Behaviour and Cognitive Evaluation for Dialysis Elderly Patients (BCDE)

NCT ID: NCT00847275

Last Updated: 2010-01-26

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2015-01-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The trial is a multicenter, prospective, randomized, open study. A total of 500 elderly patients aged over 75 years with renal insufficiency stage 5 will be included in the study after signed informed consent. Patients will be randomized 1/1 in two arms : 250 patients in the "exclusive nephrology follow-up" arm will continue their usual follow-up; 250 patients in the "geriatric follow-up" arm will have both their usual nephrology follow-up and a geriatric follow-up.The aim of the study is to determine if a systematized gerontologist evaluation delay the occurrence of a composite primary endpoint : death, dementia, depression and severe dependency. The hypothesis is that the functional and vital prognosis of a patient with renal insufficiency depends not only on common and classical factors but also on cognitive and psychological functions and dependence, particularly in elderly patients.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Renal Insufficiency

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

1

"Exclusive nephrology follow-up" arm

Group Type PLACEBO_COMPARATOR

Exclusive nephrology follow-up

Intervention Type OTHER

250 patients will be included and randomized in the "exclusive nephrology follow-up" arm will continue their usual nephrology follow-up with consultations every 6 months during 3 years for dialysis patients or with consultations every 6 months before dialysis, 3 months after starting dialysis and every 6 months for a total duration of 3 years for non-dialysis patients. In addition to their nephrology consultations, patients will benefit from a geriatric evaluation with MMS, GDS and ADL scoring.

2

"Geriatric follow-up" arm

Group Type EXPERIMENTAL

Geriatric follow-up

Intervention Type OTHER

250 patients will be included and randomized in "geriatric follow-up" arm will continue their usual nephrology follow-up with consultations every 6 months during 3 years for dialysis patients or with consultations every 6 months before dialysis, 3 months after starting dialysis and every 6 months for a total duration of 3 years for non-dialysis patients. Patients randomized in the "geriatric follow-up" arm will also have more complete tests to evaluate cognitive functions (memory, language and movements), psychological functions (depression and anxiety) and dependency in activities of daily living. Other tests will allow evaluate vision, audition, mobility and nutritional status.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Exclusive nephrology follow-up

250 patients will be included and randomized in the "exclusive nephrology follow-up" arm will continue their usual nephrology follow-up with consultations every 6 months during 3 years for dialysis patients or with consultations every 6 months before dialysis, 3 months after starting dialysis and every 6 months for a total duration of 3 years for non-dialysis patients. In addition to their nephrology consultations, patients will benefit from a geriatric evaluation with MMS, GDS and ADL scoring.

Intervention Type OTHER

Geriatric follow-up

250 patients will be included and randomized in "geriatric follow-up" arm will continue their usual nephrology follow-up with consultations every 6 months during 3 years for dialysis patients or with consultations every 6 months before dialysis, 3 months after starting dialysis and every 6 months for a total duration of 3 years for non-dialysis patients. Patients randomized in the "geriatric follow-up" arm will also have more complete tests to evaluate cognitive functions (memory, language and movements), psychological functions (depression and anxiety) and dependency in activities of daily living. Other tests will allow evaluate vision, audition, mobility and nutritional status.

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patients aged of 75 years old or more,
* Chronic kidney disease stage 5 defined by :
* either an estimated GFR (MDRD) ≤ 15ml/mn/1,73 m² in a non-dialysis patient whatever the duration of previous monitoring by the nephrologist("Pre-dialysis cohort"),
* or a dialysis treatment started for more than 3 months and less than one year, whatever the duration of pre-dialysis follow-up by the nephrologist("post-dialysis cohort"),
* Signed and dated informed consent.

Exclusion Criteria

* Moderately severe to severe dementia (MMS ≤ 15),
* Major depression and/or GDS-15 \> 10/15,
* Severe dependency (ADL \< 3/6),
* Psychosis, mutism or aphasia,
* Malignancy or any pathology with life expectancy \< one year,
* Ongoing specialized geriatric care
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Nantes University Hospital

