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PD-Improved Dialysis Efficiency With Adapted APD

Completed
Conditions
Chronic Renal Failure
Registration Number
NCT02470598
Lead Sponsor
Fresenius Medical Care Deutschland GmbH
Brief Summary

The aim of this study is to observe the effect of adapted APD (aAPD) on maintenance and/or improvement of the hydration status of more than 250 PD patients, and to observe the tolerability of the therapy over a long period.

Detailed Description

In some studies it has been observed that the use of a combination of short dwell/small volume and long dwell/large volume can improve the effectiveness of APD. However, these studies have been performed in a small number of patients during a short observation period.

The aim of this study is to assess the hydration status of PD patients treated with aAPD and observe its development during one year using the BCM-Body Composition Monitor (BCM), a bioimpedance spectroscopy (BIS) device. In addition, it is intended to observe the variability of aAPD prescriptions and their influence on the hydration status of the patients.

This is a purely non-interventional, observational study, where treatment decisions are completely guided by the discretion of the attending nephrologists.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
182
Inclusion Criteria
  • CKD patients with indication for renal replacement therapy
  • Patient treated or to be treated with aAPD
  • Fluid status regularly monitored with BCM
Exclusion Criteria
  • Patients who have any condition prohibiting the use of BCM like patients with major amputations (e.g. lower leg)
  • Participation in an interventional study which could have an effect on the study objectives hydration status and dialysis adequacy (e.g. studies on PD solutions, studies on diuretics)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Hydration statusEvery three months during one year

Assessed via body composition measurements

Secondary Outcome Measures
NameTimeMethod
Residual renal functionEvery three months during one year
Changes in prescriptionEvery three months during one year
Achievement of adequate solute removalEvery three months during one year
Therapy tolerabilityEvery three months during one year

Trial Locations

Locations (50)

Regional Hospital Roskilde

🇫🇮

Lappeenranta, Finland

Hospital Selayang

🇲🇾

Batu Caves, Malaysia

Hospital Universiti Kebangsaan Malaysia (HUKM)

🇲🇾

Kuala Lumpur, Malaysia

Hospital Seremban

🇲🇾

Seremban, Malaysia

Faculty Hospital Brno-Bohunice

🇨🇿

Brno, Czechia

Gleneagles Hospital Kuala Lumpur (GHKL)

🇲🇾

Kuala Lumpur, Malaysia

Hospital General de Castellón

🇪🇸

Castellón De La Plana, Spain

Hospital Clinic de Barcelona

🇪🇸

Barcelona, Spain

Hospital Serdang

🇲🇾

Serdang, Malaysia

Fundación Hospital de Alcorcón

🇪🇸

Alcorcón, Spain

Hospital de Basurto

🇪🇸

Bilbao, Spain

Complejo Hospitalario universitario de Albacete

🇪🇸

Albacete, Spain

Fundacion Puigvert

🇪🇸

Barcelona, Spain

Hospital Universitario di Girona Josep Trueta

🇪🇸

Girona, Spain

Hospital General Virgen de las Nieves

🇪🇸

Granada, Spain

Complejo hospitalario de Jaén

🇪🇸

Jaén, Spain

Complejo Hospitalario San Millán-San Pedro De La Rioja

🇪🇸

Logroño, Spain

Hospital Universitario Lucus Agusti

🇪🇸

Lugo, Spain

Hospital Clínico San Carlos

🇪🇸

Madrid, Spain

Hospital Universitario Ramón y Cajal

🇪🇸

Madrid, Spain

Hospital Universitatio Donostia

🇪🇸

San Sebastián, Spain

Hospital Universitario Central de Asturias (HUCA)

🇪🇸

Oviedo, Spain

Hospital Clínico de Valencia

🇪🇸

Valencia, Spain

Hospital Peset

🇪🇸

Valencia, Spain

Hospital Universitari i Politècnic La Fe

🇪🇸

Valencia, Spain

Hospital Txagorritxu

🇪🇸

Vitoria, Spain

Complejo Asistencial de Avila

🇪🇸

Ávila, Spain

Danderyds Sjukhus AB

🇸🇪

Danderyd, Sweden

Höglandssjukhuset Eksjö/Nässjö

🇸🇪

Eksjö, Sweden

Länssjukhuset Sundsvall

🇸🇪

Sundsvall, Sweden

Kalmar Hospital

🇸🇪

Kalmar, Sweden

Skåne University Hospital

🇸🇪

Lund, Sweden

Norra Älvsborgs Länssjukhus

🇸🇪

Trollhättan, Sweden

Norrlands University Hopsital

🇸🇪

Umeå, Sweden

Regional Hospital Viborg

🇩🇰

Viborg, Denmark

NC centre Sokolov

🇨🇿

Sokolov, Czechia

Faculty Hospital Strahov

🇨🇿

Prague, Czechia

Kymenlaakso Central Hospital

🇫🇮

Kotka, Finland

Hospital Nove Mesto na Morave

🇨🇿

Nove Mesto na Morave, Czechia

Regional Hospital in Mlada Boleslav

🇨🇿

Mlada Boleslav, Czechia

Hospital Liberec

🇨🇿

Liberec, Czechia

Helsinki University Hospital

🇫🇮

Helsinki, Finland

Faculty Hospital Pilsen

🇨🇿

Pilsen, Czechia

Hospital Universitario Puerta de Hierro

🇪🇸

Majadahonda, Spain

Hospital Carlos Haya

🇪🇸

Málaga, Spain

Complejo Hospital Universitario de Santiago (CHUS)

🇪🇸

Santiago De Compostela, Spain

Faculty Hospital Karlovo namesti

🇨🇿

Prague, Czechia

NC centre Vinohrady

🇨🇿

Prague, Czechia

Hospital Trebic

🇨🇿

Trebic, Czechia

Complexo Hospitalario Universitario de Ourense (CHUO)

🇪🇸

Ourense, Spain

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