Status:

UNKNOWN

Haemodialysis fMRI Salt Appetite Study

Lead Sponsor:

Imperial College London

Collaborating Sponsors:

Yale University

Forschungszentrum Juelich

Conditions:

Dialysis

Excess Interdialytic Weight Gain

Eligibility:

MALE

18-65 years

Brief Summary

1. Assessing how the rapid removal of salt and water by haemodialysis alters regional brain activity (by measurement of the brain blood oxygen level-dependent (BOLD) signal using functional MRI) durin...

Detailed Description

HeMSA Study Phase 2 Up to 20 male, haemodialysis patient who have average %IDWG \>4% will be recruited with the target, to proceed to scanning, of 14 patients. Following consent the patients will comp...

Eligibility Criteria

Inclusion

  • All participants:
  • Male
  • Aged 18-65 years
  • Non-smoker (ex-smokers allowed)
  • Right handed (able to use a right handed response button)
  • Able to tolerate 1 hour MRI scanning session
  • For haemodialysis patients:
  • Established on haemodialysis for more than 6 months
  • Urine output \<200ml/24 hours
  • Average (over the past month) interdialytic weight gain:
  • Main phase 2: \>4 %IDWG
  • Main phase 3: \<4 or \>4 %IDWG

Exclusion

  • Type 1 or type 2 diabetes mellitus
  • Current smoker
  • Uncontrolled depression (change in use of anti-depressants in last 3 months, or BDI-II score \>28/63)
  • Neurological disorder (Parkinson's disease, serious cerebrovascular disease, epilepsy, moderate-severe traumatic brain injury, dementia)
  • Previous bariatric surgery
  • Inflammatory state (CRP \>20 on routine dialysis blood tests)
  • Acute infective illness
  • Significant current or past medical or psychiatric history, or use of medications, that, in the opinion of the Investigators, contraindicates their participation, due to influence on outcome measures.
  • Patients lacking capacity or unable to consent and non-English language speakers
  • Contra-indication to MRI imaging e.g. metal insert, pacemaker
  • Claustrophobia
  • Patients currently participating in an active CTIMP trial, or within 4 half-lives of last administration of CTIMP product
  • Serious mental illness (e.g. bipolar disorder, schizophrenia)
  • Current alcohol or drug dependence

Key Trial Info

Start Date :

February 17 2020

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 31 2025

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT04011254

Start Date

February 17 2020

End Date

December 31 2025

Last Update

April 14 2023

Active Locations (1)

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1

Imperial College Healthcare NHS Trust

London, United Kingdom, W12 0NN