TCTR20200610003
Terminated
Phase 3
A Randomized Controlled Trial of Comparative Efficacy between Sodium Bicarbonate and Heparin as A Locking Solution for Tunneled Central Venous Catheters Among Patients Requiring Maintenance Hemodialysis
Grant for research, Faculty of medicine, Chulalongkorn university0 sites118 target enrollmentJune 10, 2020
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Catheter loss due to CRT or CRBSI
- Sponsor
- Grant for research, Faculty of medicine, Chulalongkorn university
- Enrollment
- 118
- Status
- Terminated
- Last Updated
- last year
Overview
Brief Summary
The present study was stopped early due to an excess of catheter related thrombosis in the sodium bicarbonate group. From the first 6 weeks of follow-up, there were no catheter losses due to CRT or CRBSI in both groups. The sodium bicarbonate group had a significantly higher rate of the secondary composite outcomes and this was entirely caused by CRT with the median time to thrombosis of 23.6 days.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Patients age more than 18 years old
- •2\. Patients with maintenance chronic hemodialysis at least 2 sessions per week
- •3\. Patients with permanent catheter as vascular access for hemodialysis
Exclusion Criteria
- •1\. Catheter dysfunction at baseline
- •2\. On current anticoagulation therapy
- •3\. Patients with known coagulopathy or hemophilia
- •4\. Patients with cirrhosis Child\-Pugh B or C
- •5\. Patients with thrombocytopenia less than 100,000 u/L
- •6\. Patients with central vessel stenosis and vena cava syndrome, previously documented.
- •7\. Patients with heparin\-induced thrombocytopenia
- •8\. Patients with unstable condition within 1 month before enrollment
- •9\. Patients with expected life expectancy less than 6 month
Outcomes
Primary Outcomes
Not specified
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