ClinicalTrials.gg
CompletedNCT07777523NiTEDUpdated Aug 20, 2026

Non-invasive Testing for End-Stage Chronic Kidney Disease

An observational study in Renal Disease, Chronic, Renal Disease, End-Stage and Dialysis Patients, sponsored by Gisens Biotech. Completed at 1 site in Argentina. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-20.

Primary conditionKidney Failure, ChronicRegistry: Renal Insufficiency, ChronicReclassifiedWhy we changed it
Registry
Renal Insufficiency, Chronic — the first condition term the registry derived for this study.
ClinicalTrials.gg
Kidney Failure, Chronic
Why
  1. The study's listed conditions name Kidney Failure, Chronic, a narrower term within Renal Insufficiency, Chronic.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Gisens Biotech · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
55
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates the clinical performance of a non-invasive digital diagnostic test (KF4+, developed and manufactured by Gisens Biotech) for the measurement of urea and potassium in capillary blood in patients with end-stage renal disease (ESRD) undergoing dialysis. Measurements obtained using the KF4+ test in capillary blood are compared with hospital laboratory reference methods performed on venous blood samples. The study also assesses the feasibility of determining dialysis efficiency, expressed as Kt/V, using non-invasive samples. The objective is to determine agreement, correlation, and clinical comparability between methods, and to evaluate the use of capillary blood as an alternative to venous sampling in routine dialysis monitoring.

Read the detailed description

The adequacy of dialysis treatment is traditionally assessed by measuring serum urea and calculating Kt/V, which requires venous blood sampling and laboratory infrastructure. This observational diagnostic study evaluates the use of a portable, bioelectronic point-of-care test (KF4+, Gisens Biotech) for measuring urea and potassium in capillary blood as a non-invasive alternative. KF4+ test is a disposable cartridge based on electrochemical detection of analytes inside.

Adult patients with end-stage renal disease undergoing chronic hemodialysis from Hospital Interzonal General de Agudos "General San Martín" are enrolled. Capillary blood samples are collected before and after dialysis sessions and analyzed using the KF4+ digital test. Venous blood samples collected at the same time points are analyzed using standard hospital laboratory reference methods with the autoanalyzer Wiener Lab CMD 800i. Method comparison analyses are performed to evaluate agreement and correlation between capillary and venous measurements.

Dialysis efficiency is assessed by calculating Kt/V using urea values obtained from capillary blood and comparing these results with Kt/V calculated from venous blood measurements. The study is conducted at a single hospital center and follows a paired, comparative, observational design. KF4+ results were not used for clinical decision-making.

02

Conditions studied

  • Renal Disease, Chronic
  • Renal Disease, End-Stage
  • Dialysis Patients
  • Urea in Blood; High
  • Potassium Measurement
  • Noninvasive

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Keywords

  • PORTABLE TEST
  • POTASSIUM
  • CAPILLARY BLOOD
  • UREA
  • DIALYSIS
  • RENAL
  • ESCKD
  • DIGITAL
  • METHOD VALIDATION
  • MULTIPLEX
  • NONINVASIVE
03

In context

Kidney Failure, Chronic Reclassified

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

This study's enrollment of 55 is below the median of 120 across 442 observational studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

This is the only study on the registry with Gisens Biotech as lead sponsor.

Compared within Kidney Failure, Chronic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Renal Insufficiency, Chronic. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

End-Stage Chronic Kidney Disease Patients under Chronic Dialysis from Hospital Interzonal General de Agudos General San Martín La Plata, Argentina

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

  • Adult patients (≥18 years)
  • Diagnosis of end-stage renal disease
  • Receiving chronic dialysis treatment
  • Receiving chronic hemodialysis treatment
  • Able and willing to provide written

Exclusion criteria

Exclusion Criteria:

  • Inability to provide
  • Any condition that, in the opinion of the investigator, would interfere with participation or data interpretation
Terms in these criteria, in plain language(1)

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.

05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
55 participants (actual)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Adult patients with end-stage renal disease undergoing chronic dialysis

    This is a prospective, single-center, observational diagnostic study conducted in adult patients with end-stage renal disease undergoing chronic dialysis from Hospital Interzonal General de Agudos General San Martín, La Plata, Argentina.

    Diagnostic Test: KF4+ Noninvasive Test

Interventions

  • Diagnostic testKF4+ Noninvasive Test

    This is an observational clinical study. The KF4+ is a portable and digital test used to measure urea and potassium concentrations in capillary blood samples. Results are compared with hospital laboratory reference methods performed on venous blood. The KF4+ test is used for measurement only and does not influence clinical management or dialysis prescription.

