UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061865
Receipt number R000070792
Scientific Title Validation of the Predictive Ability of the Hemodialysis Vascular Sound Index for Acute Vascular Access Failure: A Multicenter Prospective Observational Study
Date of disclosure of the study information 2026/06/11
Last modified on 2026/06/11 11:22:30

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Basic information

Public title

Clinical Utility of Hemodialysis Vascular Sound Index for Prediction of Acute Vascular Access Failure: A Multicenter Prospective Observational Study

Acronym

HVSI-VA Study

Scientific Title

Validation of the Predictive Ability of the Hemodialysis Vascular Sound Index for Acute Vascular Access Failure: A Multicenter Prospective Observational Study

Scientific Title:Acronym

HVSI-VA

Region

Japan


Condition

Condition

Native arteriovenous fistula (AVF) in maintenance hemodialysis patients

Classification by specialty

Nephrology Vascular surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate whether the Hemodialysis Vascular Sound Index (HVSI) can predict acute vascular access failure, including thrombosis, emergency vascular access intervention therapy (VAIVT), and emergency vascular access reconstruction, in maintenance hemodialysis patients. In addition, the relationship between HVSI and ultrasonographic findings, including flow volume, resistance index, and minimum vessel diameter, will be investigated.

Basic objectives2

Others

Basic objectives -Others

Prognostic prediction and diagnostic performance evaluation

Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Occurrence of acute vascular access failure within 30 days after HVSI measurement, defined as thrombosis, emergency vascular access intervention therapy (VAIVT), or emergency vascular access reconstruction.

Key secondary outcomes

Association between HVSI and flow volume (FV)
Association between HVSI and resistance index (RI)
Association between HVSI and minimum diameter of the culprit lesion
Association between HVSI and degree of stenosis
Association between HVSI and presence of bifurcation lesions
Diagnostic performance of HVSI for prediction of acute vascular access failure, including ROC analysis, sensitivity, specificity, and area under the curve (AUC)


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

18 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients undergoing maintenance hemodialysis
Patients with native arteriovenous fistula (AVF)
Patients undergoing routine vascular access ultrasound examinations at participating institutions

Key exclusion criteria

Patients with arteriovenous grafts (AVG)
Patients using central venous catheters
Patients considered inappropriate by the investigators

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name Yasumasa
Middle name
Last name Hitomi

Organization

Tojinkai Hospital

Division name

Department of Medical Technology

Zip code

6128026

Address

83-1 Igacho, Momoyama-cho, Fushimi-ku, Kyoto, Japan

TEL

0756221991

Email

hitomi.y@tojinkai.jp


Public contact

Name of contact person

1st name Yasumasa
Middle name
Last name Hitomi

Organization

Tojinkai Hospital

Division name

Department of Medical Technology

Zip code

6128026

Address

83-1 Igacho, Momoyama-cho, Fushimi-ku, Kyoto, Japan

TEL

0756221991

Homepage URL


Email

hitomi.y@tojinkai.jp


Sponsor or person

Institute

Tojinkai Hospital

Institute

Department

Personal name

Yasumasa Hitomi


Funding Source

Organization

Tojinkai Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tojinkai Hospital

Address

83-1 Igacho, Momoyama-cho, Fushimi-ku, Kyoto, Japan

Tel

0756221991

Email

hitomi.y@tojinkai.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

特定医療法人桃仁会病院(京都府)
どい腎臓内科透析クリニック(広島県)
新生会第一病院(愛知県)
日鋼記念病院(北海道)
大川VA透析クリニック(大阪府)
東葛クリニック病院(千葉県)
クレドさとうクリニック(千葉県)
高橋内科クリニック(福岡県)
新生会平針記念クリニック(愛知県)
埼玉医科大学総合医療センター(埼玉県)
JA長野厚生連南長野医療センター篠ノ井総合病院(長野県)
KKR高松病院(香川県)
つくばセントラル病院(茨城県)
佐藤循環器科内科(愛媛県)
弘愈会ひまわりクリニック(千葉県)
天童温泉矢吹クリニック(山形県)
南千住病院(東京都)
新生会 鳴海クリニック(愛知県)
桃仁会附属診療所(京都府)
からすま透析クリニック(京都府)
かつら透析クリニック(京都府)
向島クリニック(京都府)
計行会高橋計行クリニック(大阪府)
計行会第2髙橋計行クリニック(大阪府)


Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 11 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

Preinitiation

Date of protocol fixation

2026 Year 06 Month 02 Day

Date of IRB

2026 Year 06 Month 05 Day

Anticipated trial start date

2026 Year 07 Month 01 Day

Last follow-up date

2027 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a prospective observational study in hemodialysis patients. HVSI will be measured during routine vascular access ultrasound examinations, and its association with acute vascular access failure within 30 days will be evaluated. No intervention will be performed.


Management information

Registered date

2026 Year 06 Month 11 Day

Last modified on

2026 Year 06 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070792