- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04319185
Assisted Peritoneal Dialysis: A Feasibility Study
Patients with End-Stage Kidney Disease (ESKD) wishing to choose Peritoneal Dialysis (PD) may not be able to perform this modality due to advanced age, physical function/dexterity, vision, cognition, mobility, or psychosocial issues. This intervention will seek to test the feasibility of a clinical support model to address these barriers.
Patients identified by their nephrologist as wishing to choose Peritoneal Dialysis (PD), but needing assistance, are referred to the research staff for discussion and consent.
Based on the assessment of the subject's nephrologist, PD staff, and researchers, the subject will receive assistance beyond the standard PD care offered in US dialysis centers. Such assistance will be provided for up to one visit/day, seven days/week, for up to three months. At the end of that time period, the subject will be able to perform PD independently, have identified a care provider, or have planned with his/her nephrologist for an alternative dialysis modality.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
A patient identified by his/her nephrologist or the WellBound dialysis staff as a candidate for Peritoneal Dialysis (PD) who meets the inclusion criteria will be referred to the research staff for a discussion of the study and consent. A referral to this program can come from any physician referring to participating centers.
- Each subject consented into the study receives the standard of care education and training for home PD, in addition to the usual insertion of a PD catheter.
- The subject is then transferred to home PD with an individualized assistance plan and research follow-up.
- The subject receives the assistance of up to one visit per day depending on the subject's needs, as assessed by the interdisciplinary team, the nephrologist, and the primary investigator or delegate.
- The assistance will be provided by a research associate who has undergone full training in the PD techniques required to assist the PD subject at home.
- Every 4 weeks the PI or delegate reviews the subject's progress with the nephrologist and nephrology nurse to assess further assistance needs.
- Total assistance of up to 3 months is provided after which the subject is either independent, has a care provider, or has developed a plan with his/her nephrologist for future dialysis care.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Paul N Bennett, Ph.D.
- Phone Number: 650-521-2213
- Email: bennettp@satellitehealth.com
Study Contact Backup
- Name: Veronica Legg, MS
- Phone Number: 650-404-3736
- Email: leggv@satellitehealth.com
Study Locations
-
-
California
-
Emeryville, California, United States, 94608
- Recruiting
- Satellite WellBound Emeryville
-
Fremont, California, United States, 94538
- Recruiting
- Satellite WellBound Fremont
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Milpitas, California, United States, 95035
- Recruiting
- Satellite WellBound Milpitas
-
Mountain View, California, United States, 94040
- Recruiting
- Satellite WellBound Mountain View
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San Jose, California, United States, 95125
- Recruiting
- Satellite WellBound San Jose
-
San Mateo, California, United States, 94403
- Recruiting
- Satellite WellBound San Mateo
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Peritoneal Dialysis (PD) patients identified as needing staff-assistance:
Incident peritoneal dialysis patients from participating centers identified by referring nephrologists or PD staff to need the service.
OR
- Prevalent PD patients who experience a change in status, making them in need of the service.
Criteria for needing assistance: The patient has one of the following criteria that prevents him or her from an independent PD program as assessed by their nephrologist, and nephrology nurse: advanced age, physical function/dexterity, vision, cognition, mobility, psychosocial issues or other.
Exclusion Criteria:
- Age less than 18 years
- Unable to understand English (because of the need to complete the consent form and survey instruments which are available only in English).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: OTHER
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Intervention
All patients who qualify for the study will receive the intervention
|
The patient receives assistance of up to one visit per day for three months depending on the patient's needs, as assessed by the interdisciplinary team, the nephrologist, and the primary investigator or delegate.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To explore the feasibility of an assisted PD program by assessing the need.
Time Frame: Throughout the study, an average of two years
|
Number and proportion of patients needing the service (out of total new starts of PD).
|
Throughout the study, an average of two years
|
To explore the feasibility of an assisted PD program by assessing the types of need.
