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Comparison of the Clinical Performance of 3 THERANOVA 400 Dialyzer Prototypes With a High-Flux Dialyzer in Hemodialysis Mode

Primary Purpose

End Stage Renal Disease

Status
Completed
Phase
Not Applicable
Locations
Austria
Study Type
Interventional
Intervention
THERANOVA 400 dialyzer prototype AA
THERANOVA 400 dialyzer prototype BB
THERNOVA 400 dialyzer prototype CC
FX CorDiax 80 dialyzer
Sponsored by
Baxter Healthcare Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for End Stage Renal Disease

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patient has end-stage renal disease
  2. Patient is 18 years of age or older
  3. Patient is male or female
  4. Patient, if female, is non-pregnant; and if capable of becoming pregnant, will be using a medically acceptable means of contraception during participation in the study (Note: Female capable of becoming pregnant [defined as a woman less than 55 years old who has not had partial or full hysterectomy or oophorectomy] must have a negative serum beta human chorionic gonadotropin [β-hCG] test within 2 weeks of first study treatment)
  5. Patient has been receiving HD or HDF therapy (HDF patients are allowed if their treatments during the study can be safely and effectively performed with HD) for ≥3 months prior to study enrollment and is expected to survive for at least 12 months after enrollment
  6. Patient has a stable functioning native fistula, Gore-Tex graft, or double-lumen central venous catheter capable of providing a blood flow rate of ≥280 mL/min (with an acceptable recirculation rate, such that solute removal is not likely to be affected) based on the judgment of the treating physician
  7. Patient is in clinically stable condition as judged by the treating physician and as demonstrated by stable medical history for 30 days prior to enrollment, physical examination, and laboratory testing
  8. Patient is willing to comply with the study requirements for therapy during the entire study treatment period
  9. Patient is capable of providing written informed consent to participate in the study

Exclusion Criteria:

  1. Patient is undergoing single-needle dialysis
  2. Patient has an abnormal κ/λ ratio (less than 0.37, or greater than 3.1)
  3. Patient has a known active infection and is currently receiving antibiotic treatment
  4. Patient has known active cancer
  5. Patient has a known positive serology test for human immunodeficiency virus (HIV) or hepatitis B, C or E
  6. Patient has a known serious hemostasis disorder
  7. Patient has a known monoclonal gammopathy (eg, monoclonal gammopathy of uncertain significance, smouldering [asymptomatic] multiple myeloma, symptomatic multiple myeloma, nonsecretory multiple myeloma, plasmacytomas, or plasma cell leukemia)
  8. Patient has a known polyclonal gammopathy (eg, connective tissue disease, liver disease, chronic infection, lymphoproliferative disorder, or other hematologic condition)
  9. Patient has any other known comorbidity that could, in the opinion of the Investigator, potentially conflict with the study purpose or procedures (eg, severe hypoalbuminemia or anemia)
  10. Patient has a known significant psychiatric disorder or mental disability that could interfere with the patient's ability to provide informed consent and/or comply with protocol procedures
  11. Patient has a history of non-compliance with the dialysis prescription, as assessed by the Investigator
  12. Patient has participated in another interventional clinical study in the past 3 months, or is currently participating in another interventional clinical study

Sites / Locations

  • LKH-Universität Klinikum Graz, Abteilung für Innere Medizin, Klinische Abteilung für Nephrologie und Dialyse

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Arm Label

THERANOVA 400 dialyzer prototype AA

THERANOVA 400 dialyzer prototype BB

THERANOVA 400 dialyzer prototype CC

FX CorDiax 80 dialyzer

Arm Description

THERANOVA 400 dialyzer prototype AA in hemodialysis treatment

THERANOVA 400 dialyzer prototype BB in hemodialysis treatment

THERANOVA 400 dialyzer prototype CC in hemodialysis treatment

FX CorDiax 80 dialyzer in hemodialysis treatment

Outcomes

Primary Outcome Measures

Overall clearance of lambda immunoglobulin free light chains (molecular weight 45 kDa)
The primary efficacy endpoint is the overall clearance of lambda immunoglobulin free light chains during a mid-week hemodialysis session, assessed once with each experimental and active comparator product

