UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004857
Receipt number R000005491
Scientific Title Prospective observational study on clinical effect of hemodialysis using electrolyzed water
Date of disclosure of the study information 2011/01/11
Last modified on 2017/07/26 13:26:34

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Basic information

Public title

Prospective observational study on clinical effect of hemodialysis using electrolyzed water

Acronym

Clinical effect of hemodialysis by electrolyzed water

Scientific Title

Prospective observational study on clinical effect of hemodialysis using electrolyzed water

Scientific Title:Acronym

Clinical effect of hemodialysis by electrolyzed water

Region

Japan


Condition

Condition

Patients on chronic hemodialysis

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The number of dialysis patients in Japan has exceeded more than 290 thousand at the end of 2009. While the patients prognosis has remained poor, with annual mortality 7 to 8%. Accumulating evidences have shown that apparatus of dialysis and impure water for dialysis have contributed to the development of chronic inflammation and enhanced oxidative stress, which are commonly observed in dialysis patients, and they are supposed to play a central role for excess death of dialysis patients. The present research group (Tohoku University and Nihon Trim Co.) developed a novel dialysis system employing water electrolysis, which renders anti-oxidative and inflammatory effects. The system is commercially available, and it has been distributed in Japan.
The present prospective observational study aims to examine the clinical effect of the system on the long-term outcomes of patients, as compared with the conventional system.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II,III


Assessment

Primary outcomes

Primary endpoints: all-cause of mortality and morbidities during the study period such as cardiac events (congestive heart failure, acute cardiac infarction, angina pectoris), stroke, infectious disease, and leg amputation due to arteriosclerosis obliterans

Key secondary outcomes

Secondary endpoints: the number of admissions, subjective assessments on general fatigue by dialysis, and blood parameters (hemoglobin, albumin, CRP)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Single blind -participants are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Device,equipment

Interventions/Control_1

Electrolyzed water hemodialysis group: hemodialysis (HD) treatment applying electrolyzed water for HD solution, HD performance; three times a week for 4-5 hours each session (Dialysate flow 500 ml/min), for up to 60 months.

Interventions/Control_2

Control hemodialysis group: HD treatment applying standard water for HD solution; HD performance , three times a week, 4-5 hours session each (dialysate flow; 500 ml/min), for
up to 60 months.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who are on hemodialysis using water electrolysis system, and those who are on conventional standard system as control, are selected. The control patients need to be matched to the patients on water electrolysis system.

Key exclusion criteria

The following cases are not included in the study; critically ill patients due to malignant disease or other comorbidities, under 20 years old, those who cannot give consent by their selves.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masaaki Nakayama

Organization

1)Tohoku University United Centers for Advanced Research and Translational Medicine Center for Advanced and Integrated Renal Science 2)Fukushima University School of Medicine

Division name

2)Department of Nephrology, Hypertension, Diabetology, Endocrinology, and Metabolism

Zip code


Address

1)1-1 Seiryo-cho, Aoba-ku, Sendai,Miyagi,980-8574, Japan 2)1 Hikarigaoka, Fukushima City, Fukushima, 960-1295 Japan

TEL

022-717-7393

Email

masaaki.nakayama.c1@tohoku.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shigeru Kabayama

Organization

Japanese society for EW-HD

Division name

Study secretariat of EW-HD

Zip code


Address

22nd Floor, Herbis Ent Office Tower, 2-2-22 Umeda Kita-ku, Osaka, 530-0001, Japan

TEL

06-6456-4633

Homepage URL


Email

info@ew-hd.org


Sponsor or person

Institute

TOHOKU University

Institute

Department

Personal name



Funding Source

Organization

NIHON TRIM CO., LTD.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2011 Year 01 Month 11 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

During the 3.28-year mean observation period, there were no differences in dialysis parameters between the two groups; however, post-dialysis hypertension was ameliorated with significant reductions in anti-hypertensive agents in the E-HD patients.
Multivariate analysis of the Cox proportional hazards model revealed E-HD as an independent significant factor for the primary endpoint after adjusting for confounding factors. HD applying an H2-dissolved HD solution could improve the prognosis of chronic HD patients.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 06 Month 20 Day

Date of IRB


Anticipated trial start date

2011 Year 01 Month 01 Day

Last follow-up date

2016 Year 12 Month 31 Day

Date of closure to data entry

2016 Year 12 Month 31 Day

Date trial data considered complete

2016 Year 12 Month 31 Day

Date analysis concluded

2017 Year 06 Month 01 Day


Other

Other related information



Management information

Registered date

2011 Year 01 Month 11 Day

Last modified on

2017 Year 07 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005491


Research Plan
Registered date File name
2017/07/26 Supplementary study protocol.pdf

Research case data specifications
Registered date File name

Research case data
Registered date File name