Evaluation of Biocompatibility and Performances of 4 Dialyzers in Different Mode Treatments

NCT ID: NCT03262272

Last Updated: 2019-02-21

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

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-21

Study Completion Date

2018-10-31

Brief Summary

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Prospective multicenter randomized cross-over study Number of patients : 32 (8 patients per group) Obtain objectives data to advise each hemodialyzer according to dialysis treatment and patient profile.

To evaluate the different hemodialyzers and judge their extraction performances in HD and post HDF.

Evaluation of the biocompatibility of the hemodialyzers and the patients' inflammatory status.

Detailed Description

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Medical devices studied :

* Leoceed 21HX, hemodialyzer, High permeability PS membrane 2,1 m² , made by Nx Stage in Germany
* Polypure 22S, hemodialyzer, High permeability PS membrane 2,2 m² , made by Allmed in Germany
* VIE 21A hemodialyzer, High permeability PS membrane 2,1 m² coated in vitamin E, made by Asahi Kasei Medical in Japan
* Rexsys 27H, hemodialyzer , High permeability PES membrane 2,7 m² , made by Medica in Italia

These hemodialyzers are EC marked and are used in their own indications.

Schema

Details of the cross-over plan :

8 patients will be treated successively with the 4 hemodialyzers. Patients will be treated with the dialyzer "test" for the two first sessions of the week. During the last dialysis session of each week, only their usual dialyzer will be used as wash-out. A randomization will define the order of use of the dialyzers in the 4 centers. This order will be identical in a center.

Number of patients :

32 (8 patients per center (4 centers))

Duration :

One week per dialyzer

Conditions

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End Stage Renal Disease Inflammation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Prospective randomized cross-over study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hemodialysis

patients treated by conventionnal hemodialysis

Group Type EXPERIMENTAL

VIE A Hemodialyzer

Intervention Type DEVICE

polysulfon membrane coated with vitamin E

Rexsys 27H hemodialyzer

Intervention Type DEVICE

polyethersulfon membrane with large surface area : 2,7m²

Leoceed 21HX hemodialyzer

Intervention Type DEVICE

polyslfon membrane with gamma sterilization

Polypure 22S+ hemodialyzer

Intervention Type DEVICE

polysulfon membrane with steam sterilization

Hemodiafiltration post dilution

patients treated by HDF post-dilution

Group Type EXPERIMENTAL

VIE A Hemodialyzer

Intervention Type DEVICE

polysulfon membrane coated with vitamin E

Rexsys 27H hemodialyzer

Intervention Type DEVICE

polyethersulfon membrane with large surface area : 2,7m²

Leoceed 21HX hemodialyzer

Intervention Type DEVICE

polyslfon membrane with gamma sterilization

Polypure 22S+ hemodialyzer

Intervention Type DEVICE

polysulfon membrane with steam sterilization

Interventions

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VIE A Hemodialyzer

polysulfon membrane coated with vitamin E

Intervention Type DEVICE

Rexsys 27H hemodialyzer

polyethersulfon membrane with large surface area : 2,7m²

Intervention Type DEVICE

Leoceed 21HX hemodialyzer

polyslfon membrane with gamma sterilization

Intervention Type DEVICE

Polypure 22S+ hemodialyzer

polysulfon membrane with steam sterilization

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Adult patient with chronic kidney disease dialyzed for at least one month and treated with the treatment mode that we will test
* Patient using post-dilution HDF mode have to use EuDIAL volume guidelines (20-22L minimum)
* Patient treated before with high permeability membrane
* Patient with vascular access allowing a blood flow rate with a minimum of 300 mL/min
* Patient treated with a high surface area dialyzer ≥ 1,8 m²
* Patient covered by the social French health organism
* Patient informed of the study goals and having signed the informed consent

Exclusion Criteria

* Patient with a vascular access not allowing a blood flow rate minimum of 300 mL/min
* Patient with a fast progressive chronic disease
* Patient with an uncontrolled anemia
* Patient refusing to sign the informed consent
* Pregnant or nursing patient
* Pediatric patient
* Patient under tutorship
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hemotech

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean Paul CRISTOL, Professor

Role: STUDY_DIRECTOR

University Hospital, Montpellier

Locations

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AIDER-Lapeyronie

Montpellier, , France

Site Status

Countries

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France

References

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Kokubo K, Kurihara Y, Kobayashi K, Tsukao H, Kobayashi H. Evaluation of the Biocompatibility of Dialysis Membranes. Blood Purif. 2015;40(4):293-7. doi: 10.1159/000441576. Epub 2015 Nov 17.

Reference Type BACKGROUND
PMID: 26656534 (View on PubMed)

Maduell F, Moreso F, Mora-Macia J, Pons M, Ramos R, Carreras J, Soler J, Torres F; study group ESHOL. ESHOL study reanalysis: All-cause mortality considered by competing risks and time-dependent covariates for renal transplantation. Nefrologia. 2016;36(2):156-63. doi: 10.1016/j.nefro.2015.10.007. Epub 2015 Dec 8. English, Spanish.

Reference Type BACKGROUND
PMID: 26672890 (View on PubMed)

Other Identifiers

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BIOMODAL 2016-A01122-49

Identifier Type: -

Identifier Source: org_study_id

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