Chronic kidney disease Chronic kidney disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: For dialysis patientsAge 18 years or higher. On hemodialysis treatment for at least three months. For pre-dialysis patientsAge 18 yers or higher Chronic kidney disease stage 4 or 5Not treated with dialysis
Exclusion criteria
Exclusion criteria: Major limb amputations. Presence of cardiac implants. Skin conditions aggravated by sunlight or increased sensitivity to light. Hypersensitivity to 5-aminolevulinc acid. Pregnanty or breastfeeding. Insufficient comprehensibility of the Dutch or English language. Porphyria.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objectives of this study are to is to describe the effects of the HD treatment with and without ultrafiltration on the change in mitoPO2 and mitoVO2. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objectives of this study are to - Compare pre-dialysis mitoPO2 and mitoVO2 baseline values to the values obtained in previous studies with the COMET. - Describe the relation between changes in skin mitoPO2 and mitoVO2 and intradialytic continuous thoracic bioimpedance. - Describe the relation between changes in skin mitoPO2 and mitoVO2 and intradialytic continuous calf bioimpedance. - Describe the relation between changes in skin mitoPO2 and mitoVO2 and the change in extracellular resistance ratio measured at the calf - To evaluate the change in mitoPO2 and bioimpedance prior to and after intradialytic hypotensive symptoms - To perform validation of the TBW algorithm from the bioimpedance results by use of the Body Composition Monitor (BCM) Secondary study parameters are - Symptoms of intradialytic hypotension - Interventions during HD treatment, e.g. positioning in Trendelenburg or terminating ultrafiltration. - Total body water from local thoracic bioimpedance measurements - Total body water from local calf bioimpedance measurements | — |
Countries
Netherlands
Contacts
Leids Universitair Medisch Centrum