Dial-Bicarb Trial: Effects of a Lower vs. Higher Concentration of Dialysate Bicarbonate

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMcMaster University

About this trial

This is a pragmatic, two-arm, parallel-group, open-label, individual-randomized, superiority trial that will be conducted in hemodialysis units across Ontario. Patients at each dialysis unit will be randomly allocated into one of two study arms in a 1:1 ratio to receive a dialysate bicarbonate concentration of either 32 or 38 mmol/L. The intervention will be embedded into routine care and delivered by hemodialysis unit personnel.

Eligibility criteria

Qualifiers

The dialysis centre director and all nephrologists who provide care in the centre agree to trial participation.

Adult patients 18 years of age and older, with a health card number, enter the trial after they receive hemodialysis for at least 90 days (about 3 months) so that patients with acute kidney injury who recover kidney function are excluded.

Disqualifiers

None

Trial design

Treatments tested in this trial

  • Bicarbonate

Treatment groups

14,000 Participants
are divided into 2 treatment groups

Locations

This trial has no locations

Sponsors and collaborators

McMaster University

Lead sponsor

Canadian Institutes of Health Research (CIHR)

Collaborator

ACT

Collaborator