Can hidden heart rhythms explain dialysis risks?
NCT ID NCT04841304
First seen Aug 18, 2026 · Last updated Aug 19, 2026 · Updated 1 time
Summary
This study is investigating how often dangerous heart rhythm problems occur in people receiving hemodialysis for end-stage kidney disease. Researchers will implant a small device under the skin to continuously monitor heart rhythm for 18 months in 70 patients, half of whom have diabetes. They will also use continuous glucose monitors to check blood sugar levels and collect blood samples monthly. The goal is to see if diabetes, low blood sugar, or dialysis-related factors are linked to arrhythmias, which could help improve care for this high-risk group.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Implantable loop recorder and continuous glucose monitor
- What this could lead to
- If successful, this could identify which dialysis patients are at higher risk for dangerous heart rhythm problems, potentially guiding closer monitoring or preventive care.
- What could go wrong
- This is an observational study, so it cannot prove cause and effect. The small size (70 patients) and specific population may limit how broadly the findings apply.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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70 people
The number who actually took part.
- Started
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Jun 2021
- Finished
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Mar 2026
- 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
70 subjects receiving chronic hemodialysis therapy: * 35 subjects with diabetes * 35 subjects without diabetes
- 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: Patients with diabetes: * Type 1 diabetes or Type 2 diabetes diagnosed according to the criteria of the World Health Organization * Treated with glucose-lowering drugs at inclusion * Receiving in-center maintenance hemodialysis for more than 3 months * Age ≥ 18 years Patients without diabetes: * No known diagnosis of diabetes * No previous treatment with glucose-lowering drugs * HbA1c \< 48 mmol/mol at screening * Receiving in-center maintenance hemodialysis for more than 3 months * Age ≥ 18 years Exclusion Criteria: For both groups: * Cardiac pacemaker or implantable cardioverter defibrillator (ICD) * Known permanent (chronic) atrial fibrillation * History of sustained (\> 30 seconds) ventricular tachycardia (more than 200 bpm) or ventricular fibrillation (note that ventricular premature beats is not considered an exclusion criterion) * Known cardiac ion-channel disease (such as Long QT syndrome and Brugada syndrome) * Not suitable for implantation (left-sided dialysis catheter or other condition expected to interfere with implantation) * Previously complications in relation to wearing a CGM sensor, e.g. allergic reaction * Inability to give written informed consent
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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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Department of Nephrology, Herlev Hospital
Herlev, 2730, Denmark
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Department of Nephrology, Holbæk Sygehus
Holbæk, 4300, Denmark
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Department of Nephrology, North Zealand Hospital
Hillerød, Denmark
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Department of Nephrology, Rigshospitalet
Copenhagen, 2100, Denmark
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