Artificial Intelligence for Optimal Anemia Management in End-stage Renal Disease: The Anemia Control Model (ACM) Trial
NCT03214627 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 88
Last updated 2020-01-07
Summary
Fresenius Medical Care has developed a computer software programme called the Anaemia Control Management (ACM) software to assist in the anaemia management of patients with chronic kidney disease (CKD) undergoing hemodialysis. This trial is designed to assess the effectiveness of this ACM software on anaemia management in routine clinical practice. However, all ultimate decisions on therapeutic or diagnostic procedures, treatments, management of the disease, or resource utilisation will be at the discretion of the Investigator. The trial consists of a retrospective (historical) control period and a prospective (going forward) period. During the prospective period, the ACM will be used to assist the Investigators' decision making and will help the Investigators to administer a personalised intravenous (IV) iron and red blood cell stimulating agent (ESA) therapy, whereas treatment according to standard of care will be documented retrospectively for the same patients during the retrospective period of the trial. Thus, patients can serve as their own control.
Conditions
Interventions
- DEVICE
-
Anemia Control Model (ACM)
The ACM is mainly composed of 2 sub-Systems - predictor model which, depending on the input data, forecasts the response to anaemia drug therapy for a specific patient. The predictor model is implemented as a feed-forward artificial neural network. The ACM is an algorithm that extracts the optimal policy to achieve the established clinical outcome for anaemia management using the predictor model.
- DRUG
-
IV iron
IV iron given monthly as required - dose determined by the ACM and as agreed by the investigator
- DRUG
-
Erythropoiesis-Stimulating Agent (ESA)
ESA given monthly as required over 6 months - dose determined by the ACM and as agreed by the investigator
Sponsors & Collaborators
-
Worldwide Clinical Trials
collaborator OTHER -
Fresenius Medical Care Deutschland GmbH
collaborator INDUSTRY -
Vifor Fresenius Medical Care Renal Pharma
lead INDUSTRY
Principal Investigators
-
Iain Macdougall · King's College Hospital NHS Trust
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 19 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-12-10
- Primary Completion
- 2019-05-21
- Completion
- 2019-05-21
Countries
- United Kingdom
Study Locations
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