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CompletedNCT03262272BIOMODALUpdated Feb 21, 2019

Evaluation of Biocompatibility and Performances of 4 Dialyzers in Different Mode Treatments

An interventional study of VIE A Hemodialyzer and Rexsys 27H hemodialyzer in End Stage Renal Disease and Inflammation, sponsored by Hemotech. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-02-21.

Sponsored by Hemotech · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Nov 2016, registered Jul 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Prospective multicenter randomized cross-over study Number of patients : 32 (8 patients per group) Obtain objectives data to advise each hemodialyzer according to dialysis treatment and patient profile.

To evaluate the different hemodialyzers and judge their extraction performances in HD and post HDF.

Evaluation of the biocompatibility of the hemodialyzers and the patients' inflammatory status.

Read the detailed description

Medical devices studied :

  • Leoceed 21HX, hemodialyzer, High permeability PS membrane 2,1 m² , made by Nx Stage in Germany
  • Polypure 22S, hemodialyzer, High permeability PS membrane 2,2 m² , made by Allmed in Germany
  • VIE 21A hemodialyzer, High permeability PS membrane 2,1 m² coated in vitamin E, made by Asahi Kasei Medical in Japan
  • Rexsys 27H, hemodialyzer , High permeability PES membrane 2,7 m² , made by Medica in Italia

These hemodialyzers are EC marked and are used in their own indications.

Schema

Details of the cross-over plan :

8 patients will be treated successively with the 4 hemodialyzers. Patients will be treated with the dialyzer "test" for the two first sessions of the week. During the last dialysis session of each week, only their usual dialyzer will be used as wash-out. A randomization will define the order of use of the dialyzers in the 4 centers. This order will be identical in a center.

Number of patients :

32 (8 patients per center (4 centers))

Duration :

One week per dialyzer

02

Conditions studied

  • End Stage Renal Disease
  • Inflammation
03

In context

Kidney Failure, Chronic

2,108 studies on the registry are indexed under Kidney Failure, Chronic; 273 are open to participants now.

This study's enrollment of 32 is below the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

Hemotech is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patient with chronic kidney disease dialyzed for at least one month and treated with the treatment mode that we will test
  • Patient using post-dilution HDF mode have to use EuDIAL volume guidelines (20-22L minimum)
  • Patient treated before with high permeability membrane
  • Patient with vascular access allowing a blood flow rate with a minimum of 300 mL/min
  • Patient treated with a high surface area dialyzer ≥ 1,8 m²
  • Patient covered by the social French health organism
  • Patient informed of the study goals and having signed the

Exclusion criteria

Exclusion Criteria:

  • Patient with a vascular access not allowing a blood flow rate minimum of 300 mL/min
  • Patient with a fast progressive chronic disease
  • Patient with an uncontrolled anemia
  • Patient refusing to sign the
  • Pregnant or nursing patient
  • Pediatric patient
  • Patient under tutorship
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Hemodialysis

    patients treated by conventionnal hemodialysis

    Device: VIE A Hemodialyzer · Device: Rexsys 27H hemodialyzer · Device: Leoceed 21HX hemodialyzer · Device: Polypure 22S+ hemodialyzer

  • Experimental
    Hemodiafiltration post dilution

    patients treated by HDF post-dilution

    Device: VIE A Hemodialyzer · Device: Rexsys 27H hemodialyzer · Device: Leoceed 21HX hemodialyzer · Device: Polypure 22S+ hemodialyzer

Interventions

  • DeviceVIE A Hemodialyzer

    polysulfon membrane coated with vitamin E

  • DeviceRexsys 27H hemodialyzer

    polyethersulfon membrane with large surface area : 2,7m²

  • DeviceLeoceed 21HX hemodialyzer

    polyslfon membrane with gamma sterilization

  • DevicePolypure 22S+ hemodialyzer

    polysulfon membrane with steam sterilization

06

What researchers measure

Primary outcomes

  1. Evaluation of middle molecules extraction

    Measurements of β 2 microglobulin (11,8kDa), myoglobin (17kDa), Beta Trace (21kDa), Free immunoglobulin light chains Kappa (23kDa), myostatin (40kDa), glycoprotein orosomucoïd (44kDa)

    Time frame: one week per dialyzer per patient

Secondary outcomes

  1. Extraction of uremic toxins

    * Urea * Creatinin * inorganic phosphates

    Time frame: one week per dialyzer per patient

  2. Biocompatibility assessment

    * Anaphylatoxins (C3a, C5a) during the session (T0, T15, Tend) * TNF-α and IL-6 (T0 et Tend)

    Time frame: one week per dialyzer per patient

  3. Monitoring of Nutrition status

    Quantification of the albumin loss in the used dialysate (1 center) during the middle session of the week for each dialyzer tested per patient, i.e 4 times/patient. 2 analysis modalities will be used: " pull and push " syringe Plastipak BD 50mL or collection of the whole dialysate in a 200 L tank Dosage Albumin et pre-albumin before dialysis session

    Time frame: one week per dialyzer per patient

  4. Handling of the devices

    - Evaluation of the priming and recovery for each dialysis session

    Time frame: one week per dialyzer per patient

  5. Dialysis adequacy evaluation

    Calculation of KT/V

    Time frame: one week per dialyzer per patient

  6. Session tolerance

    All secondary troubles will be noted: cramps, nauseas, hypotension...

    Time frame: one week per dialyzer per patient

  7. Parameters inflammation

    CRP (mg/l)

    Time frame: one week per dialyzer per patient

  8. Parameters inflammation

    - Calcul of PINI = \[CRP(mg/l) x Orosomucoïd (mg/l)\] / \[Albumin(g/l) x Pre-albumin(mg/l)\]

    Time frame: one week per dialyzer per patient

07

Study locations

1 site
  • AIDER-Lapeyronie
    Montpellier, 34295, France
08

References and documents

Publications

  • Kokubo K, Kurihara Y, Kobayashi K, Tsukao H, Kobayashi H. Evaluation of the Biocompatibility of Dialysis Membranes. Blood Purif. 2015;40(4):293-7. doi: 10.1159/000441576. Epub 2015 Nov 17. PubMed 26656534 ↗
  • Maduell F, Moreso F, Mora-Macia J, Pons M, Ramos R, Carreras J, Soler J, Torres F; study group ESHOL. ESHOL study reanalysis: All-cause mortality considered by competing risks and time-dependent covariates for renal transplantation. Nefrologia. 2016;36(2):156-63. doi: 10.1016/j.nefro.2015.10.007. Epub 2015 Dec 8. English, Spanish. PubMed 26672890 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2016 to primary completion in Jul 2018, 20 months.

Of 78 industry-sponsored interventional studies with no phase under Kidney Failure, Chronic, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 40. This study's 20 months is above that.

Counting every sponsor, half of 425 studies reached it within 23 months; a quarter within 8 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 12, 2017
First posted
Aug 25, 2017
StartActual
Nov 21, 2016
Primary completionActual
Jul 31, 2018
CompletionActual
Oct 31, 2018
Last update
Feb 21, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 21, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03262272
Lead sponsor
Hemotech
Responsible party
Sponsor
First posted
Aug 25, 2017
Start date
Nov 21, 2016
Primary completion
Jul 31, 2018
Completion
Oct 31, 2018
Last update
Feb 21, 2019

Study contacts

Jean Paul CRISTOL, Professor
study director · University Hospital, Montpellier

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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