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The study will not be conducted
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Vifor International Ltd. is seeking real-world evidence (RWE) to better understand the epidemiology, patient characteristics, and management of CKD-aP in the real-world clinical setting.
CKD-aP is a global clinical problem, and finding effective treatment remains a therapeutic challenge because of its complex pathophysiology (Sommer 2007, Weisshaar 2019, Yosipovitch 2013). The association between CKD-aP and clinical features and laboratory data remains unclear (Davison 2021, Manenti 2021). CKD-aP is thought to be associated with several conditions, including vitamin D deficiency, metabolic abnormalities (e.g., abnormal serum calcium or phosphate levels), toxin build-up, peripheral neuropathy, immune system dysregulation, or opioid receptor dysregulation (Jung 2015, Xie 2021, Kremer 2019, Verduzco 2020, Swarna 2019, Manenti 2021).
At present, there is no systematic assessment of CKD-aP in routine clinical practice, and the prevalence of CKD-aP is generally under-reported by patients and therefore underestimated by as much as 69% of healthcare professionals (HCPs) (Rayner 2017). Alleviating the burden of CKD-aP requires proactive identification of patients who suffer from it (Sukul 2020, Davison 2015, Phan 2012).
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| Measure | Description | Time Frame |
|---|---|---|
| Prevalence (%) of CKD-aP patients undergoing HD based on the WI-NRS score (past 24 hours). | Ratio between the overall number of patients with WI-NRS scores ranging from 1-10 and the overall number of patients with WI-NRS scores ranging from 0-10, from patients randomly selected to participate in the study. | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence (%) of patients undergoing HD with various CKD-aP severities based on the WI-NRS score (past 24 hours). | none (0), mild (1-3), moderate (4-6), or severe (7-10) scores | Day 1 |
| Current socio-demographic, clinical, and dialysis characteristics as well as current therapeutic landscape |
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Inclusion Criteria:
Exclusion Criteria:
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male or female adult patients (≥18 years) undergoing HD
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The study will consist of a random selection of approximately 3,330 male or female adult patients (≥18 years) undergoing HD within two large dialysis organization (DO) networks.
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| Name | Affiliation | Role |
|---|---|---|
| Despina Rüssmann, Dr | CSL Vifor | Study Chair |
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Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement
Data can be requested 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later.
A research proposal must be approved by an independent review panel and the study sponsor and researchers must sign a data sharing agreement.
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in the management of CKD-aP |
| Day 1 |
| Impact of pruritus severity (WI-NRS)on HRQoL, | as reported by patients | Day 1 |
| Patient-reported communication with physician and other healthcare provider with respect to pruritus, as well as self-reported anti-itch treatments. | Pruritus and anti-itch | Day 1 |
| Clinical and healthcare resource outcomes in the last 12 months. | Missed or additional dialysis sessions, Hospitalizations, etc. | Day 1 |