OTHER

Sponsor Role lead

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Vincent ESNAULT, Profesor

Role: STUDY_CHAIR

CHU NICE

Christian COMBE, Profesor

Role: STUDY_CHAIR

University Hospital, Bordeaux

Muriel RAINFRAY, Profesor

Role: STUDY_CHAIR

University Hospital, Bordeaux

Tugdual TANQUEREL, Doctor

Role: STUDY_CHAIR

CHU Brest

Armelle TILLY-GENTRIC, Profesor

Role: STUDY_CHAIR

CHU de Brest

Mokhtar AMRANDI, Doctor

Role: STUDY_CHAIR

CH Cholet

Jacques d'AVIGNEAU, Doctor

Role: STUDY_CHAIR

CH Cholet

Patrice DETEIX, Profesor

Role: STUDY_CHAIR

University Hospital, Clermont-Ferrand

Bruno LESOURD, Profesor

Role: STUDY_CHAIR

University Hospital, Clermont-Ferrand

Bernadette FALLER, Colmar

Role: STUDY_CHAIR

CHU Colmar

Nathalie SCHMITT, Doctor

Role: STUDY_CHAIR

CHU Colmar

Philippe ZAOUI, Profesor

Role: STUDY_CHAIR

University Hospital, Grenoble

Claire MILLET, Doctor

Role: STUDY_CHAIR

University Hospital, Grenoble

Jean-Noël OTTAVIOLI, Doctor

Role: STUDY_CHAIR

CHD La Roche sur Yon

Pierre LERMITE, Doctor

Role: STUDY_CHAIR

CHD La Roche sur Yon

Eric BOULANGER, Doctor

Role: STUDY_CHAIR

CHRU LILLE

François PUISIEUX, Profesor

Role: STUDY_CHAIR

CHRU LILLE

Jean-Claude ALDIGIER, Profesor

Role: STUDY_CHAIR

University Hospital, Limoges

Jean-Pierre CHARMES, Doctor

Role: STUDY_CHAIR

University Hospital, Limoges

Maurice LAVILLE, Profesor

Role: STUDY_CHAIR

Hospices Civils de Lyon

Brigitte COMTE, Doctor

Role: STUDY_CHAIR

Hospices Civils de Lyon

Michel LABEEUW, Profesor

Role: STUDY_CHAIR

Hospices Civils de Lyon

Marc BONNEFOY, Profesor

Role: STUDY_CHAIR

Hospices Civils de Lyon

Philippe BRUNET, Profesor

Role: STUDY_CHAIR

CHU Marseille

Sylvie BONIN-GUILLAUME, Doctor

Role: STUDY_CHAIR

CHU Marseille

Bernard CANAUD, Profesor

Role: STUDY_CHAIR

University Hospital, Montpellier

Claude JEANDEL, Profesor

Role: STUDY_CHAIR

University Hospital, Montpellier

Catherine DELCROIX, Doctor

Role: STUDY_CHAIR

Nantes University Hospital

Gilles BERRUT, Profesor

Role: STUDY_CHAIR

Nantes University Hospital

Patrice BROCKER, Profesor

Role: STUDY_CHAIR

CHU NICE

Bernard BRANGER, Doctor

Role: STUDY_CHAIR

CHU Nîmes

Benoît de WAZIERES, Profesor

Role: STUDY_CHAIR

CHU Nîmes

François VRTOVSNIK, Profesor

Role: STUDY_CHAIR

AP-HP (Hôpital Bichat)

Fannie ONEN, Doctor

Role: STUDY_CHAIR

AP-HP (Hôpital Bichat)

Dominique JOLY, Doctor

Role: STUDY_CHAIR

AP-HP (Hôpital Necker)

Gilbert DERAY, Profesor

Role: STUDY_CHAIR

AP-HP (La Pitié-Salpétrière)

Marc VERNY, Profesor

Role: STUDY_CHAIR

AP-HP (La Pitié-Salpétrière)

Marc SOUID, Doctor

Role: STUDY_CHAIR

CH Poissy

Marie-Gabrielle CORD'HOMME, Doctor

Role: STUDY_CHAIR

CH Poissy

Véronique JOYEUX, Doctor

Role: STUDY_CHAIR

CHU Rennes

Gwenaëlle SOST, Doctor

Role: STUDY_CHAIR

CHU Rennes

Dominique BESNIER, Doctor

Role: STUDY_CHAIR

CH Saint-Nazaire

Philippe LEROUX, Doctor

Role: STUDY_CHAIR

CH Saint-Nazaire

Philippe NICOUD, Doctor

Role: STUDY_CHAIR

CH Sallanches

Serge PAYRAUD, Doctor

Role: STUDY_CHAIR

CH Sallanches

Bruno MOULIN, Profesor

Role: STUDY_CHAIR

CHU Strasbourg

Georges KALTENBACH, Profesor

Role: STUDY_CHAIR

CHU Strasbourg

Eric MICHEZ, Doctor

Role: STUDY_CHAIR

CH Vannes

Jean-Max GOLDFARB, Doctor

Role: STUDY_CHAIR

CH Vannes

Marie-Paule GUILLODO-HAMELET, Doctor

Role: STUDY_CHAIR

Dialysis center - Brest

Mohammed HADJ-ABDELKADER, Doctor

Role: STUDY_CHAIR

University Hospital, Clermont-Ferrand

Elodie CRETEL-DURAND, Doctor

Role: STUDY_CHAIR

CHU Marseille

Pierre JOUANNY, Profesor

Role: STUDY_CHAIR

CHU Rennes

Sylvie HILY, Doctor

Role: STUDY_CHAIR

CHU Saint-Nazaire

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

CHU de Nantes

Nantes, , France

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

France

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Vincent ESNAULT, Profesor

Role: CONTACT

0492038876

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Vincent ESNAULT, Profesor

Role: primary

0492038876

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

06/12-K

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Dialysis Geriatric Care Model
NCT05793138 ENROLLING_BY_INVITATION NA
Shared Decision Making in Dialysis
NCT04392440 COMPLETED NA
Impact of Dialysis on Sexuality.
NCT07332949 RECRUITING