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Effect of Lowering the Dialysate Sodium on Blood Pressure in Hemodialysis Patients

Phase 3
Completed
Conditions
Hemodialysis
Registration Number
NCT00724633
Lead Sponsor
Lawson Health Research Institute
Brief Summary

Patients currently receiving hemodialysis will be randomized to receive 1 of 3 dialysate sodium prescriptions. The effects on blood pressure, interdialytic weight gain, thirst, and intradialytic symptoms will be assessed.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
35
Inclusion Criteria
  • patients on 3 times weekly hemodialysis of at least 3 months
  • elevated average ambulatory blood pressures
  • current dialysate sodium prescription 140mEq/L
  • average pre-dialysis serum sodium <140mEq/L
Exclusion Criteria
  • frequent intradialytic hypotension
  • estimated life expectancy <1 year
  • non-adherence to dialysis prescription
  • pregnancy
  • inability or unwillingness to complete study measures

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Ambulatory blood pressure3 months

Ambulatory blood pressure to be taken over 24 hours at 4 week intervals throughout the study

Secondary Outcome Measures
NameTimeMethod
intradialytic hypotension rate, intradialytic symptoms3 months
QOL Scores (KDQOL, mins to recovery)3 months
thirst3 months
mechanistic outcomes: interdialytic weight gain, extracellular fluid water, sodium ionic mass balance3 months

Trial Locations

Locations (1)

London Health Sciences Center

🇨🇦

London, Ontario, Canada

London Health Sciences Center
🇨🇦London, Ontario, Canada

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