Taurolock Hep 500 Versus Unfractionated Heparin as Anti-inflammatory in Hemodialysis Catheters.

NCT ID: NCT03539718

Last Updated: 2018-05-29

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-05-15

Study Completion Date

2019-02-28

Brief Summary

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To assess the efficacy of Taurolock-hep500™ as anticoagulant and antimicrobial catheter lock solution in comparison to unfractionated heparin as alock solution to improve performance of hemodialysis catheters and quality of hemodialysis .

Detailed Description

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In this study,investigators will recruit 60 patients with ESRD on regular hemodialysis from hemodialysis units in Ain-Shams university Hospitals, Patients will be recruited to study at the time of catheter insertion.

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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Hemodialysis Catheter Infection Thrombosis; Dialysis Catheter

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

comparative
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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cases

Cases, taurolidine heparin 500 will be used at end of session

Group Type EXPERIMENTAL

Taurolidine heparin

Intervention Type DRUG

Taurolock-hep 500 at end of session

control

Controls, Heparin Sodium 5000 will be given at end of session

Group Type ACTIVE_COMPARATOR

Heparin Sodium

Intervention Type DRUG

Heparin sodium 5000 at end of session

Interventions

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Taurolidine heparin

Taurolock-hep 500 at end of session

Intervention Type DRUG

Heparin Sodium

Heparin sodium 5000 at end of session

Intervention Type DRUG

Other Intervention Names

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Tautolock HEP 500 Heparin Sodium 5000

Eligibility Criteria

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Inclusion Criteria

1. Patients on regular hemodialysis 3sessions/wk.
2. Recent catheter insertion at beginning of the study.
3. Both males and females.
4. Age group ≥ 18 ys.

Exclusion Criteria

1. Patients with intercurrent infections.
2. Patients with sepsis.
3. Patients receiving drugs affecting immune system like immunosuppressive drugs.
4. Patients on antibiotics.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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amr mohamed mansour

Assistant Lecturer of nephrology

Responsibility Role PRINCIPAL_INVESTIGATOR

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

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Magdy Sharkawy, MD

Role: CONTACT

002010-014-22331

Amr Mansour, Msc

Role: CONTACT

00201007212824

Facility Contacts

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amr m mansour, Msc

Role: primary

1007212824

References

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FOGARTY, DAMIAN, and PETER MAXWELL.

Reference Type BACKGROUND

Other Identifiers

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taurolock hep 500 efficacy

Identifier Type: -

Identifier Source: org_study_id

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