Status:

COMPLETED

Assessment of Hyperkalemia's Illness and Treatment Burden in Chronic Kidney Disease and Heart Failure Patients: HK Registry Pilot Study

Lead Sponsor:

AstraZeneca

Conditions:

Hyperkalemia

Eligibility:

All Genders

20+ years

Brief Summary

Overall study aim of this study is to analyse descriptive statistics of Patient-Reported Outcome(PROs) which will be used in the Hyperkalemia(HK) registry study in hyperkalemia patients with Chronic K...

Eligibility Criteria

Inclusion

  • Outpatients aged ≥20 years
  • Hyperkalemia patients defined as meeting either of the following criteria:
  • Having a history of S-K ≥5.1 mmol/L ≥2 times within 6 months before enrolment
  • Having a history of S-K ≥5.5 mmol/L once within 6 months before enrolment
  • Currently treated by potassium binders for the treatment of hyperkalemia at enrolment
  • Having been diagnosed as CKD (≥stage 3b) or HFrEF by investigators as defined below:
  • CKD is diagnosed based on the guidelines of CKD issued by the Japanese Society of Nephrology (JSN, 2018) as being either or both of condition 1 and 2 for ≥3 months
  • Clear sign of kidney impairment based on urinalysis, imaging, blood test, or biopsy. Especially, existence of ≥0.15 g/gCr of proteinuria (≥30 mg/gCr of albuminuria) is important.
  • GFR \<45 mL/min/1.73m2 Within the routine clinical practice, GFR is estimated by serum creatinine, gender, and age using following the formulation.
  • eGFR creat (mL/min/1.73m2) = 194 x serum creatinine (mg/dL)-1.094 x age (years)-0.287 (for female patients, x 0.739)
  • ≥Stage 3b CKD is diagnosed based on the following eGFR categories:
  • Stage 3b: 30 mL/min/1.73m2 ≤ eGFR \<45 mL/min/1.73m2
  • Stage 4: 15 mL/min/1.73m2 ≤ eGFR \<30 mL/min/1.73m2
  • Stage 5: eGFR \<15 mL/min/1.73m2
  • Patients with HFrEF is enrolled if patients meet following criteria within 6 months:
  • EF ≤40%
  • NYHA class II-IV
  • Provision of signed, written, and detailed informed consent
  • Signed written informed consent by themselves

Exclusion

  • Currently on any chronic RRT (including hemodialysis or peritoneal dialysis \>30 days, or kidney transplant) within 6 months before enrolment
  • Patients with acute kidney injury at enrolment •Patients who took blood transfusion or potassium supplements within 6 months before enrolment
  • Active malignancy or life expectancy of less than 6 months.
  • Patients who have GI disturbance/chronic diarrhoea/stoma, and investigators determine those affect significantly serum K level
  • Patients who have autoimmune disorders, and investigators determine those affect significantly serum K level
  • Patients whose lab data have suspicion for pseudohyperkalemia
  • Patients who are pregnant, lactating, or planning to become pregnant
  • Current participation in interventional studies and/or clinical trials
  • Patients who, in the opinion of the investigators, would be unlikely to comply with self-assessments

Key Trial Info

Start Date :

July 31 2020

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

November 30 2020

Estimated Enrollment :

146 Patients enrolled

Trial Details

Trial ID

NCT04466969

Start Date

July 31 2020

End Date

November 30 2020

Last Update

September 13 2021

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Research Site

Nagoya, Aichi-ken, Japan, 457-8511

2

Research Site

Matsudoshi, Chiba, Japan, 271-0077

3

Research Site

Iizukashi, Fukuoka, Japan, 820-8505

4

Research Site

Sashimagun, Ibaraki, Japan, 306-0433