A Study to Demonstrate the Safety and Effectiveness of the NIKKISO DBB-EXA ES Hemodialysis Delivery System

Chronic Renal Failure Clinical Trial

— HEMO  

Official title:

A Prospective, Multi-Center, Randomized, Controlled Trial to Demonstrate the Safety and Effectiveness of the NIKKISO DBB-EXA ES Hemodialysis Delivery System in Adult Patients With Chronic Renal Failure

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04655989
• Other study ID #: DBB-EXA ES-001
• Status: Completed
• Phase: N/A
• Start date: November 30, 2020
• Est. completion date: May 1, 2021

Study information

• Verified date: September 2021
• Source: Nikkiso America, Inc.
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study objective is to verify the safety and effectiveness of the DBB-EXA ES Hemodialysis Delivery System to consistently deliver dialysate of the appropriate quality for infusion.

Description:

The study objective is to verify the safety and effectiveness of the DBB-EXA ES Hemodialysis Delivery System to consistently deliver dialysate of the appropriate quality for infusion. The safety will be evaluated by comparing the adverse event rate in the DBB-EXA ES Hemodialysis group (investigational) vs. the standard dialysis group (control).

The study population will include eligible adult patients diagnosed with chronic renal failure requiring routine dialysis treatments for a minimum of 90 days and with a minimum of 3 weekly sessions. Treatment duration will be at the discretion of the investigator. The duration of study participation for each subject is approximately eight (8) weeks; four (4) weeks of routine dialysis and four (4) weeks of treatment dialysis. The expected total study duration across all subjects (from recruitment to last subject visits) is approximately five (5) to six (6) months, dependent upon subject recruitment/enrollment and meeting 360 evaluable treatments. A minimum of 30 eligible subjects will be enrolled into the study ensuring a minimum of 360 evaluable treatments in the treatment arm.

The sub-study, VARRM, was conducted following the subject's completion of the primary eight (8) week clinical study. The total participation time for the VARRM sub-study was approximately 1.5 weeks. Subjects that participated in the VARRM sub-study had their vascular recirculation rates collected during treatments. A minimum of 12 subjects were expected to participate in this sub-study, with a minimum of 21 and maximum of 36 dialysis accesses evaluated.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 31
• Est. completion date: May 1, 2021
• Est. primary completion date: February 24, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Male or female =18 years of age

2. Chronic renal failure diagnosis

3. Minimum of 90 days of stable hemodialysis treatment with a minimum of 3 treatment sessions per week. The duration of each treatment session is in the discretion of the investigator.

4. Reliable vascular access

5. Hemodialysis treatment a minimum of three (3) sessions per week

6. Subject agrees not to eat or drink during treatments

7. Understand and sign the informed consent form

Exclusion Criteria:

1. Unable to receive anticoagulation

2. Hypercoagulation diagnosis

3. Hyperviscosity diagnosis

4. Most recent hemoglobin less than 9

5. Active bacterial infection

6. Women of childbearing potential, pregnant and/or lactating females verified by urine or serum pregnancy test

7. Life expectancy less than 6 months

8. Cognitive impairment, dementia, or other condition that limits the ability to provide informed consent and to comply with study procedures, or any other reason that the Investigator believes to contraindicate study participation.

9. Current or known future need for a central venous catheter (CVC)

10. Involved in another clinical research trial within the prior 30 days

11. Diagnosed with systemic consistent hypotension as defined by being systolic <90 mm Hg or diastolic <60 mm Hg

12. Immunocompromised patients (e.g. active malignancy, current chemotherapy treatment, transplant recipients, any patient on immunosuppressive medication, or patients with current autoimmune disease).

Related Conditions & MeSH terms

• Chronic Renal Failure
• Dialysis
• Kidney Failure, Chronic
• Renal Insufficiency
• Renal Insufficiency, Chronic

Intervention

Device:
• DBB-EXA ES Hemodialysis System
The DBB-EXA ES Hemodialysis Delivery System is intended to support an optional online priming, rinseback and emergency bolus features. The appropriate priming of the hollow fiber dialyzer and blood tubing lines removes debris and air prior to device use, as well as ensuring proper rinseback.

Locations

Country	Name	City	State
United States	Great Lakes Dialysis	Detroit	Michigan
United States	Great Lakes Dialysis - West	Southfield	Michigan

Sponsors (2)

Lead Sponsor	Collaborator
Nikkiso America, Inc.	NAMSA

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Sub-Study VARRM	The Vascular Access Recirculation Rate Measurement (VARRM) will be assessed by comparing the recirculation rate obtained from the DBB-EXA ES device to the non-invasive commercially approved Transonic® HD03 Hemodialysis Monitor (Transonic Systems, Inc.)	1.5 weeks
Primary	Adverse Event Rate	The safety will be evaluated by comparing the adverse event rate in the DBB-EXA ES Hemodialysis group (investigational) vs. the standard dialysis group (control)	8 weeks
Secondary	Total Colony Forming Units and Endotoxin Levels	The effectiveness will be evaluated by comparing the total Colony Forming Units (CFUs) and endotoxin levels calculated within dialysis fluid in the DBB-EXA ES Hemodialysis group (investigational) vs. the standard dialysis group (control).	8 Weeks
Secondary	Fluid Balance Evaluation	The impact that online priming, online rinse back and online emergency bolus, if performed, has on fluid balance will be evaluated by assessing the proportion of subjects that have a Post-Dialysis Target Weight variance of > 0.5kg in the DBB-EXA ES Hemodialysis group (investigational) vs. the standard dialysis group (control).	8 Weeks