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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00649298
Registration number
NCT00649298
Ethics application status
Date submitted
25/03/2008
Date registered
1/04/2008
Date last updated
3/12/2019
Titles & IDs
Public title
A Clinical Trial of IntensiVE Dialysis
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Scientific title
ACTIVE Dialysis - A Multicentre, Unblinded, Randomised, Controlled Trial to Assess Quality of Life, Clinical Outcomes and Cost Utility for Extended vs Standard Duration of Dialysis in Patients With End Stage Kidney Disease.
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Secondary ID [1]
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GI-R-A001- 09
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Universal Trial Number (UTN)
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Trial acronym
ACTIVE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Renal Replacement Therapy
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Renal Dialysis
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End Stage Kidney Disease
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End Stage Renal Disease
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Uremia
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Condition category
Condition code
Renal and Urogenital
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - haemodialysis
Experimental: extended hours - 24 or more hours per week of hemodialysis
Active comparator: standard hours - 18 or less hours per week of hemodialysis
Treatment: Surgery: haemodialysis
Comparison of different weekly duration of haemodialysis treatment
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The primary end-point for this study is the difference in the change in quality of life between the two groups from randomisation to the 12 month follow-up as measured by the EQ-5D instrument.
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Assessment method [1]
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Timepoint [1]
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12 months from randomisation
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Secondary outcome [1]
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Survival and cardiovascular analyses
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Assessment method [1]
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Timepoint [1]
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12 months
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Secondary outcome [2]
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Quality of life and patient acceptability
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Assessment method [2]
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Timepoint [2]
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12 months
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Secondary outcome [3]
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Safety outcomes
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Assessment method [3]
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Timepoint [3]
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12 months
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Secondary outcome [4]
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Costs associated with each intervention
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Assessment method [4]
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Timepoint [4]
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12 months
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Secondary outcome [5]
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Changes in biochemical and haematological parameters
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Assessment method [5]
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Timepoint [5]
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12 months
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Eligibility
Key inclusion criteria
1. Incident or prevalent patients requiring maintenance haemodialysis therapy for ESKD
2. Aged 18 years or older
3. Undergoing dialysis for 18 hours per week or less
4. Suitable for either extended or standard dialysis in the view of the treating physician
5. Agreeable to randomisation
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Life expectancy of less than 6 months
2. Definite plans to undergo renal transplantation within 12 months of entry to the study
3. Inability to complete quality of life questionnaire
4. Concomitant major illness that would limit assessments and followup
5. High chance that the patient will not adhere to study treatment and follow up in the view of the treating physician.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/05/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/10/2014
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Sample size
Target
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Accrual to date
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Final
200
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,TAS,VIC,WA
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Recruitment hospital [1]
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The Canberra Hospital - Canberra
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Recruitment hospital [2]
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RPAH/Concord - Sydney
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Recruitment hospital [3]
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Sydney Adventist Hospital - Sydney
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Recruitment hospital [4]
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Liverpool Hospital - Sydney
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Recruitment hospital [5]
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Sydney Dialysis Centre - Sydney
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Recruitment hospital [6]
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Princess Alexandra Hospital - Brisbane
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Recruitment hospital [7]
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Royal Brisbane Hospital - Brisbane
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Recruitment hospital [8]
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Gold Coast Hospital - Gold Coast
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Recruitment hospital [9]
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Nambour General Hospital - Nambour
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Recruitment hospital [10]
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Royal Hobart Hospital - Hobart
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Recruitment hospital [11]
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Austin Hospital - Melbourne
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Recruitment hospital [12]
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Monash Medical Centre - Melbourne
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Recruitment hospital [13]
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Royal Melbourne Hospital - Melbourne
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Recruitment hospital [14]
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Sir Charles Gairdner Hospital - Perth
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Recruitment postcode(s) [1]
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- Canberra
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Recruitment postcode(s) [2]
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2050 - Sydney
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Recruitment postcode(s) [3]
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2076 - Sydney
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Recruitment postcode(s) [4]
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- Sydney
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Recruitment postcode(s) [5]
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- Brisbane
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Recruitment postcode(s) [6]
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- Gold Coast
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Recruitment postcode(s) [7]
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- Nambour
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Recruitment postcode(s) [8]
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- Hobart
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Recruitment postcode(s) [9]
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- Melbourne
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Recruitment postcode(s) [10]
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- Perth
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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British Columbia
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Country [2]
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Canada
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State/province [2]
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Ontario
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Country [3]
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China
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State/province [3]
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Beijing
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Country [4]
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China
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State/province [4]
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Guangdong
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Country [5]
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China
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State/province [5]
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Hebei
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Country [6]
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China
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State/province [6]
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Henan
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Country [7]
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China
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State/province [7]
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Inner Mongolia
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Country [8]
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China
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State/province [8]
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Jiangsu
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Country [9]
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China
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State/province [9]
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Jilin
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Country [10]
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China
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State/province [10]
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Liaoning
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Country [11]
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China
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State/province [11]
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Shanghai
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Country [12]
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China
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State/province [12]
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Shanxi
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Country [13]
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China
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State/province [13]
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Sichuan
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Country [14]
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New Zealand
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State/province [14]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
The George Institute
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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National Health and Medical Research Council, Australia
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Address [1]
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Country [1]
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Other collaborator category [2]
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Commercial sector/industry
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Name [2]
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Baxter Healthcare Corporation
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will assess clinical outcomes of extended weekly hours of haemodialysis (\>= 24 hours per week) compared with standard hours of haemodialysis (\<=18 hours/week) in people with ESKD.
