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NCT04501159: pHHd

pH, Hypoxia and Haemodialysis

Status unknown Last updated 30 August 2021
What this trial tests

trial testing blood sample pre, during and post HD in End Stage Renal Disease on Dialysis in 100 participants. Status unknown.

Timeline
1 May 2021
Primary endpoint
21 August 2021
29 December 2021

Quick facts

Lead sponsorCoventry University
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment100
Start date1 May 2021
Primary completion21 August 2021
Estimated completion29 December 2021
Sites2 locations across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Coventry University

Who can join

18 and older, any sex, with End Stage Renal Disease on Dialysis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

End-stage renal disease typically requires haemodialysis to help replace kidney function. However, changes in oxygen uptake during haemodialysis have been linked to increased all-cause mortality. This complication of haemodialysis is linked to decreasing fluid volume, compromising blood flow to tissue and leukostasis within pulmonary tissue. However, an alternative cause of reduced oxygen availability (hypoxia) during haemodialysis is acute alkalosis. Alkalosis during haemodialysis can cause hypoxia via dysregulated ventilation and impaired ability for tissue to extract oxygen. Despite strong rationale for these mechanisms, few studies have fully explored causes of hypoxia during haemodialysis. Greater understanding may help to mitigate the risk associated with this vital treatment option. The study will comprise of end-stage renal disease patients who regularly undergo haemodialysis. Three blood samples will be attained before, during and after haemodialysis to assess arterial blood gases. In a small subset of patients, white blood cell (WBC) count and cardiac output will be assessed via a non-invasive cardiac output monitor during treatment. Regression analysis will be performed to help identify predictors of hypoxia during haemodialysis. Patient burden is negligible, with blood samples attained from the dialyser as part of routine treatment. In the patients who agree for cardiac output assessment, the patient will be required to have four small noninvasive sensor pads placed on the chest. Patients will be assessed over 3 consecutive treatments during a single week.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Hypoxia during maintenance hemodialysis-the critical role of pH.
    McGuire S, Krishnan N, Malik AR, Waddell A, et al · · 2023 · cited 1× · PMID 36755842 · DOI 10.1093/ckj/sfac191

Verify or expand the search:

Other recruiting trials for End Stage Renal Disease on Dialysis

Currently open trials in the same condition.

Other Coventry University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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