About this trial
Previous studies suggest that the supplementation of essential amino acids and ketaoacids may prolong the duration of the incremental phase of peritoneal dialysis. There is no data on incremental haemodialysis patients. Such data would be highly needed to support the management of haemodialysis patients in the transition phase from "pre-dialysis" to "full dose" dialysis. In this context, investigator proposed a randomized "add on" trial, to evaluate the effect of the addition of Ketosteril to the usual nutritional plan to patients who start haemodialysis in incremental way.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients (aged 18 years or older)
Able and accepting to give informed consent
Starting iHD in the Centre Hospitalier Le Mans
Disqualifiers
Denying informed consent
Acute kidney injury (AKI)
Life expectancy of less than 3 months, or kidney transplantation scheduled within 3 months
Cognitive impairment severe enough to limit understanding and acceptance of the study
Trial design
Parallel
Treatments tested in this trial
Supplementation by ketosteril
Drug1 tablet each 10 kg of ideal Body Weight is dispensed per day
Treatment groups
Trial outcomes
Primary outcomes
Duration of incremental haemodialysis period
Duration in months of the incremental haemodialysis period (defined as less than 3 times per week but excluding the cases in which dialysis frequency is reduced in the context of palliative and end-of life care)
Secondary outcomes
Mortality
Number of patients who have died (patients who discontinue dialysis in the context of an "end of life care project" are considered as deceased at the start of the program of palliative care)
Hospitalization rates
Hospitalization rates (all causes), excluding the hospitalization at dialysis start and hospitalization for end-of-life care.
Combined outcome mortality and hospitalization
Quality of life
Quality of life is assessed by questionnaire WHO QoL (from 26 to 130, the higher the score, the better the quality of life)
Sponsors and contacts
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