A protein clue may spot dialysis membrane failure before it starts
NCT ID NCT07806708
First seen Sep 08, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
Peritoneal dialysis uses the belly lining as a natural filter for people with kidney failure, but over time this membrane can scar and stop working. This study tests whether levels of a protein called DKK3 in blood, urine, and dialysis fluid can serve as an early warning sign of that damage. Researchers will follow about 30 adults starting peritoneal dialysis for a year, measuring DKK3 and membrane function at several points. If DKK3 rises before membrane function declines, it could become a simple test to protect the dialysis treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Modified Peritoneal Equilibration Test and DKK3 biomarker measurement
- What this could lead to
- If DKK3 levels reliably signal early membrane scarring, doctors could detect problems before they cause treatment failure, potentially extending the usefulness of peritoneal dialysis.
- What could go wrong
- This is a small, exploratory study, so the results may not apply broadly. DKK3 might not prove to be a reliable early warning sign, and the test itself carries the usual risks of blood draws and dialysis fluid exchanges.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2029
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.
Who is studied
Consecutive adult patients with end-stage renal disease undergoing PD catheter insertion at the Department of Internal Medicine IV, Saarland University Medical Center, Homburg, Germany.
- 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 * End-stage renal disease with decision for peritoneal dialysis * PD catheter insertion at Department of Internal Medicine IV, Saarland University Medical Center * Written informed consent obtained at least 24 hours before the first study procedure Exclusion Criteria: * Age \<18 years * Lack of capacity to give informed consent * Pregnancy or breastfeeding * Active malignancy (except basal cell carcinoma of the skin) * Active peritonitis at time of inclusion * Life expectancy \<12 months as assessed by the treating physician * Severe peritoneal adhesions precluding PD catheter insertion (intraoperative assessment)
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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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Saarland University Medical Center
Homburg, Saarland, 66421, Germany
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