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Trial registered on ANZCTR
Registration number
ACTRN12613000749707
Ethics application status
Approved
Date submitted
26/06/2013
Date registered
4/07/2013
Date last updated
12/01/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Factors controlling calciprotein particle (CPP) formation in peritoneal dialysis (PD) fluid
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Scientific title
Assessing the peritoneal dialysis effluent for the presence of calciprotein particles in patients undergoing peritoneal dialysis
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Secondary ID [1]
282748
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Nil
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Universal Trial Number (UTN)
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Trial acronym
PDF Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
End stage kidney disease
289481
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Condition category
Condition code
Renal and Urogenital
289802
289802
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0
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Kidney disease
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Assessing the peritoneal dialysis effluent for the presence of calciprotein particles. Once a week for 8 weeks, in no particular order, participants will administer a specified PD fluid bag (listed below) and return that bag of effluent for analysis. The PD bags are:
1. Dianeal 1.5% PD4
2. Dianeal 4.25% PD4
3. Physioneal 1.36% PD4
4. Physioneal 3.86 % PD4
5. Extraneal 7.5%
6. Nutrineal 1.1%
7. Dianeal 1.5% PD2
8. Dianeal 1.5% PD1
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Intervention code [1]
287410
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Not applicable
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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CPP levels will be estimated by assessing the apparent reduction in total fetuin-A concentration (measured by specific ELISA) after high-speed centrifugation as previously described in Smith ER et al 2013 Nephrology 18(3):215-21.
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Assessment method [1]
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Timepoint [1]
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Once a week after each exchange for 8 weeks
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Secondary outcome [1]
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Fluid pH will be measured by potentiometry using a pH electrode.
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Assessment method [1]
303461
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Timepoint [1]
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Once a week after each exchange for 8 weeks
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Eligibility
Key inclusion criteria
Peritoneal dialysis patients
A peritoneal equilibration test (PET) within the last 6 months
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Minimum age
18
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Unable to comply with the protocol
Allergy or problem with one of the PD fluid solutions proposed
Peritonitis within the last 6 weeks
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Statistical analysis based upon preliminary data where the mean CPP% in PD fluid is 21 with standard deviation of 5. A sample size of 14 patients should detect a significant 5% difference (p<0.05) in mean CPP level with a 80% power.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
22/07/2013
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Actual
14/10/2013
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Date of last participant enrolment
Anticipated
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Actual
1/09/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
15
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Accrual to date
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Final
13
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Baxter Healthcare Corporation
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Address [1]
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One Baxter Parkway
Deerfield, IL 60015
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Country [1]
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United States of America
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Primary sponsor type
Hospital
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Name
Eastern Health Integrated Renal Service
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Address
Level 2, 5 Arnold Street
Box Hill, Victoria, 3128
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Country
Australia
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Secondary sponsor category [1]
286262
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Hospital
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Name [1]
286262
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The Royal Melbourne Hospital Kidney Care Services
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Address [1]
286262
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Grattan St Parkville VIC 3050
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Country [1]
286262
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Eastern Health Research and Ethics Committee
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Ethics committee address [1]
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5 Arnold Street Box Hill, Victoria, 3128
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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12/03/2013
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Approval date [1]
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21/03/2013
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Ethics approval number [1]
289494
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LR73/1213
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Summary
Brief summary
There is a need to better understand the mechanisms involved in peritoneal membrane deterioration in patients undergoing peritoneal dialysis. We have found that a recently discovered particle (calciprotein particle, CPP) is present at high levels in drained out peritoneal dialysis fluid (PDF). Experimental work suggests that CPP may promote inflammation and calcification in certain situations. This is a pilot study to ascertain whether differences in PDF composition, in particular with respect to fluid glucose and calcium concentration, effect the formation and levels of CPP present in drained PDF. We hypothesise that PDF containing higher glucose and calcium concentrations would be associated with greater intra-peritoneal CPP accumulation, which may predispose to peritoneal inflammation, calcification and ultimately, technique failure.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Lawrence McMahon
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Address
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Eastern Health Integrated Renal Service
Level 2, 5 Arnold Street
Box Hill, Victoria, 3128
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Country
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Australia
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Phone
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+61 3 9091 8872
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Steve Holt
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Address
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The Royal Melbourne Hospital Kidney Care Services Hospital Grattan St
Parkville, Victoria, 3050
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Country
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Australia
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Phone
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+61 3 9342 7058
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ed Smith
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Address
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Eastern Health Integrated Renal Service
Level 2, 5 Arnold Street
Box Hill, Victoria, 3128
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Country
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Australia
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Phone
41080
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+61 3 9091 8872
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Fax
41080
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Calciprotein particle formation in peritoneal dialysis effluent is dependent on dialysate calcium concentration.
2018
https://dx.doi.org/10.3747/pdi.2017.00163
N.B. These documents automatically identified may not have been verified by the study sponsor.
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