Review Article

Biocompatible Peritoneal Dialysis Fluids: Clinical Outcomes

Table 3

Characteristics of populations and interventions in the randomised controlled trials assessing clinical outcomes with the use of biocompatible fluids in PD.

Study ID reference Interventions No. of patients Study designOutcome Followup
(incident/prevalent)(parallel/crossover) 
(no. of centres)
RRFPSTRUFPeritonitis

Neutral pH, lactate-buffered, low-GDP versus acidic pH, lactate-buffered, high-GDP fluids

Bajo et al. [30]Balance versus Stay-safe33 (I)Parallel (2)24 months
Johnson et al. [44]Balance versus Stay-safe185 (I)Parallel (16)24 months
Kim et al. [36]Balance versus Stay-safe91 (I)Parallel (4)12 months
Kim et al. [45]Balance versus Stay-safe26 (I)Parallel (2)NANA12 months
Szeto et al. [40]Balance versus Stay-safe50 (I)Parallel (1)NA12 months
Williams et al. [43]Balance versus Stay-safe86 (P)Crossover (22)24 weeks
Choi et al. [31]Balance versus Conventional (Dianeal, Stay-safe)104 (P)Parallel (1)NA12 months
Haag-Weber et al. [34]Gambrosol Trio versus Gambrosol69 (I + P)Parallel (5)18 months
Rippe et al. [39]Gambrosol Trio versus Gambrosol21 (I + P)Parallel (9)NA24 months
Lai et al. [37]Biocompatible (Balance, Gambrosol Trio, Physioneal) versus Conventional (Dianeal, ANDY-Disc)125 (I)Parallel (4)NA2.3 years
Fan et al. [32]Biocompatible (Balance or Physioneal) versus Conventional (Stay-safe or Dianeal)118 (I)Parallel (1)12 months
Srivastava et al. [50]Biocompatible (Balance or Physioneal) versus Conventional (Stay-safe or Dianeal)267 (I)Parallel (1)NANANA 2.3 years

Neutral pH, bicarbonate (±lactate)-buffered, low-GDP versus acidic pH, lactate-buffered, high-GDP fluids

Fischback et al. [65]Physioneal (25 mmol/L bicarbonate/15 mmol/L lactate) versus Dianeal6 (P)Cross-over (2)NANA2 days
Fusshoeller et al. [17]Physioneal (25 mmol/L bicarbonate/15 mmol/L lactate) versus Dianeal14 (P)Cross-over (1)NANANANA12 months
John et al. [66]Physioneal (25 mmol/L bicarbonate/15 mmol/L lactate) versus Dianeal10 (P)Cross-over (1)NANANA2 days
Pajek et al. [38]Physioneal (25 mmol/L bicarbonate/15 mmol/L lactate) versus Dianeal21 (P)Cross-over (1)NA6 months
Parikova et al. [48]Physioneal (25 mmol/L bicarbonate/15 mmol/L lactate) versus Dianeal10 (P)Cross-over (1)NANA2 days
Tranaeus [41]25 mmol/L bicarbonate/15 mmol/L lactate PD fluid versus 40 mmol/L lactate-buffered PD fluid106 (P)Parallel (17)12 months
Fang et al. [67]Physioneal (25 mmol/L bicarbonate/15 mmol/L lactate) versus Dianeal18 (P)Cross-over (1)NANANA2 days
Mactier et al. [14]Bicarbonate/lactate (25/15 mmol/L) versus bicarbonate (38 mmol/L) versus lactate (40 mmol/L)18 (P)Cross-over (8)NANANANA3 days
Coles et al. [68]Bicarbonate/lactate (25/15 mmol/L) versus bicarbonate (38 mmol/L) versus lactate (40 mmol/L)59 (P)Parallel (5) NANA2 months
Feriani et al. [47]Bicavera (bicarbonate 34 mmol/L) versus lactate (35 mmol/L)123 (P)Parallel (14)NANA24 weeks
Haas et al. [35]Bicavera (bicarbonate 34 mmol/L) versus lactate (35 mmol/L)28 (P)Cross-over (6)6 months
Fernandez-Perpén et al. [33]Bicavera (bicarbonate 34 mmol/L) versus lactate (35 mmol/L)31 (I)Parallel (2) 24 months
Weiss et al. [42]Bicarbonate (bicarbonate 34 mmol/L) versus lactate (35 mmol/L)53 (P)Cross-over (13)NA6 months

Glucose sparing (NEPP) versus acidic pH, lactate-buffered, high-GDP fluids

Lui [46]Physioneal (25 mmol/L bicarbonate/15 mmol/L lactate), Extraneal (7.5% icodextrin), Nutrineal (1.1% amino acid) versus Dianeal150 (I)Parallel (8)

RRF: residual renal function; PSTR: peritoneal solute transport rate; UF: ultrafiltration; NEPP: Nutrineal, Extraneal, Physioneal, and physioneal; : decrease, ↑: increase; —: no change; N/A: not available.