Conventional Hemodialysis Vs Short Daily Hemodialysis for Patients Coming From Peritoneal Dialysis (HAPD/CAPD)

NCT ID: NCT02002949

Last Updated: 2016-03-09

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

144 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Study Completion Date

2017-12-31

Brief Summary

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The purpose of this randomized study is to determine if the home SDHD is a suitable alternative to conventional dialysis performed in a dialysis center for patients suffering from chronic kidney disease from Peritoneal Dialysis (HAPD/CAPD).

The adequacy of this alternative dialysis technique confirms that the SDHD at home is a viable option for patients coming from HAPD/CAPD and indeed support the clinical benefits of home SDHD compared with those of conventional dialysis: lowering blood pressure and lower use of antihypertensive drugs , improving the quality of life, maintenance of residual renal function related to a reduced risk of death and reduction in operating costs of dialysis and patient transport.

Detailed Description

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Conventional Hemodialysis - 3 treatments per week for approximately 4 hours- will be performed in a dialysis clinic using any hemodialysis machine. Short Daily Hemodialysis - 5 or 6 treatments per week for approximately 2-4 hours per treatment- will be performed in the patient's home, using any hemodialysis machine. Partecipants randomized to SDHD will undergo an intensive home hemodialysis training program expected to take 2-6 weeks to complete. Qualified healthcare professionals will train each SDHD subject's partner to perform dialysis using any hemodialysis machine as chosen by clinicians. At baseline visit, before the first study treatment in either the SDHD or CHD arm, the following data will be collected: demographic information, ESRD history, EuroQol EQ-5D-5L questionnaire, vital sign, blood laboratory test results, KT/V parameters, 24 hour timed urine collection test results, comorbid conditions, vascular access type, current medications. After hemodialysis start, patients will be followed up to 12 months with data collection at 1,3,6 and 12 months. At each visit, the following data will be collected: EuroQol EQ-5D-5L questionnaire, vital sign, blood laboratory test results, KT/V parameters, 24 hour timed urine collection test results, adverse events, vascular access type, current medications. During this study, the following parameters will be strictly monitored: treatment costs, medications, number of hospitalization admissions, number of days in hospital and reasons for hospitalizations, additional costs informations.

Home hemodialysis could be an integrated therapeutic option favoring the de-hospitalization of patients requiring hemodialysis. Aim of this study is to offer the patient a better quality of life, to create the conditions for an improvement in blood pressure, phosphate control, of cardiovascular morbidity and mortality, and to reduce costs for the National Health Service.

Conditions

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End Stage Renal Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Short daily hemodialsysis

Short Daily Hemodialysis (SDHD) - 5 or 6 treatments per week for approximately 3 hours (range 2 to 4 hours) per treatment, to be performed at the patient's home, using any hemodialysis machine as chosen by the responsible clinician in each participating center

Group Type EXPERIMENTAL

Short daily hemodialysis

Intervention Type PROCEDURE

5 or 6 treatments per week for approximately 3 hours (range 2 to 4 hours) per treatment, to be performed at the patient's home, using any hemodialysis machine as chosen by the responsible clinician in each participating center

Conventional hemodialysis

Conventional Hemodialysis (CHD) - 3 treatments per week for approximately 4 hours (range 3 hours and 30 minutes to 4 hours) per treatment, to be performed in a dialysis clinic using any hemodialysis machine as chosen by the responsible clinicians in each participating center

Group Type ACTIVE_COMPARATOR

Conventional hemodialysis

Intervention Type PROCEDURE

3 treatments per week for approximately 4 hours (range 3 hours and 30 minutes to 4 hours) per treatment, to be performed in a dialysis clinic using any hemodialysis machine as chosen by the responsible clinicians in each participating center

Interventions

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Short daily hemodialysis

5 or 6 treatments per week for approximately 3 hours (range 2 to 4 hours) per treatment, to be performed at the patient's home, using any hemodialysis machine as chosen by the responsible clinician in each participating center

Intervention Type PROCEDURE

Conventional hemodialysis

3 treatments per week for approximately 4 hours (range 3 hours and 30 minutes to 4 hours) per treatment, to be performed in a dialysis clinic using any hemodialysis machine as chosen by the responsible clinicians in each participating center

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of end-stage renal disease
2. Currently performing Peritoneal Dialysis (HAPD and CAPD) for a minimum of 3 months.
3. Age 18 years or older.
4. Suitability for SDHD, determined on the basis of the following conditions:

* willingness to be trained and perform frequent hemodialysis at home;
* physically and mentally capable of performing frequent hemodialysis at home;
* evaluation of the subject's home environment by a physician, training nurse and /or social worker;
* a home dialysis partner willing to assist the participant in performing treatments at home;
* agreement by a multidisciplinary (physician, nurse and any other professionals) team that the subject is suitable for SDHD.
5. Expected survival of at least one year.
6. Ability to understand and willingness to sign an informed consent statement.

