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Hemodiafiltration Versus Hemodialysis in Older People
Sponsor: AUB Santé
Summary
This study will compare the impact of two hemodialysis techniques on fatigue and post-dialysis recovery time in patients aged 85 years and older. These two techniques are high-flux hemodialysis (HD) and hemodiafiltration (HDF). Patients will receive the treatment over two periods: if period 1 is HD then period 2 will be HDF. Every patient will be his/her own control, this is why it is called cross-over. Each period will last three months. Between the two periods, patients will receive a traditional low-flux hemodialysis. These two techniques are widely used worldwide and their side-effects are well-known and do not put the patients at risk. HDF has been shown to improve survival in patients with a mean age of 58 years. But a previous study from the investigators' group showed that HDF causes a prolonged recovery time in older patients. This randomized trial aims to elucidate this question.
Official title: HemoDiafiltration Versus HemoDialysis in OLDER People: a Randomized, Multicenter, Crossover, Pragmatic Clinical Trial
Key Details
Gender
All
Age Range
85 Years - Any
Study Type
INTERVENTIONAL
Enrollment
62
Start Date
2026-02-19
Completion Date
2026-12-19
Last Updated
2026-02-23
Healthy Volunteers
No
Interventions
High-flux hemodialysis
High-flux hemodialysis removes small and middle molecular solutes through the mechanism of diffusion.
Hemodiafiltration
Hemodiafiltration removes solutes using convection which allows for more epuration of middle molecular solutes.
Locations (4)
AUB Santé
Bretagne, France
AIDER
Grabels, France
ECHO
Le Mans, France
Aura Paris
Paris, France