Trial Outcomes & Findings for Acid-Base Composition With Use of hemoDialysates (NCT NCT02334267)

NCT ID: NCT02334267

Last Updated: 2017-03-09

Results Overview

Quantification of Peridialytic Arterialized Blood Bicarbonate Concentrations

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

11 participants

Primary outcome timeframe

Immediately prior to initiation of hemodialysis, and 25, 60, 90, 120, 150, 180, 210, 240 minutes of hemodialysis and 15, 30, 45, 60, 75, and 90 minutes post hemodialysis

Results posted on

2017-03-09

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1 Week 1 GranuFlo and Week 2 NaturaLyte
Study subjects will be randomized to undergo dialysis treatments using GranuFlo, a commercially available acid dialysate concentrations for one weekly hemodialysis treatment. This will be followed by dialysis treatments using acid dialysate concentrations of NaturaLyte for a second weekly hemodialysis treatment. Intervention: serum and dialysate samples will be obtained at specific timepoints during the dialysis treatments. GranuFlow: Study subjects will be randomized to undergo dialysis treatments using GranuFlo, a commercially available acid dialysate concentrations for one weekly hemodialysis treatment. This will be followed by dialysis treatments using NaturaLyte, a commercially available acid dialysate concentration for a second weekly hemodialysis treatment. Intervention: serum and dialysate samples will be obtained at specific timepoints during the dialysis treatments.
Group 2 Week 1 NaturaLyte and Week 2 GranuFlo
Study subjects will be randomized to undergo dialysis treatments using NaturaLyte, a commercially available acid dialysate concentrations for one weekly hemodialysis treatment. This will be followed by dialysis treatments using acid dialysate concentrations of GranuFlo for a second weekly hemodialysis treatment. Intervention: serum and dialysate samples will be obtained at specific timepoints during the dialysis treatments. NaturaLyte: Study subjects will be randomized to undergo dialysis treatments using NaturaLyte, a commercially available acid dialysate concentrations for one weekly hemodialysis treatment. This will be followed by dialysis treatments using GranuFlo, a commercially available acid dialysate concentration for a second weekly hemodialysis treatment. Intervention: serum and dialysate samples will be obtained at specific timepoints during the dialysis treatments.
Overall Study
STARTED
6
5
Overall Study
COMPLETED
5
5
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Acid-Base Composition With Use of hemoDialysates

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1Week 1 GranuFlo and Week 2 NaturaLyte
n=6 Participants
Study subjects will be randomized to undergo dialysis treatments using GranuFlo, a commercially available acid dialysate concentrations for one weekly hemodialysis treatment. This will be followed by dialysis treatments using acid dialysate concentrations of NaturaLyte for a second weekly hemodialysis treatment. Intervention: serum and dialysate samples will be obtained at specific timepoints during the dialysis treatments. GranuFlow: Study subjects will be randomized to undergo dialysis treatments using GranuFlo, a commercially available acid dialysate concentrations for one weekly hemodialysis treatment. This will be followed by dialysis treatments using NaturaLyte, a commercially available acid dialysate concentration for a second weekly hemodialysis treatment. Intervention: serum and dialysate samples will be obtained at specific timepoints during the dialysis treatments.
Group 2 Week 1 NaturaLyte and Week 2 GranuFlo
n=5 Participants
Study subjects will be randomized to undergo dialysis treatments using NaturaLyte, a commercially available acid dialysate concentrations for one weekly hemodialysis treatment. This will be followed by dialysis treatments using acid dialysate concentrations of GranuFlo for a second weekly hemodialysis treatment. Intervention: serum and dialysate samples will be obtained at specific timepoints during the dialysis treatments. NaturaLyte: Study subjects will be randomized to undergo dialysis treatments using NaturaLyte, a commercially available acid dialysate concentrations for one weekly hemodialysis treatment. This will be followed by dialysis treatments using GranuFlo, a commercially available acid dialysate concentration for a second weekly hemodialysis treatment. Intervention: serum and dialysate samples will be obtained at specific timepoints during the dialysis treatments.
Total
n=11 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=99 Participants
5 Participants
n=107 Participants
9 Participants
n=206 Participants
Age, Categorical
>=65 years
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
3 Participants
n=107 Participants
7 Participants
n=206 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Region of Enrollment
United States
5 participants
n=99 Participants
6 participants
n=107 Participants
11 participants
n=206 Participants

