Table 1.
Hi-Lo Trial | PHOSPHATE Trial | |
---|---|---|
Participating countries | United States | Australia, Canada, New Zealand, United Kingdom |
Population | Adult in-center HD patients | Adult in-center HD or PD patients receiving at least one PB agent |
High phosphate target | 6.5-7.0 mg/dL | 6.2-7.7 mg/dL |
Low-phosphate target | < 5.5 mg/dL | ≤ 4.6 mg/dL |
Primary outcome | Hierarchical composite of mortality and all-cause hospitalization | Major adverse cardiovascular eventsa |
Secondary outcomes | Individual components of the primary outcome; inpatient hospital days; serum albumin and protein catabolic rates | Individual components of the primary outcome; all-cause mortality; quality of life (EQ5D-5L) |
Sample size | 4,400 | 3,600 |
No. of study sites | 120-150 | - |
Design features | Open-label, cluster-level randomization | Open-label, individual-level randomization |
Start of enrollment | March 13, 2020 | December 10, 2019 |
Projected end of study | April 30, 2025 | December 31, 2025 |
Primary sponsor | National Institutes of Health | The University of Queensland |
Abbreviations: HD, hemodialysis; PB, phosphate binder; PD, peritoneal dialysis.
Composite of cardiovascular death, non-fatal myocardial infarction or coronary revascularization, stroke or peripheral arterial events.