End Stage Renal Disease Clinical Trial
Official title:
Examining the Impact of Using Two Dialysers in Parallel on Dialysis Adequacy in Hemodialysis Patients
The purpose of this study is to investigate the effectiveness of using two dialysers to lower the blood mineral levels in people receiving hemodialysis as compared to using one dialyser (usual treatment).
Higher levels of serum phosphate are independently associated with an increased risk of
death in hemodialysis patients. Therefore, there has been considerable interest in
controlling serum phosphate while minimizing oral calcium load. While most attention has
focused on the use of non-calcium containing phosphate binders such as sevelamer and
lanthanum, modifying conventional dialysis regimens to improve phosphate clearance is an
alternative approach that remains relatively unstudied. A secondary analysis of a previous
randomized cross-over study from our group found that the use of two dialysers in parallel
resulted in a reduction in pre-dialysis serum phosphate levels. As this study was small, and
the mechanisms resulting in the reduction in phosphate levels were unclear, further study is
warranted. The investigators will conduct a randomized cross-over study comparing the impact
of dialyzing using two dialysers in parallel with a single dialyser in hyperphosphatemic
hemodialysis patients.
There will be a total of 34 participants from Alberta,Canada participating in this study.
The length of study participation is 10 weeks.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
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