Cochrane Renal Group

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autoid 99
crg_id CRG010600035
titleoftrial balANZ Study: A multicentre, randomised, controlled trial to determine whether peritoneal dialysis treatment with a low GDP, neutral pH peritoneal dialysis (PD) solution (balance) compared to standard PD solution is associated with superior preservation of residual renal function
acronymnoftrial balANZ Study
website http://
identificationno ACTRN12606000044527
leadprefix Prof
leadsurname Johnson
leadgivennames David
leadposition Director of Nephrology
leaddepartment Renal Medicine
leadorganisation Princess Alexandra Hospital
leadaddress Cornwall Street, Wolloongabba, QLD 4102 Australia
leademail David_Johnson@health.qld.gov.au
leadphone +61 7 3240 5080
leadfax +61 7 3240 7485
leadsuffix
contactprefix Dr
contactsurname Fiona
contactgivennames Brown
contactposition Nephrologist & Co-Lead Investigator for the balANZ Study
contactdepartment Dept of Nephrology
contactorganisation Monash Medical Centre - Renal Unit
contactaddress 246 Clayton Rd Clayton VIC 3168 Australia
contactemail fiona.brown@med.monash.edu.au
contactphone +61 3 9564 3525
contactfax
funding industry
otherfunding
fundingnameofsponsors Fresenius Medical Care Asia Pacific & Fresenius Medical Care Australia Pty Ltd.
ethicsapproval yes
studytype randomised
studytype_other
groupassignment parallel
blinding_patients no
blinding_investigators no
blinding_outcomes no
blinding_analysts no
proposedstart 08/2004
actualstart 08/2004
proposedcompletiondate 09/2007
actualcompletiondate 09/2007
multi_center_study yes
numberofcentres 14
multi_national_study yes
countrycentres Australia, New Zealand, Singapore
researchquestion To investigate the influence of balance solution on the evolution of residual renal function in comparison to change in residual renal function when treatment is with a standard PD solution.
study_status_recruitment ongoing
study_status_recruitment_follow ongoing
healthcarecondition End-stage renal disease
intervention1 balance solutions in Biofine, platicizer-free solution bags
intervention2 stay-safe conventional, standard PD solutions in Biofine, platicizer-free solution bags
intervention3 N/A
intervention4 N/A
participants_gender both
participants_other adults
age greater than or equal to 18 years of age to less than 81 years of age
totalrecruitment 420
inclusion 1.Male or female patients, age greater than or equal to 18 years and < 81 years
2.Diagnosis of end stage renal disease
3.First treatment for ESRD by any dialysis modality within 90 days prior to or following enrolment (patients may be enrolled prior to commencing first treatment if there is clear indication that the treatment modality is CAPD/APD and they consent in advance to enter the study)
4.Selected to be treated by CAPD/APD
5.Residual GFR at enrolment >/= 5 ml/min/1.73m2
6.Urine volume per day >/=400 ml at enrolment
7.Written informed consent before any trial related activities
8.Ability to understand the nature & requirements of this trial
exclusion 1.Prognosis for survival less than 12 months
2.Pregnancy or lactation period
3.History of malignancy other than a successfully and completely treated cutaneous squamous cell or basal cell carcinoma or carcinoma in-situ of the cervix within the last 5 years
4.Any acute infections at the time of enrolment into the study
5.Any disease of the abdominal wall such as injury or surgery, burns, hernia, dermatitis in the opinion of the Investigator would preclude the patient from being able to have peritoneal dialysis
6.Any Inflammatory bowel diseases (Crohns' disease, ulcerative colitis or diverticulitis) in the opinion of the Investigator would preclude the patient from being able to have peritoneal dialysis
7.Any intra-abdominal tumours or intestinal obstruction
8.Any patient with active serositis
9.Any condition (mental or physical) that would interfere with the patient's ability to comply with the study protocol
10.Known or suspected allergy to trial product or related products
11.Participation in any other clinical trial where an intervention is designed to moderate rate of change of residual renal function
primaryoutcomes Regression of renal GFR on time
secondaryoutcomes Measures of dialysis adequacy, ultrafiltration capacity, renal function survival, technique survival, patient survival, peritonitis rate and clinical status parameters.
reference 1. Brown F. Johnson DW. A randomized controlled trial to determine whether treatment with at neutral pH, low glucose degradation product dialysate (balance) prolongs residual renal function in peritoneal dialysis patients.[comment]. Peritoneal Dialysis International. 26(1):112-3; author reply 114, 2006 Jan-Feb. [added by Gail Higgins 20/08/2007] ACTRN12606000044527