- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03100188
Designer Dialysis Peritoneal Dialysis
Designer Dialysis: Designing a Peritoneal Dialysis Prescription That Fits a Patient's Lifestyle
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Patient's currently on peritoneal dialysis at our program can be considered for this study. In order to be enrolled, patients patient's must have significant residual renal function defined as a renal Kt/V >1.0. These patients will then be consented, and if agreeable, the participant's dialysis prescriptions will be modified to decrease their peritoneal dialysis. For patients on continuous ambulatory peritoneal dialysis (CAPD), this may mean less exchanges in a 24 hour period, or less exchanges over the course of the week (does not need to perform exchanges every day). Patients who are continuous cycler peritoneal dialysis (CCPD) will be modified to shorter cycler times, or also less cycles during the course of the week (does not need cycler therapy every day).
Patients will need to continue achieving adequate weekly total Kt/V of greater than or equal to 1.7 as per national recommendations and the clinical guidelines within our unit. This is calculated using the residual renal (RR) Kt/v and the PD Kt/V. Patients will also perform monthly 24 hour urine collections for urinary volume, creatinine clearance, and urea clearance. Adequacy is typically measured every 3 months based on our internal lab requirements, but patients will need to perform adequacy measurements any time their prescription is changed. The investigators will measure monthly labs per routine including albumin, parathyroid hormone (PTH), serum phosphorus, and hemoglobin.
The investigators hypothesize that patients will have a better quality of life (QoL) while on a modified dialysis prescription with less exchanges or less cycler time as assessed by the kidney disease quality of life (KDQOL-36) survey tool. The investigators believe that patients with higher levels of residual renal function (≥ 2 mL/min) can perform fewer peritoneal dialysis exchanges while still achieving and maintaining adequate clearance of solute and appropriate volume removal. The investigators also believe that by maximizing the use of the residual renal function, the investigators can adjust the peritoneal dialysis prescription by decreasing the numbers of manual exchanges per day, decreasing cycler time, or possibly decreasing the number of days of dialysis each week. With the benefit of less dialysis time or exchanges per day, the investigators believe patients will have a decreased "burnout" rate by allowing them to have a better QoL and not feel burdened by the dialysis therapy.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- patients on either CAPD or CCPD and had both residual renal (RR) Kt/V ≥ 1.0 and total Kt/V values ≥ 1.7.
Exclusion Criteria:
- patients who did not meet the values of RR Kt/V and total Kt/V specified above
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: modified PD
Patients with residual renal kt/v were placed in intervention group
|
For patients on CAPD, fewer daily exchanges or fewer total weekly exchanges are prescribed.
Patients on CCPD are prescribed shorter cycler time or fewer total cycles during the week.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change in quality of life
Time Frame: at the time of enrollment and again after 12 months
|
change in survey results of modified KDQOL 36 survey
|
at the time of enrollment and again after 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change in residual renal kt/v
Time Frame: 30 days after enrollment, and then every 3 months for a total of 12 months after enrollment.
|
change in RR kt/v
|
30 days after enrollment, and then every 3 months for a total of 12 months after enrollment.
|
change in PD Kt/V
Time Frame: 30 days after enrollment, and then every 3 months for a total of 12 months after enrollment.
|
change in PD Kt/V
|
30 days after enrollment, and then every 3 months for a total of 12 months after enrollment.
|
change in total kt/v
Time Frame: 30 days after enrollment, and then every 3 months for a total of 12 months after enrollment.
|
change in total kt/v; this is calculated by adding RR kt/v and PD kt/v
|
30 days after enrollment, and then every 3 months for a total of 12 months after enrollment.
|
change in serum albumin
Time Frame: monthly for 12 months after enrollment
|
change in serum albumin level
|
monthly for 12 months after enrollment
|
change in 24 hour urine output
Time Frame: monthly for 12 months after enrollment
|
change in 24 hour urine output
|
monthly for 12 months after enrollment
|
Collaborators and Investigators
Investigators
- Principal Investigator: Mihran Naljayan, MD, LSU School of Medicine
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- IRB#9421
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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