypotension /week
- disequilibrium symptoms (cramps, headache, nausea, vomiting, hypotensive events) in at least 30% of dialysis sessions on basal treatment
- dialysis session time: 4 hours (as much as possible)
- Signed inform consent form
- Patients having no vascular access related problems (bi-ponction, blood flow rate 300ml/min)
Exclusion Criteria: Patients in a pregnant state
- Patients whose life expectancy is less than study period
- Patients with progressive acute pathology (neoplasia…)
- Patients included in an other protocol
- Psychiatric patients or patients unable to consent or unable to follow the study
Contacts and Locations
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT01241994 History of Changes |
| Other Study ID Numbers: | 106/2004/U/Oss |
| Study First Received: | November 15, 2010 |
| Last Updated: | November 15, 2010 |
| Health Authority: | Italy: National Monitoring Centre for Clinical Trials - Ministry of Health |
ClinicalTrials.gov processed this record on May 22, 2013