Theranova 400 Dialyzer In End Stage Renal Disease (ESRD) Patients

NCT ID: NCT03257410

Last Updated: 2025-07-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

172 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-29

Study Completion Date

2018-10-27

Brief Summary

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The study evaluates the efficacy and safety of the Theranova 400 dialyzer compared with Elisio-17 H dialyzer in end stage renal disease patients receiving hemodialysis treatment. Efficacy will be determined by the removal of middle molecules (with different molecular size) from the blood compartment. Safety will be evaluated by maintaining pre-dialysis serum albumin levels and other safety events including laboratory tests and adverse events.

Patients will undergo 3 dialysis sessions per week, for 24 weeks.

Detailed Description

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Conditions

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End Stage Renal Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Theranova 400

Three (3) dialysis sessions per week in an in-center setting over 24-week period.

Group Type EXPERIMENTAL

Theranova 400 dialyzer

Intervention Type DEVICE

Patients should continue with their pre-study hemodialysis prescriptions (in terms of treatment time, blood flow rate and dialysate flow rate) and prescriptions should be kept stable throughout the study.

Elisio-17H

Three (3) dialysis sessions per week in an in-center setting over 24-week period.

Group Type ACTIVE_COMPARATOR

Elisio-17H dialyzer

Intervention Type DEVICE

Patients should continue with their pre-study hemodialysis prescriptions (in terms of treatment time, blood flow rate and dialysate flow rate) and prescriptions should be kept stable throughout the study.

Interventions

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Theranova 400 dialyzer

Patients should continue with their pre-study hemodialysis prescriptions (in terms of treatment time, blood flow rate and dialysate flow rate) and prescriptions should be kept stable throughout the study.

Intervention Type DEVICE

Elisio-17H dialyzer

Patients should continue with their pre-study hemodialysis prescriptions (in terms of treatment time, blood flow rate and dialysate flow rate) and prescriptions should be kept stable throughout the study.

Intervention Type DEVICE

Other Intervention Names

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MCO-Ci 400 Dialyzer medium cut-off dialysis membrane

Eligibility Criteria

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Inclusion Criteria

* ESRD patients age 22 and older, or between ages 18 and 21 with a weight ≥ 40kg.
* Clinically stable as judged by the treating physician and as demonstrated by stable medical history for 30 days prior to enrollment, physical examination, and laboratory testing.
* Hemodialysis therapy with high-flux dialyzers for at least 3 months immediately prior to study enrollment and expected to survive for the next 12 months.
* Expected to maintain an acceptable urea clearance (Kt/V) with a dialyzer of an approximate surface area of 1.7 m2.
* Currently being dialyzed at an in-center setting, on a schedule of 3 times per week.
* Able to give informed consent after an explanation of the proposed study, and who are willing to comply with the study requirements for therapy during the entire study treatment period.
* Have a stable functioning vascular access (arteriovenous fistula, graft, or dual lumen tunneled catheter); stable access will be confirmed by observed Kt/V \>= 1.2 for past 2 measurements, and/or achievement of within 15% the prescribed blood flow rate over 3 treatments prior to study entry.

