UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000013816
Receipt number R000016116
Scientific Title Intradialytic hypotension prevention by intermittent infusion HDF
Date of disclosure of the study information 2014/04/30
Last modified on 2016/05/01 22:36:00

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Basic information

Public title

Intradialytic hypotension prevention by intermittent infusion HDF

Acronym

III study

Scientific Title

Intradialytic hypotension prevention by intermittent infusion HDF

Scientific Title:Acronym

III study

Region

Japan


Condition

Condition

Chronic Kidney Failure

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We accumulate I-HDF cases with various IDH (intradyalytic hypotension) and inspect usefulness of the I-HDF therapy by comparing patient's clinical background.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The change of blood pressure during hemodialysis (including frequency of measures for hypotension)

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

# On hemodialysis thrice weekly.
# Frequent intradialytic hypotension episodes (systolic blood pressure drop greater than 20mmHg during HD, or intradialytic hypotensive episode that needs any treatment)

Key exclusion criteria

# Cardiovascular or cerebrovascular event in the last 3 month.
# Obvious inflammatory diseases.
# Obvious and active infective diseases
# Systolic blood pressure rise over 150mmHg during HD.
# On dialyser with membrane area of greater than 2.2 square-meter, or less than 0.8 square-meter.
# On combination therapy with adsorptive device (e.g. Lixcel)

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yutaka Koda

Organization

Koda Medical and Dialysis Clinic

Division name

Department of Internal Medicine

Zip code


Address

3748 Yoshida, Tsubame city, Niigata, JAPAN

TEL

0256-92-0001

Email

ykodan@gmail.com


Public contact

Name of contact person

1st name
Middle name
Last name Yutaka Koda

Organization

Koda Medical and Dialysis Clinic

Division name

Department of Internal Medicine

Zip code


Address

3748 Yoshida, Tsubame city, Niigata, JAPAN

TEL

0256-92-0001

Homepage URL


Email

ykodan@gmail.com


Sponsor or person

Institute

Koda Medical and Dialysis Clinic

Institute

Department

Personal name



Funding Source

Organization

Toray Industries, Inc.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



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

甲田内科クリニック(新潟県)
中川内科クリニック(栃木県)
岩淵クリニック(栃木県)
行田総合病院(埼玉県)
久喜総合病院(埼玉県)
小川病院(埼玉県)
柏崎総合医療センター(新潟県)
新潟臨港病院(新潟県)


Other administrative information

Date of disclosure of the study information

2014 Year 04 Month 30 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://link.springer.com/article/10.1007/s10157-016-1270-z

Number of participants that the trial has enrolled


Results

Sixty eight patients completed the study. Nine were dropouts. During I-HDF, interventions for symptomatic hypotension were reduced significantly from 4.5 to 3.0 (per person-month, median) and intradialytic systolic blood pressure was 4 mmHg higher on average. The heart rate was lower during I-HDF than HD in the later session. I-HDF could reduce interventions for IDH. It is accompanied with the increased intradialytic blood pressure and the less tachycardia, suggesting less sympathetic stimulation occurs. Thus, I-HDF could be beneficial for some hypotension-prone 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

2014 Year 04 Month 22 Day

Date of IRB


Anticipated trial start date

2014 Year 05 Month 01 Day

Last follow-up date

2014 Year 12 Month 31 Day

Date of closure to data entry

2015 Year 01 Month 31 Day

Date trial data considered complete

2015 Year 03 Month 31 Day

Date analysis concluded

2015 Year 10 Month 01 Day


Other

Other related information

Frequency and severity of intradialytic hypotension(IDH),
Therapeutic effect of I-HDF for IDH,
Analysis of background-factors of the I-HDF treated patients with respect to effectiveness.


Management information

Registered date

2014 Year 04 Month 25 Day

Last modified on

2016 Year 05 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016116


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name