Effect of Sodium Rinsing Fluid on Blood Pressure and Interdialytic Weight Change in Hemodialysis Patients

NCT ID: NCT02590081

Last Updated: 2015-10-28

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

434 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-31

Brief Summary

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This is a prospective, randomized, double-blind, parallel group trial to assess the efficacy and safety of intravenous dextrose 5% solution compare with normal saline (standard care) in wash back procedure during haemodialysis in patients with end stage renal failure (ESRF) with respect to systolic blood pressure control over 3 months period.

The primary objective is to establish efficacy of 5% dextrose solution compared with normal saline (0.9% sodium chloride solution) with respect to systolic blood pressure control in subjects with end stage renal failure (ESRF) on regular hemodialysis. Secondary objectives include monitoring the change in body weight, thirst level and body fluid volume.

Detailed Description

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Conditions

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End-Stage Kidney Disease Hemodialysis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Normal saline

Normal saline will be used for wash back procedure at the end of hemodiaysis.

Group Type ACTIVE_COMPARATOR

normal saline

Intervention Type DRUG

dextrose 5%

Dextrose 5% will be used for wash back procedure at the end of hemodiaysis.

Group Type EXPERIMENTAL

Dextrose 5%

Intervention Type DRUG

Interventions

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Dextrose 5%

Intervention Type DRUG

normal saline

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ambulatory, clinically stable maintenance HD patients on a thrice weekly HD regime.
* Have regular hemodialysisforat least 6 months or more.
* 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; Age \< 75 years old

Exclusion Criteria

* Diabetes mellitus, Malignancy, Pregnancy
* Inability or unwillingness to provide written consent.
* Inability or unwillingness to comply with the requirements of the protocol as determined by the investigator.
* 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
* Inability to perform a blood pressure measurement on the upper limb
* Scheduled for living donor kidney transplant, change to peritoneal dialysis, home HD or plans to relocate to another center during the study period.
* Life expectancy \< 6 months
* Recent acute myocardial infarction, congestive cardiac failure, stroke, angina or ICU admission within last 6 months,
* Planned to migrate/move out of the city
* Alcohol abuse/ drug abuse within last 6 months
* Missed \> 2 hemodialysis sessions over 1 month
* Requiring non- cuff catheter for hemodialysis
* Admitted for major infection within the last one month
Minimum Eligible Age

18 Years

Maximum Eligible Age

74 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, Malaysia

OTHER_GOV

Sponsor Role collaborator

Penang Hospital, Malaysia

OTHER_GOV

Sponsor Role lead

Responsible Party

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Dr.Ong Loke Meng

doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Loke Meng Ong, FRCP

Role: PRINCIPAL_INVESTIGATOR

Penang Hospital

Locations

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Hospital Sultanah Bahiyah, Alor Setar

Alor Star, Kedah, Malaysia

Site Status

UKM Medical Centre

Cheras, Kuala Lumpur, Malaysia

Site Status

Hospital Kuala Lumpur

Kuala Lumpur, Kuala Lumpur, Malaysia

Site Status

UM Medical Centre

Kuala Lumpur, Kuala Lumpur, Malaysia

Site Status

Hospital Tuanku Jaafar

Seremban, Negeri Sembilan, Malaysia

Site Status

Hospital Tengku Ampuan Afzan

Kuantan, Pahang, Malaysia

Site Status

Hospital Balik Pulau

Balik Pulau, Pulau Pinang, Malaysia

Site Status

Hospital Bukit Mertajam

Bukit Mertajam, Pulau Pinang, Malaysia

Site Status

Penang Hospital

George Town, Pulau Pinang, Malaysia

Site Status

Hospital Kepala Batas

Kepala Batas, Pulau Pinang, Malaysia

Site Status

Seberang Jaya Hospital

Seberang Jaya, Pulau Pinang, Malaysia

Site Status

Hospital Sungai Bakap

Sungai Bakap, Pulau Pinang, Malaysia

Site Status

Miri Hospital

Miri, Sarawak, Malaysia

Site Status

Selayang Hospital

Selayang Baru Utara, Selangor, Malaysia

Site Status

Hospital Serdang

Serdang, Selangor, Malaysia

Site Status

Countries

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Malaysia

Central Contacts

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Loke Meng Ong, FRCP

Role: CONTACT

+60-04-2225333 ext. 5767

Facility Contacts

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Chen Hua Ching, MRCP

Role: primary

+60-04-7496898

Abdul Halim Abdul Gafor, M.Med

Role: primary

+60-03-91456074

Ghazali Ahmad Kutty, M.Med

Role: primary

+60-03-26155380

Soo Kun Lim

Role: primary

+60-0379492497

Lily Mushahar, M.Med

Role: primary

+60 6-7684000

Mohd Ramli Seman, M.Med

Role: primary

+60-09-5572222

Loke Meng Ong

Role: primary

Anita Bhajan

Role: primary

Ong Loke Meng, FRCS

Role: primary

00 604 2225333 ext. 5767

Anita Bhajan

Role: primary

Anita Bhajan

Role: primary

+60-04-3827496

Anita Bhajan

Role: primary

Keng Hee Koh, MRCP(UK)

Role: primary

+60-85-420033

Hin Seng Wong, FRCP

Role: primary

+60-03-61367788

Bak Leong Goh, FRCP

Role: primary

+60-03-89475555

References

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Agarwal R. Epidemiology of interdialytic ambulatory hypertension and the role of volume excess. Am J Nephrol. 2011;34(4):381-90. doi: 10.1159/000331067. Epub 2011 Sep 2.

Reference Type BACKGROUND
PMID: 21893975 (View on PubMed)

Brennan JM, Ronan A, Goonewardena S, Blair JE, Hammes M, Shah D, Vasaiwala S, Kirkpatrick JN, Spencer KT. Handcarried ultrasound measurement of the inferior vena cava for assessment of intravascular volume status in the outpatient hemodialysis clinic. Clin J Am Soc Nephrol. 2006 Jul;1(4):749-53. doi: 10.2215/CJN.00310106. Epub 2006 May 24.

Reference Type BACKGROUND
PMID: 17699282 (View on PubMed)

Other Identifiers

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NMRR-14-950-20443

Identifier Type: -

Identifier Source: org_study_id

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