None listed
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged =18 years undergoing maintenance hemodialysis for at least 3 months 2. Patients receiving hemodialysis three times per week using a high-flux dialyzer 3. Patients with a total weekly dialysis duration of 12 hours 4. Patients with adequate dialysis (Kt/V >1.2) 5. Patients with a blood flow rate =200 mL/min and a dialysate flow rate of 500 mL/min 6. Patients receiving heparin as an anticoagulant 7. Patients who voluntarily provide written informed consent to participate in the study
Exclusion criteria
Exclusion criteria: 1. Patients using a low-flux dialyzer 2. Patients receiving hemodialysis once or twice per week 3. Patients scheduled for kidney transplantation within 6 months 4. Patients with a history of hospitalization within the past 6 months 5. Patients with hematologic malignancy or monoclonal gammopathy 6. Patients diagnosed with a solid malignancy and currently undergoing treatment 7. Patients with active infection 8. Patients infected with human immunodeficiency virus 9. Patients who have participated in another clinical study within the past 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of life (QOL): EuroQol 5-Dimension (EQ-5D);Pruritus and fatigue: Visual Analog Scale (VAS), Patient-Reported Outcomes Measurement Information System(PROMIS) questionnaire;Nutritional parameters: Geriatric Nutritional Risk Index (GNRI), normalized Protein Catabolic Rate (nPCR), and albumin | — |
Secondary
| Measure | Time frame |
|---|---|
| Middle molecule clearance: ß2-microglobulin, kappa free light chain, and lambda free light chain ;Inflammatory markers: tumor necrosis factor-alpha (TNF-a), interleukin-6 (IL-6), growth differentiation factor-15 (GDF-15), high-sensitivity C-reactive protein (hs-CRP) ;Coagulation-related parameters: clotting events, prothrombin time (PT), activated partial thromboplastin time (aPTT), platelet count, D-dimer, and fibrinogen ;Routine laboratory tests: white blood cell count (WBC), hemoglobin, aspartate aminotransferase (AST), alanine aminotransferase (ALT), ferritin, total iron-binding capacity (TIBC), iron, and intact parathyroid hormone (iPTH) | — |
Countries
Korea, Republic of
Contacts
Kyungpook National University Hospital