NCT02378350

Brief Summary

This is a multicenter, randomized, open-label study to compare QoL in subjects with end-stage renal disease (ESRD) requiring PD or conventional in-center HD treatment. Primary Objective: The primary objective is to demonstrate non-inferiority of peritoneal dialysis (PD) treatment as compared to hemodialysis (HD) treatment after approximately 1 year of therapy using the Kidney Disease Quality of Life-Short Form (KDQoL-SF) questionnaire domain of burden of kidney disease. Secondary Objectives: The secondary objectives are to observe and summarize the following parameters in subjects receiving PD or HD treatment except for the remaining domains of QoL instrument KDQoL-SF™ (version 1.3) and the 2 individual QoL items scored as single items, which will be compared between the 2 treatment groups:

  • Mortality rates
  • Switch (PD to HD or HD to PD)
  • Transplantation rate
  • Cause of death
  • Dialysis adequacy (ie, urea clearance time normalized by total body water, which is the volume of distribution of urea \[Kt/V urea\] to determine the proportion of subjects meeting standards of care for dialysis adequacy).
  • 24-hour urine volume
  • Change in hemoglobin and S-phosphate levels, and the percentages of subjects with values within the target range
  • Change in serum albumin
  • Frequency of adverse events (AEs) and serious AEs (SAEs), including abnormal laboratory test findings with clinical significance

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
668

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Mar 2014

Longer than P75 for phase_4

Geographic Reach
1 country

21 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 26, 2014

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

February 10, 2015

Completed
22 days until next milestone

First Posted

Study publicly available on registry

March 4, 2015

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 18, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 18, 2017

Completed
Last Updated

March 13, 2025

Status Verified

March 1, 2025

Enrollment Period

3.5 years

First QC Date

February 10, 2015

Last Update Submit

March 11, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • 1 year of therapy using the Kidney Disease Quality of Life-Short Form (KDQoL-SF) questionnaire

    1 year

Secondary Outcomes (10)

  • Mortality rates

    1 year

  • Switch (PD to HD or HD to PD)

    1 year

  • Transplantation rate

    1 year

  • Cause of death

    1 year

  • Dialysis adequacy

    1 year

  • +5 more secondary outcomes

Study Arms (2)

ESRD patients receiving HD treatment

ACTIVE COMPARATOR

no investigational drug involved. Only observe therapy treatment

Device: Hemodialysis treatment (no specific device is defined)

ESRD patients receiving PD treatment

EXPERIMENTAL

no investigational drug involved. Only observe therapy treatment

Drug: Peritoneal Dialysis treatment (no specific drug is defined)

Interventions

ESRD patients receiving HD treatment
ESRD patients receiving PD treatment

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects or their legal representative who are able to understand and have voluntarily signed the informed consent form (ICF)
  • Male or female subjects aged 18 years or older at the time of randomization
  • Subjects diagnosed with ESRD (ie, an estimated glomerular filtration rate ≤15 mL/min/1.73 m2 body surface area) and who the Investigator anticipates will require maintenance dialysis therapy within 10 weeks after signing the ICF
  • Subjects who, as judged by the Investigator, are able to comprehend the standardized, predialysis education program and have completed this education prior to signing the ICF
  • Subjects or their legal representative who, as judged by the Investigator, are capable of being trained for home-based PD
  • Subjects who are able to adhere to the study visit schedule and other protocol requirements
  • Subjects who are able to come to HD clinics as required by the protocol
  • Subjects who, as judged by the Investigator, are expected to remain on dialysis for at least 48 weeks
  • Subjects who have normal liver function, as judged by the Investigator
  • Female subjects of childbearing potential must have negative serum or urine pregnancy test at Screening. Sexually active women of childbearing potential must agree to use adequate contraceptive methods, as judged by the Investigator, while in the study

You may not qualify if:

