End Stage Renal Disease Clinical Trial
— BME-1Official title:
New Needle for Two-Needle Hemodialysis
Our preliminary studies have demonstrated that an innovative new design of the hemodialysis venous needle (the needle that returns the cleaned blood from the hemodialysis filter to the patient) with three jets is superior to the standard venous needle because it decreases the velocity and turbulence of the blood when compared with the standard venous needle, it is more efficient in the removal of toxins from the blood, and it is safe and effective. More importantly, our preliminary studies suggested that the new needle causes less damage to the dialysis vascular access and to circulating blood cells and less inflammation and oxidative stress. These will decrease medical complications, the high cost of care and death in dialysis patients. The current study will corroborate the finding of previous studies.
Status | Recruiting |
Enrollment | 70 |
Est. completion date | September 2012 |
Est. primary completion date | September 2012 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 80 Years |
Eligibility |
Inclusion Criteria:(1) end stage renal disease receiving hemodialysis in an ambulatory
outpatient dialysis facility (2) male or female, (3) ages 18-80, (4) arterio-venous graft
or AV fistula as vascular access, Exclusion Criteria:patients with fever, infection, inflammation or malignancy will be excluded |
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | DaVita K Street Dialysis Center | Washington | District of Columbia |
Lead Sponsor | Collaborator |
---|---|
Biomedical Enterprises Inc | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Net change in intracellular oxidative stress and intracellular proinflammatory cytokines levels | The net change in the levels of intracellular IL-6, IL-6 soluble receptor, IL-6 gp130, superoxide, H2O2 and IL-1 during dialysis (difference between pre and post dialysis) using the new venous needle will be compared with the change using the current venous needle. | 4 hours of hemodialysis | No |
Secondary | Net change in oxidative stress and proinflammatory cytokines in plasma | The net change in the plasma levels of IL-1, IL-6, MDA and AOPP during dialysis (difference between pre and post dialysis) using the new venous needle will be compared with the net change that occurs in patients using the current venous needle | 4 hours hemodialysis | No |
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