Nurse-led care for patients with chronic kidney disease
Official title: A Dual-centre, Two-arm, Open-label Randomized Controlled Trial Comparing an Integrated Collaborative Nurse-led Physician-supported Multimorbid Chronic Kidney Disease Care Model Versus Physician-led Care (INTEGREAT-CKD)
Run by Alexandra Hospital · NCT06372743 · Data updated 2026-11-12
This study is testing whether a nurse-led care program can help people with chronic kidney disease manage their health better and improve their quality of life compared to regular doctor-led care.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 21 Years and up |
| Sex | All |
| Enrollment | 220 (estimated) |
| Sponsor | Alexandra Hospital Academic / other |
| Locations | 1 site (Singapore) |
| Status | Recruiting |
| Started | November 1, 2023 |
| Main results expected | May 31, 2025 |
| Study ends | December 31, 2026 |
| Registry record updated | April 18, 2024 |
| Trial ID | NCT06372743 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 21 and above with CKD stages 3B and above who have sub-optimally managed health parameters.
✕Probably not a fit
Patients who are pregnant, have end-stage kidney disease, or have cognitive impairments will 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
This clinical trial evaluates a nurse-led, physician-supported care model for patients with chronic kidney disease (CKD) and multimorbidity. A total of 220 participants will be randomized into either the intervention group, which receives the INTEGREAT-CKD program involving outpatient consultations and community-based monitoring by advanced practice nurses, or the control group receiving standard physician-led care. The study aims to improve self-management skills, quality of life, and health literacy while assessing the cost-effectiveness of this approach over a six-month period.
Why it matters
Potential benefit: If successful, this approach could enhance the quality of life and self-management skills for patients with chronic kidney disease.
How similar studies have gone: Other studies have shown promise in nurse-led care models for chronic diseases, suggesting potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria : * Adults aged 21 years and above AND diagnosed with * CKD Stages 3B and above (defined as estimated GFR less than or equal to 44 mL/min/1.73m2 with evidence of kidney damage) AND diagnosed with * one or more of the following sub-optimally managed parameters pertaining to blood pressure control OR, glycemic control OR fluid status management. Exclusion criteria: * Pregnancy * End stage kidney disease * Enrolment in any structured outpatient-based or community-based CKD program for at least six months prior to or during the period of enrolment in the study. * Dementia and/or cognitive impairment
Where it's running
-
Wei Zhen Hong
Singapore, Singapore Recruiting
Study contacts
- Study coordinator: Wei Zhen Hong, MBBS, MRCP, MMed
- Email: wei_zhen_hong@nuhs.edu.sg
- Phone: 97330789
Similar studies
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Calciphylaxis in people with chronic kidney disease: causes, risks, and early signs
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Oral Semaglutide for CKD and MAFLD in adults with diabetes
This study tests whether adding oral semaglutide to standard care can slow kidney and liver disease progression in adults with CKD and MAFLD who have type 2 diabetes.
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Eye-brain-kidney connections in chronic kidney disease
This study will see if changes in brain network connectivity and retinal blood vessels are linked to cognitive decline and kidney function in adults with chronic kidney disease.
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Screening for chronic kidney disease
We will see how common chronic kidney disease is among adults followed at a tertiary care center and how many cases were previously undiagnosed.
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.