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Effect of the Intensity of Continuous Renal Replacement Therapy

Primary Purpose

Optimal Intensity of Renal Replacement Therapy on Sepsis Patients

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
extra high volume hemofiltration
high volume hemofiltration
Sponsored by
Zhejiang University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Optimal Intensity of Renal Replacement Therapy on Sepsis Patients focused on measuring high volume hemofiltration, sepsis, acute kidney injury, survival

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

met at least one of the following criteria: oliguria (urine output less than 100 mL in a 6 h period and unresponsive to fluid resuscitation), serum potassium concentration more than 6.5 mmol/L, severe acidemia (pH < 7.2), serum creatinine more than 250 µmol/L, or presence of severe organ edema (e.g. pulmonary edema).

Exclusion Criteria:

  • were presence of a malignant tumor, chronic renal insufficiency (serum creatinine >133 µmol/L), or receiving any kind of renal replacement therapy before randomization.

Sites / Locations

  • Kidney disease center, the first affiliated hospital, medical college of Zhejiang university

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

extra high volume hemofiltration

high volume hemofiltration

Arm Description

extra high volume hemofiltration (85 mL/kg/h, EHVHF)

high volume hemofiltration (50 mL/kg/h, HVHF)

Outcomes

Primary Outcome Measures

90 days survival
The primary study outcome was death from any cause within 90 days. Results were analyzed by Kaplan-Meier survival curves

Secondary Outcome Measures

length of stay in the ICU and hospital
Secondary outcomes were length of stay in the ICU and hospital and renal outcome of survivors at 90 days after randomization.

Full Information

First Posted
November 30, 2010
Last Updated
November 30, 2010
Sponsor
Zhejiang University
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1. Study Identification

Unique Protocol Identification Number
NCT01251081
Brief Title
Effect of the Intensity of Continuous Renal Replacement Therapy
Official Title
Effect of the Intensity of Continuous Renal Replacement Therapy in Patients With Sepsis and Acute Kidney Injury: Single-center Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
January 2004
Overall Recruitment Status
Completed
Study Start Date
January 2004 (undefined)
Primary Completion Date
August 2009 (Actual)
Study Completion Date
June 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Zhejiang University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
In patients with sepsis and AKI, increasing the intensity of renal replacement therapy from 50 mL/kg/h (HVHF) to 85 mL/kg/h (EHVHF)will increase the survival at 28 days and 90 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Optimal Intensity of Renal Replacement Therapy on Sepsis Patients
Keywords
high volume hemofiltration, sepsis, acute kidney injury, survival

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Enrollment
280 (Actual)

8. Arms, Groups, and Interventions

Arm Title
extra high volume hemofiltration
Arm Type
Experimental
Arm Description
extra high volume hemofiltration (85 mL/kg/h, EHVHF)
Arm Title
high volume hemofiltration
Arm Type
Sham Comparator
Arm Description
high volume hemofiltration (50 mL/kg/h, HVHF)
Intervention Type
Other
Intervention Name(s)
extra high volume hemofiltration
Intervention Description
extra high volume hemofiltration (85 mL/kg/h, EHVHF)
Intervention Type
Other
Intervention Name(s)
high volume hemofiltration
Intervention Description
high volume hemofiltration (50 mL/kg/h, HVHF)
Primary Outcome Measure Information:
Title
90 days survival
Description
The primary study outcome was death from any cause within 90 days. Results were analyzed by Kaplan-Meier survival curves
Secondary Outcome Measure Information:
Title
length of stay in the ICU and hospital
Description
Secondary outcomes were length of stay in the ICU and hospital and renal outcome of survivors at 90 days after randomization.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: met at least one of the following criteria: oliguria (urine output less than 100 mL in a 6 h period and unresponsive to fluid resuscitation), serum potassium concentration more than 6.5 mmol/L, severe acidemia (pH < 7.2), serum creatinine more than 250 µmol/L, or presence of severe organ edema (e.g. pulmonary edema). Exclusion Criteria: were presence of a malignant tumor, chronic renal insufficiency (serum creatinine >133 µmol/L), or receiving any kind of renal replacement therapy before randomization.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
jianghua chen, MD
Organizational Affiliation
Kidney disease center, the first affiliated hospital, medical college of Zhejiang university
Official's Role
Study Director
Facility Information:
Facility Name
Kidney disease center, the first affiliated hospital, medical college of Zhejiang university
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310003
Country
China

12. IPD Sharing Statement

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Effect of the Intensity of Continuous Renal Replacement Therapy

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