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临床试验/NCT01515878
NCT01515878Unknown4 期

Hemocontrol's Effectiveness in a RAndomized Controlled Trial on the Reduction of Cardiovascular Long-term EventS

IRCCS Azienda Ospedaliero-Universitaria di Bologna5 个研究点 分布在 3 个国家目标入组 396 人开始时间: 2012年2月最近更新:
适应症

试验速览

阶段
4 期
入组人数
396
试验地点
5
主要终点
Cardiovascular events

研究概览

简要总结

It is hypothesized that a consistent use of the Hemocontrol TM biofeedback function improves long-term cardiovascular outcome, mediated by reduced hypertension due to fluid overload and by reduced incidence of intradialytic hypotensive episodes

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
None

入排标准

年龄范围
65 Years 至 —(Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age more than 65 years old
  • Arterial Hypertension: predialysis SBP >140 mmHg and/or DBP >90 mmHg in at least 50% over the previous month dialysis sessions or receiving at least one antihypertensive pharmacological drug including diuretics, disregarded blood pressure value
  • On a three times per week hemodialysis schedule
  • Time on hemodialysis less than 6 months
  • Able to measure their blood pressure at home (by themselves or with the aid of the care giver)
  • Signed informed consent

排除标准

  • Active neoplastic disease
  • Mental illness
  • Single needle treatment
  • Inability, as judged by the investigator, to follow or understand the protocol instructions
  • Blood flow rate less than 200 mL/min
  • Patients who at the time of recruitment need clinical indication for special renal replacement therapies and/or on treatment with one of the following modalities: HDF or similar diffusive-convective therapies, treatment time >5h, blood temperature control, isolated UF profiling of Na/UFR
  • Patients with a life expectancy shorter than 6 months
  • Patients in a list for transplant within the next 6 months
  • Predialysis Hemoglobin level greater than 13.5 g/dl
  • History of major cardiovascular events during run in period

结局指标

主要结局

Cardiovascular events

时间窗: 36 months

The primary objective will be assessed by the incidence rate of Fatal and not fatal cardiovascular events

次要结局

  • Dry weight management(36 months)
  • Cardiovascular morbidity(36 months)
  • Blood pressure control(36 months)
  • Quality of life and dialysis tolerance evaluated with questionnaire.(36 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Antonio Santoro

Professor, MD, Chief of Nephrology

IRCCS Azienda Ospedaliero-Universitaria di Bologna

研究点 (5)

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