Clinical Study to Evaluate the Efficacy of Blood Purification Therapy on Cholesterol Crystal Embolism

NCT ID: NCT01726868

Last Updated: 2016-07-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-07-31

Study Completion Date

2020-12-31

Brief Summary

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The aim of this study is to evaluate efficacy and safety of blood purification therapy on renal dysfunction by cholesterol crystal embolism.

Detailed Description

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Conditions

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Cholesterol Embolism

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Liposorber LA-15 System

Group Type EXPERIMENTAL

Liposorber LA-15 System

Intervention Type DEVICE

Six sessions of blood purification treatment with Liposorber LA-15 System.

Interventions

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Liposorber LA-15 System

Six sessions of blood purification treatment with Liposorber LA-15 System.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Patients who meet all of the following criteria.

* Patients who had cardiac catheterization or vascular surgery in the last 24 weeks before the time of obtaining informed consent.
* Patients who satisfy all of the following criteria or are diagnosed as CCE by skin or renal biopsy.

1. Patients with progressive renal dysfunction in the course of weeks or months.
2. Patients with skin lesions such as livedo reticularis of lower extremities or blue toe syndrome.
3. Eosinophil count is more than 400 per microliter.
* Patients who or patients whose legal representative understood the requirements of the study and signed the informed consent forms.

Exclusion Criteria

Patients who meet any of the following criteria will be excluded.

* Patients with contraindication to anticoagulant (Nafamostat Mesilate).
* Blood purification therapy is inapplicable because of severe heart failure, acute myocardial infarction, severe arrhythmia, acute stroke, or severe uncontrollable hypertension or hypotension.
* Patients with body weight less than 40kg.
* Patients with a history of allergic reaction or hypersensitivity to blood purification.
* Patients who cannot stop taking ACE inhibitors.
* Patients with any disease in which corticosteroid, statin are contraindicated.
* Patients participated in another clinical trial or study at the time of obtaining informed consent.
* Patients receiving chronic hemodialysis.
* Otherwise, patients who are judged by the investigator as being unsuitable for inclusion in the study.
Minimum Eligible Age

20 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Japan Community Health Care Organization Sendai Hospital

OTHER

Sponsor Role lead

Responsible Party

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TOSHINOBU SATO

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Toshinobu Sato, MD, PhD

Role: STUDY_DIRECTOR

Japan Community Health Care Organization Sendai Hospital

Locations

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Sendai Shakaihoken Hospital

Sendai, Miyagi, Japan

Site Status RECRUITING

Countries

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Japan

Central Contacts

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Toshinobu Sato, MD, PhD

Role: CONTACT

+81-22-275-3111

Facility Contacts

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Toshinobu Sato, MD, PhD

Role: primary

+81-22-275-3111

References

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Ishiyama K, Sato T. Efficacy of LDL apheresis for the treatment of cholesterol crystal embolism: A prospective, controlled study. Ther Apher Dial. 2022 Apr;26(2):456-464. doi: 10.1111/1744-9987.13706. Epub 2021 Jul 11.

Reference Type DERIVED
PMID: 34216189 (View on PubMed)

Other Identifiers

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CCE-001

Identifier Type: -

Identifier Source: org_study_id

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