This study is being done in people with Incremental Haemodialysis, a form of dialysis in which treatment is started at a lower number of sessions each week and may be increased later if needed. The treatment being studied is Ketosteril, a tablet that contains several amino acids and related substances that help support the body’s protein needs. The purpose of the study is to see whether adding Ketosteril to the usual diet plan can help people stay longer on the lower-frequency dialysis schedule.

People in the study will receive Ketosteril together with their usual nutritional care, and their course will be followed over time. The study will compare how long the lower-frequency dialysis period lasts and will also look at general health, hospital stays, survival, eating and nutrition, and overall quality of life. The study is exploratory, which means it is intended to learn more about whether this approach may be useful.

During the study, health checks and routine follow-up will be done at regular visits. Information about dialysis sessions, diet, and general well-being will be collected to understand how the treatment works in everyday care.