UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056789
Receipt number R000064682
Scientific Title A retrospective clinical study of the impact of mean levels of predialysis serum potassium on survival and minimum systolic blood pressure during dialysis
Date of disclosure of the study information 2025/12/31
Last modified on 2025/12/08 14:56:23

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Basic information

Public title

A retrospective clinical study of the impact of serum potassium concentration on survival and intradialytic blood pressure in dialysis patients

Acronym

Impact of pre-dialysis serum potassium concentration on survival and intradialytic blood pressure

Scientific Title

A retrospective clinical study of the impact of mean levels of predialysis serum potassium on survival and minimum systolic blood pressure during dialysis

Scientific Title:Acronym

Impact of mean levels of predialysis serum potassium on survival and minimum systolic blood pressure during dialysis

Region

Japan


Condition

Condition

Patients with end-stage kidney disease undergoing hemodialysis and online hemodiafiltration

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The effects on life prognosis during 2 years and monthly average minimum systolic blood pressure during dialysisin at baseline and after 1 and 2 years are compared in patients with predialysis mean K levels (3.5-4.4, 4.5-5.4, 5.5-6.4mEq/L).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

2-year all-cause mortality

Key secondary outcomes

Monthly average minimum systolic blood pressure during dialysis at baseline, 1 year, and 2 years


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients on maintenance hemodialysis or online hemodialysis as of July 1, 2017

Key exclusion criteria

1 Use of dialyzers with beta2-microgloburln clearance below 70 mL/min
2 Missing data for covariates at study entry
3 Dialysis conditionssuch as dialysis method and membrane material between April 1, 2017 and June 30, 2017, which are different from those as of July 1, 2017
4 Blood purification methods other than hemodialysis and online hemodiafiltration
5 Dialysis frequency below 3 sessions per week or dialysis time below 3 hour per session
6 Pregnant or lactating patients
7 Patients with mean pre-dialysis potassium concentration of less than 3.5mEq/L and more than 6.5mEq/L for three months

Target sample size

500


Research contact person

Name of lead principal investigator

1st name Kazuyoshi
Middle name
Last name Okada

Organization

Social medical corporation Kawashimakai Kawashima Hospital

Division name

Blood purification management center

Zip code

7700011

Address

6-1 Kitasako ichiban-cho, Tokushima-shi, Tokushima

TEL

0886310110

Email

kokada@minos.ocn.ne.jp


Public contact

Name of contact person

1st name Manabu
Middle name
Last name Tashiro

Organization

Social medical corporation Kawashimakai Kawashima Hospital

Division name

Department of Nephrology

Zip code

7700011

Address

6-1 Kitasako ichiban-cho, Tokushima-shi, Tokushima

TEL

088-631-0110

Homepage URL


Email

m.tashiro@khg.or.jp


Sponsor or person

Institute

Social medical corporation Kawashimakai

Institute

Department

Personal name



Funding Source

Organization

Nothing

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Social medical corporation Kawashimakai Kawashima Hospital

Address

6-1 Kitasako ichiban-cho, Tokushima-shi, Tokushima

Tel

088-631-0110

Email

m.tashiro@khg.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 12 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2024 Year 12 Month 10 Day

Date of IRB

2005 Year 01 Month 07 Day

Anticipated trial start date

2025 Year 01 Month 15 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

In a retrospective 2-year observational study, mortality on mean levels of serum K for 3 months (3.5-4.4, 4.5-5.4, and 5.5-6.4mEq/L) is compared, using a propensity score matching model. Patents is annually censored when mean levels of serum K for 3 months (3.5-4.4, 4.5-5.4, and 5.5-6.4mEq/L), dialysis modality, and albumin leakage (<3g/session and >3g/session) are changed. In addition, the levels of monthly average minimum systolic blood pressure during dialysis by predialysis mean K levels (3.5-4.4, 4.5-5.4, 5.5-6.4mEq/L) are compared at baseline, 1 year, and 2 years by a three-group test, and a round-robin comparison between the two groups will be performed using multiple testing if significant differences are found.


Management information

Registered date

2025 Year 01 Month 22 Day

Last modified on

2025 Year 12 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064682