Time Frame: Throughout the study, an average of two years
|
Categorize types of assisted tasks and length of assistance needed by participants in the program.
|
Throughout the study, an average of two years
|
To explore the feasibility of an assisted PD program by assessing acceptance.
Time Frame: Throughout the study, an average of two years
|
Measure the number and rate of patients recruited.
|
Throughout the study, an average of two years
|
To explore the feasibility of an assisted PD program by measuring adherence.
Time Frame: Throughout the study, an average of two years
|
Measure the number and rate of participants' adherence to and completion of the program.
|
Throughout the study, an average of two years
|
To explore the feasibility of an assisted PD program by assessing the outcome of participant Peritoneal Dialysis independence.
Time Frame: Throughout the study, average of two years
|
Measure the number of patients able to independently continue Peritoneal Dialysis out of all patients referred to the program.
|
Throughout the study, average of two years
|
To explore the feasibility of an assisted PD program by assessing any and all adverse events.
Time Frame: Throughout the study, average of two years
|
Collect all adverse events during the study.
|
Throughout the study, average of two years
|
To explore the feasibility of an assisted PD program by measuring the effect on the program on the participant's ability to maintain PD as the treatment modality.
Time Frame: At 1, 2, 3, 6, and 12 months
|
Change in the number of patients who remain on Peritoneal dialysis after assistance as reflected in the dialysis unit records from 1 month to 12 months.
|
At 1, 2, 3, 6, and 12 months
|
To provide data to estimate the personnel costs of a US assisted PD program.
Time Frame: Aggregated from the start to end of the study (estimated as two years)
|
Measurement of the time and, thus, costs of personnel to conduct the assisted PD program.
|
Aggregated from the start to end of the study (estimated as two years)
|
To provide data to estimate the resources costs of a US assisted PD program.
Time Frame: Aggregated from the start to end of the study (estimated as two years)
|
Measurement of all non-personal costs to complete the study.
|
Aggregated from the start to end of the study (estimated as two years)
|
To identify the demographics of the population in need of assisted PD support.
Time Frame: On referral into the study.
|
Assessment of the baseline demographics of the patient as routinely collected in the dialysis record.
|
On referral into the study.
|
To identify the medical history of the population in need of assisted PD support.
Time Frame: Day one on the study
|
Assessment of the medical history of the patient as routinely collected in the dialysis record.
|
Day one on the study
|
To identify the frailty level of the population in need of assisted PD support.
Time Frame: Change from day 1 of home dialysis to 3 months (end of the intervention) .
|
Measured by the clinical frailty scale.
This ranges from 1 (very fit) to 9 (terminally ill).
|
Change from day 1 of home dialysis to 3 months (end of the intervention) .
|
To identify the patient activation level of the population in need of assisted PD support.
Time Frame: Change from month 1 through month 3 (end of the intervention).
|
Measured by the Patient Activation Measure: PAM-13 survey.
This is a 100 point scale with lower scores designating an individual with less ability to manage his/her health and healthcare.
|
Change from month 1 through month 3 (end of the intervention).
|
To identify the patient symptom level of the population in need of assisted PD support.
Time Frame: Change from week 1 to month 3 (end of study).
|
Measured by the Renal Patient Outcome Scale: IPOS-Renal survey which is composed of 11 questions on renal symptoms and patient issues with higher scores indicating greater distress.
|
Change from week 1 to month 3 (end of study).
|
To identify the patient satisfaction with an assisted PD program.
Time Frame: Change from 1 month to the end of the patient's participation in the study (up to 1 year).
|
Measured by a simple LIkert Patient Satisfaction Scale ranging from 1 - 5 with higher results indicating greater satisfaction.
|
Change from 1 month to the end of the patient's participation in the study (up to 1 year).
|
To identify the staff's satisfaction with an assisted PD program.
Time Frame: One time at the end of the program (approximately two years).
|
Assessed by open ended questions at a staff focus group.
|
One time at the end of the program (approximately two years).
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- SIH123_Assisted PD
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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