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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2400 (estimated) |
| Sponsor | University of Pennsylvania Academic / other |
| Locations | 1 site (Waltham, Massachusetts) |
| Status | Recruiting |
| Started | June 24, 2023 |
| Main results expected | March 2027 |
| Study ends | September 2027 |
| Registry record updated | November 24, 2025 |
| Trial ID | NCT05738330 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
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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.