Hydratation Status at Initiation of Peritoneal Dialysis: Study of the Role of Peritoneal Permeability

NCT ID: NCT03322410

Last Updated: 2017-10-26

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-01

Study Completion Date

2020-11-01

Brief Summary

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Bioimpedance is recently known to be a reliable, reproducible and validated technic allowing determination of hydratation status in patients with chronic kidney disease treated with peritoneal dialysis (PD). Overhydratation attested by bioimpedance is strongly associated with cardio-vascular morbidity and mortality in patients with PD. Overhydratation might concern more than half of patients at PD initiation, though the underlying mechanism remains unknown.

High peritoneal permeability (HPP) might concern about a third of patients starting a PD, although only a few datas are published on this condition. HPP at initiation of PD is associated with a decrease in both technical and patient survival and might be responsible of ultrafiltration failure. The underlying mechanisms of HPP at initiation of PD also remains unknown.

To our knowledge, the correlation between hydratation status and peritoneal permeability at initiation of peritoneal dialysis remains unknown. Moreover, there is no datas concerning the cinetic evolution of peritoneal permeability; demographic or biologic factors associated with HPP in days and months following PD start.

The aim of the present study is to correlate hydratation status (attested by bioimpedance) and peritoneal permeability at early start of peritoneal dialysis. Thus, we investigated early cinetic of peritoneal permeability at different time point during the first year of peritoneal dialysis and we analyzed the demographical and biological factors associated with HPP and overhydratation during this period.

This study is a prospective, multicentric cohort study. Fourty patients recruited in a two years' period in five centers of nephrology will be included. Hydratation status will be determined with Fluid Overload measurement by bioimpedance technic thanks to BCM system (Fresenius Medical CareĀ®). Peritoneal permeability will be determined by modified Peritoneal Equilibration Test with complete drainage at sixty minutes. Datas will prospectively be collected, including: weight, blood pressure, diuretic posology, diuresis, PD modality, dialysate prescribed.

Detailed Description

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Conditions

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Fluid Overload Peritoneal Hyperpermeability Peritoneal Dialysis Chronic Kidney Disease

Keywords

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Fluid overload Hydratation statud Peritoneal hypepermeability Peritoneal dialysis Impedancemetry

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Patients

Group Type EXPERIMENTAL

modified Peritoneal Equilibration test

Intervention Type BIOLOGICAL

Peritoneal permeability status determined by modified Peritoneal Equilibration test with complete drainage at 60 minutes as described for Twardowsky

* " High ": D/P creatinine\>0,8; D/D0 glucose\<0,25
* " High average ": 0,65\< D/P creatinine \<0,8; 0,25\< D/D0 glucose \<0,38
* " Low average ": 0,5\< D/P creatinine \<0,65; 0,39\< D/D0 glucose \< 0,48
* " Low " : D/P creatinine\<0,5 ; D/D0 glucose\>0,49.

Interventions

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modified Peritoneal Equilibration test

Peritoneal permeability status determined by modified Peritoneal Equilibration test with complete drainage at 60 minutes as described for Twardowsky

* " High ": D/P creatinine\>0,8; D/D0 glucose\<0,25
* " High average ": 0,65\< D/P creatinine \<0,8; 0,25\< D/D0 glucose \<0,38
* " Low average ": 0,5\< D/P creatinine \<0,65; 0,39\< D/D0 glucose \< 0,48
* " Low " : D/P creatinine\<0,5 ; D/D0 glucose\>0,49.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* End stage chronic kidney disease
* Ambulatory
* Starting a peritoneal dialysis in one of the participant centers
* Accepting the study protocol
* Age \> 18yo

Exclusion Criteria

* Age \<18yo
* Protected by the law
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CHU de Reims

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Damien JOLLY

Reims, , France

Site Status

Countries

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France

Central Contacts

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Fatouma TOURE

Role: CONTACT

Phone: 0326787638

Email: [email protected]

Vincent DUPONT

Role: CONTACT

Email: [email protected]

Facility Contacts

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Fatouma TOURE

Role: primary

Other Identifiers

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PA17003

Identifier Type: -

Identifier Source: org_study_id