LEARN-6™: A Prospective, Observational Nursing Home Study

NCT ID: NCT00727571

Last Updated: 2014-07-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

815 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-09-30

Study Completion Date

2008-07-31

Brief Summary

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This is a prospective, multicenter, observational, hypothesis-generating study exploring mobility, Quality of Life and other physical performance measures among older, long-term stay Nursing Home residents with CKD, with versus without anemia. Enrolled patients will participate in the study up to a total of 26 weeks and be assessed at Weeks 1, 2, 14 and 26/End of Study. Based upon Week 1 hemoglobin and serum creatinine lab results, participants will be categorized into 1 of 4 groups.

Detailed Description

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Study Design: Multicenter, non-interventional, 26-week, prospective, observational study of older, long-term stay residents with CKD, with and without anemia, in US Nursing Homes.

Conditions

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Anemia Chronic Kidney Disease

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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No CKD or Anemia

Chronic kidney disease (CKD) is based on estimated Glomerular Filtration Rate (GFR), calculated by the Modification of Diet in Renal Disease (MDRD) method, of \< 60 mL/min/1.73m\^2. Anemia is defined as Hemogloblin \<12 g/dL in women, \< 13 g/dL in men per World Health Organization (WHO) criteria. Participants completed the study after Week 1; data contributed to prevalence estimates.

Observations

Intervention Type OTHER

This is a non-interventional, observational study; no investigational product is being used

No CKD, but Anemia

CKD is based on estimated GFR calculated by the MDRD method of \< 60 mL/min/1.73m\^2. Anemia is defined as Hemogloblin \<12 g/dL in women, \< 13 g/dL in men per WHO criteria. Participants completed the study at Week 2 and completed an anemia work-up; data contributed to prevalence estimates.

Observations

Intervention Type OTHER

This is a non-interventional, observational study; no investigational product is being used

CKD with Anemia

CKD is based on estimated GFR calculated by the MDRD method of \< 60 mL/min/1.73m\^2. Anemia is defined as Hemogloblin \<12 g/dL in women, \< 13 g/dL in men per WHO criteria. Participants were observed for 26 weeks and completed an anemia work-up, and mobility and physical performance assessments.

Observations

Intervention Type OTHER

This is a non-interventional, observational study; no investigational product is being used

CKD with no Anemia

CKD is based on estimated GFR calculated by the MDRD method of \< 60 mL/min/1.73m\^2. Anemia is defined as Hemogloblin \<12 g/dL in women, \< 13 g/dL in men per WHO criteria. Participants were observed for 26 weeks and completed mobility and physical performance assessments.

Observations

Intervention Type OTHER

This is a non-interventional, observational study; no investigational product is being used

Interventions

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Observations

This is a non-interventional, observational study; no investigational product is being used

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \> 65 years
* Long-term resident of NH as documented in medical record by Director of Nursing (DON) or Medical Director or as indicated in Minimum Data Set (MDS) Section Q
* Able to walk at least 1 step or propel wheelchair 1 revolution of wheel
* Able to follow a one-step instruction
* Written informed consent

Exclusion Criteria

* Admitted to NH for short stay rehabilitation (anticipated stay less than 3 months)
* Receiving Renal Replacement Therapy (RRT)
* Major surgery within the past 3 months
* Life expectancy \< 6 months or receiving palliative care
* Currently enrolled in or has not yet completed at least 30 days since ending investigational device or drug study(s), or is receiving investigational agent(s)
* Currently is enrolled in an interventional trial
* Previously withdrawn from this study
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

References

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Binder EF, White HK, Resnick B, McClellan WM, Lei L, Ouslander JG. A prospective study of outcomes of nursing home residents with chronic kidney disease with and without anemia. J Am Geriatr Soc. 2012 May;60(5):877-83. doi: 10.1111/j.1532-5415.2012.03941.x. Epub 2012 May 9.

Reference Type BACKGROUND
PMID: 22568452 (View on PubMed)

McClellan WM, Resnick B, Lei L, Bradbury BD, Sciarra A, Kewalramani R, Ouslander JG. Prevalence and severity of chronic kidney disease and anemia in the nursing home population. J Am Med Dir Assoc. 2010 Jan;11(1):33-41. doi: 10.1016/j.jamda.2009.07.003. Epub 2009 Nov 6.

Reference Type BACKGROUND
PMID: 20129213 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20050239

Identifier Type: -

Identifier Source: org_study_id

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