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Trial registered on ANZCTR
Registration number
ACTRN12614000929606
Ethics application status
Not yet submitted
Date submitted
8/08/2014
Date registered
29/08/2014
Date last updated
29/08/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Blood-pressure variability and hypertensive control in patients with renal failure - the potential for smoother and superior control of mean blood-pressure and episodic hypertension through higher-dose dialysis.
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Scientific title
In dialysis patients, does higher-dose renal replacement provide better control of blood pressure when compared to standard dose therapy?
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Secondary ID [1]
285134
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hypertension
292704
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Dialysis
292705
0
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Renal Failure
292706
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Blood Pressure Variability
292707
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Condition category
Condition code
Cardiovascular
293013
293013
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0
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Hypertension
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Renal and Urogenital
293014
293014
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0
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Kidney disease
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Prevalent patients undergoing extended hours / home based therapy :
Haemodialysis (>6hour treatment at a frequency of alternate nightly or greater = >20hrs treatment/week) OR peritoneal dialysis (conventional ambulatory peritoneal dialysis or overnight automated peritoneal dialysis). Patients must be established on therapy for at least 3 months. Patients will be observed over one dialysis treatment and subsequent interdialytic period.
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Intervention code [1]
289986
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Not applicable
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Comparator / control treatment
Standard conventional thrice weekly in-centre haemodialysis (<15hrs/week treatment time)
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Control group
Active
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Outcomes
Primary outcome [1]
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Systolic Hypertension as defined by SBP >160mmHg by brachial cuff measurement on the non-vascular access arm.
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Assessment method [1]
292873
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Timepoint [1]
292873
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Assessed at incident treatment period through the Intra and Interdialytic timeframes. Intradialytic timepoints are pre & post dialysis, with hourly measures in-between. Interdialytic timepoints as assessed by ambulatory (brachial) monitoring at 30 minute daytime cycles and hourly overnight. Patients will be established on therapy for >3months at time of study. Patients will be observed over one dialysis treatment and subsequent interdialytic period (~44 hours)
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Secondary outcome [1]
309848
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Blood Pressure Variability as defined by standard deviation of the cumulative systolic pressure readings from noninvasive brachial cuff measures.
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Assessment method [1]
309848
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Timepoint [1]
309848
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Assessed at incident treatment period through the Intra and Interdialytic timeframes. Intradialytic timepoints are pre & post dialysis, with hourly measures in-between. Interdialytic timepoints as assessed by ambulatory (brachial) monitoring at 30 minute daytime cycles and hourly overnight.Patients will be established on therapy for >3months at time of study. Patients will be observed over one dialysis treatment and subsequent interdialytic period (~44 hours)
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Eligibility
Key inclusion criteria
End-stage renal disease requiring dialysis
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Minimum age
18
Years
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Maximum age
85
Years
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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
Renal replacement for <3 months
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
15/10/2014
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Actual
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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
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
289743
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Commercial sector/Industry
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Name [1]
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Baxter Healthcare
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Address [1]
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One Baxter Parkway
Deerfield, IL 60015-4625
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Country [1]
289743
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United States of America
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Primary sponsor type
Hospital
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Name
Alfred Health Renal Unit
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Address
55 Commercial Road Melbourne, VICTORIA, Australia 3004
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Country
Australia
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Secondary sponsor category [1]
288434
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None
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Name [1]
288434
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None
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Address [1]
288434
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None
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Country [1]
288434
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
291475
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Alfred Health Ethics Committee
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Ethics committee address [1]
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55 Commercial Road Melbourne, VICTORIA, Australia 3004
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Ethics committee country [1]
291475
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Australia
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Date submitted for ethics approval [1]
291475
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19/09/2014
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Approval date [1]
291475
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Ethics approval number [1]
291475
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Summary
Brief summary
To date no prospective study has been undertaken to investigate the effect of haemodialysis dose delivery on the epidemiology and biological effect of blood pressure variability. This study represents the first comparative investigation between peritoneal dialysis, extended-hours haemodialysis and conventional thrice-weekly satellite therapy, with the expectation of objectively demonstrating smoother and better control of blood pressure using home-based therapies. This study hypothesises that patients undergoing therapies with high-dose dialysis achieve better control of blood pressure with less time spent in hypertensive ranges and less blood pressure variability than patients undergoing conventional thrice-weekly satellite haemodialysis
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Trial website
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Trial related presentations / publications
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Public notes
Non-interventional study : patients are not assigned modality of renal replacement for the purpose of this trial - their treatment pattern is prespecified through previous clinical indication.
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Contacts
Principal investigator
Name
50574
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Dr Scott Wilson
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Address
50574
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Renal Unit, L4 Main Ward Block
Alfred Hospital
55 Commercial Road MELBOURNE Victoria 3004
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Country
50574
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Australia
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Phone
50574
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613 9076 2580
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Fax
50574
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Email
50574
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[email protected]
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Contact person for public queries
Name
50575
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Scott Wilson
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Address
50575
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Renal Unit, L4 Main Ward Block
Alfred Hospital
55 Commercial Road MELBOURNE Victoria 3004
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Country
50575
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Australia
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Phone
50575
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613 9076 2580
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Fax
50575
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Email
50575
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[email protected]
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Contact person for scientific queries
Name
50576
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Scott Wilson
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Address
50576
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Renal Unit, L4 Main Ward Block
Alfred Hospital
55 Commercial Road MELBOURNE Victoria 3004
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Country
50576
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Australia
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Phone
50576
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613 9076 2580
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Fax
50576
0
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Email
50576
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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