ClinicalTrials.gg
RecruitingNCT07637110DRIVE-UFUpdated Oct 30, 2026

Dry Weight Reduction Intervention Via Extra Ultrafiltration

An interventional study of Ultrafiltration in Fluid Accumulation, Blood Pressure Management and End Stage Renal Disease (ESRD), sponsored by University of Washington. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by University of Washington · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Updated Oct 30, 2026Now RecruitingSite recruiting status changed+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 18 studies in Kidney Failure, Chronic by University of Washington — 1 open to participants now, 2 under way, none of them phase 3. Kidney Failure, Chronic · University of Washington.

Planned enrollment
8th of 15
120 · median 120
Started
2026
the only one that year
No phase
10 of 18
1 open now
Registered
18th of 18
by date

Among the 18 studies in Kidney Failure, Chronic by University of Washington, this one is the 8th largest by planned enrollment of the 15 interventional ones that give a count, is the only one that started in 2026, is one of 10 with no phase, and was the 18th registered.

Kidney Failure, Chronic

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

Browse Kidney Failure, Chronic studies →

Open to participants now

1 of the 18 studies in Kidney Failure, Chronic by University of Washington is open now, in 1 country.

By country, each count listing its studies:

Where they have run

Who these studies take

Of the 170 Kidney Failure, Chronic studies recruiting now, 109 (64%) set no upper age limit and 32 (19%) stop at 75 or younger; 18 take children under 18; 22 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 18 studies in Kidney Failure, Chronic by University of Washington, or all of them as a file.
02

Study summary

Most patients who receive hemodialysis treatments have excess fluid in their body that has slowly built up over the course of kidney disease. This extra fluid is the main cause of high blood pressure in dialysis and leads to stress on the heart and lungs.that causes debilitating symptoms and frequent hospitalizations.

This trial will test whether a focused program of 4 or 8 weeks of extra ultrafiltration treatments can remove most of this extra fluid. We believe that getting rid of large amounts of extra fluid will result in sustained improvements in blood pressure and symptoms. Ultrafiltration is a gentler type of dialysis that removes fluid but does not clean the blood.

Read the detailed description

This is a randomized trial of patients who are receiving in-center hemodialysis treatments for end stage kidney disease and have clinical suspicion of fluid overload. Enrolled participants will be randomly assigned in 1:1:1 fashion to either a four-week ultrafiltration strategy, an eight-week ultrafiltration strategy, or continuation of their regular thrice weekly hemodialysis treatments. Each ultrafiltration strategy will add two extra four-hour ultrafiltration treatments per week plus pharmacist-guided tapering of blood pressure medications. We will test the impact of these strategies on primary outcomes of

  1. Change in 24-hour continuous ambulatory blood pressure from baseline to 24-weeks
  2. Change in symptoms of congestion from baseline to 24-weeks We will also test the impact of the treatment strategies on related symptoms, physical activity levels, hemodynamics. and measures of safety.
03

Conditions studied

  • Fluid Accumulation
  • Blood Pressure Management
  • End Stage Renal Disease (ESRD)

Keywords

  • ESRD
  • Volume overload
  • Fluid accumulation
  • End stage renal disease
  • Congestion
  • Chronic dialysis
  • Blood Pressure (High)
  • Blood pressure management
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

  • Receiving thrice weekly in-center hemodialysis treatments for end stage kidney disease for at least four weeks and clinical suspicion of volume excess based on either:

    1. Persistent hypertension defined by three consecutive pre-dialysis systolic blood pressures ≥140 mmHg or three consecutive pre-dialysis systolic blood pressures 130-140 mmHg plus use of at least two anti-hypertensive medications that can be tapered.

      OR

    2. Symptoms of congestion defined by a 12-item Kidney Modified Kansas City Cardiomyopathy Questionnaire (KM-KCCQ) score \<75.

Exclusion criteria

Exclusion Criteria:

  • Age \<18 years
  • Receiving hemodialysis treatments for acute kidney injury
  • Receiving hemodialysis treatments for less than four weeks
  • Planned switch to peritoneal or home dialysis within next three months
  • Current or planned incremental hemodialysis (less than 3 treatments per week)
  • Current or planned intensive hemodialysis (four or more treatments per week)
  • Scheduled kidney transplantation
  • Major cardiovascular or bleeding event within previous 90 days
  • Receiving chemotherapy or radiation treatment for cancer
  • History of cirrhosis with ascites
  • Inability to complete 24-hour ambulatory blood pressure measurement
  • Wheelchair dependance or other inability to complete six-minute walk test
  • Pre-dialysis systolic blood pressure \<100 mmHg
  • Scheduled use of midodrine with hemodialysis treatments
  • History of non-adherence with dialysis treatments
  • Pregnancy
  • Institutionalized
  • Current or pending enrollment in hospice care
  • Inappropriate for enrollment based on investigator or nephrologist discretion
05

Study design

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

Study arms

  • Active comparator
    Ultrafiltration treatments for up to 4 weeks

    Two ultrafiltration treatments per week for up to 4 weeks; pharmacist guided tapering of blood pressure medications for up to 4 weeks; and regular thrice weekly hemodialysis treatments.

