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| ID | Type | Description | Link |
|---|---|---|---|
| R01DK093832 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | NIH |
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The purpose of this study is to prospectively collect data on doses of Erythropoietic Stimulating Agents (ESA) and Intravenous Iron, and the markers of erythropoietic activity and iron status. These data will be used to derive mathematical models which will subsequently guide dosing of both agents, such that a desired therapeutic outcome is achieved in every patient, while minimizing patient exposure to both agents.
Data will be collected from 120 subjects undergoing hemodialysis treatment at 3 clinical sites across United States (40 per site).5.5 mL blood specimen will be drawn during midweek treatment (Wed/Thu) to measure:
Hemoglobin Concentration Hematocrit Red Blood Cell Count Platelet Count Reticulocyte Percentage Reticulocyte Hemoglobin Mean Cellular Hemoglobin Mean Cellular Hemoglobin Concentration Mean Cell Volume Red Cell Volume Distribution Width Mean Platelet Volume Serum Iron Serum Ferritin Transferrin Saturation Hepcidin Soluble Transferrin Receptor
Weekly ESA and Iron dose delivered will also be recorded.
From these data:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| UofL Subjects | Subjects undergoing Specimen Collection at University Kidney Center, University of Louisville, Louisville, KY |
| |
| Duke Subjects | Subjects undergoing Specimen Collection at Duke University, Durham, NC |
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| WNERTA Subjects | Subject undergoing Specimen Collection at Western New England Renal and Transplant Associates, Springfield, MA |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Specimen collection | Other | At the beginning of each midweek hemodialysis session, a blood specimen (4 mL) will be drawn from the study subject. Out of this specimen a 1 mL serum sample will be frozen and stored. A 3 mL blood sample will be shipped overnight to WNERTA for laboratory testing. |
| Measure | Description | Time Frame |
|---|---|---|
| Hemoglobin Concentration (g/dL) | Weekly Hemoglobin Concentration | 52 weeks |
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| Measure | Description | Time Frame |
|---|---|---|
| Transferrin Saturation (%) | Weekly Transferrin Saturation | 52 weeks |
| Serum Ferritin (ng/mL) | Weekly Serum Ferritin | 52 weeks |
Inclusion Criteria:
Exclusion Criteria:
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End Stage Renal Disease Patients undergoing hemodialysis treatments at:
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| Name | Affiliation | Role |
|---|---|---|
| Adam E Gaweda, Ph.D. | University of Louisville | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Louisville, University Kidney Center | Louisville | Kentucky | 40202 | United States | ||
| Western New England Renal and Transplant Associates |
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| ID | Term |
|---|---|
| D000740 | Anemia |
| D051436 | Renal Insufficiency, Chronic |
| D000090463 | Iron Deficiencies |
| ID | Term |
|---|---|
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
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| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| ID | Term |
|---|---|
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D008919 | Investigative Techniques |
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Blood, serum will be extracted and frozen for further analysis. Serum will be retained for up to 60 days.
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| Springfield |
| Massachusetts |
| 01107 |
| United States |
| Duke University | Durham | North Carolina | 27710 | United States |
| D014570 |
| Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019189 | Iron Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |