Can tweaking dialysis sodium flush out hidden salt and protect blood vessels?
NCT ID NCT06327750
First seen Sep 04, 2026 · Last updated Sep 04, 2026
Summary
This trial tests five different dialysis approaches in people with end-stage kidney disease to see how each affects salt stored in tissues and the health of small blood vessels. Participants receive each method in random order over four weeks. Researchers use MRI scans and skin perfusion imaging to measure changes. The goal is to understand which dialysis settings might better remove sequestered salt and improve microcirculation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Different dialysis modes and dialysate sodium concentrations
- What this could lead to
- If it works, this could point toward dialysis settings that better remove stored salt and improve blood vessel function, potentially reducing heart risks in kidney patients.
- What could go wrong
- This is a small, early cross-over study with 23 participants, so results may not apply to all patients. The effects on long-term health are not yet known.
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 23 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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May 2028
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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18 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: * Age ≥18 years * Treatment with HD or HDF 3 x per week during at least 4 hours for at least 3 months * Blood flow rate feasiblity of ≥350 ml/min * Residual diuresis \<200 ml/day * Plasma Na before dialysis 137-145 mmol/L at baseline * spKt/Vurea ≥ 1.2 * Ability to understand study procedures and willingness to provide informed consent Exclusion Criteria: * Severe incompliance to dialysis procedure and accompanying prescriptions, especially frequency and duration of dialysis treatment * Life expectancy \< 3 months due to non-renal disease * Expected transplantation within 6 months * Access recirculation \> 10% * Participation in another clinical intervention trial * Metal implants (e.g. implantable cardioverter defibrillators) * Severe obesity (MRI Ø 60 cm ≈ abdominal circumference ≤ 188 cm) * Claustrophobia
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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
2 sites. 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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Dianet Amsterdam
RECRUITINGAmsterdam, North Holland, 1105 AZ, Netherlands
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Niercentrum aan de Amstel (Elyseklinieken)
RECRUITINGAmstelveen, North Holland, 1186AM, Netherlands
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