Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Monitoring symptoms in patients undergoing hemodialysis

Official title: Comparative Effectiveness of Two Approaches to Symptom Monitoring in Hemodialysis

Run by University of Pennsylvania · NCT05738330 · Data updated 2026-11-12

This study is testing a new system that helps patients on hemodialysis report their symptoms more easily to see if it improves their care compared to regular check-ups.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment2400 (estimated)
SponsorUniversity of Pennsylvania
Academic / other
Locations1 site (Waltham, Massachusetts)
StatusRecruiting
StartedJune 24, 2023
Main results expectedMarch 2027
Study endsSeptember 2027
Registry record updatedNovember 24, 2025
Trial IDNCT05738330 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults aged 18 and older who are currently receiving hemodialysis treatment and can communicate in English or Spanish.

Probably not a fit

Patients who are unable to report their symptoms using the SMaRRT-HD platform or have conditions that impair their comprehension 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 SMaRRT-HD trial is a cluster randomized trial that evaluates the effectiveness of a symptom monitoring system in hemodialysis patients compared to usual care. Approximately 2400 patients from 30 diverse hemodialysis clinics across the US will participate. The trial utilizes an electronic patient-reported outcome measure (ePROM) system to regularly assess symptoms and facilitate clinician follow-up, aiming to reduce unrecognized symptoms and improve communication between patients and care teams. Clinics assigned to the SMaRRT-HD group will implement this system for a duration of 12 months.

Why it matters

Potential benefit: If successful, this approach could significantly reduce patient suffering and improve health outcomes for individuals undergoing hemodialysis.

How similar studies have gone: Other studies have shown promise in using symptom monitoring systems in chronic disease management, suggesting potential success for this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 18 years
* Treatment with hemodialysis at a participating dialysis clinic
* English or Spanish speaking

Exclusion Criteria:

* Not willing to report their symptoms using the SMaRRT-HD platform
* Not willing to share clinically acquired data with the research team
* Underlying condition such as dementia that is anticipated to prevent comprehension of the trial information document (fact sheet)
* Incarceration

Where it's running

  • Fresenius Medical Care
    Waltham, Massachusetts, United States
    Recruiting

Study contacts

  • Principal investigator: Jennifer Flythe, MD — University of North Carolina, Chapel Hill

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.