Pilot, prospective, multicentre, open and non-randomised study: definition of an index of AntiXa value at the end of haemodialysis treatment

ISRCTN ISRCTN93952087
DOI https://doi.org/10.1186/ISRCTN93952087
ClinicalTrials.gov number NCT00781690
Secondary identifying numbers 1456
Submission date
03/07/2008
Registration date
25/07/2008
Last edited
11/04/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mrs Michele Kessler
Scientific

CHU Brabois Nancy
Service Néphrologie Hémodialyse
Rue du Morvan
Vandoeuvre
54511
France

Study information

Study designProspective open non-randomised pilot multi-centre study
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title-
Study acronymRHODES
Study objectivesAssessment of systemic heparin dose decrease during haemodialysis.
Ethics approval(s)Ethics approval received from:
1. The Ethics Committee of Stockholm (Sweden) on the 13th June 2008 (ref: 2008/2:5)
2. Local ethics committee (CPP Est III) (France) on the 11th June 2008 (ref: 2008-A00348647)

Ethics approval pending from:
3. Italy: Not yet submitted
4. Germany: Not yet submitted
Health condition(s) or problem(s) studiedChronic renal failure
InterventionThere are three periods in this trial:

Period one: usual haemodialysis with usual heparin dose
Period two: participants will have a systematic decrease of heparin dosage during Evodial haemodialysis
Period three: participants will have a systematic decrease of heparin dosage with Evodial system
Intervention typeOther
Primary outcome measureTo collect data to define a statistical index of Anti Xa (SIAX) value, at the end of HD treatment, performed without any coagulation issues.
Secondary outcome measures1. To compare the SIAX value according to the different study periods:
1.1. To compare the SIAX obtained with Evodial with the one obtained with usual haemodialyser
1.2. To compare SIAX obtained before and after the heparin dose decrease period
1.3. To compare the SIAX obtained after heparin dose decrease when using SMA blood lines in addition to Evodial haemodialyser
1.4. To compare the SIAX obtained before and after an additional heparin dose decrease period when using SMA blood lines in addition to Evodial haemodialyser
2. To assess the possibility to decrease heparin dose with Evodial
3. To assess the possibility of an additional heparin dose decrease when using SMA blood lines in addition to Evodial haemodialyser
4. To follow product's safety

Exploratory objectives:
5. To assess low-thrombogenicity of Evodial when decreasing heparin
6. To verify that there is no evidence of product efficacy decrease when decreasing heparin
7. To assess Anti Xa and aPTT kinetics according to the level of heparin dose decrease
8. To assess the quality of the restitution according to the level of heparin dose decrease
Overall study start date01/08/2008
Completion date31/12/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants60
Key inclusion criteria1. Patients suffering from chronic renal failure
2. Patients treated in haemodialysis (HD) three times a week for at least 3 months, with a stable heparin dose and the same filter
3. Patients treated in 4 - 4.5 hours HD mode with a blood flow between 300 - 350 ml/min
4. Patients for whom either low molecular weight heparin (LMWH) (enoxaparin, nadroparin, tinzaparin) or unfractionated heparin (UFH) is used
5. Patients with a well-functioning vascular access as judged by the investigator
6. Patients treated either on AK, Innova or Integra dialysis machines equipped with ionic dialysance device
7. Patients older than 18 years, either sex
8. Patients with negative serologies (acquired immune deficiency syndrome [AIDS], hepatitis)
9. Patients having signed consent to participate in the study
Key exclusion criteria1. Patient with heparin-induced thrombocytopenia (HIT) or known heparin allergy
2. Patient treated in HD in single needle mode
3. Patients with catheter
4. Patients with acute inflammatory event that may affect, as judged by investigator patients' safety or study results
5. Patients participating in other studies that could interfere with the objective of this study
6. Patients with active malignant disease
7. Patients receiving heparin outside dialysis treatment
8. Patients under guardianship
9. Pregnant women, nursing mothers and women planning a pregnancy during the course of this study
10. Patients with serious history of coagulopathy
11. Patients receiving Anti-Vitamin K medication
12. Patients receiving an association of anti-platelets agents
13. Patients with heparin dose that can not be reduced for technical reason (excluding patients receiving too low heparin dose with no possibility of further reduction)
Date of first enrolment01/08/2008
Date of final enrolment31/12/2008

Locations

Countries of recruitment

  • France
  • Germany
  • Italy
  • Sweden

Study participating centre

CHU Brabois Nancy
Vandoeuvre
54511
France

Sponsor information

Gambro Lundia AB (Sweden)
Industry

Magistartsvägen 16
Lund
SE 26-43
Sweden

Website http://www.gambro.com/int
ROR logo "ROR" https://ror.org/05mw5ed57

Funders

Funder type

Industry

Gambro Lundia AB (Sweden)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/10/2003 14/02/2019 Yes No
Results article results 01/06/2008 14/02/2019 Yes No
Results article results 01/04/2013 14/02/2019 Yes No

Editorial Notes

11/04/2019: Internal review.
14/02/2019: Publication references added.