Prevention of Tunneled Cuffed Catheter Malfunction With Prophylactic Use of a Taurolidine Locking Solution Containing Urokinase : a Multicentric Randomized Controlled Trial
Overview
- Phase
- Phase 3
- Intervention
- Taurolidine Urokinase
- Conditions
- Patency
- Sponsor
- Universitair Ziekenhuis Brussel
- Enrollment
- 68
- Locations
- 8
- Primary Endpoint
- Requirement of Urokinase
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The objective of our study is to investigate whether the substitution of the standard locking solution with a locking solution containing taurolidine and urokinase weekly (Taurolock ™ U 25,000 - www.taurolock.com ) reduces the rate of catheter dysfunction in hemodialysis patients with a history of TCC dysfunction requiring urokinase therapy.
Investigators
Bonkain Florence
Bonkain Florence, MD, UZ Brussel
Universitair Ziekenhuis Brussel
Eligibility Criteria
Inclusion Criteria
- •Adult, prevalent hemodialysis patients
- •Informed and consented
- •Hemodialysis 3x/week via a tunneled cuffed catheter
- •Urokinase administration at least two times during the previous 6 months (with more than a week between 2 administrations)
- •Adequate catheter function during the week before inclusion (defined by blood flow more than 250ml/min on each dialysis session and blood flow within 15% of the maximal blood flow after the last Urokinase administration)
Exclusion Criteria
- •Presence of heparin-induced thrombocytopenia
- •Major hemorrhage or intracranial bleeding in the previous 3 months
- •Pericarditis
- •Intolerance to Taurolidine, citrate or to Urokinase
- •Active catheter-related infection
- •Catheter in the femoral vein
Arms & Interventions
Taurolidine Urokinase
Taurolock Urokinase is used weekly in this arm substituting the classic Taurolock HEP500
Intervention: Taurolidine Urokinase
Taurolidine Urokinase
Taurolock Urokinase is used weekly in this arm substituting the classic Taurolock HEP500
Intervention: Taurolidine Heparin
Taurolidine Heparin
Taurolock HEP 500 is used as locking solution after each dialysis session
Intervention: Taurolidine Heparin
Outcomes
Primary Outcomes
Requirement of Urokinase
Time Frame: 6 months
Requirement of Urokinase for thrombotic malfunction of dialyse catheter
Secondary Outcomes
- Removal of dialysis catheter(6 months)