Peritoneal Dialysis in Congestive Heart Failure

NCT ID: NCT01124227

Last Updated: 2019-08-16

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

PHASE3

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2017-09-30

Brief Summary

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Rationale: End-stage congestive heart failure is a serious invalidating condition with a poor prognosis and increasing incidence. Non-randomized observations showed peritoneal dialysis (PD) in these patients to improve clinically from NYHA stadium III-IV to as low as NYHA stadium I-II. A randomized trial is needed to test whether PD improves symptoms in this condition and to find an optimal scheme.

Objective: To improve symptomatology in severe chronic failure patients. Study design: Open, parallel intervention trial comparing 2 schemes of peritoneal dialysis with icodextrin (Extraneal®) with standard medical therapy..

Study population: Patients with chronic refractory left ventricular congestive heart failure (LVEF \< 30%, older than 18 years).

Intervention: Peritoneal dialysis with one (night) or two (night and day) dwells with icodextrin (Extraneal®).

Main study parameters/endpoints: Reduction in NYHA classification of symptomatic Congestive Heart Failure at 8 months after start of PD therapy. Burden of congestive heart failure: measured by reduction in unfavorable days (noted by patients in diaries and including days of hospitalization for CHF-deterioration and death).

Detailed Description

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Conditions

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Congestive Heart Failure

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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Standard Care

Group Type SHAM_COMPARATOR

icodextrin

Intervention Type DRUG

2000 ml icodextrin intraperitoneally one or two times a day. Dose will be adapted clinically as in standard peritoneal dialysis.

2 Icodextrin PD changes / day

Group Type ACTIVE_COMPARATOR

icodextrin

Intervention Type DRUG

2000 ml icodextrin intraperitoneally one or two times a day. Dose will be adapted clinically as in standard peritoneal dialysis.

1 Icodextrin PD change/day

Group Type ACTIVE_COMPARATOR

icodextrin

Intervention Type DRUG

2000 ml icodextrin intraperitoneally one or two times a day. Dose will be adapted clinically as in standard peritoneal dialysis.

Interventions

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icodextrin

2000 ml icodextrin intraperitoneally one or two times a day. Dose will be adapted clinically as in standard peritoneal dialysis.

Intervention Type DRUG

Other Intervention Names

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Extraneal RVG 21300

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years
* Refractory Left Ventricular Congestive Heart Failure: LVEF \< 30%
* Diminished renal function: eGFR \< 60 ml/min
* Clinically volume overloaded (Dyspnoea (NYHA III-IV), edema, and/or ascites)
* Hospitalization for CHF during the last 6 months
* Patient is on optimal cardiologic medical therapy, which has been stable for more than 4 weeks
* Suitable for PD

Exclusion Criteria

* Hypotension (SBP \< 100 mmHg / MAP \< 70) mmHg
* Instable AP or recent (\< 6 months) myocardial infarction.
* Contraindications for PD (e.g. visual handicap, social)
* Liver failure
* COPD Gold class IV
* Malignancy with life expectancy \< 2 years
* Non compliance
* No informed consent
* Poor mental health
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Baxter Healthcare Corporation

INDUSTRY

Sponsor Role collaborator

Roche BV Netherlands

UNKNOWN

Sponsor Role collaborator

Martini Hospital Groningen

OTHER

Sponsor Role lead

Responsible Party

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Wilbert Martien Theodoor Janssen

MD PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wilbert M Janssen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Martini Hospital

Locations

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Martini Hospital

Groningen, , Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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2009-017711-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PDinCHF

Identifier Type: -

Identifier Source: org_study_id

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