  • Subjects who are HIV positive
  • Subjects who have already received maintenance dialysis. Subjects are not excluded if a functional dialysis access is present ≤4 weeks before Screening for back-up purposes or for acute treatment of life-threatening uremic symptoms, electrolyte abnormalities or fluid overload
  • Subjects who have an active infection or other condition that the Investigator determines may jeopardize their ability to receive either modality of dialysis treatment or would preclude participation in the study
  • Subjects who report a history of illicit drug use or a regular or daily alcohol consumption of ≥4 alcoholic drinks per day in the 2 years before Screening
  • Subjects who have previously received renal transplantation and are currently prescribed immunosuppressive therapy
  • Subjects who are currently using any investigational drug
  • Subjects who are currently enrolled in other clinical studies
  • Subjects who are unwilling or unable to fully comply with the visits and assessments required by the protocol
  • Subjects who are not eligible for either PD or HD, as judged by the Investigator, due to:
  • Peritoneal dialysis: documented extensive intra-peritoneal adhesions or other conditions in which PD is contraindicated
  • Hemodialysis: severe cardiac instability or other conditions in which HD is contraindicated
  • Subjects who have a malignancy requiring chemotherapy or radiation therapy
  • Subjects undergoing temporary dialysis treatment between the Screening visit and Day 1 visit that is expected to exceed 6 weeks in duration
  • Subjects who have a life expectancy of \< 48 weeks

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (21)

The First Affiliated Hospital of Fujian Medical University

Fuzhou, Fujian, China

Location

Lanzhou University Second Hospital

Lanzhou, Gansu, China

Location

The First Affiliated Hospital , Sun Yet-Sen University

Guangzhou, Guangdong, 510080, China

Location

Guangzhou Panyu Central Hospital

Guangzhou, Guangdong, China

Location

The Third Hospital of Sun Yat-Sen University

Guangzhou, Guangdong, China

Location

The 2nd Shenzhen Municipal People's Hospital

Shenzhen, Guangdong, China

Location

Guizhou Province People's Hospital

Guiyang, Guizhou, China

Location

The Second Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

Location

Traditional Chinese Medicine Hospital of Wuhan

Wuhan, Hubei, China

Location

The Third Xiangya Hospital of Central South University

Changsha, Hunan, China

Location

The Second Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Location

Jiangxi province people's hospital

Nanchang, Jiangxi, China

Location

Nanchang First Affiliated Hospital

Nanchang, Jiangxi, China

Location

First Hospital of Affiliated of Dalian Medical University

Dalian, Liaoning, China

Location

General Hospital of Ningxia Medical University

Yingchuan, Ningxia, China

Location

Renji Hospital , Shanghai Jiaotong University , School of Medicine

Shanghai, Shanghai Municipality, 200127, China

Location

Shanghai 455 Hospital

Shanghai, Shanghai Municipality, China

Location

Shanghai Tenth People's Hospital

Shanghai, Shanghai Municipality, China

Location

Shanghai Xinhua Hospital

Shanghai, Shanghai Municipality, China

Location

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Location

The First Affiliated Hospital of Tianjin University of TCM

Tianjin, Tianjin Municipality, China

Location

Related Publications (1)

  • Ethier I, Hayat A, Pei J, Hawley CM, Johnson DW, Francis RS, Wong G, Craig JC, Viecelli AK, Htay H, Ng S, Leibowitz S, Cho Y. Peritoneal dialysis versus haemodialysis for people commencing dialysis. Cochrane Database Syst Rev. 2024 Jun 20;6(6):CD013800. doi: 10.1002/14651858.CD013800.pub2.

MeSH Terms

Conditions

Kidney Failure, Chronic

Condition Hierarchy (Ancestors)

Renal Insufficiency, ChronicRenal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 10, 2015

First Posted

March 4, 2015

Study Start

March 26, 2014

Primary Completion

September 18, 2017

Study Completion

September 18, 2017

Last Updated

March 13, 2025

Record last verified: 2025-03

Locations