Status:

COMPLETED

Phosphate Kinetic Modeling

Lead Sponsor:

Fresenius Medical Care North America

Conditions:

End Stage Renal Disease

Hyperphosphatemia

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Cardiovascular disease is a major cause of death in hemodialysis (HD) patients and is associated with widespread vascular calcification. There is a consensus that the chronic overload of calcium and p...

Detailed Description

PKM consists of a set of validated and computerized algorithms to perform the following steps: 1. Calculate calcium (Ca) and phosphorus (P) intake and absorption in individual patients as a function ...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years
  • Thrice weekly hemodialysis with a dialysate Ca++ concentration (CdiCa) of 2.25 or 2.5 mEq/L
  • Stable CdiCa of either 2.25 or 2.5 mEq/L for ≥ 4 weeks
  • Dialysis vintage ≥ 6 months
  • Current serum phosphorus ("month -1") \> 5.5 mg/dL and average serum phosphorus month -1 to -3 \> 5.5 mg/dL and average serum phosphorus month -1 to -6 \> 5.5 mg/dL
  • Patients currently prescribed calcium acetate (PhosLo) mono-therapy , sevelamer monotherapy, or a combination therapy of PhosLo plus sevelamer for phosphate binding
  • Fresenius Optiflux F 160, 180 or 200 dialyzer

Exclusion

  • Parathyroidectomy
  • iPTH \< 50 pg/mL
  • Dialysate potassium prescription other than 2 or 3 mmol/L Corrected serum Ca++ \< 7.5 mg/dL

Key Trial Info

Start Date :

October 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2011

Estimated Enrollment :

190 Patients enrolled

Trial Details

Trial ID

NCT01003223

Start Date

October 1 2009

End Date

April 1 2011

Last Update

August 18 2014

Active Locations (1)

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1

Fresenius Medical Services

Waltham, Massachusetts, United States, 02451