- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03754361
The Study of Efficacy and Safety of Automated PD in Urgent Start Dialysis (URG-APD)
October 7, 2019 updated by: Peking Union Medical College Hospital
The Study of Efficacy and Safety of Automated Peritoneal Dialysis in Urgent Start Dialysis as Compared With Intermittent Hemodialysis in ESRD Patients,a Multi-center, Non-blind and Controlled Clinical Trial
This is a multi-center, controlled clinical trial study.
The purpose of this study is to examine the efficacy and safety of automated peritoneal dialysis as compared with intermittent haemodialysis for ESRD patients with indications for urgent start dialysis.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Hemodialysis(HD) and peritoneal dialysis (PD) are both the main methods to treat with end-stage renal disease (ESRD) uremia patients.
The first 3-month mortality and hospitalization rate of new dialysis patient is much higher than that of regular dialysis's.
So it is very important to set up dialysis pathway and from inducing dialysis into regular dialysis smoothly.
But in the global 50-70%, more than 70% of the patients in China can not establish the dialysis pathway in advance according to the plan.
With the common, a temporary deep venous catheter would be used first, then the fistula established later, as the final transition for hemodialysis.
Urgent peritoneal dialysis can be established 24 hours after the establishment of permanent access dialysis, simply and easily, it can protect the residual kidney function; reduce treatment costs, hemodynamic stability, no anticoagulant is its unique advantages, At the same time, also avoid the temporary deep venous pathway prone to local bleeding, infection, venous thrombosis, central venous stenosis, direct impact on the future of the mature of fistula , or transplanted kidney vascular conditions.
Automatic peritoneal dialysis (APD) in the treatment of urgent dialysis patients can save more manpower and resources, and improve the efficiency of peritoneal dialysis.
The study on the efficacy and safety of urgent dialysis lacks the precisely designed multi-center, prospective and controlled clinical trial, and APD only induces 3 days, it is difficult to really reflect the safety and effectiveness of APD.
Therefore, it is of great practical significance to study the difference of safety, efficacy and cost-effectiveness between urgent PD and HD in a prospective, control and multicenter clinical trial.
206 ESRD uremia patients will involve in this multi-center, prospective and controlled clinical trial, the mode of urgent dialysis will choose by patient guided by nephrologist, the HD group will receive the standard traditional treatment: from induction HD to regular HD.
The PD group will receive the APD daily.
All patient will be monitor the physiological and biochemical marker for 14 day, and all adverse events and dead within 90days will collected to evaluated the safety, efficacy of the two urgent dialysis modes.
Study Type
Interventional
Enrollment (Anticipated)
206
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Haiyun Wang, MD
- Phone Number: +86-13671063539
- Email: wanghaiyun62926@126.com
Study Locations
-
-
Beijing
-
Beijing, Beijing, China, 100730
- Recruiting
- Peking Union Medical College Hospital
-
Contact:
- Haiyun Wang, MD
- Phone Number: +86-13671063539
- Email: wanghaiyun62926@126.com
-
Principal Investigator:
- Xuemei Li, MD, PhD
-
Sub-Investigator:
- Ying Wang, MD, PhD
-
Sub-Investigator:
- Haiyun Wang, MD, PhD
-
Sub-Investigator:
- Bingyan Liu, MD, PhD
-
Sub-Investigator:
- Zijuan Zhou, BN
-
Beijing, Beijing, China, 100029
- Recruiting
- Beijing Anzhen Hospital, Capital Medical University
-
Contact:
- Guoqin Wang, MD, PhD
- Phone Number: +86-13911282575
- Email: wangguoqin1@163.com
-
Contact:
- Yumeng Zhang, BN
- Phone Number: +86-13911992835
- Email: 791751665@qq.com
-
Principal Investigator:
- Hong Cheng, MD, PhD
-
Sub-Investigator:
- Guoqin Wang, MD, PhD
-
Sub-Investigator:
- Zhirui Zhao, MD
-
Sub-Investigator:
- Yu Wang, BN
-
Sub-Investigator:
- Yumeng Zhang, BN
-
Beijing, Beijing, China, 101149
- Recruiting
- Beijing Luhe Hospital affiliated to Capital Medical University
-
Contact:
- Zhongxin Li, master
- Phone Number: 13621211613
- Email: 13621211613@139.com
-
Contact:
- Chunxia Shi, master
- Phone Number: 18701377094
- Email: 422601904@qq.com
-
Principal Investigator:
- Zhongxin Li, master
-
Sub-Investigator:
- Chunxia Shi, master
-
Sub-Investigator:
- Yanan Shi, bachelor
-
Sub-Investigator:
- Conghui Liu, master
-
Sub-Investigator:
- Qianying Cao, master
