The Use of Low Molecular Weight Heparin in Hemodiafiltration
1 other identifier
interventional
15
1 country
1
Brief Summary
Low molecular weight heparin (LMWH) is injected in the dialysis circuit at the start of the session. In the present study we compare 3 different methods of injection of LMWH: parameters of dialysis efficiency and clotting are measured. The study lasts 3 sessions for each patient.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Sep 2008
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2008
CompletedFirst Submitted
Initial submission to the registry
September 18, 2008
CompletedFirst Posted
Study publicly available on registry
September 19, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2015
CompletedMay 14, 2015
May 1, 2015
6.7 years
September 18, 2008
May 13, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Anti-Xa activity at the end of the session
240 min after start
Secondary Outcomes (6)
Anti-Xa activity during the session
at start, 30 min, 120 min and 180 min
ETP during the session
at start, 30 min, 120 min, 180 min and 240 min
Reduction ratio of urea
after 10min, 180min and 240min
Reduction ratio of beta2microglobulin
after 10min, 180min and 240min
Visual inspection of membrane and circuit
After the hemodiafiltration session
- +1 more secondary outcomes
Study Arms (3)
1
EXPERIMENTALInjection of LMWH at the start of the hemodiafiltration session, at the inlet bloodline
2
EXPERIMENTALInjection of LMWH 5 minutes after the start of the hemodiafiltration session, at the inlet bloodline
3
EXPERIMENTALInjection of LMWH at the start of the hemodiafiltration session, at the outline bloodline
Interventions
Injection of LMWH at the inlet line, at the start of the hemodiafiltration session
Injection of LMWH at the inlet line, 5 minutes after the start of the hemodiafiltration session
Injection of LMWH at the outlet line, at the start of the hemodiafiltration session
Eligibility Criteria
You may qualify if:
- chronic kidney disease stade V treated with hemodiafiltration
- age \>18 year
- Hematocrit \> 30%
You may not qualify if:
- treatment with vitamin K antagonists
- treatment with other anti-coagulants or heparin besides the heparin used during dialysis
- active bleeding, infection or malignancy
- heparin associated allergy
- hepatic failure
- trombocytopenia \< 120.000/µl
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Hospital Ghent
Ghent, 9000, Belgium
Related Publications (2)
Natale P, Palmer SC, Ruospo M, Longmuir H, Dodds B, Prasad R, Batt TJ, Jose MD, Strippoli GF. Anticoagulation for people receiving long-term haemodialysis. Cochrane Database Syst Rev. 2024 Jan 8;1(1):CD011858. doi: 10.1002/14651858.CD011858.pub2.
PMID: 38189593DERIVEDDhondt A, Pauwels R, Devreese K, Eloot S, Glorieux G, Vanholder R. Where and When To Inject Low Molecular Weight Heparin in Hemodiafiltration? A Cross Over Randomised Trial. PLoS One. 2015 Jun 15;10(6):e0128634. doi: 10.1371/journal.pone.0128634. eCollection 2015.
PMID: 26076014DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Annemieke Dhondt, MD, PhD
University Hospital, Ghent
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 18, 2008
First Posted
September 19, 2008
Study Start
September 1, 2008
Primary Completion
May 1, 2015
Study Completion
May 1, 2015
Last Updated
May 14, 2015
Record last verified: 2015-05