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CompletedNCT03437538Updated Nov 13, 2019

Reduction Ratio and Clearance During Hemodialysis With MCO-filter Compared to HDF With Standard High-flux Filter

An interventional study of MCO-HD and High-flux HDF in Chronic Kidney Failure, Uremia and Dialysis, sponsored by Region Skane. Completed at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-11-13.

Sponsored by Region Skane · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The Medium Cut-Off dialysis (MCO) membrane has been developed to improve middle molecule removal compared to standard high-flux dialysis filters.

The major aim of this study is to compare the reduction ratio of middle molecules, during a single hemodialysis session with MCO-filter, compared to hemodiafiltration (HDF) with standard high-flux filter.

Secondary aims are to compare the reduction ratio of small and large molecules between the treatments.

02

Conditions studied

  • Chronic Kidney Failure
  • Uremia
  • Dialysis

Keywords

  • Dialysis
  • MCO
  • Middle molecules
  • High Retention Onset
  • Medium Cut-Off
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 18 is below the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

Region Skane is the lead sponsor of 386 studies on the registry; 122 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

  • Ongoing HDF treatment
  • CRP \<30
  • No Acute Myocardial Infarction within 3 months.

Exclusion criteria

Exclusion Criteria:

  • Not able to understand the study information.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
18 participants (actual)

Study arms

  • Active comparator
    First MCO-HD, then High-flux-HDF

    Participants with ongoing HDF-treatments will have measurements during an intervention with a 4h dialysis with MCO-HD, followed by 2 weeks of washout with ordinary HDF, thereafter measurements during a 4h dialysis with High-flux-HDF

    Device: MCO-HD · Device: High-flux HDF

  • Active comparator
    First High-flux-HDF, then MCO-HD

    Participants with ongoing HDF-treatments will have measurements during a 4h dialysis with High-flux-HDF, followed by 2 weeks of washout with ordinary HDF, thereafter measurements during an intervention with a 4h dialysis with MCO-HD

    Device: MCO-HD · Device: High-flux HDF

Interventions

  • DeviceMCO-HD

    Measurements will be done during a single hemodialysis session with Medium Cut-Off filter

  • DeviceHigh-flux HDF

    Measurements will be done during a single hemodiafiltration session with standard high-flux filter

06

What researchers measure

Primary outcomes

  1. Reduction ratio (RR) of middle molecules (Beta-2-microglobulin, Cystatin C, Myoglobin, Beta-Trace Protein, Troponin T, Prealbumin)

    Reduction ratio during a 4h dialysis session. (Predialysis concentration - Postdialysis concentration)/Predialysis concentration\*100%

    Time frame: 4 hours

  2. Instantaneous arteriovenous clearance of middle molecules (Beta-2-microglobulin, Cystatin C, Myoglobin, Beta-Trace Protein, Troponin T, Prealbumin)

    Instantaneous arteriovenous clearance (ml/min) at 30 minutes of dialysis.

    Time frame: 30 minutes

  3. Instantaneous arteriovenous clearance of middle molecules (Beta-2-microglobulin, Cystatin C, Myoglobin, Beta-Trace Protein, Troponin T, Prealbumin)

    Instantaneous arteriovenous clearance (ml/min) at 60 minutes of dialysis.

    Time frame: 60 minutes

  4. Instantaneous arteriovenous clearance of middle molecules (Beta-2-microglobulin, Cystatin C, Myoglobin, Beta-Trace Protein, Troponin T, Prealbumin)

    Instantaneous arteriovenous clearance (ml/min) at 120 minutes of dialysis.

    Time frame: 120 minutes

  5. Instantaneous arteriovenous clearance of middle molecules (Beta-2-microglobulin, Cystatin C, Myoglobin, Beta-Trace Protein, Troponin T, Prealbumin)

    Instantaneous arteriovenous clearance (ml/min) at 240 minutes of dialysis.

    Time frame: 240 minutes

Secondary outcomes

  1. RR of large molecules (Albumin, Transferrin, IgG)

    Reduction ratio during a 4h dialysis session. (Predialysis concentration - Postdialysis concentration)/Predialysis concentration\*100%

    Time frame: 4 hours

  2. RR of small molecules (Urea, Phosphate, Creatinine)

    Reduction ratio during a 4h dialysis session. (Predialysis concentration - Postdialysis concentration)/Predialysis concentration\*100%

    Time frame: 4 hours

  3. Number of Adverse Events

    Number of adverse events during a 4h dialysis session

    Time frame: 4 hours

  4. Instantaneous arteriovenous clearance of large molecules (Albumin, Transferrin, IgG)

    Instantaneous arteriovenous clearance (ml/min) at 30 minutes of dialysis.

    Time frame: 30 minutes

  5. Instantaneous arteriovenous clearance of large molecules (Albumin, Transferrin, IgG)

    Instantaneous arteriovenous clearance (ml/min) at 60 minutes of dialysis.

    Time frame: 60 minutes

  6. Instantaneous arteriovenous clearance of large molecules (Albumin, Transferrin, IgG)

    Instantaneous arteriovenous clearance (ml/min) at 120 minutes of dialysis.

    Time frame: 120 minutes

  7. Instantaneous arteriovenous clearance of large molecules (Albumin, Transferrin, IgG)

    Instantaneous arteriovenous clearance (ml/min) at 240 minutes of dialysis.

    Time frame: 240 minutes

  8. Instantaneous arteriovenous clearance of small molecules (Urea, Phosphate, Creatinine)

    Instantaneous arteriovenous clearance (ml/min) at 30 minutes of dialysis.

    Time frame: 30 minutes

  9. Instantaneous arteriovenous clearance of small molecules (Urea, Phosphate, Creatinine)

    Instantaneous arteriovenous clearance (ml/min) at 60 minutes of dialysis.

    Time frame: 60 minutes

  10. Instantaneous arteriovenous clearance of small molecules (Urea, Phosphate, Creatinine)

    Instantaneous arteriovenous clearance (ml/min) at 120 minutes of dialysis.

    Time frame: 120 minutes

  11. Instantaneous arteriovenous clearance of small molecules (Urea, Phosphate, Creatinine)

    Instantaneous arteriovenous clearance (ml/min) at 240 minutes of dialysis.

    Time frame: 240 minutes

07

Study locations

1 site
  • Skane University Hospital
    Malmö, Sweden
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 13, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03437538
Lead sponsor
Region Skane
Collaborators
Lund University
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
May 21, 2018
Primary completion
Apr 16, 2019
Completion
Apr 16, 2019
Last update
Nov 13, 2019

Study contacts

Anders Christensson, MD, PhD
principal investigator · Region Skane, Lund University

Oversight

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

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