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Quality of Life on Peritoneal Dialysis Versus Hemodialysis in China

Primary Purpose

End Stage Renal Disease

Status
Completed
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Hemodialysis treatment (no specific device is defined)
Peritoneal Dialysis treatment (no specific drug is defined)
Sponsored by
Baxter Healthcare Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for End Stage Renal Disease

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subjects or their legal representative who are able to understand and have voluntarily signed the informed consent form (ICF)
  2. Male or female subjects aged 18 years or older at the time of randomization
  3. Subjects diagnosed with ESRD (ie, an estimated glomerular filtration rate ≤15 mL/min/1.73 m2 body surface area) and who the Investigator anticipates will require maintenance dialysis therapy within 10 weeks after signing the ICF
  4. Subjects who, as judged by the Investigator, are able to comprehend the standardized, predialysis education program and have completed this education prior to signing the ICF
  5. Subjects or their legal representative who, as judged by the Investigator, are capable of being trained for home-based PD
  6. Subjects who are able to adhere to the study visit schedule and other protocol requirements
  7. Subjects who are able to come to HD clinics as required by the protocol
  8. Subjects who, as judged by the Investigator, are expected to remain on dialysis for at least 48 weeks
  9. Subjects who have normal liver function, as judged by the Investigator
  10. Female subjects of childbearing potential must have negative serum or urine pregnancy test at Screening. Sexually active women of childbearing potential must agree to use adequate contraceptive methods, as judged by the Investigator, while in the study

Exclusion Criteria:

  1. Subjects who are HIV positive
  2. Subjects who have already received maintenance dialysis. Subjects are not excluded if a functional dialysis access is present ≤4 weeks before Screening for back-up purposes or for acute treatment of life-threatening uremic symptoms, electrolyte abnormalities or fluid overload
  3. Subjects who have an active infection or other condition that the Investigator determines may jeopardize their ability to receive either modality of dialysis treatment or would preclude participation in the study
  4. Subjects who report a history of illicit drug use or a regular or daily alcohol consumption of ≥4 alcoholic drinks per day in the 2 years before Screening
  5. Subjects who have previously received renal transplantation and are currently prescribed immunosuppressive therapy
  6. Subjects who are currently using any investigational drug
  7. Subjects who are currently enrolled in other clinical studies
  8. Subjects who are unwilling or unable to fully comply with the visits and assessments required by the protocol
  9. Subjects who are not eligible for either PD or HD, as judged by the Investigator, due to:

    • Peritoneal dialysis: documented extensive intra-peritoneal adhesions or other conditions in which PD is contraindicated
    • Hemodialysis: severe cardiac instability or other conditions in which HD is contraindicated
  10. Subjects who have a malignancy requiring chemotherapy or radiation therapy
  11. Subjects undergoing temporary dialysis treatment between the Screening visit and Day 1 visit that is expected to exceed 6 weeks in duration
  12. Subjects who have a life expectancy of < 48 weeks

Sites / Locations

  • The First Affiliated Hospital of Fujian Medical University
  • Lanzhou University Second Hospital
  • Guangzhou Panyu Central Hospital
  • The First Affiliated Hospital , Sun Yet-Sen University
  • The Third Hospital of Sun Yat-Sen University
  • The 2nd Shenzhen Municipal People's Hospital
  • Guizhou Province People's Hospital
  • The Second Affiliated Hospital of Harbin Medical University
  • Traditional Chinese Medicine Hospital of Wuhan
  • The Third Xiangya Hospital of Central South University
  • The Second Affiliated Hospital of Soochow University
  • Jiangxi province people's hospital
  • Nanchang First Affiliated Hospital
  • First Hospital of Affiliated of Dalian Medical University
  • General Hospital of Ningxia Medical University
  • Renji Hospital , Shanghai Jiaotong University , School of Medicine
  • Shanghai 455 Hospital
  • Shanghai Tenth People's Hospital
  • Shanghai Xinhua Hospital
  • Sichuan Provincial People's Hospital
  • The First Affiliated Hospital of Tianjin University of TCM

