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Japanese

Jan. 27, 2026

Jan. 27, 2026

jRCT1032250682

A Prospective Study on the Effects of H12-Hemodialyzer and Low-Albumin Leakage On-Line HDF on Nutritional Status

A Prospective Study on the Effects of H12-Hemodialyzer and Low-Albumin Leakage On-Line HDF on Nutritional Status

Hara Shoichiro

2-2-1 Kongo Yahatanishi-ku, Kitakyushu-shi, Fukuoka-ken

+81-93-618-3377

s.hara.imacli@gmail.com

Hara Shoichiro

Imamura Clinic, Medical Corporation

2-2-1 Kongo Yahatanishi-ku, Kitakyushu-shi, Fukuoka-ken

+81-93-618-3377

s.hara.imacli@gmail.com

Pending

Jan. 27, 2026

12

Interventional

non-randomized controlled trial

open(masking not used)

active control

crossover assignment

treatment purpose

The study subjects were dialysis patients aged 65 or older who were outpatients or hospitalized at our hospital until January 31, 2027, and whose albumin levels were 3.5 g/dL or less in the results of regular blood tests at our hospital, and whose dialysis conditions were 4 hours and a blood flow rate of 200 ml/min.

Patients who need to take ACE inhibitors as antihypertensive medication.
Patients who are unable to make decisions.

65age old over
No limit

Both

chronic kidney disease

The dialyzer used for dialysis is changed every four months.

Blood samples are taken for albumin, total cholesterol, and transthyretin before dialysis treatment. The amount of albumin and 40 amino acids removed from the dialysis waste fluid is measured. Nutritional assessment is performed using the nutritional risk index for Japanese hemodialysis patients, the nutritional risk index for the elderly, and the standardized protein catabolic rate.

Dry weight at blood test, weight gain between dialysis treatments, cardiothoracic ratio, and BMI are measured. Muscle strength is assessed by blood sampling using creatinine and %creatinine production rate before dialysis treatment. Urea nitrogen, creatinine, and beta2-microglobulin removal rates, as well as single pool-kt/v and clear space rate, are calculated, and dialysis efficiency is evaluated by the amount of urea nitrogen, creatinine, and beta2-microglobulin removed from the dialysis waste fluid. Anemia is assessed by hemoglobin, hematocrit, transferrin saturation, ferritin, and the amount of erythropoietin preparation used, as well as the use of iron preparations during the observation period. Dialysis fatigue is assessed using a visual analog scale for sleep and dietary status on dialysis treatment and non-dialysis treatment days. Inflammation status is assessed by C-reactive protein before dialysis treatment.

Japanese Society for Technology of Blood purification
Hyu-rikkukandabiru6kai 1-16-5 Kandasudacho Chiyoda-ku Tokyo-to, Tokyo
contact@jstb.jp
Approval

Dec. 25, 2025

No

none