End Stage Renal Disease Clinical Trial
Official title:
Intradialytic Drug Removal by Short-daily Hemodialysis
Short-daily hemodialysis is increasingly becoming a preferred alternative to the
conventional intermittent (three times per week) hemodialysis schedule. Studies have shown
that short-daily dialysis improves a patient's quality of life, high blood pressure, anemia
and calcium-phosphorus balance. Infection, however, will likely remain a persistent problem
for dialysis patients regardless of the frequency of treatments. There is currently a wealth
of information to guide doctors on how much and how frequently to give an antibiotic for
patients who receive intermittent (thrice weekly) hemodialysis. However, there is very
little information on how to prescribe antibiotics for patient's receiving short-daily
hemodialysis. This study will develop drug dose guidelines for patients receiving
short-daily hemodialysis for three frequently used antibiotics, vancomycin, levofloxacin and
gentamicin. These guidelines will assist doctors so that patients receive the most effective
dose and frequency of an antibiotic to treat their infection.
The following is the study hypothesis which will be tested with two-sided, one sample
t-tests comparing the AUC observed to historical measures8.
1) Vancomycin, levofloxacin and gentamicin are removed to a greater extent by short-daily
hemodialysis than intermittent hemodialysis.
The following are the specific aims:
1. Determine the interdialytic pharmacokinetics of vancomycin, gentamicin, and
levofloxacin by short-daily HD.
2. Determine the extent of vancomycin removal when administered during the last hour of
short-daily HD.
3. Develop drug-dosing guidelines for vancomycin, gentamicin and levofloxacin for patients
receiving short-daily HD.
n/a
Endpoint Classification: Pharmacokinetics Study, Intervention Model: Single Group Assignment, Masking: Open Label
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