Exclusion Criteria

1. Current enrollment in another investigational drug or device trial which might impact the outcomes measures planned in this study.
2. Being scheduled for change of modality or plans to relocate to an area outside of the clinical center.
3. Cancer
4. Pregnancy-lactation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari

OTHER

Sponsor Role lead

Responsible Party

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Loreto GESUALDO

FULL PROFESSOR

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Loreto LG GESUALDO, MD

Role: PRINCIPAL_INVESTIGATOR

AOUConsorziale, Bari, Italy

Locations

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Ospedale Santa Chiara

Trento, , Italy

Site Status NOT_YET_RECRUITING

AUO Policlinico Consorziale

Bari, BA, Italy

Site Status RECRUITING

Ospedale Santa Marta e Santa Venera di Acireale

Acireale, , Italy

Site Status NOT_YET_RECRUITING

A.O.U. Ospedali Riuniti di Ancona

Ancona, , Italy

Site Status NOT_YET_RECRUITING

Presidio Ospedaliero 1 - Arezzo, "San Donato"

Arezzo, , Italy

Site Status RECRUITING

Policlinico Universitario S. Orsola-Malpighi

Bologna, , Italy

Site Status NOT_YET_RECRUITING

Azienda Ospedaliera G. Brotzu

Cagliari, , Italy

Site Status NOT_YET_RECRUITING

Ospedale S. Giacomo Apostolo

Castelfranco Veneto, , Italy

Site Status RECRUITING

Ospedale per l'emergenza Cannizzaro Catania

Catania, , Italy

Site Status NOT_YET_RECRUITING

Ospedale SS.Annunziata

Chieti, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Civile di Cremona

Cremona, , Italy

Site Status NOT_YET_RECRUITING

Azienda Ospedaliero Universitaria "OO.RR." di Foggia

Foggia, , Italy

Site Status RECRUITING

ASL 12 Di Viareggio - Ospedale Versilia

Lido di Camaiore, , Italy

Site Status RECRUITING

Seconda Università degli Studi di Napoli

Napoli, , Italy

Site Status RECRUITING

Secondo Policlinico-Azienda Ospedaliera Universitaria "Federico II"

Napoli, , Italy

Site Status NOT_YET_RECRUITING

Secondo Ospedale S. Francesco, ASL 3 S

Nuoro, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Civile Spirito Santo

Pescara, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Civile di Piacenza

Piacenza, , Italy

Site Status NOT_YET_RECRUITING

Azienda Ospedaliera Universitaria Pisana

Pisa, , Italy

Site Status NOT_YET_RECRUITING

Ospedale G. B. Grassi

Roma, , Italy

Site Status NOT_YET_RECRUITING

Università Cattolica Del Sacro Cuore

Roma, , Italy

Site Status RECRUITING

Ospedale Santa Maria della Misericordia

Rovigo, , Italy

Site Status NOT_YET_RECRUITING

Ospedale D. Anna

San Fermo della Battaglia, , Italy

Site Status RECRUITING

Ospedale Civile San Giovanni Di Dio

San Michele, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Principe di Piemonte

Senigallia, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Umberto I di Siracusa

Syracuse, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Mazzini

Teramo, , Italy

Site Status NOT_YET_RECRUITING

Ospedale San giovanni Battista Molinette

Torino, , Italy

Site Status NOT_YET_RECRUITING

Ospedale San giovanni Bosco

Torino, , Italy

Site Status NOT_YET_RECRUITING

Ospedale Treviglio - Caravaggio

Treviglio, , Italy

Site Status RECRUITING

Ospedale Civile di Voghera

Voghera, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Loreto GESUALDO, MD

Role: CONTACT

+39 080 559 ext. 4041

Facility Contacts

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Loreto GESUALDO, MD

Role: primary

+39 080 559 ext. 4041

Giovanni Giorgio Battaglia

Role: primary

Giovanni Frascà

Role: primary

Ennio Duranti

Role: primary

Gaetano La Manna

Role: primary

Antonello Pani

Role: primary

Cataldo Abaterusso

Role: primary

Massimo Matalone

Role: primary

Mario Bonomini

Role: primary

Fabio Malberti

Role: primary

Giuseppe Grandaliano

Role: primary

Vincenzo Panichi

Role: primary

Giovambattista Capasso

Role: primary

Stefano Federico

Role: primary

Maria Maddalena Sedda

Role: primary

Mario Campanella

Role: primary

Roberto Scarpioni

Role: primary

Francesca Egidi

Role: primary

Massimo Morosetti

Role: primary

Giovanni Gambaro

Role: primary

Fulvio Fiorini

Role: primary

Claudio Minoretti

Role: primary

Antonio Granata

Role: primary

Rolando Boggi

Role: primary

Giuseppe Daidone

Role: primary

Goffredo Del Rosso

Role: primary

Luigi Biancone

Role: primary

Dario Roccatello

Role: primary

Giuliano Brunori

Role: primary

Silvia Cassamali

Role: primary

Fabio Milanesi

Role: primary

Other Identifiers

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RF-2010-2314193

Identifier Type: -

Identifier Source: org_study_id

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