Dialysis mystery: could toxin clearance explain survival boost?
NCT ID NCT06515899
First seen Jul 07, 2026 · Last updated Jul 08, 2026 · Updated 1 time
Summary
This study looks at why a specific type of dialysis called haemodiafiltration (HDF) improves survival when higher fluid volumes are used. Researchers think it may be because larger waste molecules are removed more effectively and blood pressure stays more stable. They will measure these factors in 342 adults with end-stage kidney disease who are already on HDF. The goal is to see if prescribing dialysis based on toxin clearance rather than volume could help more patients benefit.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If the link is confirmed, doctors might prescribe dialysis based on toxin clearance rather than volume, making treatment more effective for more patients.
- What could go wrong
- This is an observational study, so it cannot prove cause and effect. The results may not change practice if other factors are at play.
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.
- Participants
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342 people
The number who actually took part.
- Started
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Jan 2024
- Finished
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Jul 2025
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
End stage renal failure patient having renal replacement therapy in the form of Haemodiafiltration.
- 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 or above. * Ability to give informed consent. * End stage renal failure treated by dialysis for at least 3 months. * Established on hemodiafiltration for \>4 weeks. * Prognosis more than 6 months as assessed by PI Exclusion Criteria: * Age less than 18 years. * Inability to give informed consent. * Prognosis less than 6 months as assessed by PI
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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.
Contacts and locations
Locations
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East and North Hertfordshire NHS Trust
Stevenage, Hertfordshire, SG1 4AB, United Kingdom
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Other studies related to the condition(s) this trial covers.
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