Effect of Intradialytic Parenteral Nutrition on Morbidity and Mortality of Malnourished Hemodialysis Patients

NCT ID: NCT00314834

Last Updated: 2006-04-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

204 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-01-31

Study Completion Date

2004-12-31

Brief Summary

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IDPN is widely used in HD patients without clue of its effectiveness. Study objectives: to evaluate IDPN effects on mortality (main objective), hospitalization rates, nutritional status, dialysis efficacy, Karnofsky score

Detailed Description

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IDPN is widely used in HD patients without clue of its effectiveness. Study objectives: to evaluate IDPN effects on mortality (main objective), hospitalization rates, nutritional status, dialysis efficacy, Karnofsky score.

Patient eligibility: adult patients ≤ 82 y with HD vintage \> 6 mo. and 2 of the following malnutrition criteria: BMI ≤ 20 kg/m2, BW loss/6 mo. ≥ 10%, serum albumin ≤ 35 g/L, prealbumin ≤ 300 mg/L.

Recruitment: patients in 38 HD units from January 2001 to December 2002 Study protocol. Patients are randomized into 2 groups: IDPN group, given IDPN during one year, and control group. For ethical reasons, the 2 groups are given oral supplementation during the same period.

Follow-up: two years after start of nutritional therapy. Study end: December 31, 2004. Final results will be available in early 2005.

Conditions

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Hemodialysis Malnutrition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Intradialytic parenteral nutrition

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* age between 18 and 82 years
* hemodialysis vintage more than 6 months
* two of the following markers of malnutrition:
* body mass index (BMI) \<= 20 kg/m2
* body weight loss within 6 months \>= 10 percent
* serum albumin \<= 35 g/L
* prealbumin \<= 300 mg/L

Exclusion Criteria

* weekly dialysis time \< 12 h
* urea Kt/V index \< 1.2
* serum albumin \> 38 g/L
* prealbumin \> 330 mg/L
* hypertriglyceridemia \> 2.5 mmol/L
* associated comorbidities compromising the one-year survival
* treatment by oral, enteral or parenteral feeding during the last 3 months
* hospitalization at time of randomization
Minimum Eligible Age

18 Years

Maximum Eligible Age

82 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role collaborator

Societe Francaise de Dialyse

UNKNOWN

Sponsor Role collaborator

Societe Francophone de Nutrition Enterale et Parenterale

OTHER

Sponsor Role collaborator

EZUS-LYON 1

OTHER

Sponsor Role lead

Principal Investigators

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Noel JM Cano, MD-PhD

Role: STUDY_DIRECTOR

References

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Cano NJ, Fouque D, Roth H, Aparicio M, Azar R, Canaud B, Chauveau P, Combe C, Laville M, Leverve XM; French Study Group for Nutrition in Dialysis. Intradialytic parenteral nutrition does not improve survival in malnourished hemodialysis patients: a 2-year multicenter, prospective, randomized study. J Am Soc Nephrol. 2007 Sep;18(9):2583-91. doi: 10.1681/ASN.2007020184. Epub 2007 Jul 26.

Reference Type DERIVED
PMID: 17656473 (View on PubMed)

Other Identifiers

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EZUS-A1244

Identifier Type: -

Identifier Source: org_study_id