Unique ID issued by UMIN | UMIN000020526 |
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Receipt number | R000023695 |
Scientific Title | Effect of Vitamin E-coated Dialyzer on the Ratio of Oxidized and Reduced Form of Serum Albumin |
Date of disclosure of the study information | 2016/01/11 |
Last modified on | 2018/01/13 00:27:50 |
Effect of Vitamin E-coated Dialyzer on the Ratio of Oxidized and Reduced Form of Serum Albumin
Vitamin E-coated Dialyzer and Oxidative Stress
Effect of Vitamin E-coated Dialyzer on the Ratio of Oxidized and Reduced Form of Serum Albumin
Vitamin E-coated Dialyzer and Oxidative Stress
Japan |
endstage kidney disease
Nephrology |
Others
NO
The incidence of cardiovascular disease is known to be high in patients receiving hemodialysis therapy. According to the annual survey conducted by the Japanese Society of Hemodialysis Therapy, more than 30% of hemodialysis patients die of heart failure, myocardial infarction and cardiac sudden death. Many of the traditional and nontraditional cardiovascular risk factors that could affect cardiovascular disorder can be found in association with endstage kidney disease. Among these, oxidative stress is considered to predispose individuals to the development of cardiovascular disease in these patients.
The amount of human mercaptoalbumin (reduced form; HMA) and human nonmercaptoalbumin (oxidized form; HNA), and their ratio are considered to reflect oxidative stress status. HMA/HNA ratio is 75:25 in normal subjects. HNA has been reported to increases in patients with chronic renal insufficiency. We found that HMA/HNA ratio decreased to 55:45 in hemodialysis patients and the ratio increased after a single dialysis session. Therefore, it is important to optimize dialysis therapy using HMA/HNA ratio as a marker of oxidative stress.
VPS-HA membrane is vitamin E-coated dialysis membrane which has been known to have antioxidant effect. The aim of the present study is to evaluate the effect of vitamin E-coated dialyzer on the HMA/HNA ratio in hemodialysis patients and assess the antioxidant effect of this membrane.
Efficacy
Confirmatory
Pragmatic
Not applicable
Change in the ratio of oxidized and reduced form of serum albumin after 6 months hemodialysis therapy using vitamin E-coated dialyzer
Interventional
Cross-over
Non-randomized
Open -no one is blinded
Active
2
Treatment
Device,equipment |
vitamin E-coated polysulfon membrane
three times a week, 4 hours per session, 6 months
regular polysulfon membrane
three times a week, 4 hours per session, 6 months
30 | years-old | <= |
Not applicable |
Male and Female
1. Receiving dialysis therapy for more tha 1 year.
2. Receiving dialysis therapy using polysulfone membrane.
3. written informed consent is obtained.
1. Patients who have malignancy.
2. Patients who have severe liver disease.
3. Patients who are unqualified to the study.
15
1st name | |
Middle name | |
Last name | Nobuyuki Takahashi |
Kansai Medical University Kori Hospital
Dialysis Center
8-45 Kori Hondori-cho, Neyagawa, Osaka
072-832-5321
takahasn@kouri.kmu.ac.jp
1st name | |
Middle name | |
Last name | Nobuyuki Takahashi |
Kansai Medical University Kori Hospital
Dialysis Center
8-45 Kori Hondori-cho, Neyagawa, Osaka
072-832-5321
takahasn@kouri.kmu.ac.jp
Kansai Medical University Kori Hospital
Asahikasei Medical Co.
Profit organization
Japan
Fujita Health University
NO
関西医科大学香里病院
2016 | Year | 01 | Month | 11 | Day |
Unpublished
Completed
2015 | Year | 11 | Month | 30 | Day |
2016 | Year | 03 | Month | 31 | Day |
2017 | Year | 06 | Month | 30 | Day |
2017 | Year | 09 | Month | 30 | Day |
2017 | Year | 09 | Month | 30 | Day |
2017 | Year | 11 | Month | 30 | Day |
2016 | Year | 01 | Month | 11 | Day |
2018 | Year | 01 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023695
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