Effects of Intensified Sodium Management in Hemodialysis Patients

NCT ID: NCT01015313

Last Updated: 2015-10-01

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-30

Study Completion Date

2015-02-28

Brief Summary

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The primary aim of this study is to investigate whether intensive sodium management by dietary sodium restriction and by preventing positive sodium balance during dialysis can be successfully applied in chronic hemodialysis patients. Secondary aims are to test if sodium restriction has positive effects on the frequency of hospital admissions, blood pressure, fluid overload, quality of life and residual renal function.

Detailed Description

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Conditions

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Renal Failure Chronic Requiring Hemodialysis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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intensive sodium management

Group Type EXPERIMENTAL

intensive sodium management

Intervention Type OTHER

1. dietary sodium restriction
2. avoiding positive sodium balance during dialysis by: aligning dialysate sodium with plasma sodium, avoiding sodium profiling, and avoiding saline solutions to treat intradialytic symptoms

standard care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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intensive sodium management

1. dietary sodium restriction
2. avoiding positive sodium balance during dialysis by: aligning dialysate sodium with plasma sodium, avoiding sodium profiling, and avoiding saline solutions to treat intradialytic symptoms

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Ambulatory, clinically stable maintenance hemodialysis patients on a thrice weekly HD regimen.
* Willing and able to provide written, signed informed consent after the nature of the study has been explained.
* Willing and able to comply with all study procedures.
* Age ≥18 years.

Exclusion Criteria

* Simultaneous participation in another clinical study except observational trials.
* Any psychological condition which could interfere with the patient's ability to comply with the study protocol.
* Pregnancy.
* Amputation of a limb.
* Pacemaker, implantable pump, artificial joint.
* Expectation that native kidney function will recover.
* Unable to verbally communicate in English or Spanish.
* Scheduled for living donor kidney transplant, change to peritoneal dialysis, home HD or plans to relocate to another center within the next 14 months.
* Life expectancy \< 15 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Renal Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Kotanko, MD

Role: PRINCIPAL_INVESTIGATOR

Renal Research Institute

Nathan W Levin, MD

Role: STUDY_DIRECTOR

Renal Research Institute

Locations

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Irving Place Dialysis Center

New York, New York, United States

Site Status

Upper Manhattan Dilaysis Center

New York, New York, United States

Site Status

Yorkville Dialysis Center

New York, New York, United States

Site Status

Countries

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United States

References

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McMahon EJ, Campbell KL, Bauer JD, Mudge DW, Kelly JT. Altered dietary salt intake for people with chronic kidney disease. Cochrane Database Syst Rev. 2021 Jun 24;6(6):CD010070. doi: 10.1002/14651858.CD010070.pub3.

Reference Type DERIVED
PMID: 34164803 (View on PubMed)

Other Identifiers

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208-12 (formerly 173-09)

Identifier Type: -

Identifier Source: org_study_id

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