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临床试验/NCT01763242
NCT01763242已完成4 期

EMAN-Anaemia: An Open Labelled Randomised Control Trial of the Synchronized Electronic MANagement of Anaemia in Chronic Kidney Disease (CKD) Compared to Usual Care Anaemia Management

Western Health, Australia2 个研究点 分布在 1 个国家目标入组 102 人开始时间: 2011年12月1日最近更新:
适应症

试验速览

阶段
4 期
状态
已完成
发起方
入组人数
102
试验地点
2
主要终点
Haemoglobin

研究概览

简要总结

Aims:

  1. To establish an electronic process for CKD anaemia management using monthly synchronized dosing of erythrocyte stimulating agents (ESA).
  2. To compare this electronic process with "present anaemia management" in the traditional outpatient setting.
  3. To monitor Hb targets and clinical endpoints of study groups to model a larger multicentre study focusing on these endpoints.

详细描述

CKD Stages 3 to 5 Subjects will be randomised and stratified according to Age, Gender, CKD Stage, Known Cardiovascular Disease, Diabetes and ESA Type into EMAN vs. Control

Details of EMAN synchronization and Dosing:

Monthly dose of ESA is calculated by:

Monthly dose = present dose x (28/present frequency (days))

Synchronization will be achieved by using the formula: "Synchronization dose of ESA = (28-Days until next injection is due)/28 x monthly dose of ESA

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Single Group
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

入选标准

  • Written informed consent
  • Age > 18 years
  • Chronic renal anaemia already on ESA therapy as defined by Pharmaceutical Benefits Scheme Criteria

排除标准

  • Pregnancy
  • Significant acute bleeding such as overt gastrointestinal bleeding
  • A known haematological cause for anaemia
  • Known metastatic malignancy
  • Present participation in another interventional clinical trial • Known hypersensitivity to recombinant human erythropoietin, polyethylene glycol or to any constituent of the study medication

结局指标

主要结局

Haemoglobin

时间窗: 12 months

Haemoglobin (Hb) Targets: % above/within/below target ; % Time Hb above/within/below Target ie. Hb 10 to 12g/dL.

次要结局

  • Deaths(12 months)
  • Quality of Life(12 months)
  • Missed Doses of ESA(12 months)
  • Fe Targets(12 months)
  • Thrombosis Events(12 months)
  • Renal Replacement Therapy Commencement(12 months)
  • All Cause Hospitalisation(12 months)
  • Outpatient Review Numbers(12 months)
  • Primary Care review Numbers(12 months)
  • Cardiovascular Hospitalisation(12 months)
  • Cerebrovascular Hospitalisation(12 months)
  • Peripheral Vascular Hospitalisation(12 months)
  • Blood Transfusion Numbers(12 months)
  • Fe Transfusion Numbers(12 months)
  • Total Adverse Events(12 months)
  • Anaemia Co-Ordinator Time(12 months)
  • Pharmacy Time(12 months)
  • Courier Costs(12 months)
  • Ambulance Transfer Numbers(12 months)
  • Cardiac and Vascular Biomarker Analysis(12 months)

研究者

发起方
Western Health, Australia
申办方类型
Other Gov
责任方
Principal Investigator
主要研究者

Dr Craig Nelson

Head of Unit - Nephrology

Western Health, Australia

研究点 (2)

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