Bisacodyl Oral for Lowering Dysfunction (of Tenckhoff Catheter)
BOLD
Multi-Centre Pragmatic Randomized Controlled Trial of Bowel Preparation Before Peritoneal Dialysis Catheter Insertion
1 other identifier
interventional
398
1 country
6
Brief Summary
Doctors need to insert catheter for patients who are going to have peritoneal dialysis. These peritoneal catheters can be obstructed or blocked afterward. The chance of not having smooth flow can be up to 12 and 31%. So far, constipation is one of the proposed reasons. Therefore, the study is aimed to investigate whether the preventive use of laxative before the surgery can help better improve the function of the catheter and hence better flow.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Jan 2026
6 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
First Submitted
Initial submission to the registry
January 1, 2026
CompletedStudy Start
First participant enrolled
January 12, 2026
CompletedFirst Posted
Study publicly available on registry
January 20, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 30, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2027
January 21, 2026
January 1, 2026
1.6 years
January 1, 2026
January 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Catheter dysfunction
Primary outcome is the incidence of catheter dysfunction that requires simple and invasive manipulation by fluoroscopic or surgical procedure. Catheter dysfunction refers to drainage failure, as defined by the inability to drain peritoneal dialysate effluent reliably within 45 minutes. Simple intervention includes use of irrigation of catheter with saline, fibrinolytic agent such as urokinase and extra laxative use. Invasive manipulation of catheter includes repositioning or reinsertion, either by fluoroscopic method, open surgical or laparoscopic method.
within 4 weeks of catheter insertion
Secondary Outcomes (3)
Catheter dysfunction and survival
3 months after catheter insertion for early peritonitis
The incidence of early peritonitis (within 3 months of catheter insertion)
3 months after catheter insertion
The peritoneal catheter survival
3 months after catheter insertion
Study Arms (2)
Bowel preparation
ACTIVE COMPARATORoral bisacodyl
Usual care
NO INTERVENTIONusual care for catheter insertion
Interventions
In the intervention arm, the protocol of prophylactic laxative is administration of oral enteric coated bisacodyl 5 mg at bedtime for two consecutive days prior to Tenckhoff catheter insertion. In the control arm, patients will receive usual care, and are allowed to continue their usual laxative, without extra prescription.
Eligibility Criteria
You may qualify if:
- aged 18 or older and need of peritoneal dialysis
- willingness to give written consent and comply with the study protocol
You may not qualify if:
- known contraindication to peritoneal dialysis
- ongoing diarrhoea or active inflammatory bowel disease
- participation in another interventional study within last 30 days of randomization
- history of a psychological illness or condition that would interfere with the patient's ability to understand the requirement of the study and/or comply with the dialysis procedures
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (6)
Princess Margaret Hospital
Kwai Chung, Kowloon, SAR, Hong Kong
Caritas Medical Centre
Sham Shui Po, Kowloon, SAR, Hong Kong
Prince of Wales Hospital
Shatin, NT, SAR, Hong Kong
Tseung Kwan O Hospital
Tseung Kwan O, NT, SAR, Hong Kong
Queen Elizabeth Hospital
Yau Ma Tei, NT, SAR, Hong Kong
Prince of Wales Hospital
Shatin, Hong Kong
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr
Study Record Dates
First Submitted
January 1, 2026
First Posted
January 20, 2026
Study Start
January 12, 2026
Primary Completion (Estimated)
August 30, 2027
Study Completion (Estimated)
September 30, 2027
Last Updated
January 21, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share
Confidentiality