Could a little fat be the key to better dialysis access?
NCT ID NCT05136859
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This trial tests whether leaving the fat around a vein intact during fistula surgery helps the fistula mature for dialysis. Patients with advanced kidney disease needing hemodialysis are randomly assigned to have that fat preserved or removed. The study tracks fistula maturation using ultrasound and checks blood and tissue samples for inflammation and fibrosis.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- preserving the perivascular fat of the target cephalic vein during arteriovenous fistula surgery
- What this could lead to
- If preserving the fat around the vein helps fistulas mature, it could reduce the need for repeat surgeries and improve dialysis access reliability.
- What could go wrong
- This is a small, early-stage trial, and the benefit may not be clear. Surgery risks like infection or bleeding remain, and results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2021
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age of 20 and older adult patients. 2. preoperatively clinical and ultrasound assessment of the arm vessels are visible for the creation of a native HDAVF that include:the augmented diameters of the veins is \> 2.0 mm and the diameter of the radial artery is\> 2.0 mm. Besides, there is no obvious stenosis of vessels in the forearm. Exclusion Criteria: 1. The patient refused to join the study 2. serious heart failure (Physicians identify insufficient cardiac output that may affect sacral blood flow development after surgery) 3. Unconsciousness 4. Bedridden for long time 5. systemic lupus erythematosus(SLE), or other known autoimmune diseases 6. The physician excludes the possibility of creating a wrist HDAVF before surgery 7. Surgeon preoperatively identifies vessel inadequacy for the creation of a wrist HDAVF 8. Choose a site other than the wrist for surgery 9. Unexpected complications happen during the surgery that prevent the completion of a wrist HDAVF
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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National Taiwan University Hospital
RECRUITINGTaipei, Taiwan
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