CClinicalTrials.gg
Active, not recruitingNCT04094038Updated Feb 12, 2026

The Effect of Intradialytic Parenteral Nutrition on Nutritional Status and Quality of Life in Hemodialysis Patients

A Phase 4 interventional study of Olimel N12 and Glucose IV in End Stage Renal Disease, Malnutrition and Sarcopenia, sponsored by Erasmus Medical Center. Active, not recruiting at 2 sites in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-12.

Sponsored by Erasmus Medical Center · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
166
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Protein-energy wasting (PEW), a hypercatabolic state characterized by loss of muscle mass and fuel reserves, is highly prevalent in hemodialysis patients. Nutritional status and body composition are closely linked to morbidity, mortality and quality of life. Lean tissue mass (LTM) appears to be the best read-out for the association between nutritional status and outcomes. Intradialytic parenteral nutrition (IDPN) is occasionally used with the aim to reduce loss of LTM, but its efficacy has not been established. The goal of this study is to study the effect of IDPN on changes in LTM in hemodialysis patients.

02

Conditions studied

  • End Stage Renal Disease
  • Malnutrition
  • Sarcopenia
  • Hemodialysis Complication
03

In context

Kidney Failure, Chronic

2,085 studies on the registry are indexed under Kidney Failure, Chronic; 260 are open to participants now.

This study's planned enrollment of 166 is above the median of 55 across 1,557 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

Erasmus Medical Center is the lead sponsor of 466 studies on the registry; 179 are open to participants now.

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

  • Undergoing chronic hemodialysis

Exclusion criteria

Exclusion Criteria:

  • Life expectancy \< 6 months
  • Planned kidney transplant within 4 months
  • Severe overhydration leading to respiratory insufficiency
  • Parenteral nutrition within four weeks prior to screening
  • Severe hepatic insufficiency
  • Pregnancy
  • Unipolar pacemaker with a very low sensitivity threshold
  • Active treatment for infection
  • Acute myocardial infarction
  • Circulatory shock
  • Hypersensitivity for any Olimel N12 ingredient or excipient
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
166 participants (estimated)

Study arms

  • Experimental
    Intervention

    Intradialytic parenteral nutrition three times weekly during 16 weeks

    Drug: Olimel N12

  • Placebo comparator
    Placebo

    5% glucose three times weekly during 16 weeks

    Drug: Glucose IV

Interventions

  • DrugOlimel N12

    A mixture of glucose, lipids, amino acids.

  • DrugGlucose IV

    Glucose 5%

06

What researchers measure

Primary outcomes

  1. Change in lean tissue mass

    Measured by body composition monitor (BCM)

    Time frame: 16 weeks

Secondary outcomes

  1. Skeletal muscle quality index (SMQI)

    Assessed by muscle ultrasound

    Time frame: 16 weeks

  2. Change in adipose tissue mass from baseline

    Time frame: 16 weeks

  3. Change in hand grip strength from baseline

    Measured by hand dynamometer, expressed as percentile of reference (by age and gender)

    Time frame: 16 weeks

  4. Change in kidney disease quality of life (KDQoL-36) energy/fatigue scale from baseline

    Assessed by Kidney Disease Quality of Life-36 (KDQoL-36) survey (energy/fatigue scale, 0-100, higher is better)

    Time frame: 16 weeks

  5. Change in kidney disease quality of life (KDQoL-36, overall health rating) from baseline

    Assessed by Kidney Disease Quality of Life-36 (KDQoL-36) survey (0-100, higher is better)

    Time frame: 16 weeks

  6. Positive and negative affect

    Assessed by Positive and Negative Affect Schedule (PANAS, 0-100, higher is better)

    Time frame: 16 weeks

  7. Change in phase angle from baseline

    Assessed by Body Composition Monitor (BCM)

    Time frame: 16 weeks

  8. Change in body weight from baseline

    Time frame: 16 weeks

  9. Change in serum prealbumin concentration from baseline

    Time frame: 16 weeks

Other outcomes

  1. Subjective global assessment (SGA)

    7-point scale, 7 indicates normal nutritional status, 1 indicates severe protein energy wasting

    Time frame: 16 weeks

  2. Change in serum albumin concentration

    Time frame: 16 weeks

  3. Appetite

    Numeric rating scale (0-10, 10 being best appetite)

    Time frame: 16 weeks

07

Study locations

2 sites
  • Erasmus MC
    Rotterdam, Netherlands
  • Franciscus Gasthuis & Vlietland
    Rotterdam, Netherlands
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04094038
Lead sponsor
Erasmus Medical Center
Collaborators
Baxter Healthcare Corporation
Responsible party
Ewout Hoorn (Principal Investigator, Erasmus Medical Center) — Principal investigator
First posted
Sep 18, 2019
Start date
Sep 16, 2019
Primary completion
Apr 2, 2024
Completion
Jul 2026 (estimated)
Last update
Feb 12, 2026

Study contacts

Ewout J Hoorn, MD PhD
principal investigator · Erasmus Medical Center

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 active, not recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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