Kidney AI-enabled Care Transformation
研究概览
详细说明
The Advancing American Kidney Health (AAKH) initiative has the goal of an ambitious 25% reduction of ESRD incidence by 2030. There is a lack of successful integrated care programs to reach this goal. The CKD population is very heterogeneous, this explains the different risk of progression to ESRD in different patients. However, Guidelines (GLs) for the treatment of CKD patients address risk factors identified in the CKD population at large. Thus, all CKD patients at the same stage receive similar treatments no matter the specific risk of developing ESRD. Up to 5.9% of Europeans have CKD stages 3-5. Treating this huge number of patients would strain health systems from both the organizational and economical point of view. It is reasonable to think that dedicating a personalized management specifically to CKD patients at high risk of progression would be cost-effective.
GLs include behavioral (e.g. lifestyle, nutrition) as well as medical (e.g. drug therapy) interventions. Although patient's engagement and empowerment play a pivotal role in successful disease treatment, there is lack of evidence on practices to foster them in CKD patients.
Kidney ACTion is a program that supports nephrologists in predicting disease progression for CKD patients and developing multidisciplinary, personalized, evidence-based treatment and care plans. Patient engagement and empowerment is a fundamental part of the program.
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名：Alexander H Kirsch, MD
- 电话号码：12170 +43316385
- 邮箱：alexander.kirsch@medunigraz.at
研究联系人备份
- 姓名：Kathrin Eller, MD
- 电话号码：12170 +43316385
- 邮箱：kathrin.eller@medunigraz.at
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Male or female aged ≥18 years at the time of signing the informed consent
- Chronic kidney disease with eGFR <45 mL/min/1.73 m2 and UACR >300 mg/g creatinine (eGFR=estimated glomerular filtration rate; UACR=Urine Albumin-to-Creatinine Ratio)
- Patient is willing to comply with the study requirements for therapy during the entire study period
- Patient is capable of providing written informed consent to participate in the study
Exclusion Criteria:
- Patients with underlying renal disease likely to receive disease-specific therapy other than SoC (Standard of Care)
- Patient expected to require renal replacement therapy within less than one year from study inclusion
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器：Standard of care
CKD care, as routinely provided in the respective nephrology outpatient clinic.
|
护理标准
|
|
实验性的：Intervention
standard of care + Kidney ACTion AI-supported software for chronic kidney disease care.
|
AI-supported software for chronic kidney disease care
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Urinary Albumin to Creatinine Ratio (UACR)
大体时间：1 year after start of treatment
|
Urine Albumin (mg/dL) / Urine Creatinine (g/dL) = UACR in mg/g ≈ Albumin excretion in mg/day
|
1 year after start of treatment
|
合作者和调查者
合作者
调查人员
- 首席研究员：Alexander H Kirsch, MD、Medical University of Graz
研究记录日期
研究主要日期
学习开始 (预期的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.