CClinicalTrials.gg
CompletedNCT01879618Updated Mar 10, 2017Results posted

Use Of Fragmin In Hemodialysis

A Phase 3 interventional study of Fragmin in Chronic Renal Failure, sponsored by Pfizer. Completed at 19 sites in Canada. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2017-03-10.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
152
Allocation
Not applicable
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The study will determine if the Fragmin dose can be adjusted to suit the clinical needs of patients during dialysis.

02

Conditions studied

  • Chronic Renal Failure

Keywords

  • Fragmin
  • dalteparin
  • hemodialysis
  • anticoagulation
  • Renal Failure
03

In context

Renal Insufficiency

1,994 studies on the registry are indexed under Renal Insufficiency; 173 are open to participants now.

This study's enrollment of 152 is above the median of 43 across 1,503 interventional studies indexed under Renal Insufficiency.

Browse Renal Insufficiency studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • chronic renal failure on hemodialysis

Exclusion criteria

Exclusion Criteria:

  • significant comorbidities that would prevent a patient from completing the trial
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
152 participants (actual)

Study arms

  • Experimental
    Fragmin

    Fragmin given according to the flexible dosing regimen outlined in the protocol

    Drug: Fragmin

Interventions

  • DrugFragmin

    variable dosing regimen

06

What researchers measure

Primary outcomes

  1. Mean Percent of Successful HD Sessions

    A successful HD session is defined in terms of efficacy of the drug where the HD session had completed as planned: there was no premature termination due to Grade 3 or 4 clotting or saline flush to prevent the loss of the extracorporeal circuit due to clotting; it was not possible to return the participant's blood or assess the exact extent of clotting. HD sessions which terminated prematurely due to Grade 1 or 2 clotting, safety event, machine failure, or access site displacement were excluded from the analysis. The point estimate and 95% CI were computed based on generalized estimating equation (GEE) model for clustered binomial data.

    Time frame: 20 HD sessions (up to 4 hours)

Secondary outcomes

  1. Mean Percent of HD Sessions With an Acceptable Dose

    A HD session with an acceptable dose is defined in terms of efficacy of the drug: an HD session for which the dose at the next HD session did not need to be changed due to Grade 3 or 4 clotting, bleeding, access compression time \> 10 minutes, or other clinical event. The point estimate and 95% CI were computed based on GEE model for clustered binomial.

    Time frame: 20 HD sessions (up to 4 hours)

07

Results

Posted Dec 29, 2016

Participant flow

The study was conducted in 12 sites in Canada, 10 of which enrolled participants. A total of 152 participants with chronic renal failure, who had at least 30 previous days of hemodialysis (HD) and had received ≤10,000 IU unfractionated heparin or low molectular weight heparin for anticoagulation during the past month were enrolled in the study.

Participant flow — Overall Study
MilestoneFRAGMIN
Started152
Completed131
Not completed21
Withdrew: Does not meet entrance criteria1
Withdrew: Withdrawal by subject1
Withdrew: Surgery;changed schedule; not available8
Withdrew: Protocol violation6
Withdrew: Adverse event5

Outcome measures

PrimaryMean Percent of Successful HD Sessions

A successful HD session is defined in terms of efficacy of the drug where the HD session had completed as planned: there was no premature termination due to Grade 3 or 4 clotting or saline flush to prevent the loss of the extracorporeal circuit due to clotting; it was not possible to return the participant's blood or assess the exact extent of clotting. HD sessions which terminated prematurely due to Grade 1 or 2 clotting, safety event, machine failure, or access site displacement were excluded from the analysis. The point estimate and 95% CI were computed based on generalized estimating equation (GEE) model for clustered binomial data.

Time frame:
20 HD sessions (up to 4 hours)
Reported as:
Mean · Percentage of HD Sessions
Mean Percent of Successful HD Sessions
Percentage of HD SessionsFRAGMIN
Mean Percent of Successful HD Sessions99.9 (99.7 to 100)
SecondaryMean Percent of HD Sessions With an Acceptable Dose

A HD session with an acceptable dose is defined in terms of efficacy of the drug: an HD session for which the dose at the next HD session did not need to be changed due to Grade 3 or 4 clotting, bleeding, access compression time \> 10 minutes, or other clinical event. The point estimate and 95% CI were computed based on GEE model for clustered binomial.

