NCT06243068

Expanding and Promoting Alternative Care and kNowledge in Decision-making Trial

Enrolling by Invitation
NAAges 65+InterventionalHealth services
George Washington University
~3,000 participants
Updated 2026-06-11 on ClinicalTrials.gov
What's tested:Educate and EngageEducate and Engage Plus Kidney Supportive Care Program

At a glance

Recruiting sites
0 of 25 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Proportion of patients choosing Alternative Treatment Plans (ATP)
Measured over Month 4 after enrollment.
Chronic Kidney Disease

NCT06243068

Where you'd take part

This study runs at 25 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Clinical Renal Associates

    Exton, Pennsylvaniano site contact published

  • Medstar Washington Hospital Center

    Washington D.C., District of Columbiano site contact published

  • North Texas Kidney Disease Associates

    Lewisville, Texasno site contact published

  • North Texas Kidney Disease Associates

    North Richland Hills, Texasno site contact published

  • North Texas Kidney Disease Associates

    Plano, Texasno site contact published

  • Penn Presbyterian Medical Center

    Philadelphia, Pennsylvaniano site contact published

  • Perelman Center for Advanced Medicine

    Philadelphia, Pennsylvaniano site contact published

  • Renal Disease Research Institute

    Dallas, Texasno site contact published

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

This trial hasn't published a contact. View it on ClinicalTrials.gov

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Eligibility criteria

Inclusion

Age 65 years or older
Most recent eGFR \<30 at time of screening AND meets practice site criteria for KDE referral
Treatment naïve (no dialysis or kidney transplant prior to enrollment)
Family member or care partner of Population 1 patient who has chosen active medical care without dialysis and consented to decisional conflict surveys
18+ years old
English or Spanish speaking
Cognitively able to participate in surveys/interviews

Exclusion

The current decrease in eGFR is thought to be due to an acute event.
Education and initiation of shared decision-making process are not yet indicated for the patient, (per practice protocol and/or provider's judgment).
Insufficient decision-making capacity
Non-English and non-Spanish speaking
Treating nephrologist/APP opts patient out (for example, if contraindicated for patient's health)
  • Proportion of patients choosing Alternative Treatment Plans (ATP)Month 4 after enrollment.

    Numerator: number of patients choosing an alternative treatment plan. Denominator: enrolled patients with decision-making capacity.