06

What researchers measure

Primary outcomes

  1. Agreement and correlation of urea concentrations measured in capillary blood using the KF4+ digital test and in venous blood using the reference laboratory method.

    Urea concentrations measured using the KF4+ digital test in capillary blood will be compared with urea concentrations measured using the reference laboratory method in venous blood samples. Agreement between the two methods will be assessed using Bland-Altman analysis, including Bland-Altman plots. Correlation between the two methods will be assessed using Spearman correlation analysis and linear regression. All analyses will be based on paired capillary and venous blood measurements.

    Time frame: Immediately before and immediately after a routine dialysis session.

  2. Agreement and correlation of potassium concentrations measured in capillary blood using the KF4+ digital test and in venous blood using the reference laboratory method

    Potassium concentrations measured using the KF4+ digital test in capillary blood will be compared with potassium concentrations measured using the reference laboratory method in venous blood samples. Agreement between the two methods will be assessed using Bland-Altman analysis, including Bland-Altman plots. Correlation between the two methods will be assessed using Spearman correlation analysis and linear regression. All analyses will be based on paired capillary and venous blood measurements.

    Time frame: Immediately before a routine dialysis session.

Secondary outcomes

  1. Agreement between Kt/V calculated from capillary blood urea and Kt/V calculated from venous blood urea.

    Agreement between Kt/V calculated using urea concentrations measured in capillary blood with the KF4+ test and Kt/V calculated using urea concentrations measured in venous blood using the reference laboratory method. Agreement between the two methods will be assessed using paired statistical tests. Kt/V will be calculated using the single pool Kt/V equation as indicated by KDIGO 2024 clinical guideline.

    Time frame: Kt/V is calculated immediately after a routine dialysis session using urea levels measured immediately before and immediately after the dialysis session.

07

Study locations

1 site
  • Hospital Interzonal General de Agudos General San Martín La Plata, Argentina
    La Plata, Buenos Aires 1900, Argentina
08

References and documents

Publications

  • Diforti, J.F., Cunningham, T., Zegalo, Z., Piccinini, E., Marmisollé, W.A., Piccinini, J.M. and Azzaroni, O., 2024. Transforming Renal Diagnosis: Graphene-Enhanced Lab-On-a-Chip for Multiplexed Kidney Biomarker Detection in Capillary Blood. Advanced Sensor Research, 3(11), p.2400061.
  • Murray JS, Williams CJ, Lendrem C, Smithson J, Allinson C, Robinson J, Walker A, Winter A, Simpson AJ, Newton J, Wroe C, Jones WS. Patient Self-Testing of Kidney Function at Home, a Prospective Clinical Feasibility Study in Kidney Transplant Recipients. Kidney Int Rep. 2023 Mar 28;8(6):1170-1182. doi: 10.1016/j.ekir.2023.03.003. eCollection 2023 Jun. PubMed 37284676 ↗
  • Griva K, Nandakumar M, Ng JH, Lam KFY, McBain H, Newman SP. Hemodialysis Self-management Intervention Randomized Trial (HED-SMART): A Practical Low-Intensity Intervention to Improve Adherence and Clinical Markers in Patients Receiving Hemodialysis. Am J Kidney Dis. 2018 Mar;71(3):371-381. doi: 10.1053/j.ajkd.2017.09.014. Epub 2017 Dec 1. PubMed 29198641 ↗
  • Diforti JF, Cunningham T, Piccinini E, Marmisolle WA, Piccinini JM, Azzaroni O. Noninvasive and Multiplex Self-Test of Kidney Disease Biomarkers with Graphene-Based Lab-on-a-Chip (G-LOC): Toward Digital Diagnostics in the Hands of Patients. Anal Chem. 2024 Apr 16;96(15):5832-5842. doi: 10.1021/acs.analchem.3c05148. Epub 2024 Apr 4. PubMed 38573917 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers due to participant privacy and confidentiality considerations. Only aggregated study results will be reported and shared.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2025 to primary completion in Dec 2025, 2 months.

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

Registered
Aug 13, 2026
First posted
Aug 20, 2026
StartActual
Oct 1, 2025
Primary completionActual
Dec 31, 2025
CompletionActual
Dec 31, 2025
Last update
Aug 20, 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.
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07777523
Lead sponsor
Gisens Biotech
Collaborators
Universidad Nacional de La Plata, Hospital Interzonal General de Agudos General San Martín
Responsible party
Sponsor
First posted
Aug 20, 2026
Start date
Oct 1, 2025
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025
Last update
Aug 20, 2026

Study contacts

Esteban Piccinini, PhD
study director · Universidad Nacional de La Plata

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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