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Clinical Performance Comparison of 2 THERANOVA 400 Dialyzer Prototypes in HD With High-Flux Dialyzers in HD and hv HDF Mode

Not Applicable
Completed
Conditions
End Stage Renal Disease
Interventions
Device: THERANOVA 400 dialyzer prototype BB
Device: FX CorDiax 80 Dialyzer
Device: FX CorDiax 800 Dialyzer
Device: THERANOVA 400 dialyzer prototype AA
Registration Number
NCT02377622
Lead Sponsor
Vantive Health LLC
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. Two different Theranova 400 prototypes (AA and BB) operated in hemodialysis mode will be compared with a Cordiax Fx-80 dialyzer, operated in hemodialysis mode, and with a Cordiax Fx-800, operated in high volume hemodiafiltration mode. Safety events and albumin loss into the dialysate will be monitored

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. Patient has end-stage renal disease (Chronic kidney disease stage 5D)

  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 5 .Patient has been receiving HD or HDF therapy for >3 months prior to study enrollment and is expected to survive for at least 12 months after enrollment.

  5. Patient has a stable functioning native fistula 7. Patient is willing to comply with the study requirements for therapy during the entire study treatment period 8. Patient is capable fo providing written informed consent to participate in the study

Exclusion Criteria
  1. Patient is undergoing single-needle dialysis

  2. Patient has an known abnormal k/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

  8. Patient has a known polyclonal gammopathy

  9. Patient has a unstable condition as judged by the treating physician based on medical history, physical examination and laboratory testing including (but not limited to) any of the following:

    • Myocardial infarction within the last 3 months
    • Tachyarrhythmia or bradyarrhythmia absoluta
    • Unstable angina pectoris
    • Left ventricular ejection fraction <30%
    • Significant pericardial disease
  10. Patient has any other known comorbidity that could, in the opinion of the Investigator, potentially conflict with the study purpose or procedure

  11. 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

  12. Patient has a history of non-compliance with the dialysis prescription, as assessed by the Investigator

  13. Patient has participated in another interventional clinical study in the past 3 months, or is currently participating in another interventional clinical study

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
THERANOVA 400 dialyzer prototype BBTHERANOVA 400 dialyzer prototype BBTHERANOVA 400 dialyzer prototype BB in hemodialysis
FX CorDiax 80 dialyzerFX CorDiax 80 DialyzerFX CorDiax 80 dialyzer in hemodialysis
FX CorDiax 800 dialyzerFX CorDiax 800 DialyzerFX CorDiax 800 dialyzer in high volume hemodiafiltration
THERANOVA 400 dialyzer prototype AATHERANOVA 400 dialyzer prototype AATHERANOVA 400 dialyzer prototype AA in hemodialysis
Primary Outcome Measures
NameTimeMethod
Overall clearance of lambda FLC clearanceFive (5) hours ( for each mid-week dialysis session)

Blood and dialysate

Overall albumin lossFive (5) hours (for each mid-week dialysis session)

Dialysate

Secondary Outcome Measures
NameTimeMethod
Clearance of other middle sized moleculesFive (5) hours (for each mid-week dialysis session)

Blood and dialysate

Hematology ( blood cell counts; hematocrit and hemoglobin)Five (5) hours ( for each mid-week dialysis session)

Blood

Types and frequency of adverse events and device deficiencies as a measure of safety and dialyzer tolerabilityAverage 60 days (continuously, from signature of informed consent form until 1 week after last hemodialysis session with an experimental or active comparator product)

All adverse events and device deficiencies will be recorded

Trial Locations

Locations (1)

Dialysexentrum Elsenfeld

🇩🇪

Elsenfeld, Germany

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