Effects of Intensified Sodium Management in Hemodialysis Patients
A Multi-center, Randomized, Controlled and Prospective Pilot Study on the Effects of Intensified Sodium Management on Hospitalization in Chronic Hemodialysis Patients.
1 other identifier
interventional
N/A
1 country
3
Brief Summary
The primary aim of this study is to investigate whether intensive sodium management by dietary sodium restriction and by preventing positive sodium balance during dialysis can be successfully applied in chronic hemodialysis patients. Secondary aims are to test if sodium restriction has positive effects on the frequency of hospital admissions, blood pressure, fluid overload, quality of life and residual renal function.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Nov 2009
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2009
CompletedFirst Submitted
Initial submission to the registry
November 17, 2009
CompletedFirst Posted
Study publicly available on registry
November 18, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2015
CompletedOctober 1, 2015
September 1, 2015
5.3 years
November 17, 2009
September 30, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
feasibility of intensive sodium management
12 months
Secondary Outcomes (1)
hospitalization
12 months
Study Arms (2)
intensive sodium management
EXPERIMENTALstandard care
NO INTERVENTIONInterventions
1. dietary sodium restriction 2. avoiding positive sodium balance during dialysis by: aligning dialysate sodium with plasma sodium, avoiding sodium profiling, and avoiding saline solutions to treat intradialytic symptoms
Eligibility Criteria
You may qualify if:
- Ambulatory, clinically stable maintenance hemodialysis patients on a thrice weekly HD regimen.
- 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.
You may not qualify if:
- 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.
- Pregnancy.
- Amputation of a limb.
- Pacemaker, implantable pump, artificial joint.
- Expectation that native kidney function will recover.
- Unable to verbally communicate in English or Spanish.
- Scheduled for living donor kidney transplant, change to peritoneal dialysis, home HD or plans to relocate to another center within the next 14 months.
- Life expectancy \< 15 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Irving Place Dialysis Center
New York, New York, 10003, United States
Upper Manhattan Dilaysis Center
New York, New York, 10025, United States
Yorkville Dialysis Center
New York, New York, 10128, United States
Related Publications (1)
McMahon EJ, Campbell KL, Bauer JD, Mudge DW, Kelly JT. Altered dietary salt intake for people with chronic kidney disease. Cochrane Database Syst Rev. 2021 Jun 24;6(6):CD010070. doi: 10.1002/14651858.CD010070.pub3.
PMID: 34164803DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Peter Kotanko, MD
Renal Research Institute
- STUDY DIRECTOR
Nathan W Levin, MD
Renal Research Institute
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 17, 2009
First Posted
November 18, 2009
Study Start
November 1, 2009
Primary Completion
February 1, 2015
Study Completion
February 1, 2015
Last Updated
October 1, 2015
Record last verified: 2015-09