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RecruitingNCT06341452SODIAHUpdated Dec 22, 2025

Comparison of Individualized Sodium Management Versus Standard Treatment in Hemodialysis

An interventional study of Hemodialysis or Hemodiafiltration either with sodium zero-diffusive treatment or standard treatment without sodium-control in End Stage Renal Disease, sponsored by Fresenius Medical Care Deutschland GmbH. Recruiting at 1 site in Czechia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-22.

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

From the registry’s dates

  • Started Dec 2025; still recruiting 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
130
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The SODIAH study is designed with the aim to assess the impact of isonatremic dialysis on interdialytic weight gain, fluid status, intradialytic hemodynamic stability, and incidence of intradialytic morbid events in dialysis patients. The study will be comparing the Na management option on the 6008 HD dialysis machines with the same machine without the Na management option turned on. Relevant performance and clinical data will be collected as well as information on patients' quality of life and wellbeing.

02

Conditions studied

  • End Stage Renal Disease

Keywords

  • Hemodialysis
03

In context

Kidney Failure, Chronic

2,108 studies on the registry are indexed under Kidney Failure, Chronic; 273 are open to participants now.

This study's planned enrollment of 130 is above the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

Fresenius Medical Care Deutschland GmbH is the lead sponsor of 36 studies on the registry; 7 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

General:

  • signed and dated by study patient and authorized physician
  • Minimum age of 18 years
  • The patient is legally competent and able to understand the nature, risks, meaning, and consequences of the clinical trial and can subsequently declare her/his consent for participation in the clinical trial
  • Patients with a chronic kidney disease stage 5D (end stage renal disease with a of 15 ml/min or less) on dialysis as extracorporeal renal replacement therapy.

Study-specific:

  • Patients on dialysis (HD/HDF), at least 4h treatment time thrice weekly ≥ 3 months using a standard dialysate with a prescribed sodium concentration of 136 mmol/L
  • Anuric patients (\<300mL/d; 1 measurement within last 4 weeks)
  • Patient fulfils one of the four following criteria:

interdialytic weight gain over 4% of dry weight (mean value during run-in period) OR pre-dialytic systolic blood pressure over 180 mmHg (mean value during run-in period) OR intradialytic morbid events (hypotension, hypertension, cramps, headache) in at least three sessions during run-in period OR volume overload according to BCM (FO ≥2.5 L pre-dialysis or relative FO pre-dialysis ≥15% for men and ≥13% for women; one measurement during run-in period)

- Patients with a diffusive Na load of at least 1 mmoL/(L TBW) or 0.06g NaCl/(L TBW) (mean value during the run-in period).

Exclusion criteria

Exclusion Criteria:

General:

  • Any conditions which could interfere with the patient's ability to comply with the study
  • Patient is not able to give according to European Medical Device Regulation and corresponding national regulations
  • In case of female patients: pregnancy (pregnancy test will be conducted at start and end of study with female patients aged ≤55 years) or lactation period
  • Participation in an interventional clinical study during the preceding 30 days
  • Previous participation in the same study

Study-specific:

  • Patients treated with individualized sodium management over the last 3 months
  • Severe hypoalbuminemia (≤30 g/L; 1 measurement within last 4 weeks)
  • Hypernatremia (pre-dialytic plasma sodium concentration ≥145mmol/L; 1 measurement within last 4 weeks)
  • Uncontrolled diabetic patients with (HbA1C) >8%; 1 measurement within last 4 weeks
  • Impossible reliable measurement of the different compartments by bioimpedance due to lower limb amputation or wearing of a unipolar pacemaker or metallic prostheses
  • less than 6 months
  • ONLINEplus HF treatments/hemofiltration treatments
  • Single-needle treatments
  • Dry weight \< 40kg
  • Active or chronic infections (, SARS-CoV-2, , )
Terms in these criteria, in plain language(7)

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
130 participants (estimated)

Study arms

  • Other
    Na zero-diffusive treatment

    Patients will be treated for 12 weeks sodium zero-diffusive prescription thrice weekly Hemodialysis or Hemodiafiltration sessions resulting in 36 sessions per patient.

