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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00638300
Other study ID # sor421306ctil
Secondary ID
Status Completed
Phase N/A
First received March 12, 2008
Last updated July 11, 2010
Start date March 2008
Est. completion date July 2010

Study information

Verified date March 2008
Source Soroka University Medical Center
Contact n/a
Is FDA regulated No
Health authority Israel: Institutional Review Board
Study type Interventional

Clinical Trial Summary

The study's hypothesis is that HD with large pore dialyzers remove to the dialysate iron which is bound to potentially dialyzable ligands, after it's release from intravenous iron compound administered during hemodialysis.


Description:

Most hemodialysis(HD) patients receive during HD intravenous iron compounds, which are composed of an iron core and a sugar polymer shell.

A small percentage of iron from the iron compound is released to the plasma, and may be associated with increased oxidative stress and protein oxidation. The study's hypothesis is that HD with large pore dialyzers may remove to the dialysate iron which is bound to potentially dialyzable ligands, after it's release from intravenous iron compound administered during hemodialysis.

Ligand-bound iron removal is also hypothesized to be affected by dialysate calcium and bicarbonate concentrations, which may affect iron-ligand binding.

Study Specific aims are:

To evaluate

1. Iron removal assessing dialysate iron levels.

2. Effect of iron removal and it's associated experimental conditions on patient status, assessing plasma AOPP levels and inflammation related parameters

Study include 3 parts

1. Comparing large to small pore dialyzers

(To achieve baseline uniform conditions, patients will be on uniform dialysate bicarbonate and calcium concentrations of 33 mEq/L and 3 mEq/L,respectively, using large pore dialyzers during this part, besides the 2 HD sessions evaluating low pore dialyzers)

and after few week break

Using large pore dialyzers to compare

2. Low to high dialysate bicarbonate concentration (using uniform dialysate calcium concentrations of 3 mEq/L)

and after few week break

3. Low to high dialysate calcium concentrations concentration (using uniform dialysate bicarbonate of 33 mEq/L)

In each part, patients will be first evaluated in HD without IV iron administration, which will serve as a control for evaluation after a week in HD with IV iron administration.

In each part, patients will be randomized to start either with one of the 2 experimental conditions, and after 1 week without evaluation will cross-over to the other experimental condition.

Patients may participate in 1,2 or the 3 parts of study depending on their will and condition.


Recruitment information / eligibility

Status Completed
Enrollment 25
Est. completion date July 2010
Est. primary completion date December 2009
Accepts healthy volunteers No
Gender Both
Age group 18 Years to 88 Years
Eligibility Inclusion Criteria:

- Chronic hemodialysis patients

Exclusion Criteria:

- Acute disease (infection, thrombosis, ischemia, bleeding) Hepatitis B, Hepatitis C or HIV

- Intravenous iron administration or packed red cell transfusion in the last 3 weeks prior to the study

- Refusal to comply with limitations in fat containing food during HD with plasma sampling for AOPP evaluation

Study Design

Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Open Label


Related Conditions & MeSH terms


Intervention

Device:
large pore (FX80) compared to small pore dialyzer (F8HPS)
Effect of pore size
Other:
Dialysate bicarbonate of 33 mEq/L compared to 40 mEq/L
Effect of dialysate bicarbonate concentration
Dialysate calcium of 3 mEq/L compared to 2.5 mEq/L
Effect of dialysate calcium concentration

Locations

Country Name City State
Israel HD unit in Department of Nephrology in Soroka Universty Medical Center Beer-sheva
Israel HD unit in Bnai-zion Medical Center Haifa
Israel Rivka Ziv Medical center Zefat

Sponsors (3)

Lead Sponsor Collaborator
Soroka University Medical Center Bnai Zion Medical Center, Rivka Ziv Medical Center

Country where clinical trial is conducted

Israel, 

Outcome

Type Measure Description Time frame Safety issue
Primary 1. Dialysate Iron levels 2. Plasma levels of advanced oxidation protein products(AOPP) Before HD, after 1 hour of HD with or without IV iron and at end of HD No
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