NCT06443021撤回不适用
Investigation of the Influence of Variable Fill Volume, Dwell Duration and Dialysis Fluid Glucose Composition on Measured Ultrafiltration Volume (UFV) in Automated Peritoneal Dialysis (APD) Patients
适应症
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 入组人数
- 10
- 主要终点
- Ultrafiltration volume (UFV)
研究概览
简要总结
The purpose of the current investigation is to provide proof of concept for a future approach to improve UF prediction accuracy. While building on the ideas of the past, the concept is augmented by leveraging additional diagnostic technologies and digital data analytics methodologies.
详细描述
The primary objective of this study is:
- UFV determined per defined dwells with variable dwell duration, dialysis fluid glucose composition and inflow volumes
The secondary objectives of this study are:
- Mean daily UFV
- Defined laboratory parameter like urea, creatinine, glucose, sodium determined in blood and dialysate during the extended PET (in dialysate additionally determination: phosphate, albumin removal)
- Treatment parameter: performed treatment duration and volume
- Fluid status measured by Body Composition Monitor (BCM)
- Manual IPP determination during the extended PET: At the first half of the dwell (during the first hour) for every 20 min and during the second half after 2h, 3h and 4h dwell time
- Residual renal function (RRF): renal urea and creatinine clearance, 24h urine output, Glomerular filtration rate (GFR)
- Extended PET
- 24 h batch collection (including e.g. total peritoneal clearance)
- Analysis of daily dietetic fluid intake, weight and further parameters documented by the patient in a patient diary
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Informed consent signed and dated by study patient and investigator/ authorized physician
- •Patients between 18-65 of age
- •Chronic kidney disease (CKD) patients being treated with nocturnal APD for at least 3 months
- •Ability to understand the nature and requirements of the study
- •Total Kt/V ≥ 1.7 (counting from recruitment of the patient the measurement should not be older than 3 months)
- •APD patients using sleep•safe PD-cycler or sleep•safe harmony PD-cycler with an IPP ≤ 18 cm H2O for the fill volume of 120%
排除标准
- •Any condition which could interfere with the patient's ability to comply with the study
- •Patients who have any condition prohibiting the use of BCM, like patients with major amputations (e.g. lower leg)
- •Patients who have been subject to peritonitis/ exit site infection during the last 4 weeks
- •Women of childbearing age without effective means of contraception, pregnancy (pregnancy test will be conducted at start and end of study) or lactation period
- •Life expectancy < 3 months
- •Patients suffering from uncontrolled/ not well adjustable diabetes
- •Recent history of drain related problems, catheter malfunction, or frequent alarms during treatment
- •Patients with uncontrolled hypertension and/ or previous history of vascular instability during PD
- •Patients treated with intermittent APD
- •Participation in an interventional clinical study during the preceding 30 days
- •Previous participation in the same study
- •APD patients having dwell exchanges throughout the day ("day dwell")
结局指标
主要结局
Ultrafiltration volume (UFV)
时间窗: every day during the 11 weeks treatment
UFV determined per defined dwells with variable dwell duration, dialysis fluid glucose composition and inflow volumes.
次要结局
- Fluid status(At study start, and then after 3 weeks, 4 weeks and 5 weeks.)
- 24 h batch collection(At study start, and then after 3 weeks, 4 weeks and 5 weeks.)
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