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

ESRD patients receiving HD treatment

ESRD patients receiving PD treatment

Arm Description

no investigational drug involved. Only observe therapy treatment

no investigational drug involved. Only observe therapy treatment

Outcomes

Primary Outcome Measures

1 year of therapy using the Kidney Disease Quality of Life-Short Form (KDQoL-SF) questionnaire

Secondary Outcome Measures

Mortality rates
Switch (PD to HD or HD to PD)
Transplantation rate
Cause of death
Dialysis adequacy
24-hour urine volume
Change in hemoglobin
Change in serum albumin
Frequency of adverse events (AEs) and serious AEs (SAEs), including abnormal laboratory test findings with clinical significance
Change in S-phosphate levels

Full Information

First Posted
February 10, 2015
Last Updated
October 18, 2017
Sponsor
Baxter Healthcare Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02378350
Brief Title
Quality of Life on Peritoneal Dialysis Versus Hemodialysis in China
Official Title
A Multicenter, Randomized, Open-Label Study of Quality of Life in Peritoneal Dialysis and Conventional In-Center Hemodialysis (ChinaQ Study)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
March 26, 2014 (Actual)
Primary Completion Date
September 18, 2017 (Actual)
Study Completion Date
September 18, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Baxter Healthcare Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a multicenter, randomized, open-label study to compare QoL in subjects with end-stage renal disease (ESRD) requiring PD or conventional in-center HD treatment. Primary Objective: The primary objective is to demonstrate non-inferiority of peritoneal dialysis (PD) treatment as compared to hemodialysis (HD) treatment after approximately 1 year of therapy using the Kidney Disease Quality of Life-Short Form (KDQoL-SF) questionnaire domain of burden of kidney disease. Secondary Objectives: The secondary objectives are to observe and summarize the following parameters in subjects receiving PD or HD treatment except for the remaining domains of QoL instrument KDQoL-SF™ (version 1.3) and the 2 individual QoL items scored as single items, which will be compared between the 2 treatment groups: Mortality rates Switch (PD to HD or HD to PD) Transplantation rate Cause of death Dialysis adequacy (ie, urea clearance time normalized by total body water, which is the volume of distribution of urea [Kt/V urea] to determine the proportion of subjects meeting standards of care for dialysis adequacy). 24-hour urine volume Change in hemoglobin and S-phosphate levels, and the percentages of subjects with values within the target range Change in serum albumin Frequency of adverse events (AEs) and serious AEs (SAEs), including abnormal laboratory test findings with clinical significance

