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Trial registered on ANZCTR
Registration number
ACTRN12608000123347
Ethics application status
Not yet submitted
Date submitted
7/01/2008
Date registered
7/03/2008
Date last updated
7/03/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
Comparison of triple phase and lipid only intra-dialytic parenteral nutrition and survival and outcomes in malnourished haemodialysis patients to assess complications.
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Scientific title
Randomised blinded trial to compare triple phase and lipid only intra-dialytic parenteral nutrition in malnourished haemodialysis patients to assess survival, complications and improvements in nutrition.
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Universal Trial Number (UTN)
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Trial acronym
IDPN and nutrition in HD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Malnourished haemodialysis patients
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Condition category
Condition code
Renal and Urogenital
2781
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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
Malnourished haemodialysis patients will be randomised to 1000kcal 20% lipid ClinOleic Intra-Dialytic Parenteral Nutrition (IDPN) solution given via the dialysis line during the dialysis session 3 x week for up to 3 months.
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Intervention code [1]
2403
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Treatment: Drugs
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Comparator / control treatment
1000kcal of triple phase parenteral nutrition solution containing lipid, amino acids and dextrose given via the dialysis line during the dialysis session 3 x week for up to 3 months
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Control group
Active
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Outcomes
Primary outcome [1]
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complications- survival, hyper-hypoglycaemia, fluid overload
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Assessment method [1]
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Timepoint [1]
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3 months
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Secondary outcome [1]
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increase in body mass using Colonial WCS-200 with Ranger 5000 weighing scales and body composition using Fresenius Body Composition Monitor H02-201-1
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Assessment method [1]
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Timepoint [1]
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3 months
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Secondary outcome [2]
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improved serum albumin using the BCP (BromoCresol Purple)method of measuring serum albumin
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Assessment method [2]
6198
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Timepoint [2]
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3 months
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Secondary outcome [3]
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improved scored patient generated subjective global assessment (PG-SGA)
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Assessment method [3]
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Timepoint [3]
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3 months
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Eligibility
Key inclusion criteria
Haemodialysis patients who had been dialyzing at Austin Health for more than 3 months will be asked to participate in the study when they present with at least 2 of the following five criteria of malnutrition
1. Body Mass Index (BMI) <20
2. Weight loss >10% in 6 months
3. Serum albumin < 30
4. Prealbumin <300mg/l
5. normalised protein catabolic rate (nPCR) <1g/kg per day
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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
Malignancy
Associated disease compromising 3 month survival
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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)
Haemodialysis patients who meet the criteria will be asked to participate and on signing the consent form will be randomly allocated to treatment groups by contacting the holder of the allocation schedule "off site"
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Using a randomisation table from a statistic book subjects will be allocated by third party by phone on recruitment to the treatment groups
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
2 groups
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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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
1/08/2008
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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
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
525
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3084
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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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Austin Health
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Address [1]
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Austin Campus
Studley Rd
Heidelberg VIC 3084
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Country [1]
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Australia
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Funding source category [2]
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Self funded/Unfunded
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Name [2]
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Address [2]
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Country [2]
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Primary sponsor type
Hospital
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Name
Austin Health
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Address
Austin Health
Studley Rd
Heidelberg VIC 3104
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Peter Mount
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Address [1]
222
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Nephrology Department
Austin Health
Studley Rd
Heidelberg VIC 3084
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Austin Health Human Research Ethics Commitee
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Ethics committee address [1]
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PO Box 5000 Heidelberg VIC 3081
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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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15/01/2008
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Approval date [1]
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Ethics approval number [1]
4861
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Summary
Brief summary
Several formulations have been used for IDPN and have ranged from those with minimal provision of nutrients to those that deliver significant amounts of calories and amino acids. Administration of lipid was originally considered to be contraindicated in IDPN but studies suggest otherwise and lipids are now used routinely. Austin Health is the first dialysis centre in the world to use standard lipid only IDPN solution. Since then a 20% lipid 500 ml or 30% lipid 250 ml solutions are routinely used in our haemodialysis patients requiring IDPN support. What effect if any is this practice having? Would the use of a more standardised practice of protein, lipid and dextrose combined solution be more beneficial?
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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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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 public queries
Name
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Karen Manley
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Address
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Nutrition and Dietetics Department
Studley Rd
Heidelberg VIC 3084
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Country
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Australia
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Phone
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+61 3 94965011
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Fax
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+61 3 94963168
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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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Karen Manley
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Address
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Nutrition and Dietetics Department
Studley Rd
Heidelberg VIC 3084
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Country
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Australia
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Phone
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+61 3 94965011
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Fax
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+61 3 94963168
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Email
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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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