Efficacy of Nalfurafine for Chronic Kidney Disease-Associated Pruritus in Twice-Weekly Hemodialysis Patients: A Randomized Controlled Trial

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-65
SponsorIndonesia University

About this trial

This study evaluates the efficacy and safety of nalfurafine as a treatment for chronic kidney disease-associated pruritus (CKD-aP) in patients undergoing maintenance hemodialysis twice weekly.

Pruritus (severe itching) is a common and distressing symptom in patients with end-stage renal disease receiving hemodialysis, significantly impairing their quality of life. Nalfurafine is a selective kappa-opioid receptor agonist designed to reduce itching.

The main objective of this clinical trial is to evaluate whether nalfurafine effectively reduces itch intensity and improves symptom control compared to control, while monitoring for any adverse effects.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with chronic kidney disease-associated pruritus (CKD-aP) undergoing maintenance hemodialysis twice weekly for more than 6 months and in a hemodynamically stable condition.

Aged 18 to 65 years old and willing to participate in the study.

Received standard therapy for at least 2 weeks and met the moderate to severe pruritus criteria based on Visual Analog Scale (VAS) score and 5-D Pruritus Scale.

Able to understand and comply with the study instructions/protocol.

Disqualifiers

Patients with active malignancy or active infection.

Patients with primary skin diseases, such as allergic dermatitis, irritant contact dermatitis, neurodermatitis, or psoriasis.

Patients with chronic liver disease or cholestatic disease.

Received phototherapy or acupuncture therapy within the last 1 week prior to study enrollment.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Nalfurafine Hydrochloride

    Drug

    administered orally

  • plasebo

    Drug

    administered orally

Treatment groups

36 Participants
are divided into 2 treatment groups
Group A: Nalfurafine GroupExperimental treatment 1 intervention
Group B: Control GroupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change from baseline in Visual Analog Scale (VAS) score for pruritus

Pruritus intensity measured using a Visual Analog Scale (VAS) ranging from 0 to 10 (or 0 to 100 mm), where 0 represents no itch and 10 (or 100) represents the worst imaginable itch. Lower scores indicate reduction in itch severity.

Time frame
Baseline, Week 1, Week 2, Week 3, and Week 4

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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