About this trial
The goal of this first-in-human clinical trial is to examine the safety and efficacy of treatment with a new peritoneal dialysis (PD) device called WEAKID (WEarable Artificial KIDney for peritoneal dialysis). This device, unlike conventional PD, allows for continuous flow of dialysate inside the abdominal cavity combined with continuous regeneration of spent dialysate thanks to sorbents that remove toxins from the fluid.
The study will include PD patients of 18 years or older with a well-functioning peritoneal catheter and no history of a PD-related infection for at least eight weeks prior to enrolment.
The main purpose of this study is to assess the (short-term) safety of the WEAKID system in a limited number (n=12) of patients and sessions.
Participants will undergo six treatment sessions (of four or eight hours) in total over a period of two weeks, either with or without a sorbent chamber.
Participants will be asked to collect urine and dialysate the week before the first treatment and during the treatment days. In addition, blood samples will be collected before and during the treatment weeks in order to compare the effects of conventional PD with that of WEAKID treatment. A peritoneal equilibrium test will also be done before and after the treatment weeks to test the function of the lining of the abdomen (the peritoneal membrane).
Eligibility criteria
Qualifiers
≥18 years of age
Treated with PD for at least 3 months prior to enrolment
Well-functioning peritoneal catheter and no peritoneal catheter replacement for at least a month prior to enrolment
No PD-related infection (exit-site infection, tunnel infection or peritonitis) less than 8 weeks prior to enrolment (counting from the day that the treatment has been finished).
Disqualifiers
Patients who are unable to provide informed consent
Patients who are unable to comply with study procedures
Patients who received renal replacement therapy other than conventional PD less than 8 weeks prior to enrolment
Patients who participated in an intervention trial less than 8 weeks prior to enrolment or are currently participating in an intervention trial. Patients in an observational study without any interventions or in post-market surveillance do not need to be excluded.
Trial design
Treatments tested in this trial
- WEAKID
Treatment groups
Sponsors and collaborators
UMC Utrecht
Lead sponsor
Horizon 2020 - European Commission
Collaborator
Dutch Kidney Foundation
Collaborator
Health Holland
Collaborator
Nanodialysis Ltd
Collaborator
University of Modena and Reggio Emilia
Collaborator
Servicio Madrileno De Salud (SERMAS)
Collaborator
PPI Healthcare Consulting Ltd
Collaborator