Separation Versus Integrated Approach in Combining ECMO With CRRT

NCT ID: NCT05036616

Last Updated: 2025-12-19

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-01

Study Completion Date

2025-08-31

Brief Summary

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This study aimed to compare circuit lifespan of CRRT between Integration and Separation techniques during ECMO support.

Detailed Description

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Conditions

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AKI

Keywords

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CRRT ECMO integration circuit combination

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Separation technique

Group Type EXPERIMENTAL

Combination of extracorporeal membrane oxygenation and continuous renal replacement therapy

Intervention Type DEVICE

Combination of extracorporeal membrane oxygenation and continuous renal replacement therapy

Integration technique

Group Type EXPERIMENTAL

Combination of extracorporeal membrane oxygenation and continuous renal replacement therapy

Intervention Type DEVICE

Combination of extracorporeal membrane oxygenation and continuous renal replacement therapy

Interventions

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Combination of extracorporeal membrane oxygenation and continuous renal replacement therapy

Combination of extracorporeal membrane oxygenation and continuous renal replacement therapy

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Refractory acidosis, defined as pH \< 7.2 or serum bicarbonate (HCO₃-) \< 15 mmol/L
2. Refractory volume overload
3. Refractory hyperkalemia, defined as serum potassium (K⁺) \> 6.2 mEq/L or presence of electrocardiographic changes
4. Anuria or oliguria, defined as urine output \< 0.5 mL/kg/hr for 6-12 hours
5. Elevated BUN \>100 mg/dL or presence of uremic symptoms Increased intracranial pressure

Exclusion Criteria

1. Pregnancy
2. Heparin contraindication
3. Chronic kidney disease with CRRT
4. AKI with Glomerulonephritis, Interstitial nephritis, Vassculitis or Urinary tract obstruction
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chulalongkorn University

OTHER

Sponsor Role lead

Responsible Party

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Nattachai Srisawat ,M.D.

Faculty of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sasipha tachaboon

Bangkok, Bangkok, Thailand

Site Status

Countries

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Thailand

References

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Thy M, Augustin P, Tran-Dinh A, Montravers P, de Tymowski C. Renal Replacement Therapy for Patients Requiring Extracorporeal Membrane Oxygenation: A Multicenter International Survey. Blood Purif. 2022;51(11):899-906. doi: 10.1159/000522398. Epub 2022 Apr 7.

Reference Type BACKGROUND
PMID: 35390796 (View on PubMed)

de Tymowski C, Desmard M, Lortat-Jacob B, Pellenc Q, Alkhoder S, Alouache A, Fritz B, Montravers P, Augustin P. Impact of connecting continuous renal replacement therapy to the extracorporeal membrane oxygenation circuit. Anaesth Crit Care Pain Med. 2018 Dec;37(6):557-564. doi: 10.1016/j.accpm.2018.02.024. Epub 2018 Mar 20.

Reference Type BACKGROUND
PMID: 29572101 (View on PubMed)

Other Identifiers

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IRB.151/64

Identifier Type: -

Identifier Source: org_study_id