Evaluation of Therapeutic Plasma Exchange (TPE) Procedure Using the AMICUS Device

NCT ID: NCT01210716

Last Updated: 2013-09-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2011-05-31

Brief Summary

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This study will evaluate the use of the AMICUS device in patients where Therapeutic Plasma Exchange (TPE) is prescribed by their physicians.

Detailed Description

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Therapeutic plasma exchange (TPE) is intended for efficient removal of circulating plasma, with the return of replacement fluids to the patient. In the majority of cases, the treatment goal is to selectively remove the substance directly responsible for the patient's disease process.

Fenwal's AMICUS separator platform is a centrifuge-based apheresis system which collects the blood components of interest and returns the remaining blood components along with saline back to a donor/patient. The device has been cleared for the following:

* The collection of platelets and plasma in Japan, Europe and the US (BK960005), 1996.
* The collection of mononuclear cells (MNCs) in the US (BK000047), 2002.
* The collection of a concurrent red blood cell (cRBC) product collected in ACD-A anticoagulant and stored in ADSOLĀ® Preservation Solution (BK000039), 2002.

Fenwal has developed a new protocol on the AMICUS separator that enables the device to perform TPE procedures. The procedure is similar to the FDA cleared platelet and concurrent plasma collections, except that in TPE procedures the majority of plasma is retained and the red blood cells (RBCs), white blood cells (WBC) and the majority of the platelets are returned to the patient.

Conditions

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Autoimmune Diseases Renal Disorders Hematologic Disorders Oncologic Disorders

Keywords

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Therapeutic plasma exchange Autoimmune diseases Kidney transplant Hematologic disorders Monoclonal gammopathy Neurologic disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Blinding Strategy

NONE

Study Groups

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AMICUS Therapeutic plasma exchange, TPE

Patients are randomized to either TPE on AMICUS or Spectra.

Group Type EXPERIMENTAL

Therapeutic plasma exchange

Intervention Type DEVICE

Patients are randomized to either Therapeutic plasma exchange procedures on AMICUS or Spectra first. The second procedure (based on time interval determined by physician) will be completed on the other instrument.

Spectra Therapeutic plasma exchange, TPE

Patients are randomized to either TPE on AMICUS or Spectra.

Group Type ACTIVE_COMPARATOR

Therapeutic plasma exchange

Intervention Type DEVICE

Patients are randomized to either Therapeutic plasma exchange procedures on AMICUS or Spectra first. The second procedure (based on time interval determined by physician) will be completed on the other instrument.

Interventions

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Therapeutic plasma exchange

Patients are randomized to either Therapeutic plasma exchange procedures on AMICUS or Spectra first. The second procedure (based on time interval determined by physician) will be completed on the other instrument.

Intervention Type DEVICE

Other Intervention Names

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TPE

Eligibility Criteria

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Inclusion Criteria

1. Medically stable patients undergoing more than one TPE procedure who have provided signed informed consent prior to participation.
2. A physician's prescription for TPE for various non-emergent conditions.
3. Test and Control TPE procedures that would be expected to be completed within approximately five weeks.

Exclusion Criteria

1. Patients under 18 years old.
2. Patients on an ACE inhibitor medication should discontinue use of this medication in accordance with institutional practices.
3. Patients with altered mental status that would prohibit the giving and understanding of informed consent.
4. Patients who have experienced a serious adverse event associated with the first TPE clinical study procedure.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fenwal, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peyton Metzel, PhD

Role: STUDY_CHAIR

Fenwal, Inc.

Locations

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Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

BloodCenter of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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FCRP- 0210

Identifier Type: -

Identifier Source: org_study_id