Intensive Versus Regular Dosage For PD In AKI.

NCT ID: NCT03438877

Last Updated: 2021-12-08

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

NA

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-29

Study Completion Date

2019-12-26

Brief Summary

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This is a multicenter, pilot RCT study, aiming to compare intensive dosage and regular dosage of PD for AKI patients with indications for dialysis.

Aims of the study are to:

Examine the feasibility of the study, which aims to determine the efficacy and safety of intensive PD dose for AKI patients as compared to regular PD dose.

Establish the appropriate workflow for PD treatment for AKI patients.

Detailed Description

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The incidence of acute kidney injury (AKI) is rapidly increasing worldwide, which partly due to greater recognition of AKI, more exposure to various nephrotoxins and an ageing population with increased burden of non-infectious chronic disease. Intermittent hemodialysis (IHD) or continuous renal replacement therapy (CRRT) (i.e. venous-venous HD or hemofiltration) are the most-commonly modalities applied for acute kidney injury (AKI) patients in both developed and developing countries. By contrast, the use of peritoneal dialysis (PD) has been rare. There are no consensus on the ideal dosage and target of adequacy for PD in AKI. Therefore, we are to perform a multicenter, pilot RCT study, aiming to compare intensive dosage and regular dosage of PD for AKI patients with indications for dialysis. If successful, this strategy is expected to enhance the remedy rate of AKF patients, especially in developing regions/countries.

Conditions

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Peritoneal Dialysis Acute Kidney Injury

Keywords

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acute kidney injury peritoneal dialysis dosage

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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Intervention group

Intervention group is intensive dosage of PD.

Group Type EXPERIMENTAL

Intensive dosage of PD

Intervention Type PROCEDURE

Within the first month since PD initiates, PD prescription will be adjusted to achieve the minimum target of 3.5. It's anticipated to prescribe the dosage with automatic PD (APD) or manual PD as 24-36L/day of dialysate, 1.5-2L/exchange, and 16 cycles. Anyway, it depends on the characteristics of the patients, including residual renal function, peritoneal memberane properties. The Kt/V goal will be compromised by clinical assessment for the patient, which means PD will not induce additional treatment, such as fluid infusion.

Control group

Control group is regular dosage of PD.

Group Type ACTIVE_COMPARATOR

Regular dosage of PD

Intervention Type PROCEDURE

Within the first month since PD initiates, PD prescription will be adjusted to achieve the minimum target of 2.1. It's anticipated to prescribe the dosage with automatic PD (APD) or manual PD as 9-12L/day of dialysate, 1.5-2L/exchange, and 6 cycles. Anyway, it depends on the characteristics of the patients, including residual renal function, peritoneal memberane properties. The Kt/V goal will be compromised by clinical assessment for the patient, which means PD will not induce additional treatment, such as fluid infusion.

Interventions

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Intensive dosage of PD

Within the first month since PD initiates, PD prescription will be adjusted to achieve the minimum target of 3.5. It's anticipated to prescribe the dosage with automatic PD (APD) or manual PD as 24-36L/day of dialysate, 1.5-2L/exchange, and 16 cycles. Anyway, it depends on the characteristics of the patients, including residual renal function, peritoneal memberane properties. The Kt/V goal will be compromised by clinical assessment for the patient, which means PD will not induce additional treatment, such as fluid infusion.

Intervention Type PROCEDURE

Regular dosage of PD

Within the first month since PD initiates, PD prescription will be adjusted to achieve the minimum target of 2.1. It's anticipated to prescribe the dosage with automatic PD (APD) or manual PD as 9-12L/day of dialysate, 1.5-2L/exchange, and 6 cycles. Anyway, it depends on the characteristics of the patients, including residual renal function, peritoneal memberane properties. The Kt/V goal will be compromised by clinical assessment for the patient, which means PD will not induce additional treatment, such as fluid infusion.

Intervention Type PROCEDURE

Other Intervention Names

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intensive PD regular PD

Eligibility Criteria

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Inclusion Criteria

* Age older than 14 years;
* Be diagnosed as AKI according to KDIGO recommendation;
* Having indications for renal replacement therapy.

Exclusion Criteria

* Having contraindications to peritoneal dialysis;
* Functional azotemia;
* Hypercatabolic status;
* Previous CKD history (baseline eGFR\<60ml/min/1.73m2 or proteinuria);
* Psychological disorder or communication barrier;
* Pregnancy;
* Refusing to receive dialysis therapy.
* receiving mechanical ventilation.
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University First Hospital

OTHER

Sponsor Role lead

Responsible Party

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Dong Jie

Director of PD center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jie Dong, PhD

Role: PRINCIPAL_INVESTIGATOR

Peking Universiy First Hospital

Locations

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Renal Division and Institute of Nephrology, Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status

Cangzhou central hospital

Cangzhou, Hebei, China

Site Status

Nanyang City Center Hospital

Nanyang, Henan, China

Site Status

Pingdingshan People's Hospital No.1

Pingdingshan, Henan, China

Site Status

Minda Hospital of Hubei Minzu University

Enshi, Hubei, China

Site Status

Yichang Central People's Hospital

Yichang, Hubei, China

Site Status

The People's Hospital of Chuxiong Yi Autonomous Prefecture

Chuxiong, Yunnan, China

Site Status

Countries

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China

References

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Cullis B, Abdelraheem M, Abrahams G, Balbi A, Cruz DN, Frishberg Y, Koch V, McCulloch M, Numanoglu A, Nourse P, Pecoits-Filho R, Ponce D, Warady B, Yeates K, Finkelstein FO. Peritoneal dialysis for acute kidney injury. Perit Dial Int. 2014 Jul-Aug;34(5):494-517. doi: 10.3747/pdi.2013.00222. No abstract available.

Reference Type RESULT
PMID: 25074995 (View on PubMed)

Other Identifiers

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PDDOSE study

Identifier Type: -

Identifier Source: org_study_id