Evaluation of Daily Hemodialysis With Low Dialysate Flux in Unscheduled Patients With Kidney Injury Admitted to Hemodialysis (EQUODIA)
The objective of the EQUODIA study is to evaluate the hemodynamic stability of hemodialysis with low dialysate flow in patients requiring emergency hemodialysis in the context of acute kidney injury or unscheduled end-stage renal disease, not in intensive care, compared to conventional triweekly high-flow hemodialysis.
Short daily hemodialysis has excellent hemodynamic tolerance, which has already been confirmed by clinical experience. This modality, commonly used in the patient's home through new machines allowing a low dialysate flow purification technique, can prove to be an innovative, effective and safe alternative for patients admitted for hemodialysis in an unscheduled situation (acute kidney injury, unscheduled end-stage renal disease not followed).
Up to now, no studies have evaluated the use of short daily hemodialysis with low dialysate flow in patients with acute kidney injury or unscheduled end-stage renal disease, requiring the initiation of emergency extra-renal purification.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
La Roche-sur-Yon, France, 85925
- Centre Hospitalier Départemental Vendée
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or Female 18 years of age or older
- Patient requiring unscheduled hemodialysis for end-stage renal disease or acute kidney injury
- Patient able to understand the protocol
- Patient who has agreed to participate in the study and has given express oral consent
- Patient affiliated to a social security system
Exclusion Criteria:
- Patient with more than one dialysis session
- Intensive care patient (need for vasoactive amine infusion, non-invasive ventilation, assisted ventilation)
- Patient participating in interventional clinical research involving a drug/medical device
- Patient under guardianship, curator, deprived of liberty
- Pregnant or breastfeeding patient, or with the ability to procreate without effective contraception
- Patient refusing to participate
- Patient unable to understand the protocol and/or give express oral consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Hemodialysis with low dialysate flow
|
Hemodialysis with low dialysate flow
|
|
Active Comparator: Conventional triweekly high-flow hemodialysis
|
Conventional triweekly high-flow hemodialysis
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of hypotension episodes
Time Frame: During the first two weeks of dialysis
|
Decrease of ≥ 20 mmHg systolic blood pressure in regard to pre-dialysis value, associated with symptoms such as abdominal pain, yawn, nausea, vomiting, cramps, anxiety, dizziness, malaise and/or loss of consciousness
|
During the first two weeks of dialysis
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Natalia TARGET, PH, CHD Vendée de la Roche sur Yon
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Kidney Diseases
- Urologic Diseases
- Disease Attributes
- Renal Insufficiency, Chronic
- Chronic Disease
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Wounds and Injuries
- Kidney Failure, Chronic
- Renal Insufficiency
- Acute Kidney Injury
- Pharmaceutical Solutions
- Dialysis Solutions
Other Study ID Numbers
Other Study ID Numbers
- CHD039-19
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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