About this trial
The BicMag study is a prospective, randomized, controlled cross-over study that aims to examine the potential additive effect of a dialysate enriched with both bicarbonate and magnesium on mineral buffering capacity in the blood of chronic hemodialysis patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years
Prevalent patients (≥ 3 months) treated with thrice weekly hemodialysis or hemodiafiltration
Dialysate calcium of 1.25 mmol/l
Disqualifiers
Inability to provide informed consent
Currently participating in another investigational device or drug study or non-interventional study
Dialysate calcium other than 1.25 mmol/l
Parathyroidectomy planned during the study
Trial design
Sequential
Treatments tested in this trial
D-Standard
Other interventionCenter's standard dialysate containing 32 mmol/L bicarbonate and 0.5 mmol/L magnesium
D-Bic
Other interventionDialysate bicarbonate increased to 37 mmol/L; dialysate magnesium held at 0.5 mmol/L
D-Mag
Other interventionDialysate magnesium increased to 1.0 mmol/L; dialysate bicarbonate held at 32 mmol/L
D-BicMag
Other interventionDialysate bicarbonate increased to 37 mmol/L; dialysate magnesium increased to 1.0 mmol/L
Treatment groups
Trial outcomes
Primary outcomes
Calciprotein crystallization time (T50) as a measure of mineral buffering capacity
Intra-individual difference in T50 between the combination dialysate (D-BicMag) and each of the single-intervention dialysates (D-Bic and D-Mag)
Secondary outcomes
Endogenous calciprotein particle (CPP) levels
Intra-individual difference in endogenous calciprotein particle levels between the combination dialysate (D-BicMag) and each of the single-intervention dialysates (D-Bic and D-Mag)
Locations
Sponsors and contacts
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