Secondary Outcome Measures

Instantanous clearance of a set of molecules with molecular sizes between 60 Da and 45 kDa
One secondary efficacy endpoint is the instantaneous clearance of a set of molecules with molecular sizes from 60 Da to 45 kDa at 30 min after start of a mid-week hemodialysis session, assessed once with each experimental and active comparator product
Instantanous clearance of a set of molecules with molecular sizes between 60 Da and 45 kDa
One secondary efficacy endpoint is the instantaneous clearance of a set of molecules with molecular sizes from 60 Da to 45 kDa at 120 min after start of a mid-week hemodialysis session, assessed once with each experimental and active comparator product
Overall clearance of a set of molecules with molecular sizes between 60 Da and 40 kDa
One secondary efficacy endpoint is the overall clearance of a set of molecules from 60 Da to 40 kDa during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Total mass removed of a set of molecules with molecular sizes between 60 Da and 45 kDa
One secondary efficacy endpoint is the total mass removed of a set of molecules from 60 Da to 45 kDa during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Removal rate of a set of molecules with molecular sizes between 60 Da and 45 kDa
One secondary efficacy endpoint is the removal rate of a set of molecules from 60 Da to 45 kDa during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Total mass removed of albumin
One secondary safety endpoint is the total removed mass of albumin during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Post- to pre-dialysis changes in a set of hematology parameters (blood cell counts, hematocrit and hemoglobin)
One secondary safety endpoint is the change in hematology parameters during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Types and frequency of adverse events and device deficiencies as a measure of safety and dialyzer tolerability
Any adverse events and device deficiencies will be recorded.

Full Information

First Posted
February 10, 2015
Last Updated
February 17, 2022
Sponsor
Baxter Healthcare Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02377570
Brief Title
Comparison of the Clinical Performance of 3 THERANOVA 400 Dialyzer Prototypes With a High-Flux Dialyzer in Hemodialysis Mode
Official Title
Comparison of the Clinical Performance of 3 THERANOVA 400 Dialyzer Prototypes With a High-Flux Dialyzer in Hemodialysis Mode - A Pilot Study
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
March 2015 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
May 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Baxter Healthcare Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The study investigates the performance of a new dialyzer (Theranova 400) containing a membrane with increased pore sizes. The performance will be determined by the removal of middle molecules (with different molecular size) from the blood compartment. Three different Theranova 400 prototypes (AA, BB and CC) operated in hemodialysis mode will be compared with a Cordiax FX-80 dialyzer, operated in hemodialysis mode. Safety events and albumin loss into the dialysate will be monitored

