Use of Tinzaparin for Anticoagulation in Hemodialysis

NCT ID: NCT01930396

Last Updated: 2016-10-14

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

191 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2016-09-30

Brief Summary

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The HEMO-TIN trial is designed to look at both the safety (bleeding risk) and effectiveness (clotting risk) of tinzaparin compared with unfractionated heparin for anticoagulation in hemodialysis patients.

Detailed Description

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Conditions

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Kidney Failure, Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Tinzaparin

Group Type EXPERIMENTAL

Tinzaparin

Intervention Type DRUG

Placebo (for Unfractionated Heparin)

Intervention Type DRUG

0.9% Normal Saline

Unfractionated Heparin

Group Type ACTIVE_COMPARATOR

Unfractionated Heparin

Intervention Type DRUG

Placebo (for Tinzaparin)

Intervention Type DRUG

0.9% Normal Saline

Interventions

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Tinzaparin

Intervention Type DRUG

Unfractionated Heparin

Intervention Type DRUG

Placebo (for Tinzaparin)

0.9% Normal Saline

Intervention Type DRUG

Placebo (for Unfractionated Heparin)

0.9% Normal Saline

Intervention Type DRUG

Other Intervention Names

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Innohep Heparin LEO

Eligibility Criteria

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Inclusion Criteria

* Age \>= 18 years
* End stage renal disease maintained on outpatient hemodialysis for \>= 3 months
* Frequency of hemodialysis: 3 times per week
* Anticoagulation with an unfractionated heparin protocol for at least 4 weeks
* Patient or legal guardian able to provide written consent
* Baseline INR \<= 1.3
* Baseline platelet count \>= 80,000 x 10\^9/L

Exclusion Criteria

* Therapeutic systemic anticoagulation
* Clinically apparent bleeding in the last 2 months
* High risk of bleeding
* Planned major surgery in the next 4 months
* Major surgery in the past 48 hours
* Pregnant or lactating
* Child bearing potential
* Allergy/intolerance to heparin or history of heparin induced thrombocytopenia
* Current participation in a related randomized drug trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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McMaster University

OTHER

Sponsor Role collaborator

LEO Pharma

INDUSTRY

Sponsor Role collaborator

Christine Ribic

OTHER

Sponsor Role lead

Responsible Party

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Christine Ribic

Nephrologist

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Dr. Christine M Ribic, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

St. Joseph's Healthcare Hamilton/McMaster University

Locations

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St. Joseph's Healthcare Hamilton

Hamilton, Ontario, Canada

Site Status

Countries

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Canada

References

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Natale P, Palmer SC, Ruospo M, Longmuir H, Dodds B, Prasad R, Batt TJ, Jose MD, Strippoli GF. Anticoagulation for people receiving long-term haemodialysis. Cochrane Database Syst Rev. 2024 Jan 8;1(1):CD011858. doi: 10.1002/14651858.CD011858.pub2.

Reference Type DERIVED
PMID: 38189593 (View on PubMed)

Other Identifiers

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13-7822377

Identifier Type: -

Identifier Source: org_study_id

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