Taurolock Hep 500 Versus Unfractionated Heparin as Anti-inflammatory in Hemodialysis Catheters.
NCT ID: NCT03539718
Last Updated: 2018-05-29
Study Results
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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UNKNOWN
PHASE4
60 participants
INTERVENTIONAL
2018-05-15
2019-02-28
Brief Summary
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Detailed Description
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They will be randomized into 2 groups. Group 1; 30 Patients will receive unfractionated heparin (5000i.u/ml) after hemodialysis sessions (control group).
Group 2; 30 Patients will receive Taurolock-hep500™ after hemodialysis sessions. All patients will be subjected to;
1. Full history including history of ESRD and dialysis initiation.
2. Clinical examination. Aseptic technique will be used in handling with catheters including (sterile gloves, antiseptic solution in dealing with covers and caps topical antibiotics spray and ointment) catheter will be instilled by 10 ml of normal saline in both opening followed by either taurolock hep 500™ or unfractionated heparin 5000 iu/ml.
Patients will be followed up for one month and will be monitored for clinical symptoms and signs of catheter related bacteremia (fever ,rigors, hypotension, sweating ) on the hemodialysis sessions . Also catheter performance will be assessed using the following parameters;
1. Blood flow rate measured by hemodialysis machine blood pump in (ml/min).
2. Dialysis quality by URR( urea reduction ratio) is a dimensionless number used to quantify dialysis treatment adequacy by calculating difference between urea level before and after hemodialysis session (average of 4 sessions , 1 per each week).
3. CBC ,markers of inflammation (CRP) baseline and at time of appearance of symptoms and signs of bacteremia in both groups in addition to (IL6) measured by Elisa technique baseline and at time of appearance of symptoms and signs .
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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cases
Cases, taurolidine heparin 500 will be used at end of session
Taurolidine heparin
Taurolock-hep 500 at end of session
control
Controls, Heparin Sodium 5000 will be given at end of session
Heparin Sodium
Heparin sodium 5000 at end of session
Interventions
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Taurolidine heparin
Taurolock-hep 500 at end of session
Heparin Sodium
Heparin sodium 5000 at end of session
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Recent catheter insertion at beginning of the study.
3. Both males and females.
4. Age group ≥ 18 ys.
Exclusion Criteria
2. Patients with sepsis.
3. Patients receiving drugs affecting immune system like immunosuppressive drugs.
4. Patients on antibiotics.
18 Years
65 Years
ALL
No
Sponsors
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Ain Shams University
OTHER
Responsible Party
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amr mohamed mansour
Assistant Lecturer of nephrology
Principal Investigators
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Magdy Sharkawy, MD
Role: STUDY_DIRECTOR
Ain Shams University
Locations
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Ain Shams University Hospitals
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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References
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FOGARTY, DAMIAN, and PETER MAXWELL.
Other Identifiers
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taurolock hep 500 efficacy
Identifier Type: -
Identifier Source: org_study_id
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