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
End Stage Renal Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
668 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ESRD patients receiving HD treatment
Arm Type
Active Comparator
Arm Description
no investigational drug involved. Only observe therapy treatment
Arm Title
ESRD patients receiving PD treatment
Arm Type
Experimental
Arm Description
no investigational drug involved. Only observe therapy treatment
Intervention Type
Device
Intervention Name(s)
Hemodialysis treatment (no specific device is defined)
Intervention Type
Drug
Intervention Name(s)
Peritoneal Dialysis treatment (no specific drug is defined)
Primary Outcome Measure Information:
Title
1 year of therapy using the Kidney Disease Quality of Life-Short Form (KDQoL-SF) questionnaire
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Mortality rates
Time Frame
1 year
Title
Switch (PD to HD or HD to PD)
Time Frame
1 year
Title
Transplantation rate
Time Frame
1 year
Title
Cause of death
Time Frame
1 year
Title
Dialysis adequacy
Time Frame
1 year
Title
24-hour urine volume
Time Frame
1 year
Title
Change in hemoglobin
Time Frame
1 year
Title
Change in serum albumin
Time Frame
1 year
Title
Frequency of adverse events (AEs) and serious AEs (SAEs), including abnormal laboratory test findings with clinical significance
Time Frame
1 year
Title
Change in S-phosphate levels
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects or their legal representative who are able to understand and have voluntarily signed the informed consent form (ICF) Male or female subjects aged 18 years or older at the time of randomization Subjects diagnosed with ESRD (ie, an estimated glomerular filtration rate ≤15 mL/min/1.73 m2 body surface area) and who the Investigator anticipates will require maintenance dialysis therapy within 10 weeks after signing the ICF Subjects who, as judged by the Investigator, are able to comprehend the standardized, predialysis education program and have completed this education prior to signing the ICF Subjects or their legal representative who, as judged by the Investigator, are capable of being trained for home-based PD Subjects who are able to adhere to the study visit schedule and other protocol requirements Subjects who are able to come to HD clinics as required by the protocol Subjects who, as judged by the Investigator, are expected to remain on dialysis for at least 48 weeks Subjects who have normal liver function, as judged by the Investigator Female subjects of childbearing potential must have negative serum or urine pregnancy test at Screening. Sexually active women of childbearing potential must agree to use adequate contraceptive methods, as judged by the Investigator, while in the study Exclusion Criteria: Subjects who are HIV positive Subjects who have already received maintenance dialysis. Subjects are not excluded if a functional dialysis access is present ≤4 weeks before Screening for back-up purposes or for acute treatment of life-threatening uremic symptoms, electrolyte abnormalities or fluid overload Subjects who have an active infection or other condition that the Investigator determines may jeopardize their ability to receive either modality of dialysis treatment or would preclude participation in the study Subjects who report a history of illicit drug use or a regular or daily alcohol consumption of ≥4 alcoholic drinks per day in the 2 years before Screening Subjects who have previously received renal transplantation and are currently prescribed immunosuppressive therapy Subjects who are currently using any investigational drug Subjects who are currently enrolled in other clinical studies Subjects who are unwilling or unable to fully comply with the visits and assessments required by the protocol Subjects who are not eligible for either PD or HD, as judged by the Investigator, due to: Peritoneal dialysis: documented extensive intra-peritoneal adhesions or other conditions in which PD is contraindicated Hemodialysis: severe cardiac instability or other conditions in which HD is contraindicated Subjects who have a malignancy requiring chemotherapy or radiation therapy Subjects undergoing temporary dialysis treatment between the Screening visit and Day 1 visit that is expected to exceed 6 weeks in duration Subjects who have a life expectancy of < 48 weeks
Facility Information:
Facility Name
The First Affiliated Hospital of Fujian Medical University
City
Fuzhou
State/Province
Fujian
Country
China
Facility Name
Lanzhou University Second Hospital
City
Lanzhou
State/Province
Gansu
Country
China
Facility Name
Guangzhou Panyu Central Hospital
City
Guangzhou City
State/Province
Guangdong
Country
China
Facility Name
The First Affiliated Hospital , Sun Yet-Sen University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510080
Country
China
Facility Name
The Third Hospital of Sun Yat-Sen University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
The 2nd Shenzhen Municipal People's Hospital
City
Shenzhen
State/Province
Guangdong
Country
China
Facility Name
Guizhou Province People's Hospital
City
Gui Yang City
State/Province
Guizhou
Country
China
Facility Name
The Second Affiliated Hospital of Harbin Medical University
City
Harbin City
State/Province
Heilongjiang
Country
China
Facility Name
Traditional Chinese Medicine Hospital of Wuhan
City
Wuhan City
State/Province
Hubei
Country
China
Facility Name
The Third Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
Country
China
Facility Name
The Second Affiliated Hospital of Soochow University
City
Suzhou
State/Province
Jiangsu
Country
China
Facility Name
Jiangxi province people's hospital
City
Nanchang
State/Province
Jiangxi
Country
China
Facility Name
Nanchang First Affiliated Hospital
City
Nangchang
State/Province
Jiangxi
Country
China
Facility Name
First Hospital of Affiliated of Dalian Medical University
City
Dalian
State/Province
Liaoning
Country
China
Facility Name
General Hospital of Ningxia Medical University
City
Yingchuan
State/Province
Ningxia
Country
China
Facility Name
Renji Hospital , Shanghai Jiaotong University , School of Medicine
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200127
Country
China
Facility Name
Shanghai 455 Hospital
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Shanghai Tenth People's Hospital
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Shanghai Xinhua Hospital
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Sichuan Provincial People's Hospital
City
Chengdu
State/Province
Sichuan
Country
China
Facility Name
The First Affiliated Hospital of Tianjin University of TCM
City
Tianjin
State/Province
Tianjin
Country
China

12. IPD Sharing Statement

Learn more about this trial

Quality of Life on Peritoneal Dialysis Versus Hemodialysis in China

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