A Clinical Study Comparing Basic Performance and Hemocompatibility of 3 Different Dialyzers in Hemodialysis Patients

NCT ID: NCT02433210

Last Updated: 2022-08-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

11 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2018-08-31

Brief Summary

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The aim of the study is to confirm the safety and clinical effectiveness of Nipro ELISIO-15H and to compare its performance characteristics and hemocompatibility with those of the commercially available dialyzers in U.S.A., Gambro Polyflux Revaclear and Fresenius F160NRe.

10 stable patients will be dialyzed 3 times/week with each dialyzer over 3 weeks. Blood samples for several parameters will be collected during hemodialysis to assess the performance and hemocompatibility of the dialyzers under study. Data thus collected will be analyzed for comparison by standard statistical analysis.

Detailed Description

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Current patients receiving dialysis treatment for end stage renal disease and who meet the inclusion/exclusion criteria will be entered into the study. These patients will continue on their standard dialysis regimen as stated in the clinics Standard Operating Procedures. Each patient will be studied for three weeks with each week starting with a dialyzer of a different manufacture but of comparable characteristics. Solute clearances and removal will be determined at each of the three dialysis sessions during the week. During session 2 of each week additional specimens will be taken to analyze for hemocompatibility. At the end of the study all clearances and the hemocompatibility markers for each dialyzer will be compared to one another as well as to the manufactures stated characteristics. Blood for the clearance and removal calculations will be taken at time 0, 60 minutes and 240 minutes. Blood for the hemocompatibility determinations will be taken at time 0, 15, 30, 60 and 240 minutes. Flow rates, anticoagulant therapy, erythropoietin therapy, venous and arterial pressures will also be recorded.

Conditions

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End Stage Renal Disease (ESRD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Open Label

Study Groups

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Solute Clearance

Solute clearance at 60 minutes for urea, creatinine, phosphate, beta 2 microglobulin, and myoglobin will be determined three times for ELISIO-15H, Revaclear and Optiflux 160NR dialyzers at the 60 minute time point.

Group Type ACTIVE_COMPARATOR

ELISIO-15H

Intervention Type DEVICE

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Revaclear

Intervention Type DEVICE

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Optiflux

Intervention Type DEVICE

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Hemocompatibility

Hemocompatibility will be determined using the markers C3a, C5a, thrombin/anti-thrombin complex and complete blood count with platelets will be determined one time for each dialyzer at session 2 and at time points 0, 15, 30, 60, and 240 minutes for ELISIO-15H, Revaclear and Optiflux 160NR dialyzers ..

Group Type ACTIVE_COMPARATOR

ELISIO-15H

Intervention Type DEVICE

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Revaclear

Intervention Type DEVICE

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Optiflux

Intervention Type DEVICE

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Solute removal rate

Solute (urea, creatinine, phosphate, beta 2 macroglobulin, and myoglobin) removal rate will be determined time points 0 and 240 minutes for ELISIO-15H, Revaclear and Optiflux 160NR dialyzers .

Group Type ACTIVE_COMPARATOR

ELISIO-15H

Intervention Type DEVICE

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Revaclear

Intervention Type DEVICE

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Optiflux

Intervention Type DEVICE

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Interventions

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ELISIO-15H

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Intervention Type DEVICE

Revaclear

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Intervention Type DEVICE

Optiflux

Each patient to undergo 3 successive hemodialysis/week with this dialyzer.

Intervention Type DEVICE

Other Intervention Names

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dialyzer Dialyzer Dialyzer

Eligibility Criteria

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Inclusion Criteria

* ESRD patients 18 years or older
* Stable on hemodialysis for more than 3 months
* Stable hemoglobin between 11-12 g/dl
* Stable arteriovenous (AV) fistula vascular access
* Stable anticoagulation and ESA regimen
* No active infection
* Able to sign informed consent and able to participate in the study
* Medically stable

Exclusion Criteria

* Participation in another study which may interfere with the planned study
* Active infection
* Medical conditions which may interfere with the study (cardiac, liver disease, Hepatitis)
* Allergy to dialyzer membrane materials e.g. polysulfone
* Patients which cannot tolerate Heparin
* Female who are pregnant or planning to be pregnant
* Problem with or allergy to anticoagulation
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nipro Medical Corporation

INDUSTRY

Sponsor Role collaborator

Dialysis Clinic, Inc.

INDUSTRY

Sponsor Role collaborator

University of Missouri-Columbia

OTHER

Sponsor Role lead

Responsible Party

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Madhukar Misra

Professor of Clinical medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Madhukar Misra, MD

Role: PRINCIPAL_INVESTIGATOR

University of Missouri-Columbia

Locations

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Dialysis Clinic Incorporated

Columbia, Missouri, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2002150

Identifier Type: -

Identifier Source: org_study_id

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