ESRD patients undergoing chronic HD Presence of arterial stiffness measured by cfPWV and CAVI method Vascular calcification Inflammation in ESRD patients undergoing chronic HD ESRD chronic hemodialysis arterial stiffness vascular calcification sodium thiosulfate cPWV CAVI CT coronary calcium score
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age older than 18 years old 2.Dialysis vintage at least 6 months’ duration 3.Hemodialysis frequency 2 or 3 times per week 4.Presence of increased arterial stiffness measured by cfPWV (cfPWV>=10 m/s) 5.Informed consent 6.Can follow the research methodology and follow up regularly
Exclusion criteria
Exclusion criteria: 1.Life expectancy less than 6 months 2.Missing a dialysis session more than twice per month 3.Active malignancy or infection 4.Known pregnancy 5.Recently use of oral or IV corticosteroid therapy within 1 month (dose more than 5 mg of prednisolone or equivalent) 6.Allergy or known sensitivity to sodium thiosulfate 7.Intact PTH more than 9 times of UNL in previous 3 months ( using 2nd generation intact PTH more than 585 pg/ml) 8.Abnormal limb that cannot be measured by cfPWV eg. above or below knee amputation, severe PAD etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Arterial stiffness 24 weeks carotid-femoral pulse wave velocity (cfPWV) | — |
Secondary
| Measure | Time frame |
|---|---|
| Vascular calcification 24 weeks CT Coronary Artery Calcium score,Inflammatory marker 24 weeks high-sensitivity CRP (hsCRP),Arterial stiffness (BP independent method) 24 weeks Cardio-Ankle Vascular Index (CAVI),Arterial siffness 48 weeks Carotid-femoral pulse wave velocity (cfPWV) | — |
Countries
Thailand
Contacts
King Chulalongkorn Memorial Hospital