NCT02494843

Brief Summary

The purpose of this study is to characterise, in detail, the cardiac structure, function and perfusion of those on haemodialysis and haemodiafiltration, comparing the two modalities to ascertain if haemodiafiltration provides relative myocardial protection compared to conventional haemodialysis.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
12

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Nov 2014

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

November 1, 2014

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2015

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

July 7, 2015

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 10, 2015

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2015

Completed
Last Updated

April 30, 2020

Status Verified

April 1, 2020

Enrollment Period

4 months

First QC Date

July 7, 2015

Last Update Submit

April 29, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • The change in global cardiac perfusion (ml/min/100g) between conventional HD and HDF

    2 week

Secondary Outcomes (4)

  • The change in segmental cardiac perfusion during conventional HD and HDF

    2 week

  • The change in global and segmental cardiac function as measured by phase-contrast MRI

    2 week

  • Serum markers of cardiac damage, renal, liver function, clotting, full blood count

    2 weeks

  • Reported tolerability of cardiac MRI scanning whilst having dialysis

    On 2 MRI study days

Study Arms (2)

Online haemodiafiltration

ACTIVE COMPARATOR
Other: online HemodiafiltrationOther: Hemodialysis

Haemodialysis

ACTIVE COMPARATOR
Other: online HemodiafiltrationOther: Hemodialysis

Interventions

Effects of high efficiency online hemodiafiltration on cardiac structure, function and myocardial perfusion were compared with standard haemodialysis.

Also known as: Hemodiafiltration
HaemodialysisOnline haemodiafiltration

Effects of high efficiency online hemodiafiltration on cardiac structure, function and myocardial perfusion were compared with standard haemodialysis.

Also known as: Haemodialysis
HaemodialysisOnline haemodiafiltration

Eligibility Criteria

Age18 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-75 years
  • Able to give informed consent
  • CKD5 on chronic haemodialysis
  • Receiving dialysis via an arteriovenous fistula
  • Must be able to follow simple instruction in English (on safety grounds for MRI scans)

You may not qualify if:

  • Change in ideal dry weight in 4 weeks prior to recruitment
  • Instability on dialysis in 4 weeks prior to recruitment leading to either:
  • Emergency medical attention
  • Infusion of additional fluid
  • Loss in consciousness
  • Arrhythmia
  • Chest pain
  • Dialysed via a synthetic line or graft
  • Qa \< 500ml/min
  • NYHA Stage IV heart failure
  • Active infection or malignancy
  • Contraindication to MRI scanning including claustrophobia
  • Mental incapacity to consent
  • Pregnancy or planning pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

HemodiafiltrationRenal DialysisDialysis

Intervention Hierarchy (Ancestors)

Renal Replacement TherapyTherapeuticsSorption DetoxificationHemofiltrationExtracorporeal CirculationSurgical Procedures, OperativeChemistry Techniques, AnalyticalInvestigative TechniquesChemical Phenomena

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 7, 2015

First Posted

July 10, 2015

Study Start

November 1, 2014

Primary Completion

March 1, 2015

Study Completion

December 31, 2015

Last Updated

April 30, 2020

Record last verified: 2020-04