Safety Evaluation of Prismocitrate 18 in Patients Receiving CRRT
- Conditions
- Regional Citrate Anticoagulation (RCA)Acute Kidney Injury (AKI)Continuous Renal Replacement Therapy (CRRT)
- Interventions
- Device: PrisMax System Version 3.x with calcium line accessory
- Registration Number
- NCT05399537
- Lead Sponsor
- Vantive Health LLC
- Brief Summary
Prismocitrate 18 is a continuous renal replacement therapy (CRRT) solution to be used as a renal replacement solution and as an anticoagulant to prevent blood clotting in the extracorporeal circuit. The delivery of CRRT therapy is provided by the PrisMax System which includes regional citrate anticoagulation (RCA) software to facilitate citrate and calcium compensation prescription.
The objectives of this study are: 1) to confirm the safety of Prismocitrate 18 in patients receiving CRRT using continuous venovenous hemodiafiltration (CVVHDF) or continuous venovenous hemofiltration (CVVH) and 2) to observe that the software and interface for the PrisMax System Version 3.x with calcium line accessory allows for implementation of regional citrate anticoagulation (RCA) (citrate and calcium dosing) during CRRT with Prismocitrate 18 and intended prescription.
The study period of the patient's CRRT will be up to 10 days.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 40
- Patients must be ≥18 years of age
- Patients who are candidates for CRRT
- Patients expected to survive for at least 24 hours
- Patients with a contraindication to heparin or an increased risk of hemorrhage
- Patient and/or legally-authorized representative has signed a written informed consent form (ICF) per 21 CFR Part 50.55(e)
- Patients with a known allergy to citrate or who have ever experienced an adverse reaction associated with citrate products, including patients with a prior history of citrate toxicity
- Patients with acute liver failure, defined by the occurrence of encephalopathy and hepatic synthetic dysfunction within 26 weeks of the first symptoms of liver disease and without evidence of chronic liver disease
- Patients with acute-on-chronic liver failure characterized by acute decompensation of cirrhosis and a Child-Pugh Liver Failure Score >10
- Patients with refractory shock and associated lactic acidosis (lactate >4 mmol/L)
- Patients with a systemic ionized calcium concentration outside the normal physiologic range (1.0 - 1.3 mmol/L), or outside of the laboratory reference range (Note: It is acceptable to provide calcium supplementation or treatment for hypercalcemia to achieve a normal physiologic range prior to therapy initiation)
- Female patients of childbearing potential who are pregnant or breastfeeding. (Note: All female patients, who have not undergone a hysterectomy, bilateral oophorectomy with or without hysterectomy, or has medically documented ovarian failure before study Screening must have a negative serum beta human chorionic gonadotropic [B-hCG] pregnancy test at Screening)
- Patients who are currently participating in another interventional clinical study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Prismocitrate 18 using the PrisMax System Version 3.x with calcium line accessory PrisMax System Version 3.x with calcium line accessory This is a single-arm study. Patients will receive regional citrate anticoagulation (RCA) with Prismocitrate 18 (investigational drug) during their CRRT treatment using the PrisMax System Version 3.x with calcium line accessory (investigational device). Prismocitrate 18 using the PrisMax System Version 3.x with calcium line accessory Prismocitrate 18 This is a single-arm study. Patients will receive regional citrate anticoagulation (RCA) with Prismocitrate 18 (investigational drug) during their CRRT treatment using the PrisMax System Version 3.x with calcium line accessory (investigational device).
- Primary Outcome Measures
Name Time Method Number of participants with symptomatic hypocalcemia related to Prismocitrate 18 administration Day 1 up to Day 10 Defined as symptomatic patients (e.g., tetany/spasms, seizures, or cardiac events secondary to a prolonged QT interval), with symptoms deemed attributable to hypocalcemia and with a confirmed systemic ionized calcium \< 0.9 mmol/L.
Number of participants with symptomatic hypercalcemia related to Prismocitrate 18 administration Day 1 up to Day 10 Defined as symptomatic patients (e.g., changes in mental status not explained by the interventions or underlying conditions or cardiac events secondary to a shortened QT interval), with symptoms deemed attributable to hypercalcemia and with a confirmed systemic ionized calcium \> 1.4 mmol/L.
Number of participants with symptomatic citrate accumulation related to Prismocitrate 18 administration Day 1 up to Day 10 Defined as symptomatic patients (e.g., refractory acidosis), with symptoms deemed attributable to citrate accumulation and with a systemic total calcium to ionized calcium ratio \> 2.5.
- Secondary Outcome Measures
Name Time Method Number of participants with Adverse Events related to study product and/or procedure Day 1 up to Day 28 Incidence of AE and SAE's are also considered secondary outcome measures and will be reported in the Adverse Event section
Delivery of regional citrate anticoagulation (RCA) therapy using PrisMax System Version 3.x Day 1 up to Day 10 Percentage of complete RCA treatments according to protocol
Trial Locations
- Locations (10)
Geisinger Medical Center
🇺🇸Danville, Pennsylvania, United States
Medical University of South Carolina (MUSC)
🇺🇸Charleston, South Carolina, United States
University of Southern California (USC) / Keck Hospital
🇺🇸Los Angeles, California, United States
University of California Los Angeles
🇺🇸Los Angeles, California, United States
Bon Secours Mercy Health-Springfield Regional Medical Center
🇺🇸Springfield, Ohio, United States
Penn State Hershey Medical Center
🇺🇸Hershey, Pennsylvania, United States
VA Pittsburgh Healthcare System
🇺🇸Pittsburgh, Pennsylvania, United States
Lt. Col. Luke Weathers, Jr. VA Medical Center
🇺🇸Memphis, Tennessee, United States
Methodist Dallas Medical Center
🇺🇸Dallas, Texas, United States
Gamma Medical Research, Inc / McAllen Medical Center
🇺🇸McAllen, Texas, United States