Patients on hemodialysis therapy due to end-stage renal failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Male and female patients; age between 21 years old and 80 years old. Written informed consent must be obtained. Patients should be on hemodialysis for longer than 3 months and in stable medical condition.
Exclusion criteria
Exclusion criteria: 1) Uncontrollable severe hypertension (systolic blood pressure >180 mmHg and/or diastolic blood pressure >110 mmHg) even with appropriate antihypertensive agents 2) Cardiovascular complication or shunt failure within 3 months 3) Malignant diseases 4) Patients contraindicated to erythropoietin or iron 5) Any patients who are considered to be inappropriate by physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Patient death by any cause including accidental death and every kind of complications. 2) Newly diagnosed ischemic heart diseases: acute myocardial infarction, coronary heart disease diagnosed by coronary arteriography, percutaneous coronary intervention, coronary artery bypass grafting 3) Shunt failure: any procedures for reconstruction of A-V fistula due to decreased blood flow. 4) Newly diagnosed cereberovascular diseases: cerebral hemorrhage/infarction, subarachnoid hemorrhage 5) Newly diagnosed peripheral vessel disorders: intermittent claudication with definitive peripheral vascular disorders, newly developed ulcer or gangrene of extremities, delayed wound healing. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Changes in sf36 scores 2) Changes in urine volume 3) Changes in left ventricular mass index measured by echocardiography 4) Changes in pulse wave velocity 5) Hospitalization due to any diseases including hospitalization for clinical evaluation of the newly developed diseases | — |
Countries
Japan
Contacts
Keio University School of Medicine Department of Internal Medicine