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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 372 (estimated) |
| Sponsor | The University of Queensland Academic / other |
| Locations | 18 sites (Concord, New South Wales and 17 other locations) |
| Status | Recruiting |
| Started | July 6, 2022 |
| Main results expected | August 2026 |
| Study ends | August 2026 |
| Registry record updated | May 13, 2026 |
| Trial ID | NCT04932148 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
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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
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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
- Principal investigator: Peter Kerr, Prof — University of Queensland, Monash University
- Study coordinator: Lisan Mulvey
- Email: inch-hd.trial@uq.edu.au
- Phone: +61 417 690 237
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.