Clinical Trials Directory

Trials / Completed

CompletedNCT03740048

A Pilot Trial of Twice-weekly Versus Thrice-weekly Hemodialysis in Patients With Incident End-stage Kidney Disease

A Randomized Pilot Study of Hemodialysis Initiation Comparing Twice-Weekly Hemodialysis Plus Dialysis-Sparing Therapy Versus Thrice-Weekly Hemodialysis (The TWOPLUS-HD Trial)

Status
Completed
Phase
Phase 3
Study type
Interventional
Enrollment
51 (actual)
Sponsor
Wake Forest University Health Sciences · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Accepted

Summary

The optimal frequency of hemodialysis treatments in patients with incident end-stage kidney disease in not known. This pilot trial will randomize patients with incident end-stage kidney disease due to chronic kidney disease progression to two different regimens of hemodialysis: i) twice-weekly hemodialysis for six weeks with adjuvant pharmacologic medications followed by thrice-weekly hemodialysis, or ii) thrice-weekly hemodialysis. The study will test feasibility of stepwise hemodialysis, and the effects of the two regimens of hemodialysis on residual kidney function.

Conditions

Interventions

TypeNameDescription
OTHERHemodialysisHemodialysis frequency will differ in the first six weeks of hemodialysis therapy between the two treatment arms.
DRUGPatiromer Oral ProductParticipants in the intervention group who develop hyperkalemia, during the first six weeks of receiving hemodialysis twice per week, will be treated with Patiromer.

Timeline

Start date
2019-06-19
Primary completion
2021-11-04
Completion
2021-11-04
First posted
2018-11-14
Last updated
2023-06-09
Results posted
2023-06-05

Locations

1 site across 1 country: United States

Regulatory

Source: ClinicalTrials.gov record NCT03740048. Inclusion in this directory is not an endorsement.