Optimizing Fluid Status

NCT ID: NCT01492634

Last Updated: 2014-02-28

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

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2012-02-29

Brief Summary

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Title of study: Optimizing Fluid Status

Study code: HD-IIT-01-E

Study design: Prospective open design in study centre at two locations

Applied medical device: Body Composition Monitor (BCM) for determination of fluid overload and dry weight

Aim of the study: To improve the fluid status in chronic HD patients (measured as OH (overhydration) or TAFO (time averaged fluid overload)) based on BCM measurements. Up to now, the BCM was occasionally applied in both locations of the study centre.

Study hypothesis: Regular measurement of fluid status (assessed by BCM) and display of dry weight (post-weight plan)will have significant consequences, namely a decrease of the:

* time averaged fluid overload (TAFO),
* proportion of patients with severe overhydration OH \> 2.5 L,or OH/ECW \> 15 %)
* proportion of dehydrated patients (OH \< -1.0 L, or OH \< -7 %),
* mean overhydration,
* variance of overhydration,
* time outside the reference range (-1.0L \< OH \< 2.5L).

Devices used in this study: Dialysis machine 5008 equipped with Blood Pressure Monitor BPM, Blood Volume Monitor BVM, Blood Temperature Monitor BTM, and Online Clearance Monitor OCM ; Body Composition Monitor BCM ; Data management software / database system NephroLink Disposables used in this study: BVM blood lines and BCM electrodes

Patients: 60 patients

Detailed Description

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Conditions

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Hypotension During Dialysis

Keywords

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bioimpedance overhydration dry weight

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Blinding Strategy

NONE

Interventions

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Prescription of post-dialytic weight based on BCM device

Prescription of post-dialytic weight target: On a weekly base, the patients are pre-dialytically measured by BCM (body composition monitor).

The time average fluid overload (TAFO) determines the target range. TAFO is defined as the mean value of pre- and post-dialytic overhydration (TAFO = (OHpre+OHpost)/2). The target range is set asymmetrically around a TAFO of 0.8, from -1.0 L to +0.5, i.e. the TAFO target range will be from -0.2 L to 1.3 L.

Prescription steps will be calculated weekly for all study patients. TAFO \< -0.2 L: Increase post-dialytic weight by Cw x 0.5 kg/week, TAFO between -0.2 to 1.3 L: No action, TAFO between 1.3 to 2.8 L Decrease post-dialytic weight by Cw x 0.5 kg/week, TAFO \> 2.8 L: Decrease post-dialytic weight by Cw x 1.0 kg/week.

Intervention Type OTHER

Other Intervention Names

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BCM or Body Composition Monitor Fresenius Medical Care

Eligibility Criteria

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Inclusion Criteria

* Chronic renal failure stage V
* Treatment thrice weekly with HD or on-line HDF for at least 6 months prior to inclusion
* Ability to understand the nature and requirements of the study
* Age: at least 18 years
* Signed informed consent.

Exclusion Criteria

* Interventional clinical study during the preceding 30 days or previous participation in the same study
* Acute or chronic infection (HIV, Hepatitis B or C, ...)
* Severe disease (malignant tumour, tuberculosis ...)
* Usually single needle HD
* Problems with shunt or high recirculation,
* Severe intra-dialytic blood pressure instability in the last month
* Instable angina pectoris
* Major amputation at arm or leg, or a pacemaker.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fresenius Medical Care Europe

UNKNOWN

Sponsor Role collaborator

Francisco Maduell

OTHER

Sponsor Role lead

Responsible Party

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Francisco Maduell

Principal Investigator; Head of Dialysis Section

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Dialysis Units, Hospital ClĂ­nic

Barcelona, Barcelona, Spain

Site Status

Countries

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Spain

References

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Moissl U, Arias-Guillen M, Wabel P, Fontsere N, Carrera M, Campistol JM, Maduell F. Bioimpedance-guided fluid management in hemodialysis patients. Clin J Am Soc Nephrol. 2013 Sep;8(9):1575-82. doi: 10.2215/CJN.12411212. Epub 2013 Aug 15.

Reference Type RESULT
PMID: 23949235 (View on PubMed)

Other Identifiers

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HD-IIT-01-E

Identifier Type: -

Identifier Source: org_study_id