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Modulation of Vascular Calcification in Chronic Dialysis Patients (ModuVas)

Charité University Medicine Berlin logo

Charité University Medicine Berlin

Status

Completed

Conditions

Vascular Calcification

Treatments

Device: High-Flux dialysis membrane
Device: Medium Cut-Off (MCO) dialysis membrane

Study type

Interventional

Funder types

Other

Identifiers

NCT03104166
ModuVas

Details and patient eligibility

About

50 patients will be randomized and treated with MCO or highflux dialysis for six months (24 weeks) after a run-in phase of 4 weeks Highflux treatment.

Serum samples will be drawn at baseline, after 4, 8 and 24 weeks.

Later, calcifiying vascular smooth muscle cells will be incubated with these serum samples and calcification will be assessed with Alkaline phosphatase and Alizarin staining.

Primary endpoint:

In vitro Calcification of coronary vascular smooth muscle cells (Alkaline Phosphatase/ WST8) after six months

Calcifiying vascular smooth muscle cells will be incubated with serum samples obtained after six months of MCO/HF dialysis and calcification will be assessed with Alkaline phosphatase and WST8.

Secondary Endpoints:

Aortic Pulse wave velocity after 6 months Calcification propensity after 6 months Physical activity level after 6 months

Cell culture: Incubation of VSMC with serum samples obtained after 6 months

  • Alizarin staining/WST-8
  • Measurement of calcification inhibitors Osteopontin and Matrix Gla Protein in Supernatants
  • Apoptosis

The treatment regimen of the patients will not be altered, hence blood flow, dialysate flow as well as dialysis time will remain constant.

Enrollment

50 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age 18 years an older
  • Chronic dialysis patients for at least 3 months

Exclusion criteria

  • Serum albumin <32g/L at the last routine albumin measurement
  • Pregnancy

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

50 participants in 2 patient groups

MCO
Experimental group
Description:
Patients will be treated thrice weekly with Medium Cut-Off Dialysis membranes.
Treatment:
Device: Medium Cut-Off (MCO) dialysis membrane
High-Flux
Active Comparator group
Description:
Patients will be treated thrice weekly with High-Flux Dialysis membranes.
Treatment:
Device: High-Flux dialysis membrane

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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