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Trial registered on ANZCTR
Registration number
ACTRN12616001553460
Ethics application status
Approved
Date submitted
8/11/2016
Date registered
10/11/2016
Date last updated
10/11/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Randomised Controlled Trial to compare initiation of peritoneal dialysis at one or two weeks post radiological catheter insertion
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Scientific title
Randomised Controlled Trial to compare initiation of peritoneal dialysis at one or two weeks post radiological catheter insertion
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Secondary ID [1]
290494
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None
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Universal Trial Number (UTN)
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Trial acronym
RadCath Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Peritoneal Dialysis
300882
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Chronic Kidney Disease
300883
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Condition category
Condition code
Renal and Urogenital
300700
300700
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Arm 1 - Participants will have peritoneal dialysis initiated at 1 (+/- 2 days) week post catheter insertion
Arm 2 - Participants will have peritoneal dialysis initiated at 2 (+/- 2 days) weeks post catheter insertion
The intervention will be delivered in the renal unit under trained nursing staff.
The progress will be reviewed on a regular basis during the dialysis sessions and at clinic appointments.
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Intervention code [1]
296351
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Treatment: Other
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Comparator / control treatment
The control group is arm 2 which will have their dialysis commenced at the standard time of 2 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Peritoneal Fluid Leaks will be assessed by physical exam
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Assessment method [1]
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Timepoint [1]
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Within 180 days of peritoneal dialysis catheter insertion
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Primary outcome [2]
300120
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PD related infection - Exit site and/or tunnel and/or peritonitis will be assessed by physical exam, skin swab, blood cultures and or peritoneal fluid microscopy/culture/stain.
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Assessment method [2]
300120
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Timepoint [2]
300120
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Within 180 days of peritoneal dialysis catheter insertion
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Secondary outcome [1]
329103
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Composite of all PD catheter related complications and Haemodialysis (HD) requirements and associated complications. PD catheter related complications include fluid leaks, infection, cuff erosion, cuff extrusion, failure to establish PD successfully (may be due to blockage, fibrin plug or outflow obstruction), delayed wound healing, haematoma, catheter revision or replacement, conversion to HD, HD related events, allergic reactions, hospitalisation for any reason with cause recorded as related to either surgery or start-up of dialysis, and death during the study period. The secondary outcomes will be assessed by physical exam and review of medical records.
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Assessment method [1]
329103
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Timepoint [1]
329103
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Outcomes will be recorded for 180 days post PD catheter insertion
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Eligibility
Key inclusion criteria
1. End Stage Kidney Disease
2. Patients in whom PD is the dialysis modality of preference
3. Patients already on haemodialysis and/or require dialysis initiation within 2 weeks of PD catheter insertion
4. Age >18
5. Able to give informed consent
6. Participants must be scheduled for radiological Tenckhoff catheter insertion
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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. Patients with a history of psychological illness or condition which interferes with their ability to understand or comply with the requirements of the study.
2. Recent (within 1 month) acute infection.
3. Patients in whom PD is contraindicated or not desired.
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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
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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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
1/01/2017
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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
224
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Royal Brisbane and Women's Hospital
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Address [1]
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Butterfield St & Bowen Bridge Rd, Herston QLD 4029
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Brisbane and Women's Hospital
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Address
Butterfield St & Bowen Bridge Rd, Herston QLD 4029
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Country
Australia
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Secondary sponsor category [1]
293745
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None
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Name [1]
293745
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Address [1]
293745
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Country [1]
293745
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Brisbane and Women's Hospital HREC
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Ethics committee address [1]
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Butterfield St & Bowen Bridge Rd, Herston QLD 4029
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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25/01/2016
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Approval date [1]
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04/05/2016
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Ethics approval number [1]
296290
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HREC/16/QRBW/19
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Summary
Brief summary
Dialysis is the artificial replacement of a patient’s non-functioning kidney which has been damaged due to medical disease. There are two main techniques, peritoneal dialysis (PD) and haemodialysis (HD). PD requires the insertion of a catheter into the patient’s abdomen prior to use. Historically this has been done surgically, however a new technique is for it to be inserted radiologically, which appears to have several benefits including decreased waiting times, inpatient admissions and hospital expenses. The main purpose of this trial is to determine the optimal time to use these catheters post radiological insertion which no study has previously investigated. The most appropriate time to initiate dialysis after radiological insertion of Tenckhoff catheters is not clear in the literature. There is the possibility of peritoneal dialysis (PD) complications such as leakage and infection if dialysis is started too soon after insertion. However, much morbidity and expense could be saved by reducing dependency on haemodialysis (HD) by earlier initiation of PD post catheter insertion. Previous studies are observational and mostly compare surgically inserted catheters and their immediate or delayed use. The primary objective is to determine the safest and shortest time interval between radiological placement of a Tenckhoff catheter and starting PD. The goal is to compare initiation of PD at one and two weeks post radiological Tenckhoff catheter insertion. This will be done by measuring the incidence of PD complications in a period post PD commencement as well as the HD associated problems during the same period if bridging HD is performed. This is a randomised controlled trial of patients who will start PD after radiological insertion of a Tenckhoff catheter at Royal Brisbane and Women’s Hospital (RBWH) and who meet the inclusion criteria. The patients will be randomised to one of two treatment groups. Group 1 will start PD 7 +/-2 days after Tenckhoff catheter insertion and group 2 at 14 +/-2 days. Nurses and physicians will be blinded to the randomised allocation. The primary end point is the complication rate (leaks and infection) after initiation of PD.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Nigel Mott
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Address
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Royal Brisbane and Women's Hospital
Butterfield St & Bowen Bridge Rd, Herston QLD 4029 Australia
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Country
70282
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Australia
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Phone
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+61 407657121
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Fax
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Email
70282
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[email protected]
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Contact person for public queries
Name
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Dwarakanathan Ranganathan
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Address
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Royal Brisbane and Women's Hospital
Butterfield St & Bowen Bridge Rd, Herston QLD 4029 Australia
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Country
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Australia
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Phone
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+61 7 36468576
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dwarakanathan Ranganathan
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Address
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Royal Brisbane and Women's Hospital
Butterfield St & Bowen Bridge Rd, Herston QLD 4029 Australia
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Country
70284
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Australia
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Phone
70284
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+61 7 36468576
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Fax
70284
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Email
70284
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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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