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
EARLY_PHASE1
46 participants
INTERVENTIONAL
2019-10-31
2020-04-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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control
23 patients will receive their usual dose of erythropoietin stimulating agents and their routine treatment.
No interventions assigned to this group
test
23 patients will receive the intervention drug Pentoxifylline (Trental 400 milligram(MG) Extended Release Oral Tablet) twice daily in addition their usual dose of erythropoietin stimulating agents and their routine treatment.
Trental 400 MG Extended Release Oral Tablet
oral tablets
Interventions
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Trental 400 MG Extended Release Oral Tablet
oral tablets
Eligibility Criteria
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Inclusion Criteria
* Stable hemodialysis \>6 months.
* Regular haemodialysis (3 times/ week).
* ESA resistant anemia (Hb \<10 mg/dl for 6 mo.).
* ESA dose of \>8000 IU/wk.
Exclusion Criteria
* Hyperparathyroidism (PTH\>800 pg/l).
* Known hypersensitivity to, or intolerance of Pentoxifylline.
* Absolute or functional iron deficiency (ferritin \< 100 μg/L and/or transferrin saturation \< 20%).
* Presence of systemic haematological disease (including antibody-mediated pure red cell aplasia) or known haemoglobinopathy.
* Major surgery, infection, inflammatory diseases, acute myocardial infarction or malignancy within the last 3 months.
* Patients with chronic liver disease and patients who had received immunosuppressive therapy.
18 Years
ALL
No
Sponsors
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Ain Shams University
OTHER
Responsible Party
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Radwa Mohamed Elmetwaly
Post grad
Principal Investigators
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Lamia El Wakeel, Ass.Prof
Role: STUDY_DIRECTOR
Ass.prof clinical pharmacy
Radwa El Borolossy, Phd
Role: STUDY_DIRECTOR
Lecturer of clinical pharmacy
Magdy ElSharkawy, Prof.Dr.
Role: PRINCIPAL_INVESTIGATOR
Prof. of nephrology
Central Contacts
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References
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Weiss G, Goodnough LT. Anemia of chronic disease. N Engl J Med. 2005 Mar 10;352(10):1011-23. doi: 10.1056/NEJMra041809. No abstract available.
Johnson DW, Pollock CA, Macdougall IC. Erythropoiesis-stimulating agent hyporesponsiveness. Nephrology (Carlton). 2007 Aug;12(4):321-30. doi: 10.1111/j.1440-1797.2007.00810.x.
Cooper A, Mikhail A, Lethbridge MW, Kemeny DM, Macdougall IC. Pentoxifylline improves hemoglobin levels in patients with erythropoietin-resistant anemia in renal failure. J Am Soc Nephrol. 2004 Jul;15(7):1877-82. doi: 10.1097/01.asn.0000131523.17045.56.
Ferrari P, Mallon D, Trinder D, Olynyk JK. Pentoxifylline improves haemoglobin and interleukin-6 levels in chronic kidney disease. Nephrology (Carlton). 2010 Apr;15(3):344-9. doi: 10.1111/j.1440-1797.2009.01203.x.
Goicoechea M, Garcia de Vinuesa S, Quiroga B, Verdalles U, Barraca D, Yuste C, Panizo N, Verde E, Munoz MA, Luno J. Effects of pentoxifylline on inflammatory parameters in chronic kidney disease patients: a randomized trial. J Nephrol. 2012 Nov-Dec;25(6):969-75. doi: 10.5301/jn.5000077.
Ogawa T, Nitta K. Erythropoiesis-stimulating agent hyporesponsiveness in end-stage renal disease patients. Contrib Nephrol. 2015;185:76-86. doi: 10.1159/000380972. Epub 2015 May 19.
Shahbazian H, Ghorbani A, Zafar-Mohtashami A, Balali A, AleAli A, Lashkarara GR. Administration of pentoxifylline to improve anemia of hemodialysis patients. J Renal Inj Prev. 2016 Nov 26;6(1):61-64. doi: 10.15171/jrip.2017.11. eCollection 2017.
Other Identifiers
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pentoxifylline in hemodialysis
Identifier Type: -
Identifier Source: org_study_id
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