    Device: Hemodialysis or Hemodiafiltration either with sodium zero-diffusive treatment or standard treatment without sodium-control

  • Other
    standard treatment without Na-control

    Patients will be treated for 12 weeks either with standard dialysate prescription thrice weekly Hemodialysis or Hemodiafiltration sessions resulting in 36 sessions per patient.

    Device: Hemodialysis or Hemodiafiltration either with sodium zero-diffusive treatment or standard treatment without sodium-control

Interventions

  • DeviceHemodialysis or Hemodiafiltration either with sodium zero-diffusive treatment or standard treatment without sodium-control

    Patients will be treated for 12 weeks thrice weekly Hemodialysis or Hemodiafiltration sessions resulting in 36 sessions per patient.

06

What researchers measure

Primary outcomes

  1. Interdialytic weight gain

    Evaluation of the impact of sodium zero-diffusive dialysis on interdialytic weight gain will be analyzed in kg and % of dry weight

    Time frame: 12 weeks after start of study

  2. Intradialytic hemodynamic stability

    Evaluation of the impact of sodium zero-diffusive dialysis on intradialytic hemodynamic stability will be analyzed based on frequency of intradialytic hypotensive episodes

    Time frame: 12 weeks after start of study

  3. Intradialytic hemodynamic stability

    Evaluation of the impact of sodium zero-diffusive dialysis on intradialytic hemodynamic stability will be analyzed based on frequency of intradialytic hypertensive episodes

    Time frame: 12 weeks after start of study

  4. Intradialytic morbid events

    Evaluation of the impact of sodium zero-diffusive dialysis on the frequency of intradialytic morbid events will be analyzed

    Time frame: 12 weeks after start of study

  5. Fluid status

    Evaluation of the impact of sodium zero-diffusive dialysis on fluid status will be analyzed with regard to overhydration (L)

    Time frame: 12 weeks after start of study

  6. Fluid status

    Evaluation of the impact of sodium zero-diffusive dialysis on fluid status will be analyzed with regard to dry weight (kg)

    Time frame: 12 weeks after start of study

Secondary outcomes

  1. PRO: Thirst feeling

    Evaluation of thirst feeling will be assessed via the Dialysis Thirst Inventory

    Time frame: 12 weeks after start of study

  2. PRO: Thirst feeling

    Evaluation of thirst feeling will be assessed via the Xerostomia Inventory

    Time frame: 12 weeks after start of study

  3. PRO: Fatigue

    Evaluation of fatigue will be assessed via the CONVINCE Dialysis Fatigue Scale (CFDS-10)

    Time frame: 12 weeks after start of study

  4. PRO: Hypotensive episodes

    Evaluation of hypotensive episodes will be assessed via the CONVINCE intradialytic symptoms (IDS) Scale - hypotensive episodes items

    Time frame: 12 weeks after start of study

  5. PRO: HRQOL

    Evaluation of health related quality of life (HRQOL) will be assessed using the validated Kidney Disease Quality of Life (KDQOL) survey KDQOL-36

    Time frame: 12 weeks after start of study

  6. PRO: Health status

    Evaluation of health status will be assessed via the validated EQ-5D-5L survey by EuroQol group

    Time frame: 12 weeks after start of study

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

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 Dec 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06341452
Responsible party
Sponsor
First posted
Apr 2, 2024
Start date
Dec 16, 2025
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Dec 22, 2025

Study contacts

Jennifer Braun, Dr.
Contact
Jennifer.Braun@freseniusmedicalcare.com
+49 6172 608 93488
Manuela Stauss-Grabo, Dr.
Contact
Manuela.Stauss-Grabo1@freseniusmedicalcare.com
+4961726085248
Martin Jirovec, Dr.
principal investigator · Fresenius Medical Care - DS, s.r.o., Marianske Lazne; Czech Republic
Björn Meijers, Prof. Dr.
principal investigator · Universitaire Ziekenhuizen Leuven, Leuven, Belgium
Maria Jesus Izquierdo Ortiz, Dr.
principal investigator · Burgos University Hospital, Burgos, Spain

Oversight

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

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