Clinical Performance Comparison of 2 THERANOVA 400 Dialyzer Prototypes in HD With High-Flux Dialyzers in HD and hv HDF Mode

End Stage Renal Disease Clinical Trial

Official title:

Comparison of the Clinical Performance of 2 THERANOVA 400 Dialyzer Prototypes in HD With a High-Flux Dialyzer in HD and a High-Flux Dialyzer in hvHDF - A Pilot Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02377622
• Other study ID #: 1407-001
• Status: Completed
• Phase: N/A
• Start date: February 2015
• Est. completion date: May 2015

Study information

• Verified date: February 2015
• Source: Baxter Healthcare Corporation
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study investigates the performance of a new dialyzer (Theranova 400) containing a membrane with increased pore sizes. The performance will be determined by the removal of middle molecules (with different molecular size) from the blood compartment. Two different Theranova 400 prototypes (AA and BB) operated in hemodialysis mode will be compared with a Cordiax Fx-80 dialyzer, operated in hemodialysis mode, and with a Cordiax Fx-800, operated in high volume hemodiafiltration mode. Safety events and albumin loss into the dialysate will be monitored

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: May 2015
• Est. primary completion date: April 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Patient has end-stage renal disease (Chronic kidney disease stage 5D)

2. Patient is 18 years of age or older

3. Patient is male or female

4. Patient, if female, is non-pregnant; and if capable of becoming pregnant, will be using a medically acceptable means of contraception during participation in the study 5 .Patient has been receiving HD or HDF therapy for >3 months prior to study enrollment and is expected to survive for at least 12 months after enrollment.

6. Patient has a stable functioning native fistula 7. Patient is willing to comply with the study requirements for therapy during the entire study treatment period 8. Patient is capable fo providing written informed consent to participate in the study

Exclusion Criteria:

1. Patient is undergoing single-needle dialysis

2. Patient has an known abnormal k/? ratio (less than 0.37, or greater than 3.1)

3. Patient has a known active infection and is currently receiving antibiotic treatment

4. Patient has known active cancer

5. Patient has a known positive serology test for human immunodeficiency virus (HIV) or hepatitis B,C or E

6. Patient has a known serious hemostasis disorder

7. Patient has a known monoclonal gammopathy

8. Patient has a known polyclonal gammopathy

9. Patient has a unstable condition as judged by the treating physician based on medical history, physical examination and laboratory testing including (but not limited to) any of the following:

• Myocardial infarction within the last 3 months

• Tachyarrhythmia or bradyarrhythmia absoluta

• Unstable angina pectoris

• Left ventricular ejection fraction <30%

• Significant pericardial disease

10. Patient has any other known comorbidity that could, in the opinion of the Investigator, potentially conflict with the study purpose or procedure

11. Patient has a known significant psychiatric disorder or mental disability that could interfere with the patient's ability to provide informed consent and/or comply with protocol procedures

12. Patient has a history of non-compliance with the dialysis prescription, as assessed by the Investigator

13. Patient has participated in another interventional clinical study in the past 3 months, or is currently participating in another interventional clinical study

Related Conditions & MeSH terms

• End Stage Renal Disease
• Kidney Failure, Chronic

Intervention

Device:
• THERANOVA 400 dialyzer prototype AA

• THERANOVA 400 dialyzer prototype BB

• FX CorDiax 80 Dialyzer

• FX CorDiax 800 Dialyzer

Locations

Country	Name	City	State
Germany	Dialysexentrum Elsenfeld	Elsenfeld

Sponsors (1)

Lead Sponsor	Collaborator
Baxter Healthcare Corporation

Country where clinical trial is conducted

Germany, 

References & Publications (2)

Kirsch AH, Lyko R, Nilsson LG, Beck W, Amdahl M, Lechner P, Schneider A, Wanner C, Rosenkranz AR, Krieter DH. Performance of hemodialysis with novel medium cut-off dialyzers. Nephrol Dial Transplant. 2017 Jan 1;32(1):165-172. doi: 10.1093/ndt/gfw310. Erra — View Citation

Kirsch AH, Rosenkranz AR, Lyko R, Krieter DH. Effects of Hemodialysis Therapy Using Dialyzers with Medium Cut-Off Membranes on Middle Molecules. Contrib Nephrol. 2017;191:158-167. doi: 10.1159/000479264. Epub 2017 Sep 14. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Overall clearance of lambda FLC clearance	Blood and dialysate	Five (5) hours ( for each mid-week dialysis session)
Primary	Overall albumin loss	Dialysate	Five (5) hours (for each mid-week dialysis session)
Secondary	Types and frequency of adverse events and device deficiencies as a measure of safety and dialyzer tolerability	All adverse events and device deficiencies will be recorded	Average 60 days (continuously, from signature of informed consent form until 1 week after last hemodialysis session with an experimental or active comparator product)
Secondary	Clearance of other middle sized molecules	Blood and dialysate	Five (5) hours (for each mid-week dialysis session)
Secondary	Hematology ( blood cell counts; hematocrit and hemoglobin)	Blood	Five (5) hours ( for each mid-week dialysis session)