New study aims to give kidney patients real choices beyond dialysis
NCT ID NCT06243068
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests two ways to help older adults with kidney failure make informed choices about their care. One approach offers education and decision aids; the other adds a supportive care program for those who choose non-dialysis options. Researchers will compare how many patients choose alternative treatments and how they feel about their care.
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 3,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2024
- Expected to finish
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Dec 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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65 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.
Study Population 1: Person with CKD, cared for at participating clinic Inclusion Criteria: * Age 65 years or older * Most recent eGFR \<30 at time of screening AND meets practice site criteria for KDE referral * Treatment naïve (no dialysis or kidney transplant prior to enrollment) Exclusion Criteria: * The current decrease in eGFR is thought to be due to an acute event. * Education and initiation of shared decision-making process are not yet indicated for the patient, (per practice protocol and/or provider's judgment). Exclusion Criteria for surveys and interviews: * Insufficient decision-making capacity * Non-English and non-Spanish speaking * Treating nephrologist/APP opts patient out (for example, if contraindicated for patient's health) Study Population 2: Family member or care partner of patient in Study Population 1 Inclusion Criteria: * Family member or care partner of Population 1 patient who has chosen active medical care without dialysis and consented to decisional conflict surveys * 18+ years old * English or Spanish speaking * Cognitively able to participate in surveys/interviews Study Population 3: Administrator, clinical provider, or staff at participating chronic kidney disease clinic Inclusion Criteria: \- Currently practicing or employed at participating clinic
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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
25 sites. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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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Clinical Renal Associates
Exton, Pennsylvania, 19341, United States
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Medstar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
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North Texas Kidney Disease Associates
Lewisville, Texas, 75057, United States
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North Texas Kidney Disease Associates
North Richland Hills, Texas, 76180, United States
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North Texas Kidney Disease Associates
Plano, Texas, 75093, United States
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Penn Presbyterian Medical Center
Philadelphia, Pennsylvania, 19104, United States
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Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104, United States
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Renal Disease Research Institute
Dallas, Texas, 75246, United States
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Renal Disease Research Institute
Fort Worth, Texas, 76104, United States
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Renal Disease Research Institute
Garland, Texas, 75044, United States
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Renal Disease Research Institute
Irving, Texas, 75061, United States
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Renal Disease Research Institute
McKinney, Texas, 75069, United States
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Renal Disease Research Institute
McKinney, Texas, 75071, United States
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Renal Disease Research Institute
Mesquite, Texas, 75150, United States
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Renal Disease Research Institute
Plano, Texas, 75093, United States
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Southeast Kidney Associates
Canton, Georgia, 30114, United States
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Southeast Kidney Associates
East Point, Georgia, 30344, United States
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St. Clair Nephrology
Shelby, Michigan, 48315, United States
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The Rogosin Institute Manhattan Eat Dialysis
New York, New York, 10021, United States
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UCSF/Zuckerberg San Francisco General Hospital and Trauma Center-Nephrology
San Francisco, California, 94110, United States
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Virginia Nephrology Group
Alexandria, Virginia, 22304, United States
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Virginia Nephrology Group
Arlington, Virginia, 22205, United States
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Virginia Nephrology Group
Fairfax, Virginia, 22030, United States
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West Virginia University Medicine
Fairmont, West Virginia, 26554, United States
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West Virginia University Medicine
Morgantown, West Virginia, 26506, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can AI-Tailored heat warnings shield chronic disease patients from dangerous temperatures?
- Can a Patient's own kidney cells hold off dialysis?
- A blood test at 50 could flag your risk of five diseases. can an app stop them?
- Two drugs, one goal: can finerenone or semaglutide cut kidney damage markers?
- One team, three conditions: can coordinated care tame heart, kidney, and diabetes?