A softer path for kidney disease: could palliative care ease the burden?
NCT ID NCT07741357
First seen Aug 03, 2026 · Last updated Aug 04, 2026 · Updated 1 time
Summary
This trial tests whether adding palliative care to standard treatment helps people with advanced chronic kidney disease (stages 4 and 5, including those on dialysis) feel better. Participants are randomly assigned to receive either usual kidney care or usual care plus integrated kidney palliative care, which focuses on managing symptoms, understanding illness, planning future care, and addressing social or spiritual needs. The study tracks changes in symptom burden and quality of life to see if this extra layer of support makes a meaningful difference.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Integrated kidney palliative care (a behavioral intervention combining symptom assessment, goals-of-care discussions, advance care planning, and social/spiritual support)
- What this could lead to
- If it works, this approach could become a standard part of kidney care, helping people with advanced chronic kidney disease feel better day-to-day and live with less distress.
- What could go wrong
- The trial is still in an early phase, and the benefit may be modest or vary from person to person. Adding palliative care could also be hard to roll out widely in busy clinics.
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 280 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2027
An estimate. Start dates often move.
- Expected to finish
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Jan 2031
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: 1. Receive care at nephrology clinics or dialysis centers associated with each site. 2. Have CKD stage IV, V (eGFR \< 30 mL/min/1.73m2), or be receiving chronic dialysis 3. Speak Spanish or English, and report at IPOS-Renal score of ≥ 3 on a screening survey. 4. Willing to be randomized to either study arm and to comply with the study procedures for the assigned group. Exclusion Criteria: 1. Unable to provide informed consent 2. Has received palliative care (inpatient or outpatient) in the last six months. 3. Enrolled in hospice 4. Has any urgent palliative care needs (i.e. severe pain, emotional distress) identified upon screening. Research staff will be trained to recognize these needs. 5. Non-English and Non-Spanish speakers to correspond with the populations most impacted by CKD in the US. 6. Pregnant individuals.
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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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Emory University
Atlanta, Georgia, 30322, United States
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NYU Langone Health
New York, New York, 10016, United States
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Other studies related to the condition(s) this trial covers.
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- A conversation starter for kidney care: can a checklist give older patients a stronger voice?
- Choosing dialysis or transplant: does a shared approach lead to better decisions?
- Can light therapy speed up dialysis fistula healing?