End-stage renal disease requiring hemodialysis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients with end-stage renal disease receiving thrice-weekly maintenance hemodialysis 2) On treatment with erythropoietin stimulating agent 3) With written informed concent
Exclusion criteria
Exclusion criteria: 1) On treatment with epoetin beta pegol as ESA 2) On supplementation with native vitamin D 3) Hypercalcemia (>=10.5 mg/dL ofcorrected serum calcium) 4) On treatment with intravenous iron agents 5) Judged as ineligible to the randomized study by the investigators
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Serum hepcidin-25 concentrations at day 3 and the 3rd month | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Serum hepcidin-25 concentrations at the 6th month 2) Percent change of ERI (erythropoietin resistance index) overtime (up to the 6th month) * ERI = Average weekly dose of ESA over prior 4 weeks / post-dialysis body weight (kg) / Hb (g/dL) 3) Blood concentrations of calcium, phosphate, and intact parathyroid hormone overtime (up to the 6th month) 4) Blood concentrations of high-sensitive CRP, IL-6, and TNF-alpha at day 3, the 3rd month, and the 6th month 5) Blood concentrations of 1,25-dihydroxyvitamin D, bone specific alkaline phosphatase, and tartrate-resistant acid phosphatase (TRAcP) 5b at the 3rd months and the 6th month | — |
Countries
Japan
Contacts
Osaka University Graduate School of Medicine Department of Comprehensive Kidney Disease Research