PRIMARY outcome

Timeframe: Immediately prior to initiation of hemodialysis, and 25, 60, 90, 120, 150, 180, 210, 240 minutes of hemodialysis and 15, 30, 45, 60, 75, and 90 minutes post hemodialysis

Population: Per Protocol Population

Quantification of Peridialytic Arterialized Blood Bicarbonate Concentrations

Outcome measures

Outcome measures
Measure
GranuFlo
n=10 Participants
The outcome measure was peridialytic arterialized blood bicarbonate concentrations over time in subjects who received a hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate GranuFlo
NaturaLyte
n=10 Participants
The outcome measure was peridialytic arterialized blood bicarbonate concentrations over time in subjects who received a hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate NaturaLyte
Peridialytic Arterialized Blood Bicarbonate Concentrations
Pre-dialysis
25.7 mEq/l
Standard Deviation 3.33
27.1 mEq/l
Standard Deviation 3.28
Peridialytic Arterialized Blood Bicarbonate Concentrations
25 min of dialysis
27.2 mEq/l
Standard Deviation 3.16
27.4 mEq/l
Standard Deviation 3.69
Peridialytic Arterialized Blood Bicarbonate Concentrations
60 min of dialysis
28.9 mEq/l
Standard Deviation 3.48
28.4 mEq/l
Standard Deviation 4.20
Peridialytic Arterialized Blood Bicarbonate Concentrations
90 min of dialysis
29.2 mEq/l
Standard Deviation 3.85
28.6 mEq/l
Standard Deviation 4.14
Peridialytic Arterialized Blood Bicarbonate Concentrations
120 min of dialysis
29.3 mEq/l
Standard Deviation 3.89
28.3 mEq/l
Standard Deviation 3.95
Peridialytic Arterialized Blood Bicarbonate Concentrations
150 min of dialysis
29.2 mEq/l
Standard Deviation 3.77
28.3 mEq/l
Standard Deviation 3.80
Peridialytic Arterialized Blood Bicarbonate Concentrations
180 min of dialysis
29.6 mEq/l
Standard Deviation 4.09
28.3 mEq/l
Standard Deviation 3.71
Peridialytic Arterialized Blood Bicarbonate Concentrations
210 min of dialysis
30.1 mEq/l
Standard Deviation 3.90
29.1 mEq/l
Standard Deviation 3.90
Peridialytic Arterialized Blood Bicarbonate Concentrations
240 min of dialysis
30.2 mEq/l
Standard Deviation 4.16
28.8 mEq/l
Standard Deviation 4.26
Peridialytic Arterialized Blood Bicarbonate Concentrations
15 min post-dialysis
30.8 mEq/l
Standard Deviation 4.34
29.9 mEq/l
Standard Deviation 4.18
Peridialytic Arterialized Blood Bicarbonate Concentrations
30 min post-dialysis
30.9 mEq/l
Standard Deviation 4.28
29.8 mEq/l
Standard Deviation 4.21
Peridialytic Arterialized Blood Bicarbonate Concentrations
45 min post-dialysis
31.2 mEq/l
Standard Deviation 3.91
29.8 mEq/l
Standard Deviation 4.26
Peridialytic Arterialized Blood Bicarbonate Concentrations
60 min post-dialysis
31.4 mEq/l
Standard Deviation 3.64
30.5 mEq/l
Standard Deviation 4.60
Peridialytic Arterialized Blood Bicarbonate Concentrations
75 min post-dialysis
31.6 mEq/l
Standard Deviation 4.10
29.6 mEq/l
Standard Deviation 4.27
Peridialytic Arterialized Blood Bicarbonate Concentrations
90 min post-dialysis
31.2 mEq/l
Standard Deviation 4.44
29.8 mEq/l
Standard Deviation 4.37