    Procedure: Ultrafiltration

  • Active comparator
    Ultrafiltration treatments for up to 8 weeks

    Two ultrafiltration treatments per week for up to 8 weeks; pharmacist guided tapering of blood pressure medications for up to 8 weeks; and regular thrice weekly hemodialysis treatments.

    Procedure: Ultrafiltration

  • No intervention
    Control arm

    Regular thrice weekly hemodialysis treatments.

Interventions

  • ProcedureUltrafiltration

    Ultrafiltration for 4 or 8 weeks compared to no ultrafiltration.

06

What researchers measure

Primary outcomes

  1. 24-hour continuous ambulatory blood pressure

    Blood pressure measured continously for a 24-hour period by wearing a blood pressure cuff on the upper arm.

    Time frame: Measurement performed at baseline compared to measurement performed at 24 weeks.

  2. Symptoms of congestion.

    Change in sypmtoms of congestion caused by fluid overload which we will access by using the Kidney-modified Kansas City Cardiomyopathy Questionnaire.

    Time frame: Questionnaire taken at Baseline compared the the questionnaire taken at 24 weeks.

07

Study locations

1 of 1 sites recruiting
  • Northwest Kidney Centers
    Seattle, Washington 98112, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — All data and samples will be stored indefinitely for possible future uses. There will be no direct or indirect identifiers stored with the resources after this study is finished. Resources will be coded with study codes. We plan post de-identified data in public databases such as Dryad at study conclusion. NIH data sharing policies typically require us to post coded, deidentified individual-level data on one of the preferred platforms. We will work with our NIH project officer to post data after the study is finished to an appropriate platform. We may collaborate with colleagues and other researchers who demonstrate a legitimate research need for which data and samples from this study would be valuable. Future uses do not have any restrictions.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Analytic code

Time frame: We will share the study protocol, informed consent form, and statistical analysis plan at the beginning of the study and indefinitely. We will share the analytic code when it becomes available.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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

Started Sep 2026 (actual). Primary completion is estimated for Feb 2030, 41 months after the start.

Of 347 non-industry interventional studies with no phase under Kidney Failure, Chronic, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 47. This study's planned 41 months is above that.

Counting every sponsor, half of 425 studies reached it within 23 months; a quarter within 8 and three quarters within 46.

Start moved once since we started tracking on Sep 25, 2026: Jun 2026 → Sep 2026, on Oct 30, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jun 3, 2026
First posted
Jun 9, 2026
StartActual
Sep 10, 2026was Jun 2026
Primary completionEst.
Feb 2030
CompletionEst.
Nov 2030
Last update
Oct 30, 2026
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.
Status
Not yet recruiting→Recruiting
changed Oct 30, 2026
Sites
Northwest Kidney Centers is now Recruiting
Oct 30, 2026
Start date
Jun 2026→Sep 10, 2026 (actual)
Oct 30, 2026
Interventions
Arm changed Ultrafiltration sessions for 4 weeks→Ultrafiltration treatments for up to 4 weeks; Ultrafiltration sessions for 8 weeks→Ultrafiltration treatments for up to 8 weeks; Control arm, no ultrafiltration sessions→Control arm
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    Not yet recruiting→Recruiting
    Northwest Kidney Centers is now Recruiting
    Start date Jun 2026→Sep 10, 2026 (now actual)
    Interventions Arm changed Ultrafiltration sessions for 4 weeks→Ultrafiltration treatments for up to 4 weeks; Ultrafiltration sessions for 8 weeks→Ultrafiltration treatments for up to 8 weeks; Control arm, no ultrafiltration sessions→Control arm
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07637110
Responsible party
Bryan Kestenbaum (Professor, Medicine - Nephrology, University of Washington) — Principal investigator
First posted
Jun 9, 2026
Start date
Sep 10, 2026
Primary completion
Feb 2030 (estimated)
Completion
Nov 2030 (estimated)
Last update
Oct 30, 2026

Study contacts

Luisa Rios-Avila
Contact
lrios1@uw.edu
206-258-9325
Ernest Ayers, MSPH
Contact
ayerse@uw.edu
206-685-1423
Bryan Kestenbaum, MD, MS
principal investigator · University of Washington

Oversight

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

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