Comparing Super High-flux and High-flux Dialyzer Performance Among Hemodialysis Patient With Sepsis : a Randomized Control Trial

NCT ID: NCT06989892

Last Updated: 2025-05-25

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

RECRUITING

Clinical Phase

NA

Total Enrollment

202 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-25

Study Completion Date

2026-10-01

Brief Summary

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Comparing the efficacy of superhigh-flux dialyzer with high-flux dialyzer in ESKD patient who have sepsis to improve mortality and sepsis outcome, an open label randomized control trial.

Detailed Description

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Sepsis in people who have ESKD is the risk of developing poor outcome. Cytokines play a role in the process of sepsis and cause the worsening clinical outcome despite definitive antibiotic treatment. Superhigh-flux dialyzer has a larger molecular weight cut off (MWCO) clearance, include cytokine, could contribute to improved sepsis management in individuals with ESKD. This study is conducted to prove the efficacy of super high-flux dialyzer comparing with high-flux dialyzer in case of mortality reduction for regular hemodialysis ESKD patients.

Method This study is an open label single center randomized control trial. We randomized ESKD patients who have sepsis condition with high interleukin-6 (IL-6 \> 50 pg/ml).

The participants were allocated to super high-flux dialyzer group and high flux dialyzer group, stratified with diabetes, vascular access, and septic shock.

We excluded; patient who needed dialysis with continuous kidney replacement therapy, vulnerable patient, include pregnant woman, patient who closed and patient who expected to pass away within the 24 hours. We aim to enroll total 202 participants; divided equally in each arm. According to our protocol, non reused super high-flux dialyzer and high-flux dialyzer are used in the same assigned patient in first week without crossing over. The standard of care of sepsis and antibiotic are provided in both groups without intervening of researcher and our protocol. The primary endpoint is 28 days of mortality. The secondary outcome include cardiovascular death, rate reduction of IL-6 after dialysis, days of hospitalization, ventilator free days and complication of dialysis are also monitored.

Conditions

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The Efficacy and Safety for Super High-flux Dialyzer in Case of Sepsis in ESKD End Stage Kidney Disease (ESRD) Sepsis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Comparing the mortality in sepsis condition between two groups of ESKD patient who underwent hemodialysis with superhighflux and highflux dialyzer
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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ESKD patient with sepsis who dialyzed with super high flux

Patients received dialysis with Superhigh-flux dialyzer

Group Type EXPERIMENTAL

Super High-flux dialyzer (Elisio 19HDx)

Intervention Type DEVICE

Dialysis with Super High-flux dialyzer for intervention group

ESKD with sepsis who dialyzed with high flux dialyzer

Patients received dialysis with High-flux dialyzer

Group Type ACTIVE_COMPARATOR

High-flux dialyzer (Elisio 19H)

Intervention Type DEVICE

Dialysis with High-flux dialyzer for control group

Interventions

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Super High-flux dialyzer (Elisio 19HDx)

Dialysis with Super High-flux dialyzer for intervention group

Intervention Type DEVICE

High-flux dialyzer (Elisio 19H)

Dialysis with High-flux dialyzer for control group

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* ESKD patients who have sepsis condition with high interleukin-6 (IL-6 \> 50 pg/ml)

Exclusion Criteria

* Patients who needed dialysis with continuous kidney replacement therapy, vulnerable patient, include pregnant woman, patient who expected to pass away within the 24 hours.
* Patients who have the history of allergic dialyzer reaction to dialyzer which used in this trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Navamindradhiraj University

OTHER

Sponsor Role lead

Responsible Party

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Punnawit Laungchuaychok

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Punnawit Laungchuaychok, MD

Role: PRINCIPAL_INVESTIGATOR

Navamindradhiraj University

Wanjak Pongsittisak, MD

Role: STUDY_CHAIR

Navamindradhiraj University

Locations

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Navamindhradhiraj university

Dusit, Bangkok, Thailand

Site Status RECRUITING

Countries

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Thailand

Central Contacts

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Punnawit Laungchuaychok, MD

Role: CONTACT

022443000

Wanjak Pongsittisak, MD

Role: CONTACT

022443000

Facility Contacts

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Punnawit Laungchuaychok, MD

Role: primary

022443000

References

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Zhou F, Peng Z, Murugan R, Kellum JA. Blood purification and mortality in sepsis: a meta-analysis of randomized trials. Crit Care Med. 2013 Sep;41(9):2209-20. doi: 10.1097/CCM.0b013e31828cf412.

Reference Type BACKGROUND
PMID: 23860248 (View on PubMed)

Gharamti AA, Samara O, Monzon A, Montalbano G, Scherger S, DeSanto K, Chastain DB, Sillau S, Montoya JG, Franco-Paredes C, Henao-Martinez AF, Shapiro L. Proinflammatory cytokines levels in sepsis and healthy volunteers, and tumor necrosis factor-alpha associated sepsis mortality: A systematic review and meta-analysis. Cytokine. 2022 Oct;158:156006. doi: 10.1016/j.cyto.2022.156006. Epub 2022 Aug 28.

Reference Type BACKGROUND
PMID: 36044827 (View on PubMed)

Sarnak MJ, Jaber BL. Mortality caused by sepsis in patients with end-stage renal disease compared with the general population. Kidney Int. 2000 Oct;58(4):1758-64. doi: 10.1111/j.1523-1755.2000.00337.x.

Reference Type BACKGROUND
PMID: 11012910 (View on PubMed)

Song J, Park DW, Moon S, Cho HJ, Park JH, Seok H, Choi WS. Diagnostic and prognostic value of interleukin-6, pentraxin 3, and procalcitonin levels among sepsis and septic shock patients: a prospective controlled study according to the Sepsis-3 definitions. BMC Infect Dis. 2019 Nov 12;19(1):968. doi: 10.1186/s12879-019-4618-7.

Reference Type BACKGROUND
PMID: 31718563 (View on PubMed)

Abe M, Masakane I, Wada A, Nakai S, Nitta K, Nakamoto H. Super high-flux membrane dialyzers improve mortality in patients on hemodialysis: a 3-year nationwide cohort study. Clin Kidney J. 2021 Sep 28;15(3):473-483. doi: 10.1093/ckj/sfab177. eCollection 2022 Mar.

Reference Type BACKGROUND
PMID: 35211304 (View on PubMed)

Pongsittisak W, Satpanich P, Jaturapisanukul S, Keawvichit R, Prommool S, Trakranvanich T, Ngamvichukorn T, Kurathong S. Medium Cut-Off versus Low-Flux Dialyzers in Hemodialysis Patients with COVID-19: Clinical Outcomes and Reduction in Interleukin-6. Blood Purif. 2023;52(6):591-599. doi: 10.1159/000530162. Epub 2023 May 5.

Reference Type BACKGROUND
PMID: 37231799 (View on PubMed)

Related Links

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Other Identifiers

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205/66

Identifier Type: -

Identifier Source: org_study_id

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