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TerminatedNCT04020757Updated Mar 12, 2020

H+ Mobilization With Dialysate Bicarbonate Variation

A Phase 2 interventional study of variation in dialysis bicarbonate and Zone Perfect bar in Chronic Kidney Disease, sponsored by Tufts Medical Center. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-03-12.

Sponsored by Tufts Medical Center · Phase 2, Interventional, and Treatment

Why this study was terminated
Biochemical measurement techniques were deemed insufficient to continue research
Phase
Phase 2
Study type
Interventional
Enrollment
13
Ages
18 Years and older
Sex
All
01

Study summary

The aims of the proposed studies are first to delineate the physiological response of End Stage Kidney Disease (ESKD) patients to exposure to a bath [HCO3-] of 35 mEq/L and an [acetate] of 4 mEq/L, and second, to determine whether reducing bath [HCO3-] will have the expected effect of decreasing or abolishing stimulation of organic acid production. A secondary endpoint will be whether the patients tolerate such a reduction and its impact on pre-dialysis blood [HCO3-]. If the outcome is positive in both regards, future studies will measure well-being and outcomes with reduced bath [HCO3-].

02

Conditions studied

  • Chronic Kidney Disease
03

In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's enrollment of 13 is below the median of 70 across 2,640 interventional studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

Tufts Medical Center is the lead sponsor of 194 studies on the registry; 28 are open to participants now.

Of its 30 completed or terminated interventional studies of FDA-regulated products, 16 (53%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients must be 18 years or older,
  2. Have been on dialysis for at least 1 year,
  3. Be stable on treatment (i.e., without frequent changes in their dialysis prescription, or recent hospitalizations),
  4. Be reasonably nourished (serum albumin > 3.5 g/dl and not currently receiving oral nutritional supplement through DCI).
  5. Self-reported urine output of \<200 cc/day
  6. Functioning arteriovenous fistulas or grafts for dialysis access
  7. Currently dialyzing at a dialysate [HCO3-] of 33-37 mEq/L.

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy,
  2. Acute illnesses of any kind,
  3. Hospitalization in the prior 3 months (except for vascular access related),
  4. Significant congestive heart failure, liver or lung failure.
  5. Pre-dialysis blood [HCO3-] \<19 mEq/L) (to reduce the risk of metabolic acidosis )
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Other
    Bicarb Variation

    Variation in dialysis bicarbonate, lowered to 30 mEq/L for week 2 of 3

    Device: variation in dialysis bicarbonate · Dietary Supplement: Zone Perfect bar

Interventions

  • Devicevariation in dialysis bicarbonate

    35 mEq/L dialysate bicarbonate for one week, followed by 30 mEq/L for one week, followed by 35mEq/L for one week with nutritional supplement during dialysis

  • Dietary supplementZone Perfect bar

    16g protein supplement given during first 30 mins of dialysis on last testing day

06

What researchers measure

Primary outcomes

  1. Lactate levels

    7 tests conducted through the dialysis treatment after the long interdialytic interval

    Time frame: through study completion, a period of 3 weeks

  2. H+ mobilization

    7 tests conducted through the dialysis treatment after the long interdialytic interval

    Time frame: through study completion, a period of 3 weeks

07

Study locations

1 site
  • Tufts Medical Center
    Boston, Massachusetts 02111, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 12, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04020757
Lead sponsor
Tufts Medical Center
Collaborators
Dialysis Clinic, Inc.
Responsible party
Sponsor
First posted
Jul 16, 2019
Start date
Jun 12, 2019
Primary completion
Oct 30, 2019
Completion
Nov 30, 2019
Last update
Mar 12, 2020

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 terminated, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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