Long-term Effects of Expanded Hemodialysis in Reduction of Large Middle Molecules in Chronic Hemodialysis Patients: Potential Benefits to the Prevention of Sarcopenia
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Chronic Kidney Disease Requiring Chronic Dialysis
- Sponsor
- Gangnam Severance Hospital
- Enrollment
- 47
- Locations
- 1
- Primary Endpoint
- Biomarkers of sarcopenia
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The current study will investigate whether long term implementation of expanded hemodialysis (HDx) will effectively decrease serum levels of large uremic toxins and ameliorate progression of sarcopenia in patients with chronic kidney disease requiring hemodialysis.
Detailed Description
This is an open-label, prospective, 1:1 randomized, parallel-group, study to evaluate the efficacy of expanded hemodialysis (HDx) compared to conventional hemodialysis in patients with chronic kidney disease in South Korea for up to 12 months.
Investigators
Hyeongcheon Park
Professor
Gangnam Severance Hospital
Eligibility Criteria
Inclusion Criteria
- •On HD treatment over 6 months before study enrollment
- •Aged over 18 years
- •Able to give informed consent
Exclusion Criteria
- •Hemiplegia or paraplegia state
- •Planned renal transplant or conversion to peritoneal dialysis within study period
- •Active chronic infection or inflammatory conditions including autoimmune disease, inflammatory arthritis and active malignancy
- •History of monoclonal gammopathy
- •Life expectancy \<12 months
- •Pregnancy or breast feeding
- •Receiving immunosuppressant medication
- •Inability to complete study assessments
Outcomes
Primary Outcomes
Biomarkers of sarcopenia
Time Frame: Changes in serum level of Myostatin and IGF-1 every 6 months
Change in blood levels of myostatin and insulin-like growth factor-1 (IGF-1)