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Effects of Convective Therapies in Dialysis Patients

Phase 3
Completed
Conditions
Uremia
Registration Number
NCT01583309
Lead Sponsor
A. Manzoni Hospital
Brief Summary

Convective therapies have been proposed for improving chronic dialysis patient outcomes, including intradialytic symptomatic hypotension.

To evaluate the frequency of sessions with intradialytic symptomatic hypotension in different types and doses of convective therapies compared with low-flux hemodialysis (HD), the investigators performed a multicentre, open-label, randomized controlled trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
146
Inclusion Criteria
  • Dialysis patients aged 18-80 years
  • thrice-weekly HD or HDF for at least 6 months
  • body weight less or equal to 90 Kg
  • stable clinical condition
  • written consent
Exclusion Criteria
  • infections
  • malignancies
  • active systemic diseases
  • active hepatitis or cirrhosis
  • unstable diabetes
  • diuresis higher than 200 ml/24h
  • dysfunction of vascular access
  • blood flow rate less than 300 ml/min

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Intradialytic symptomatic hypotensionall dialysis sessions, three per week, for 2 years

Intradialytic symptomatic hypotension was defined as a rapid symptomatic fall of the systolic blood pressure by at least 30 mmHg or that required nursing and/or medical intervention

Secondary Outcome Measures
NameTimeMethod
Resistance to erythropoiesis-stimulating agentsMonthly for 2 years

Resistance to erythropoiesis-stimulating agents was measured as (EPO therapy in IU/week)/(Hb in g/dL\*body wheight in kg)

Calcium-phosphate metabolismMonthly for 2 years

Outcome measures: phosphatemia, calcemia and PTH

Beta2 microglobulinEvery six months for 2 years

Trial Locations

Locations (27)

Ospedale S.Marta S.Venera

🇮🇹

Acireale (CT), Italy

Ospedale F. Miulli

🇮🇹

Acquaviva delle Fonti, Italy

Ospedale Civile

🇮🇹

Alghero, Italy

Ospedale regionale di Aosta

🇮🇹

Aosta, Italy

Ospedale degli Infermi

🇮🇹

Biella, Italy

Ospedale SS. Trinità ASL 8

🇮🇹

Cagliari, Italy

S. Michele Hospital

🇮🇹

Cagliari, Italy

Ospedale Civile "P. Merlo"

🇮🇹

La maddalena, Italy

Alessandro Manzoni Hospital

🇮🇹

Lecco, Italy

Ospedale "C. POMA"

🇮🇹

Mantova, Italy

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Ospedale S.Marta S.Venera
🇮🇹Acireale (CT), Italy

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