-
-
Liaoning
-
Shenyang, Liaoning, China, 110001
- Recruiting
- The First Hospital of China Medical University
-
Contact:
- Li Yao, MD, PhD
- Phone Number: +86-13904035673
- Email: liyao_cmu@163.com
-
Sub-Investigator:
- Da Sun, MD, MM
-
Sub-Investigator:
- Wei Wu, BN
-
Sub-Investigator:
- Xiaoming Zhao, BN
-
Sub-Investigator:
- Yanan Sun, BN
-
-
Zhejiang
-
Ningbo, Zhejiang, China, 315000
- Recruiting
- Ningbo No.2 Hospital
-
Contact:
- Kaiyue Wang, master
- Phone Number: 18867861568
- Email: nbwky1716@163.com
-
Contact:
- Kedan Cai, bachelor
- Phone Number: 15857415082
- Email: caikedan_1983@126.com
-
Principal Investigator:
- Qun Luo, master
-
Sub-Investigator:
- Junfu Xu, bachelor
-
Sub-Investigator:
- Fangfang Zhou, master
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- CKD(chronic kidney disease)-5 stage patient whose eGFR(CKD-EPI(chronic kidney disease-epidemiology collaboration))<15 ml/min/1.73m2,occured uremic symptoms or volume overload need of renal replacement therapy(RRT) within 14 days .
- Prolonged RRT access is not available.
- No dialysis treatment was given within 1 months.
- The vital signs are stable and tolerable in peritoneal dialysis catheterization or central venous catheterization.
- Able to understand the whole process of the trial, voluntarily participate in and sign informed consent.
Exclusion Criteria:
- Maintenance RRT alraedy.
- Serious metabolic disorders ( hyperkalemia and acidosis) cause significant changes in electrocardiogram or other emergency indications to RRT within 24 hours.
- Hypertensive emergencies(diastolic blood pressure>130mmHg)
- Severe respiratory, circulatory or hepatic failure requires instrumental support or vasoactive drugs to maintain vital signs.
- High catabolic state eg. severe inflammation or trauma
- Absolute contraindication of peritoneal dialysis such as recent abdominal surgery (<1month), multiple abdominal surgeries.
- Absolute contraindication for hemodialysis such as hemodynamic instability (systolic blood pressure <80mmHg).
- Pregnant.
- Expected to survive for less than 1 years.
- Plan for kidney transplantation within 3 months.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: APD group
Subjects will receive PD catheter placement and subsequent automated peritoneal dialysis treatment
|
peritoneal dialysis administered by a cycler
|
ACTIVE_COMPARATOR: IHD group
Subjects will receive un-tunneled hemodialysis catheter placement and subsequent hemodialysis treatment 3-4 times per week,2-4 hours each time.
|
HD 4hour 2-3times per week
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
infective morbidity
Time Frame: At 14 days after the initiation of dialysis
|
peritonitis (APD), Bacteremia and catheter-related infections (APD and IHD)
|
At 14 days after the initiation of dialysis
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mechanical complications morbidity
Time Frame: At 14 and 90 days after the initiation of dialysis
|
catheter leakage and migration (APD), catheter obstruction (IHD), Exit site bleeding, pneumothorax, hernia
|
At 14 and 90 days after the initiation of dialysis
|
dialysis related mortality
Time Frame: At 14 and 90 days after the initiation of dialysis
|
catheter-related:Sepsis, severe thromboembolic events (massive cerebral infarction, pulmonary embolism), arrhythmia (ventricular tachycardia, ventricular fibrillation),bleeding, Congestive heart failure and ischemic heart disease
|
At 14 and 90 days after the initiation of dialysis
|
infective morbidity
Time Frame: At 90 days after the initiation of dialysis
|
peritonitis (APD), Bacteremia and catheter-related infections (APD and IHD)
|
At 90 days after the initiation of dialysis
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Limeng Chen, MD, Division of Nephrology, Peking Union Medical College Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
January 1, 2019
Primary Completion (ANTICIPATED)
December 31, 2022
Study Completion (ANTICIPATED)
February 28, 2023
Study Registration Dates
First Submitted
November 15, 2018
First Submitted That Met QC Criteria
November 26, 2018
First Posted (ACTUAL)
November 27, 2018
Study Record Updates
Last Update Posted (ACTUAL)
October 9, 2019
Last Update Submitted That Met QC Criteria
October 7, 2019
Last Verified
September 1, 2019
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- URG-APD
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
To comply with laws in China, local regulations and hospital policy, IPD sharing might be restricted
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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