Potential Effect of Dialyzer Leaching of BPA From the Fresenius Optiflux 160NR Compared to the Nipro ELISIO-15H

NCT ID: NCT02627118

Last Updated: 2018-06-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-30

Study Completion Date

2016-07-11

Brief Summary

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The aim of the study is to identify hepatic enzyme and estrogen-dependent biochemical changes that occur when dialysis patients are treated with dialyzers known to leach BPA (Bisphenol-A) into the blood, such as the commercially available Fresenius F160NR, as compared with the same chemical evaluations in patients being treated with the non BPA containing Nipro Elisio-15H dialyzer. Evaluations of patient's chemistries will be obtained prior to and after 2 months of standard dialysis treatments with each dialyzer.

Detailed Description

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The investigators propose to elucidate any eventual biochemical changes, and in particular, the in vivo estrogenic activity of BPA (Bisphenol-A), when BPA is being leached into the circulation by the Fresenius 160NR dialyzer as opposed to the same biochemical changes when there is no BPA being leached, as with the non-BPA containing Nipro Elisio-15H dialyzer. The estrogen dependent biochemical end points in humans include free testosterone, sex hormone binding globulin (SHBG) and thyroid binding globulin (TBG).

Conditions

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End Stage Renal Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Dialyzer Comparison

2 MONTHS OF DIALYSIS WITH THE FRESENIUS 160NR followed by 2 MONTHS OF DIALYSIS WITH THE NIPRO ELISIO-15H

Group Type EXPERIMENTAL

FRESENIUS 160NR

Intervention Type DEVICE

2 MONTHS OF DIALYSIS WITH THE FRESENIUS 160NR DIALYZER

NIPRO ELISIO-15H

Intervention Type DEVICE

2 MONTHS OF DIALYSIS WITH THE NIPRO ELISIO-15H DIALYZER

Interventions

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FRESENIUS 160NR

2 MONTHS OF DIALYSIS WITH THE FRESENIUS 160NR DIALYZER

Intervention Type DEVICE

NIPRO ELISIO-15H

2 MONTHS OF DIALYSIS WITH THE NIPRO ELISIO-15H DIALYZER

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Male ESRD patients 18 years or older
* Stable on hemodialysis for more than 3 months
* Stable hematocrit equal to or above 29 %
* Stable vascular access
* Stable anticoagulation
* 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 (unstable cardiac status, chronic liver disease, active hepatitis as defined by elevated liver enzymes)
* Females (It is expected that potential changes in estrogenic activity that might be seen in patients exposed to BPA will be modest and would be masked by naturally occurring variability of estrogen activity in women at varying stages of gonadal activity (pre, post-menopausal, different points in menstrual cycle, eventual pregnancy, etc). Thus, limiting study to adult males will maximize the possibility of detecting any changes in estrogenic activity.)
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Nipro Medical Corporation

INDUSTRY

Sponsor Role collaborator

Dialysis Clinic, Inc.

INDUSTRY

Sponsor Role collaborator

UConn Health

OTHER

Sponsor Role lead

Responsible Party

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Andre A. Kaplan

MEDICAL DIRECTOR UCONN DIALYSIS CENTER

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andre A Kaplan, MD

Role: PRINCIPAL_INVESTIGATOR

University of Connecticut

References

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Murakami K, Ohashi A, Hori H, Hibiya M, Shoji Y, Kunisaki M, Akita M, Yagi A, Sugiyama K, Shimozato S, Ito K, Takahashi H, Takahashi K, Yamamoto K, Kasugai M, Kawamura N, Nakai S, Hasegawa M, Tomita M, Nabeshima K, Hiki Y, Sugiyama S. Accumulation of bisphenol A in hemodialysis patients. Blood Purif. 2007;25(3):290-4. doi: 10.1159/000104869. Epub 2007 Jul 2.

Reference Type BACKGROUND
PMID: 17622711 (View on PubMed)

Huang X, Huang J, Zhang L, Zhu Y, Li Y. A novel ERalpha-mediated reporter gene assay for screening estrogenic/antiestrogenic chemicals based on LLC-MK2 cells. Toxicol Mech Methods. 2014 Dec;24(9):627-32. doi: 10.3109/15376516.2014.945107. Epub 2014 Sep 26.

Reference Type BACKGROUND
PMID: 25045971 (View on PubMed)

Welshons WV, Nagel SC, vom Saal FS. Large effects from small exposures. III. Endocrine mechanisms mediating effects of bisphenol A at levels of human exposure. Endocrinology. 2006 Jun;147(6 Suppl):S56-69. doi: 10.1210/en.2005-1159. Epub 2006 May 11.

Reference Type BACKGROUND
PMID: 16690810 (View on PubMed)

Lang IA, Galloway TS, Scarlett A, Henley WE, Depledge M, Wallace RB, Melzer D. Association of urinary bisphenol A concentration with medical disorders and laboratory abnormalities in adults. JAMA. 2008 Sep 17;300(11):1303-10. doi: 10.1001/jama.300.11.1303. Epub 2008 Sep 16.

Reference Type BACKGROUND
PMID: 18799442 (View on PubMed)

Trasande L, Attina TM, Trachtman H. Bisphenol A exposure is associated with low-grade urinary albumin excretion in children of the United States. Kidney Int. 2013 Apr;83(4):741-8. doi: 10.1038/ki.2012.422. Epub 2013 Jan 9.

Reference Type BACKGROUND
PMID: 23302717 (View on PubMed)

Other Identifiers

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15-156-3

Identifier Type: -

Identifier Source: org_study_id

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