Exclusion Criteria

* Are female and pregnant, lactating, or planning to become pregnant during the study period. Note: Female subjects of childbearing potential, defined as a woman \<55 years old who has not had a partial or full hysterectomy or oophorectomy, must have a negative serum beta human chorionic gonadotropin (β-hCG) pregnancy test at screening. Subjects of childbearing potential must use a medically acceptable means of contraception during their participation in the study.
* Have chronic liver disease.
* Have a known paraprotein-associated disease.
* Have known bleeding disorders (e.g., gastrointestinal bleed, colonic polyps, small bowel angiodysplasia, and active peptic ulcers).
* Have had a major bleeding episode (i.e. soft tissue bleeding, blood in stool, prolonged nose bleeds, joint damage, retinal bleeding, extensive mucosal bleeding, exsanguination, cerebral hemorrhage) ≤ 12 weeks prior to randomization.
* Have had a blood (red blood cell) transfusion ≤ 12 weeks prior to randomization.
* Have had an acute infection ≤ 4 weeks prior to randomization.
* Have active cancer, except for basal cell or squamous cell skin cancer.
* Have a known serum κ/λ FLC ratio that is less than 0.37, or greater than 3.1.b
* Have a known monoclonal gammopathy (monoclonal gammopathy of uncertain significance, smoldering \[asymptomatic\] multiple myeloma, symptomatic multiple myeloma, plasmacytomas, or plasma cell leukemia).
* Have a known polyclonal gammopathy (connective tissue disease, liver disease, chronic infection, lymphoproliferative disorder, or other hematologic condition).
* Have a positive serology test for human immunodeficiency virus or hepatitis infection.
* Have a significant psychiatric disorder or mental disability.
* Are scheduled for planned interventions requiring hospitalization \> 1 week.
* Are scheduled for living-donor transplantation within the study period + 3 months, plan to change to PD therapy within the next 9 months, plan to change to a home hemodialysis treatment, or plan to relocate to an area where no study center is located.
* Are currently participating in another interventional clinical study or has participated in another interventional clinical study in the past 3 months.
* Have a history of non-compliance with HD as assessed by an investigator.
* Have had a major cardiovascular or cerebrovascular event within 3 months of study entry.
* Have a history with consistent evidence of intradialytic hypotension.
* Have uncontrolled (systolic BP \> 180 mmHg) hypertension.
* Have had adverse reactions to dialyzer materials.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Baxter Healthcare Corporation

INDUSTRY

Sponsor Role collaborator

Vantive Health LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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DaVita Corona

Corona, California, United States

Site Status

DaVita Riverside

Riverside, California, United States

Site Status

DaVita Inc, Greater Hartford Nephrology

Bloomfield, Connecticut, United States

Site Status

DaVita Inc., Waterbury Dialysis

Middlebury, Connecticut, United States

Site Status

Dialysis Center, Inc. Albany

Albany, Georgia, United States

Site Status

Dialysis Center, Inc. Boston

Boston, Massachusetts, United States

Site Status

Dialysis Center, Inc. Kidney Associates of Kansas City

Belton, Missouri, United States

Site Status

Dialysis Center of Lincoln

Lincoln, Nebraska, United States

Site Status

DaVita Five Star Dialysis Center

Las Vegas, Nevada, United States

Site Status

DaVita Inc., South Las Vegas Dialysis

Las Vegas, Nevada, United States

Site Status

Dialysis Center, Inc. North Brunswick

North Brunswick, New Jersey, United States

Site Status

DaVita Inc., Bronx Dialysis Center

The Bronx, New York, United States

Site Status

Dialysis Center, Inc. Philidelphia

Philadelphia, Pennsylvania, United States

Site Status

Dialysis Center, Inc. Holston River Clinic

Knoxville, Tennessee, United States

Site Status

DaVita Inc., Transmountain Dialysis

El Paso, Texas, United States

Site Status

DaVita Inc., Medical Center Dialysis

Houston, Texas, United States

Site Status

DaVita Renal Center of Lewisville

Lewisville, Texas, United States

Site Status

DaVita Inc., Northwest Medical Center Dialysis

San Antonio, Texas, United States

Site Status

DaVita Floyd Curl Dialysis

San Antonio, Texas, United States

Site Status

DaVita Inc., Norfolk Dialysis

Chesapeake, Virginia, United States

Site Status

Countries

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United States

References

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Weiner DE, Falzon L, Skoufos L, Bernardo A, Beck W, Xiao M, Tran H. Efficacy and Safety of Expanded Hemodialysis with the Theranova 400 Dialyzer: A Randomized Controlled Trial. Clin J Am Soc Nephrol. 2020 Sep 7;15(9):1310-1319. doi: 10.2215/CJN.01210120. Epub 2020 Aug 25.

Reference Type RESULT
PMID: 32843372 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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7905001

Identifier Type: -

Identifier Source: org_study_id

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