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Trial website
https://clinicaltrials.gov/study/NCT00649298
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Trial related presentations / publications
Jardine MJ, Zuo LI, Gray NA, de Zoysa J, Chan CT, Gallagher MP, Howard K, Hertier S, Cass A, Perkovic V; ACTIVE Dialysis Steering Committee. Design and participant baseline characteristics of 'A Clinical Trial of IntensiVE Dialysis': the ACTIVE Dialysis Study. Nephrology (Carlton). 2015 Apr;20(4):257-65. doi: 10.1111/nep.12385. Smyth B, van den Broek-Best O, Hong D, Howard K, Rogers K, Zuo L, Gray NA, de Zoysa JR, Chan CT, Lin H, Zhang L, Xu J, Cass A, Gallagher M, Perkovic V, Jardine M. Varying Association of Extended Hours Dialysis with Quality of Life. Clin J Am Soc Nephrol. 2019 Dec 6;14(12):1751-1762. doi: 10.2215/CJN.06800619. Epub 2019 Oct 31. Jardine MJ, Zuo L, Gray NA, de Zoysa JR, Chan CT, Gallagher MP, Monaghan H, Grieve SM, Puranik R, Lin H, Eris JM, Zhang L, Xu J, Howard K, Lo S, Cass A, Perkovic V; ACTIVE Dialysis Steering Committee; Paul. A Trial of Extending Hemodialysis Hours and Quality of Life. J Am Soc Nephrol. 2017 Jun;28(6):1898-1911. doi: 10.1681/ASN.2015111225. Epub 2017 Feb 1. Zhan Z, Smyth B, Toussaint ND, Gray NA, Zuo L, de Zoysa JR, Chan CT, Jin C, Scaria A, Hawley CM, Perkovic V, Jardine MJ, Zhang L. Effect of extended hours dialysis on markers of chronic kidney disease-mineral and bone disorder in the ACTIVE Dialysis study. BMC Nephrol. 2019 Jul 12;20(1):258. doi: 10.1186/s12882-019-1438-3. Liao JL, van den Broek-Best O, Smyth B, Hong D, Vo K, Zuo L, Gray NA, Chan CT, de Zoysa J, Perkovic V, Jiang L, Jardine M. Effect of extended hours dialysis on sleep quality in a randomized trial. Nephrology (Carlton). 2019 Apr;24(4):430-437. doi: 10.1111/nep.13236. Gray NA, Zuo L, Hong D, Smyth B, Jun M, De Zoysa J, Vo K, Howard K, Wang J, Lu C, Liu Z, Cass A, Perkovic V, Jardine M. Quality of life in caregivers compared with dialysis recipients: The Co-ACTIVE sub-study of the ACTIVE dialysis trial. Nephrology (Carlton). 2019 Oct;24(10):1056-1063. doi: 10.1111/nep.13530. Epub 2019 Apr 29. Badve SV, Hawley CM, Johnson DW. Frequent versus standard hemodialysis. N Engl J Med. 2011 Mar 10;364(10):975; author reply 976. doi: 10.1056/NEJMc1100105. No abstract available.
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Public notes
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Contacts
Principal investigator
Name
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Vlado Perkovic, MBBS PhD
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Address
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The George Institute
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Smyth B, van den Broek-Best O, Hong D, Howard K, R...
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More Details
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Journal
Jardine MJ, Zuo L, Gray NA, de Zoysa JR, Chan CT, ...
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More Details
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Journal
Zhan Z, Smyth B, Toussaint ND, Gray NA, Zuo L, de ...
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Liao JL, van den Broek-Best O, Smyth B, Hong D, Vo...
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Journal
Gray NA, Zuo L, Hong D, Smyth B, Jun M, De Zoysa J...
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More Details
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Results not provided in
https://clinicaltrials.gov/study/NCT00649298
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