PRIMARY outcome

Timeframe: 25, 60, 90, 120, 150, 180, 210, 240 minutes of hemodialysis

Population: Per Protocol Population

Quantification of Peridialytic Venous Blood Bicarbonate Concentrations

Outcome measures

Outcome measures
Measure
GranuFlo
n=10 Participants
The outcome measure was peridialytic arterialized blood bicarbonate concentrations over time in subjects who received a hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate GranuFlo
NaturaLyte
n=10 Participants
The outcome measure was peridialytic arterialized blood bicarbonate concentrations over time in subjects who received a hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate NaturaLyte
Peridialytic Venous Blood Bicarbonate Concentrations
25 min of dialysis
29.4 mEq/l
Standard Deviation 3.13
30.8 mEq/l
Standard Deviation 3.71
Peridialytic Venous Blood Bicarbonate Concentrations
60 min of dialysis
30.7 mEq/l
Standard Deviation 3.83
30.7 mEq/l
Standard Deviation 3.89
Peridialytic Venous Blood Bicarbonate Concentrations
90 min of dialysis
30.2 mEq/l
Standard Deviation 3.36
31.2 mEq/l
Standard Deviation 3.71
Peridialytic Venous Blood Bicarbonate Concentrations
120 min of dialysis
30.7 mEq/l
Standard Deviation 3.30
30.6 mEq/l
Standard Deviation 3.69
Peridialytic Venous Blood Bicarbonate Concentrations
150 min of dialysis
30.8 mEq/l
Standard Deviation 3.58
30.4 mEq/l
Standard Deviation 3.84
Peridialytic Venous Blood Bicarbonate Concentrations
180 min of dialysis
31.0 mEq/l
Standard Deviation 3.83
31.3 mEq/l
Standard Deviation 3.65
Peridialytic Venous Blood Bicarbonate Concentrations
210 min of dialysis
30.3 mEq/l
Standard Deviation 3.94
31.0 mEq/l
Standard Deviation 3.89
Peridialytic Venous Blood Bicarbonate Concentrations
240 min of dialysis
30.6 mEq/l
Standard Deviation 3.92
30.9 mEq/l
Standard Deviation 3.96

PRIMARY outcome

Timeframe: Immediately prior to initiation of hemodialysis, and 25, 60, 90, 120, 150, 180, 210, 240 minutes of hemodialysis and 15, 30, 45, 60, 75, and 90 minutes post hemodialysis

Population: Per Protocol Population

Quantification of Peridialytic Arterialized Blood Acetate Concentrations

Outcome measures

Outcome measures
Measure
GranuFlo
n=10 Participants
The outcome measure was peridialytic arterialized blood bicarbonate concentrations over time in subjects who received a hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate GranuFlo
NaturaLyte
n=10 Participants
The outcome measure was peridialytic arterialized blood bicarbonate concentrations over time in subjects who received a hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate NaturaLyte
Peridialytic Arterialized Blood Acetate Concentrations
45 min post-dialysis
0.2 mmol/L
Standard Deviation 0.35
0.1 mmol/L
Standard Deviation 0.24
Peridialytic Arterialized Blood Acetate Concentrations
60 min post-dialysis
0.6 mmol/L
Standard Deviation 1.05
0.2 mmol/L
Standard Deviation 0.27
Peridialytic Arterialized Blood Acetate Concentrations
Pre-dialysis
0.4 mmol/L
Standard Deviation 0.35
0.4 mmol/L
Standard Deviation 0.32
Peridialytic Arterialized Blood Acetate Concentrations
25 min of dialysis
0.5 mmol/L
Standard Deviation 0.29
0.4 mmol/L
Standard Deviation 0.28
Peridialytic Arterialized Blood Acetate Concentrations
60 min of dialysis
0.3 mmol/L
Standard Deviation 0.22
0.2 mmol/L
Standard Deviation 0.12
Peridialytic Arterialized Blood Acetate Concentrations
90 min of dialysis
0.4 mmol/L
Standard Deviation 0.57
0.1 mmol/L
Standard Deviation 0.12
Peridialytic Arterialized Blood Acetate Concentrations
120 min of dialysis
0.3 mmol/L
Standard Deviation 0.18
0.1 mmol/L
Standard Deviation 0.18
Peridialytic Arterialized Blood Acetate Concentrations
150 min of dialysis
0.2 mmol/L
Standard Deviation 0.18
0.1 mmol/L
Standard Deviation 0.12
Peridialytic Arterialized Blood Acetate Concentrations
180 min of dialysis
0.2 mmol/L
Standard Deviation 0.20
0.1 mmol/L
Standard Deviation 0.11
Peridialytic Arterialized Blood Acetate Concentrations
210 min of dialysis
0.3 mmol/L
Standard Deviation 0.21
0.2 mmol/L
Standard Deviation 0.31
Peridialytic Arterialized Blood Acetate Concentrations
240 min of dialysis
0.4 mmol/L
Standard Deviation 0.58
0.2 mmol/L
Standard Deviation 0.21
Peridialytic Arterialized Blood Acetate Concentrations
15 min post-dialysis
0.0 mmol/L
Standard Deviation 0.05
0.1 mmol/L
Standard Deviation 0.13
Peridialytic Arterialized Blood Acetate Concentrations
30 min post-dialysis
0.1 mmol/L
Standard Deviation 0.28
0.1 mmol/L
Standard Deviation 0.17
Peridialytic Arterialized Blood Acetate Concentrations
75 min post-dialysis
0.4 mmol/L
Standard Deviation 0.61
0.6 mmol/L
Standard Deviation 0.74
Peridialytic Arterialized Blood Acetate Concentrations
90 min post-dialysis
0.4 mmol/L
Standard Deviation 0.61
0.4 mmol/L
Standard Deviation 0.57

