UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000044051
Receipt number R000050256
Scientific Title Multicenter, prospective, non-randomized, open-label, single-group study investigating the safety and utility of intradialytic parenteral nutrition using infusion liquid not for renal failure in patients with malnutrition on maintenance hemodialysis
Date of disclosure of the study information 2021/05/09
Last modified on 2022/10/31 08:28:30

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Basic information

Public title

Safety and utility of intradialytic parenteral nutrition using infusion liquid not for renal failure in patients with malnutrition on maintenance hemodialysis

Acronym

IDPN study

Scientific Title

Multicenter, prospective, non-randomized, open-label, single-group study investigating the safety and utility of intradialytic parenteral nutrition using infusion liquid not for renal failure in patients with malnutrition on maintenance hemodialysis

Scientific Title:Acronym

IDPN study

Region

Japan


Condition

Condition

Chronic kidney disease

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the safety and utility of intradialytic parenteral nutrition using infusion liquid not for renal failure in maintenance hemodialysis patients with malnutrition

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Changes in serum transthyretin levels before and 12 weeks after the start of intradialytic parenteral nutrition

Key secondary outcomes

Utility outcomes
1) Changes in nutritional parameters (e.g., serum albumin and normalized protein catabolism rate [nPCR]) before and 12 weeks after the start of intradialytic parenteral nutrition (IDPN)
2) Changes in nutritional parameters (e.g., body mass index [BMI], geriatric nutritional risk index [GNRI], survival index [SI], and nutritional risk index for Japanese hemodialysis patients [NRI-JH]) before and 12 weeks after the start of IDPN
3) Changes in body composition analysis results before and 12 weeks after the start of IDPN

Safety outcomes
1) Changes in the area over the glucose curve < 70 mg・24 h/dL (AOC < 70) on the dialysis day calculated from glucose levels measured using a Flash Glucose Monitoring System (FGM) before and 12 weeks after the start of IDPN
2) Changes in AOC < 70 on non-dialysis days calculated from glucose levels measured using FGM before and 12 weeks after start of IDPN
3) Changes in the area under the glucose curve > 400 mg・24 h/dL (AUC >400) calculated from glucose levels measured using FGM before and 12 weeks after the start of IDPN
4) Changes in electrolytes, brain natriuretic peptide (BNP), bicarbonate ion, etc. before, 2 weeks, 4 weeks, 8 weeks, and 12 weeks after the start of IDPN


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Intravenous injection of 1 bag of ENEFLUID Injection (550 mL) three times weekly during hemodialysis sessions over 12 weeks

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Maintenance hemodialysis due to chronic kidney disease
2) High nutritional risk according to the nutritional risk index for Japanese hemodialysis patients (NRI-JH)

Key exclusion criteria

1) Pregnant or wanting to become pregnant
2) Initiation of hemodialysis within the past 180 days
3) Not expected to survive for 12 weeks due to severe infection or malignant tumor
4) Deemed ineligible for the study by the attending physician for any medical reason

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Michihiro
Middle name
Last name Hosojima

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Clinical Nutrition Science

Zip code

9518510

Address

1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 951-8510 Japan

TEL

025-368-9312

Email

hoso9582@med.niigata-u.ac.jp


Public contact

Name of contact person

1st name Hideyuki
Middle name
Last name Kabasawa

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Clinical Nutrition Science

Zip code

9518510

Address

1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 951-8510 Japan

TEL

025-368-9312

Homepage URL


Email

hkabasawa@med.niigata-u.ac.jp


Sponsor or person

Institute

Niigata University Graduate School of Medical and Dental Sciences

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Niigata University Medical & Dental Hospital
Nagaoka Chuo General Hospital
Niigata Saiseikai Sanjo Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Review Committee of Niigata University School of Medicine

Address

1-757 Asahimachi-dori, Chuo-ku, Niigata City, Niigata 951-8510 Japan

Tel

025-227-2006

Email

ethics@adm.niigata-u.ac.jp


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

新潟大学医歯学総合病院/Niigata University Medical & Dental Hospital
長岡中央総合病院/ Nagaoka Chuo General Hospital
新潟県済生会三条病院/ Niigata Saiseikai Sanjo Hospital


Other administrative information

Date of disclosure of the study information

2021 Year 05 Month 09 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://link.springer.com/article/10.1186/s41100-022-00432-5

Number of participants that the trial has enrolled

13

Results


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

2021 Year 03 Month 30 Day

Date of IRB

2021 Year 04 Month 01 Day

Anticipated trial start date

2021 Year 05 Month 10 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry

2023 Year 04 Month 30 Day

Date trial data considered complete

2023 Year 05 Month 31 Day

Date analysis concluded

2023 Year 06 Month 30 Day


Other

Other related information



Management information

Registered date

2021 Year 04 Month 27 Day

Last modified on

2022 Year 10 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050256


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name