Table 2.
Study period | |||
Prescreening | Baseline/screening | Visit 1–12 | |
Months | −12 to 0 | 0 | 1–12 |
Study procedures/assessments | |||
Consent | X | ||
Inclusion/exclusion criteria | X | X | |
Demographics, medical history, physical examination, height | X | ||
Randomisation | X | ||
Rescreening* | X | ||
Concomitant medications -diuretics, erythropoietin stimulating agents, antihypertensive, phosphate binders | X | X | |
Monthly dialysis blood tests | X | X | |
Monthly dialysis adequacy assessments | X | X | |
Pre-HD1 urea, post-HD1 urea, pre-HD2 urea, post-HD2 urea† | X | X | X |
Inter-dialytic urine collection for urea and creatinine clearance measurement | X | X | |
Frozen samples for β−2 microglobulin and β trace protein | X | X | |
Bioimpedence measurement | X | X | |
Safety assessments | |||
Adverse events, serious adverse events, MACE, end points | X | ||
Questionnaires | |||
EQ-5D-5L, IIRS, PHQ9, MoCA, CFS | Months 0, 6, 12 |
*Patients who fail screening will be eligible for rescreening 1 month later provided their screening urea clearance is >2 mL/min/1.73 m2 BSA and the rescreening time point remains within 3 months of HD initiation.
†Dialysis adequacy can be calculated using either post-HD1 urea, pre-HD2 urea, post-HD2 urea or optionally using pre-HD1 urea, post-HD1 urea, pre-HD2 urea.
CFS, Clinical Frailty Score; HD, haemodialysis; IIRS, Illness intrusiveness rating score; MACE, major adverse cardiac events; MOCA, Montreal Cognitive assessment.