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CompletedNCT00974779HCO1100Updated Jan 18, 2012

High-cutoff Hemodialyzer to Reduce Chronic Inflammation in Hemodialysis Patients

A Phase 2/3 interventional study of HCO1100 dialyzer and regular dialysis polyamide in End Stage Renal Disease, sponsored by Martin-Luther-Universität Halle-Wittenberg. Completed at 1 site in Germany. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2012-01-18.

Sponsored by Martin-Luther-Universität Halle-Wittenberg · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to test whether a dialyzer with a higher than usual permeability for proteins can eliminate proinflammatory proteins from the blood of patients on regular maintenance hemodialysis who have chronically elevated levels of inflammation markers such as C-reactive protein (CRP) in their blood.

Read the detailed description

Patients with ESRD on chronic hemodialysis patients frequently have elevated markers of inflammation (e.g. serum CRP values). Hemodialysis may clear the blood from low molecular weight toxins and retention products such as creatinine, potassium, or urea. The dialyzer clearance of middle to high molecular weight substances such as cytokines and cytokine receptors is low. Nearly 50% of chronic dialysis patients have persistent subclinical inflammation which is strongly associated with cardiovascular disease and mortality. The study tests the hypothesis that removal of proteins in the weight range of 10.000-30.000 D via a more permeable dialyzer membrane reduces chronic inflammation in these patients.

02

Conditions studied

  • End Stage Renal Disease

Keywords

  • kidney failure chronic
  • renal dialysis
  • inflammation
  • monocytes
  • end stage renal disease on regular thrice weekly hemodialysis
03

In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's enrollment of 19 is below the median of 70 across 2,640 interventional studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

Martin-Luther-Universität Halle-Wittenberg is the lead sponsor of 62 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • regular hemodialysis for at least 3 months
  • treatment thrice weekly
  • high-flux hemodialyzer for at least 4 weeks
  • age > 18 years and \< 80 years
  • at least one CRP value > 5mg/L within 8 weeks before inclusion
  • able to understand and consent the study
  • written informed consent

Exclusion Criteria:

  • no consent
  • clinically apparent acute infection
  • CRP > 50 mg/L
  • serum albumin \< 3,5 mg/L
  • central venous line as dialysis access
  • immunosuppressive medication
  • pregnancy or lactation
  • inclusion into any other interventional trial
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    HCO dialyzer

    Hemodialysis with the HCO1100 hemodialyzer membrane with high molecular weight cut off.

    Device: HCO1100 dialyzer

  • Active comparator
    Placebo

    Regular dialysis using a polyamide high-flux hemodialyzer

    Device: regular dialysis polyamide

Interventions

  • DeviceHCO1100 dialyzer

    Thrice weekly dialysis using the HCO1100 dialyzer for 4.5h, 2 weeks

    Also known as: Gambro HCO1100

  • Deviceregular dialysis polyamide

    Continuation of the regular hemodialysis using polyamide high-flux hemodialysers

    Also known as: Gambro Polyflux 11

06

What researchers measure

Primary outcomes

  1. Inflammation: CRP plasma level and quantity of circulating CD14/16 positive monocytes

    Time frame: 2 weeks

Secondary outcomes

  1. Serum albumin losses

    Time frame: 2 weeks

07

Study locations

1 site
  • Department of Internal Medicine II, Martin-Luther-University Medical School
    Halle (Saale), Sachsen-Anhalt, Germany
08

References and documents

Publications

  • Fiedler R, Neugebauer F, Ulrich C, Wienke A, Gromann C, Storr M, Bohler T, Seibert E, Girndt M. Randomized controlled pilot study of 2 weeks' treatment with high cutoff membrane for hemodialysis patients with elevated C-reactive protein. Artif Organs. 2012 Oct;36(10):886-93. doi: 10.1111/j.1525-1594.2012.01479.x. Epub 2012 Jul 30. PubMed 22845695 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 18, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00974779
Lead sponsor
Martin-Luther-Universität Halle-Wittenberg
Collaborators
Gambro Dialysatoren GmbH, KfH Kuratorium für Dialyse und Nierentransplantation e.V., Neu Isenburg, Germany
Responsible party
Matthias Girndt (Professor of Internal Medicine, Martin-Luther-Universität Halle-Wittenberg) — Principal investigator
First posted
Sep 10, 2009
Start date
Nov 2009
Primary completion
Aug 2011
Completion
Dec 2011
Last update
Jan 18, 2012

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2012. You cannot join it, but the record below documents what was studied.

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