Non- Clinical Coagulation Activation During Hemodialysis

NCT ID: NCT04063423

Last Updated: 2019-08-21

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

Total Enrollment

32 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-10-25

Study Completion Date

2019-05-01

Brief Summary

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Every patient included in the study will undergo 1 conventional hemodialysis treatment, ie 1 study visit. During the conventional hemodialysis treatment lasting 4 hours, 2 blood samples will be taken at different time points (5 minutes after dialysis start and 240 minutes after dialysis = at the end of the dialysis session) to evaluate coagulation activation (TAT, PF1+2). Hemodialysis session parameters (arterial and venous pressure, TMP, OCM, BVM and prefilter pressure) will be noted at different time points (T5, T30, T60, T120, T180, T240). After discontinuation of the dialysis session, total cell volume will be measured using the Renatron II system® and the number of open fibers will be determined using micro-CT scanning.

Detailed Description

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Conditions

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Kidney Diseases End Stage Renal Disease Hemodialysis Complication

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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hemodialysis study session

* 4h hemodialysis session using standard polysulphone dialyzer and Nikkiso dialysis monitors
* Minimal dose of unfractionated heparin (UFH) with loading dose 500IE and maintenance 500IE/h, stopped 60 minutes before session end in case of AVF use.
* Standard bicarbonate-based ultrapure dialysate. Na, K, Ca, bicarbonate concentrations according to the patient's routine dialysis prescription.
* The blood flow rate maximized as per routine nursing care.
* Dialysate flow rate fixed at 500 ml/min.
* Dialysate temperature between 35.5°C and 36.5°C.
* Ultrafiltration according to patient's dry weight and supported ultrafiltration rate.
* At the end of the dialysis session the blood will be returned (100ml/min) to the patient.

blood sample

Intervention Type PROCEDURE

Blood sample at start and at the end of the dialysis session; membrane scoring after dialysis; total cell volume measurement of dialyzer after dialysis; micro-CT of dialyzer after dialysis.

Interventions

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blood sample

Blood sample at start and at the end of the dialysis session; membrane scoring after dialysis; total cell volume measurement of dialyzer after dialysis; micro-CT of dialyzer after dialysis.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* ≥ 18 years of age.
* Patients able and agree to provide signed informed consent.

Exclusion Criteria

* Known allergy for polysulphone dialysis membrane.
* Use of vitamin K antagonists or novel oral anticoagulant therapy.
* Use of chronic heparin treatment, UFH or LMWH.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitair Ziekenhuis Brussel

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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UZ Brussel

Jette, , Belgium

Site Status

Countries

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Belgium

Other Identifiers

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UZB-NEF-2018-NC-COACT

Identifier Type: -

Identifier Source: org_study_id

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