PRIMARY outcome

Timeframe: 25, 60, 90, 120, 150, 180, 210, 240 minutes of hemodialysis

Population: Per Protocol Population

Quantification of Peridialytic Venous Blood Acetate Concentrations

Outcome measures

Outcome measures
Measure
GranuFlo
n=10 Participants
The outcome measure was peridialytic arterialized blood bicarbonate concentrations over time in subjects who received a hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate GranuFlo
NaturaLyte
n=10 Participants
The outcome measure was peridialytic arterialized blood bicarbonate concentrations over time in subjects who received a hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate NaturaLyte
Peridialytic Venous Blood Acetate Concentrations
210 min of dialysis
1.9 mmol/L
Standard Deviation 0.83
1.1 mmol/L
Standard Deviation 0.85
Peridialytic Venous Blood Acetate Concentrations
240 min of dialysis
1.7 mmol/L
Standard Deviation 0.90
1.2 mmol/L
Standard Deviation 0.84
Peridialytic Venous Blood Acetate Concentrations
25 min of dialysis
1.7 mmol/L
Standard Deviation 0.62
1.0 mmol/L
Standard Deviation 0.48
Peridialytic Venous Blood Acetate Concentrations
60 min of dialysis
1.6 mmol/L
Standard Deviation 0.60
1.0 mmol/L
Standard Deviation 0.52
Peridialytic Venous Blood Acetate Concentrations
90 min of dialysis
1.6 mmol/L
Standard Deviation 0.81
0.9 mmol/L
Standard Deviation 0.62
Peridialytic Venous Blood Acetate Concentrations
120 min of dialysis
2.0 mmol/L
Standard Deviation 0.74
1.0 mmol/L
Standard Deviation 0.82
Peridialytic Venous Blood Acetate Concentrations
150 min of dialysis
1.8 mmol/L
Standard Deviation 0.67
1.1 mmol/L
Standard Deviation 0.65
Peridialytic Venous Blood Acetate Concentrations
180 min of dialysis
1.8 mmol/L
Standard Deviation 0.70
1.1 mmol/L
Standard Deviation 0.76

Adverse Events

GranuFlo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

NaturaLyte

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
GranuFlo
n=10 participants at risk
The safety reporting group included subjects who received one study related hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate GranuFlo.
NaturaLyte
n=11 participants at risk
The safety reporting group included subjects who received one study related hemodialysis treatment with a hemodialysate solution that was made from the acid dialysate concentrate NaturaLyte.
Respiratory, thoracic and mediastinal disorders
Upper respiratory infection
0.00%
0/10
9.1%
1/11 • Number of events 1

Additional Information

Brigid Flanagan, MS, RN, CCRC

Frenova Renal Research

Phone: 781-699-2970

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60