Chronic Kidney Disease, Renal Failure
Conditions
Keywords
Renal replacement therapy, Peritoneal dialysis, Automated peritoneal dialysis, PD cycler
Brief summary
Analysis and comparison of treatments with and without the FlexPoint technology (flexible volume and dwell time management) of the PD cycler sleep•safe harmony
Detailed description
The primary objective of this study are: * to investigate and compare the clinical performance of standard (default) FlexPoint settings to minimum FlexPoint settings and to the maximum value for permitted peritoneal residual volume of FlexPoint settings of the PD cycler sleep•safe harmony in the treatment of PD patients. * to assess whether usage of the settings of the therapy option FlexPoint (flexible volume and dwell time management) of the PD cycler sleep•safe harmony that deviate from the system default and from former sleep•safe settings, influences the efficacy of APD treatments as well as the hydration status (by using BCM) of PD patients. The secondary objectives of this study are: * Patients´ Quality of Life (QoL) * Number of alarms * To investigate the effects on solute removal * To investigate the tolerability of the FlexPoint therapy options * Adverse events / SAE
Interventions
DEVICEPD cycler
Patients are treated continuously during Peritoneal dialysis with the PD cycler sleep•safe harmony with different FlexPoint settings. According to their randomization the patients are treated with Treatment A, B or C in a different order: * standard (default) FlexPoint settings (Treatment A) * minimum value FlexPoint settings (Treatment B) * maximum value for permitted peritoneal residual volume (50%) of FlexPoint settings (Treatment C)
Sponsors
Fresenius Medical Care Deutschland GmbH
Alcedis GmbH
Study design
Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Interventional, prospective, multi-centric, controlled, randomized, crossover
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Informed consent signed and dated by study patient and investigator/ authorised physician * Minimum age of 18 years * CKD patients with indication for renal replacement therapy * Patients being treated with APD for at least 3 months * Patients using the sleep•safe harmony PD cycler (version 3.1) * Fluid status regularly monitored with Body Composition Monitor (BCM) * Proper functioning catheter * Intraperitoneal Pressure (IPP) ≤ 18 cm H2O * Ability to understand the nature and requirements of the study
Exclusion criteria
* Any conditions which could interference with the patient's ability to comply with the study * Previous participation in the same study * Patients who have any condition prohibiting the use of BCM, like patients with major amputations (e.g. lower leg) * Patients receiving polyglucose containing PD solution * Respiratory or abdominal wall disease deemed to contraindicate intraperitoneal fill volume (FV) manipulation * Patients who suffer from peritonitis/exit site infection during the last 4 weeks * Women of childbearing age without effective means of contraception, pregnancy (pregnancy test will be conducted at start and end of study) or lactation period * Life expectancy \<3 months * Participation in an interventional clinical study during the preceding 90 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Kt/V urea | every 2 weeks, during the 6 weeks treatment | Measurement of solute removal during peritoneal dialysis focuses on urea |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean daily ultrafiltration (UF) | every day, during the 6 weeks treatment | Daily ultrafiltration reached by the patient during peritoneal dialysis |
Contacts
CONTACTManuela Stauss-Grabo, Dr.
CONTACTFiona Bellando
PRINCIPAL_INVESTIGATORElena Cuadrado Payán, Dr.
Hospital Clinic of Barcelona
Outcome results
None listed