Clinical trial Recruiting at 13 sites Interventional Ages 18 and up

Incremental dialysis to improve health outcomes for kidney failure patients

Official title: The INCremental Dialysis to Improve Health Outcomes in People Starting Haemodialysis (INCH-HD) Study: a Randomised Controlled Trial

Run by The University of Queensland · NCT04932148 · Data updated 2026-11-12

This study is testing if a new way of doing dialysis called incremental dialysis can help kidney failure patients feel better and improve their quality of life compared to the usual method.

More Kidney Failure trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment372 (estimated)
SponsorThe University of Queensland
Academic / other
Locations18 sites (Concord, New South Wales and 17 other locations)
StatusRecruiting
StartedJuly 6, 2022
Main results expectedAugust 2026
Study endsAugust 2026
Registry record updatedMay 13, 2026
Trial IDNCT04932148 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older who are beginning haemodialysis as their first treatment for kidney failure.

Probably not a fit

Patients with very low urine output or those unlikely to remain on haemodialysis for at least one year may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The INCH-HD trial aims to evaluate whether incremental haemodialysis (HD) can preserve the quality of life for patients starting dialysis compared to conventional HD. This international, multicentre, prospective, adaptive, randomised, open-label trial will assess the non-inferiority of incremental HD in terms of quality of life outcomes measured at six months. The study addresses the high mortality and burden associated with traditional HD by exploring a potentially safer and more patient-friendly approach. Participants will be randomly assigned to either incremental or conventional HD to determine the best treatment strategy.

Why it matters

Potential benefit: If successful, this approach could significantly enhance the quality of life for patients with kidney failure while potentially reducing mortality rates.

How similar studies have gone: Observational studies suggest that incremental haemodialysis may offer advantages, but robust evidence for this approach is still lacking.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Adults (≥ 18 years of age) and
2. Commencing HD as their initial dialysis therapy and
3. Able to give informed consent

Exclusion Criteria:

1. Urine output \<0.5Litres/day
2. Unlikely to be on HD for ≥1 year.

Where it's running

  • Concord Repatriation General Hospital
    Concord, New South Wales, Australia
    Recruiting
  • St George Hospital
    Kogarah, New South Wales, Australia
    Recruiting
  • Liverpool Hospital
    Liverpool, New South Wales, Australia
    Recruiting
  • John Hunter Hospital
    New Lambton Heights, New South Wales, Australia
    Recruiting
  • Port Macquarie Hospital
    Port Macquarie, New South Wales, Australia
    Recruiting
  • Bundaberg Hospital
    Bundaberg, Queensland, Australia
    Recruiting
Show 12 more locations
  • Cairns Hospital
    Cairns, Queensland, Australia
    Recruiting
  • Logan Hospital
    Logan City, Queensland, Australia
    Recruiting
  • Toowoomba Hospital
    Toowoomba, Queensland, Australia
    Recruiting
  • Princess Alexandra Hospital
    Woolloongabba, Queensland, Australia
    Recruiting
  • Royal Adelaide Hospital
    Adelaide, South Australia, Australia
    Recruiting
  • Monash Health
    Melbourne, Victoria, Australia
    Recruiting
  • Eastern Health
    Melbourne, Victoria, Australia
    Recruiting
  • Northern Beaches Hospital
    Frenchs Forest, New South Wales, Australia
    Not yet recruiting
  • Royal North Shore Hospital
    Saint Leonards, New South Wales, Australia
    Not yet recruiting
  • Redland Hospital
    Cleveland, Queensland, Australia
    Not yet recruiting
  • Fiona Stanley Hospital
    Murdoch, Washington, Australia
    Not yet recruiting
  • University Health Network- University of Toronto
    Toronto, Ontario, Canada
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.