High Potassium Level Clinical Trials

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Adding Urea to the Final Dialysis Fluid in Order to Prevent Dialysis Disequilibrium in Patients Who Need Aggressive Dialysis for Electrolyte Abnormalities

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

At times patients with advanced renal failure present with severe hyperkalemia or acidosis and very high serum blood urea nitrogen (BUN) concentrations. These patients cannot be dialyzed aggressively as the lowering of serum BUN may results in disequilibrium syndrome but on the other hand they need aggressive dialysis in order to lower their serum potassium or fix their severe acidosis. If one is able to add urea to the dialysis fluid, one can prevent the rapid lowering of serum BUN and osmolality at the same time as doing aggressive dialysis to lower serum potassium and/or fix the metabolic acidosis.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Serum Urea \> 120

• Serum Potassium \> 5.5 or serum CO2 \< 15 or need for aggressive dialysis due to toxic ingestion

• need for dialysis

Locations
United States
California
Zuckerberg San Francisco General Hospital
RECRUITING
San Francisco
Contact Information
Primary
Ramin Sam, MD
ramin.sam@ucsf.edu
6282066605
Time Frame
Start Date: 2025-09-16
Estimated Completion Date: 2028-06-30
Participants
Target number of participants: 20
Treatments
Experimental: Urea dialysate
Patients who had urea added to the final dialysis fluid
Sponsors
Leads: University of California, San Francisco

This content was sourced from clinicaltrials.gov