Time frame:
20 HD sessions (up to 4 hours)
Reported as:
Mean · Percentage of HD sessions
Mean Percent of HD Sessions With an Acceptable Dose
Percentage of HD sessionsFRAGMIN
Mean Percent of HD Sessions With an Acceptable Dose89.8 (87.4 to 91.9)

Adverse events

Collected over From screening (-9 days) up to 30 days after last dose of study drug.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
FRAGMIN—3/152 (2%)27/152 (17.8%)
Most frequent serious events
Most frequent serious events
EventFRAGMIN
Atrial fibrillationCardiac disorders1/152
PneumoniaInfections and infestations1/152
InfluenzaInfections and infestations1/152
Most frequent other events
Most frequent other events
EventFRAGMIN
Arteriovenous fistula site haemorrhageInjury, poisoning and procedural complications19/152
HypotensionVascular disorders8/152

Baseline characteristics

The Safety Analysis Set consisted of all participants who received at least one dose of study medication.

Age, Continuous
Age, Continuous(Years)FRAGMIN
Mean57.1 ± 14.7
Sex: Female, Male
Sex: Female, Male(Participants)FRAGMIN
Female46
Male106
08

Study locations

19 sites
  • Royal Alexandra Hospital
    Edmonton, Alberta T5G 0B8, Canada
  • University of Alberta Hospital
    Edmonton, Alberta T6G 2B7, Canada
  • Grey Nuns Community Hospital
    Edmonton, Alberta T6L 5X8, Canada
  • Horizon Health Network/Saint John Regional Hospital
    Saint John, New Brunswick E2L 4L2, Canada
  • Eastern Regional Health Authority, Health Sciences Centre
    St. John's, Newfoundland and Labrador A1B 3V6, Canada
  • Eastern Regional Health Authority, St. Clare's Mercy Hospital
    St. John's, Newfoundland and Labrador A1C 5B8, Canada
  • Eastern Regional Health Authority, Waterford Hospital
    St. John's, Newfoundland and Labrador A1E 4J8, Canada
  • Queen Elizabeth II Health Sciences Center (QEII) - VG Site
    Halifax, Nova Scotia B3H 2Y9, Canada
  • William Osler Health System - Bramptom Civic Hospital
    Brampton, Ontario L6R 3J7, Canada
  • London Health Sciences Centre, University Hospital
    London, Ontario N6A 5A5, Canada
  • London Health Sciences Centre, Kidney Care Centre
    London, Ontario N6K 1M6, Canada
  • William Osler Health System
    Orangeville, Ontario L9W 4X9, Canada
  • Centre intégré de santé et de services sociaux de la Montérégie-Centre
    Greenfield Park, Quebec J4V 2H1, Canada
  • Centre externe de néphrologie CISSS de la Montérégie-Centre
    Greenfield Park, Quebec J4V 3M3, Canada
  • Centre Hospitalier de l'Universite de Montreal (CHUM) - Hopital Saint-Luc
    Montreal, Quebec H2X 3J4, Canada
  • CIUSSS du Nord-de-l'Ile-de-Montreal
    Montreal, Quebec H3M 3E3, Canada
  • CIUSSS du Nord-de-l'Ile-de-Montreal
    Montreal, Quebec H4J 1C5, Canada
  • Centre externe de néphrologie CISSS de la Montérégie-Centre
    Saint-Lambert, Quebec J4R 2L1, Canada
  • CHU de Quebec (Pavillon Hotel-Dieu de Quebec)
    Quebec, G1R 2J6, Canada
09

References and documents

Publications

  • Soroka S, Agharazii M, Donnelly S, Roy L, Muirhead N, Cournoyer S, MacKinnon M, Pannu N, Barrett B, Madore F, Tennankore K, Wilson JA, Hilton F, Sherman N, Wolter K, Orazem J, Feugere G. An Adjustable Dalteparin Sodium Dose Regimen for the Prevention of Clotting in the Extracorporeal Circuit in Hemodialysis: A Clinical Trial of Safety and Efficacy (the PARROT Study). Can J Kidney Health Dis. 2018 Nov 4;5:2054358118809104. doi: 10.1177/2054358118809104. eCollection 2018. PubMed 30542622 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 10, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01879618
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Jun 18, 2013
Start date
Oct 2013
Primary completion
Mar 2016
Completion
Mar 2016
Results posted
Dec 29, 2016
Last update
Mar 10, 2017

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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