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
End Stage Renal Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
THERANOVA 400 dialyzer prototype AA
Arm Type
Experimental
Arm Description
THERANOVA 400 dialyzer prototype AA in hemodialysis treatment
Arm Title
THERANOVA 400 dialyzer prototype BB
Arm Type
Experimental
Arm Description
THERANOVA 400 dialyzer prototype BB in hemodialysis treatment
Arm Title
THERANOVA 400 dialyzer prototype CC
Arm Type
Experimental
Arm Description
THERANOVA 400 dialyzer prototype CC in hemodialysis treatment
Arm Title
FX CorDiax 80 dialyzer
Arm Type
Active Comparator
Arm Description
FX CorDiax 80 dialyzer in hemodialysis treatment
Intervention Type
Device
Intervention Name(s)
THERANOVA 400 dialyzer prototype AA
Intervention Description
Hemodialysis
Intervention Type
Device
Intervention Name(s)
THERANOVA 400 dialyzer prototype BB
Intervention Description
Hemodialysis
Intervention Type
Device
Intervention Name(s)
THERNOVA 400 dialyzer prototype CC
Intervention Description
Hemodialysis
Intervention Type
Device
Intervention Name(s)
FX CorDiax 80 dialyzer
Intervention Description
Hemodialysis
Primary Outcome Measure Information:
Title
Overall clearance of lambda immunoglobulin free light chains (molecular weight 45 kDa)
Description
The primary efficacy endpoint is the overall clearance of lambda immunoglobulin free light chains during a mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time Frame
One mid-week dialysis session
Secondary Outcome Measure Information:
Title
Instantanous clearance of a set of molecules with molecular sizes between 60 Da and 45 kDa
Description
One secondary efficacy endpoint is the instantaneous clearance of a set of molecules with molecular sizes from 60 Da to 45 kDa at 30 min after start of a mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time Frame
At 30 min from start of a mid-week dialysis session
Title
Instantanous clearance of a set of molecules with molecular sizes between 60 Da and 45 kDa
Description
One secondary efficacy endpoint is the instantaneous clearance of a set of molecules with molecular sizes from 60 Da to 45 kDa at 120 min after start of a mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time Frame
at 120 min from start of a mid-week dialysis session
Title
Overall clearance of a set of molecules with molecular sizes between 60 Da and 40 kDa
Description
One secondary efficacy endpoint is the overall clearance of a set of molecules from 60 Da to 40 kDa during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time Frame
One mid-week dialysis session
Title
Total mass removed of a set of molecules with molecular sizes between 60 Da and 45 kDa
Description
One secondary efficacy endpoint is the total mass removed of a set of molecules from 60 Da to 45 kDa during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time Frame
One mid-week dialysis session
Title
Removal rate of a set of molecules with molecular sizes between 60 Da and 45 kDa
Description
One secondary efficacy endpoint is the removal rate of a set of molecules from 60 Da to 45 kDa during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time Frame
One mid-week dialysis session
Title
Total mass removed of albumin
Description
One secondary safety endpoint is the total removed mass of albumin during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time Frame
One mid-week dialysis session
Title
Post- to pre-dialysis changes in a set of hematology parameters (blood cell counts, hematocrit and hemoglobin)
Description
One secondary safety endpoint is the change in hematology parameters during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time Frame
One mid-week dialysis session
Title
Types and frequency of adverse events and device deficiencies as a measure of safety and dialyzer tolerability
Description
Any adverse events and device deficiencies will be recorded.
Time Frame
Continuously, from signature of informed consent form until 1 week after last hemodialysis session with an experimental or active comparator product, an expected average of 29 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient has end-stage renal disease Patient is 18 years of age or older Patient is male or female Patient, if female, is non-pregnant; and if capable of becoming pregnant, will be using a medically acceptable means of contraception during participation in the study (Note: Female capable of becoming pregnant [defined as a woman less than 55 years old who has not had partial or full hysterectomy or oophorectomy] must have a negative serum beta human chorionic gonadotropin [β-hCG] test within 2 weeks of first study treatment) Patient has been receiving HD or HDF therapy (HDF patients are allowed if their treatments during the study can be safely and effectively performed with HD) for ≥3 months prior to study enrollment and is expected to survive for at least 12 months after enrollment Patient has a stable functioning native fistula, Gore-Tex graft, or double-lumen central venous catheter capable of providing a blood flow rate of ≥280 mL/min (with an acceptable recirculation rate, such that solute removal is not likely to be affected) based on the judgment of the treating physician Patient is in clinically stable condition as judged by the treating physician and as demonstrated by stable medical history for 30 days prior to enrollment, physical examination, and laboratory testing Patient is willing to comply with the study requirements for therapy during the entire study treatment period Patient is capable of providing written informed consent to participate in the study Exclusion Criteria: Patient is undergoing single-needle dialysis Patient has an abnormal κ/λ ratio (less than 0.37, or greater than 3.1) Patient has a known active infection and is currently receiving antibiotic treatment Patient has known active cancer Patient has a known positive serology test for human immunodeficiency virus (HIV) or hepatitis B, C or E Patient has a known serious hemostasis disorder Patient has a known monoclonal gammopathy (eg, monoclonal gammopathy of uncertain significance, smouldering [asymptomatic] multiple myeloma, symptomatic multiple myeloma, nonsecretory multiple myeloma, plasmacytomas, or plasma cell leukemia) Patient has a known polyclonal gammopathy (eg, connective tissue disease, liver disease, chronic infection, lymphoproliferative disorder, or other hematologic condition) Patient has any other known comorbidity that could, in the opinion of the Investigator, potentially conflict with the study purpose or procedures (eg, severe hypoalbuminemia or anemia) Patient has a known significant psychiatric disorder or mental disability that could interfere with the patient's ability to provide informed consent and/or comply with protocol procedures Patient has a history of non-compliance with the dialysis prescription, as assessed by the Investigator Patient has participated in another interventional clinical study in the past 3 months, or is currently participating in another interventional clinical study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ulrike Haug, Manager
Organizational Affiliation
Life Sciences & Operations, Gambro Dialysatoren GmbH ( a subsidiary of Baxter International Inc.)
Official's Role
Study Director
Facility Information:
Facility Name
LKH-Universität Klinikum Graz, Abteilung für Innere Medizin, Klinische Abteilung für Nephrologie und Dialyse
City
Graz
ZIP/Postal Code
A-8036
Country
Austria

12. IPD Sharing Statement

Citations:
PubMed Identifier
27587605
Citation
Kirsch AH, Lyko R, Nilsson LG, Beck W, Amdahl M, Lechner P, Schneider A, Wanner C, Rosenkranz AR, Krieter DH. Performance of hemodialysis with novel medium cut-off dialyzers. Nephrol Dial Transplant. 2017 Jan 1;32(1):165-172. doi: 10.1093/ndt/gfw310. Erratum In: Nephrol Dial Transplant. 2021 Jul 23;36(8):1555-1556.
Results Reference
result
PubMed Identifier
28910799
Citation
Kirsch AH, Rosenkranz AR, Lyko R, Krieter DH. Effects of Hemodialysis Therapy Using Dialyzers with Medium Cut-Off Membranes on Middle Molecules. Contrib Nephrol. 2017;191:158-167. doi: 10.1159/000479264. Epub 2017 Sep 14.
Results Reference
result

Learn more about this trial

Comparison of the Clinical Performance of 3 THERANOVA 400 Dialyzer Prototypes With a High-Flux Dialyzer in Hemodialysis Mode

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