Blood Viscosity, End-Stage Renal Disease, And Mortality (BEAM-1)
Study Details
Study Description
Brief Summary
Prospective, real-time observational study of hemodialysis patients treated with erythropoiesis-stimulating agents (ESA) to currently recommended Hgb targets. Subjects will be evaluated dynamically for their blood viscosity status at the beginning and end of the dialysis treatment, and followed prospectively to assess outcomes. Blood specimens will be collected via the subject's hemodialysis port pre- and post-hemodialysis per study assessment visit. Blood will be analyzed at a designated laboratory facility for viscosity over a comprehensive range of shear rates and tested for intradialytic surges in blood viscosity. Subjects will be followed for 48 weeks.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
End-stage renal disease
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Outcome Measures
Primary Outcome Measures
- Cardiovascular mortality [One year]
Secondary Outcome Measures
- All-cause mortality [One year]
- Vascular access thrombosis [One year]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age > 18 years old
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On hemodialysis > 3 months
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On ESA treatment > 3 months
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Mean Hgb 11 g/dL - 12 g/dL (based on at least 3 Hgb results during the previous 8 weeks)
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Latest Hgb 10.5 g/dL - 12.5 g/dL (measured within 1 week of study)
Exclusion Criteria:
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Inability or unwillingness to provide informed consent
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Large variability in interdialytic weight gain (>2 kg difference between low and high weight gain over last month)
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More than 1 missed dialysis treatments in past month
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Recent bleeding
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Blood transfusion within 1 month
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Hematologic disease other than anemia
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Active inflammatory disease
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Active infection
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- ProMetrics, Inc.
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Lowe GD, Lee AJ, Rumley A, Price JF, Fowkes FG. Blood viscosity and risk of cardiovascular events: the Edinburgh Artery Study. Br J Haematol. 1997 Jan;96(1):168-73.
- Vaisman S, Kensey K, Cho YI. Effect of hemodialysis on whole blood viscosity. Int J Artif Organs. 2009 Jun;32(6):329-35.
- PRO-0062-201