ClinicalTrials.gg
CompletedNCT03280901HD-REMODELUpdated Jan 15, 2021

HaemoDialysis Interventions to REduce Multi-Organ Dysfunction and Effect on Quality of Life Assessed by MRI Scanning

An interventional study of HD, Magnetic Resonance Imaging (MRI) scans in Renal Failure, Cardiovascular Diseases and Congenital Disorders, sponsored by Fresenius Medical Care Deutschland GmbH. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-01-15.

Sponsored by Fresenius Medical Care Deutschland GmbH (part of Fresenius Medical Care) · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
17
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 16 studies in Renal Insufficiency by Fresenius Medical Care — 4 open to participants now, 4 under way, none of them phase 3. Renal Insufficiency · Fresenius Medical Care.

Enrollment
9th of 11
17 · median 49
Started
2018
with 1 other
No phase
10 of 16
2 open now
Registered
2nd of 16
by date

Among the 16 studies in Renal Insufficiency by Fresenius Medical Care, this one is the 9th largest by enrollment of the 11 interventional ones that give a count, is one of 2 that started in 2018, is one of 10 with no phase, and was the 2nd registered.

Renal Insufficiency

1,412 studies on the registry are indexed under Renal Insufficiency; 145 are open to participants now.

Browse Renal Insufficiency studies →

Open to participants now

4 of the 16 studies in Renal Insufficiency by Fresenius Medical Care are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 4 open studies →

Who these studies take

Of the 91 Renal Insufficiency studies recruiting now, 48 (53%) set no upper age limit and 18 (20%) stop at 75 or younger; 8 take children under 18; 15 take healthy volunteers.

This study: 18 Years to 80 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies in Renal Insufficiency by Fresenius Medical Care, or all of them as a file.
02

Study summary

The purpose of this study is to characterise in detail cardiac, cerebral and renal structure, function and perfusion in patients on haemodialysis (HD) using magnetic imaging techniques. The effects of a standard prescription haemodialysis (dialysate temperature 37 C) will be compared to a thermocontrolled (or isothermic) haemodialysis prescription to ascertain if thermocontrolled HD provides a protective effect on organ perfusion and circulatory stress when compared to conventional haemodialysis. The BTM (blood temperature monitor, Fresenius) offers a way to overcome this to regulate thermal balance during dialysis and achieve a neutral thermal balance (isothermic) over the dialysis session. Other dialysis parameters will be standardised between treatment arms using blood volume monitoring (BVM) and clinical assessments.

Read the detailed description

The purpose of this study is to characterise in detail cardiac, cerebral and renal structure, function and perfusion in patients on haemodialysis (HD) using magnetic imaging techniques. The Primary objectives are to investigate the difference in cardiac perfusion, structure and function between standard HD and thermocontrolled HD using magnetic imaging techniques, to observe the the changes in renal perfusion and oxygenation within one dialysis session and the changes to cerebral perfusion within one dialysis session.

The secondary objectives are to investigate the difference in cerebral perfusion, structure, oedema and function between standard HD and thermocontrolled HD, the difference in renal perfusion and oxygenation between standard HD and thermocontrolled HD and the differences in visual acuity and cognitive assessment across a dialysis session and over a dialysis treatment course.

03

Conditions studied

  • Renal Failure
  • Cardiovascular Diseases
  • Congenital Disorders

Keywords

  • renal replacement therapy
  • haemodialysis
  • haemodiafiltration
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Exclusion Criteria:

  • Change in dry weight (clinically defined) in 4 weeks prior to recruitment
  • Dialysate composition other than: sodium≥137mmol/L, potassium≥2.0mmol/L, calcium≥1.5mmol/L, magnesium≥0.5mmol/L, glucose 1.0g/L
  • Instability on dialysis in 4 weeks prior to recruitment leading to either:

    • Emergency medical attention
    • Infusion of additional fluid
    • Loss in consciousness
    • Arrhythmia
    • Chest pain
    • Or any other medical condition that precludes the scan session in opinion of the investigator
  • Dialysed via a synthetic line, central venous catheter or graft
  • Qa \< 500ml/min
  • Stage IV heart failure (New York Heart Association)
  • Active infection or
  • to MRI scanning including claustrophobia, pacemaker, metallic implants etc
  • Pregnancy (pregnancy test will be conducted with female patients aged ≤ 55 years) or planning pregnancy or lactation period
  • Medical conditions or overall physical frailty precludes scan session in opinion of investigator
  • Unable or unwilling to provide
  • Any condition which could interfere with the patient's ability to comply with the study
  • Participation in an interventional clinical study during the preceding 30 days

Inclusion Criteria:

  • Age 18-80, male and female
  • Informed consent signed and dated by study patient and investigator/authorised physician
  • Average (4 weeks prior to recruitment) Ultrafiltration volumes ≥ 0.5 litres/ dialysis session
  • Receiving dialysis via an arteriovenous fistula
  • Must be able to follow simple instruction in English (on safety grounds for MRI scans) and be able to understand the nature and requirements of the study
  • Stable dialysis prescription
  • CKD5 (Chronic kidney disease) patients having renal replacement therapy with haemodialysis/ haemodiafiltration (>90 days)
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
17 participants (actual)

Study arms

  • Experimental
    Standard HD

    HD with constant temperature of 37°C, MRI scans of the heart, kidneys and brain during HD sessions

    Other: HD, Magnetic Resonance Imaging (MRI) scans

  • Experimental
    Thermocontrolled HD

    HD applying the Blood Temperature Monitor (BTM), MRI scans of the heart, kidneys and brain during HD sessions

    Other: HD, Magnetic Resonance Imaging (MRI) scans

Interventions

  • OtherHD, Magnetic Resonance Imaging (MRI) scans

    HD, Magnetic Resonance Imaging (MRI) scans using a specifically designed unit able to perform MRI scanning during HD sessions

06

What researchers measure

Primary outcomes

  1. Change in cardiac output during standard HD and thermocontrolled HD

    Change in cardiac output during standard HD and thermocontrolled HD using Phase Contrast Magnetic Resonance Imaging (PC-MRI)

    Time frame: after 2 and 4 weeks after randomisation

  2. Change in renal perfusion during standard HD and thermocontrolled HD

    Change in renal perfusion using Arterial Spin Labelling (ASL) and renal artery flow using PC-MRI

    Time frame: after 2 and 4 weeks after randomisation

  3. Change in cerebral perfusion during standard HD and thermocontrolled HD

    Change in cerebral perfusion during standard HD and thermocontrolled HD using ASL

    Time frame: after 2 and 4 weeks after randomisation

07

Study locations

1 site
  • University of Nottingham, Division of Medical Sciences and Graduate Entry Medicine
    Nottingham, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in May 2019, 16 months.

Of 31 industry-sponsored interventional studies with no phase under Renal Insufficiency, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 27. This study's 16 months is close to that.

Counting every sponsor, half of 149 studies reached it within 22 months; a quarter within 8 and three quarters within 48.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 28, 2017
First posted
Sep 13, 2017
StartActual
Jan 8, 2018
Primary completionActual
May 25, 2019
CompletionActual
Aug 20, 2020
Last update
Jan 15, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03280901
Responsible party
Sponsor
First posted
Sep 13, 2017
Start date
Jan 8, 2018
Primary completion
May 25, 2019
Completion
Aug 20, 2020
Last update
Jan 15, 2021

Study contacts

Maarten Taal, Professor
study chair · University of Nottingham, Division of Medical Sciences and Graduate Entry Medicine
Nicolas Selby, Dr
principal investigator · University of Nottingham, Division of Medical Sciences and Graduate Entry Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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