NCT01930396

Brief Summary

The HEMO-TIN trial is designed to look at both the safety (bleeding risk) and effectiveness (clotting risk) of tinzaparin compared with unfractionated heparin for anticoagulation in hemodialysis patients.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
191

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Sep 2013

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

August 22, 2013

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 28, 2013

Completed
4 days until next milestone

Study Start

First participant enrolled

September 1, 2013

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2016

Completed
Last Updated

October 14, 2016

Status Verified

October 1, 2016

Enrollment Period

3 years

First QC Date

August 22, 2013

Last Update Submit

October 12, 2016

Conditions

Keywords

HemodialysisAnticoagulationTinzaparinUnfractionated HeparinRandomized Controlled Trial

Outcome Measures

Primary Outcomes (1)

  • Rate of major, clinically important non-major or minor bleeding

    26 weeks

Secondary Outcomes (1)

  • Clotting in extracorporeal dialysis circuit

    During Hemodialysis (weekly for 26 weeks)

Study Arms (2)

Tinzaparin

EXPERIMENTAL
Drug: TinzaparinDrug: Placebo (for Unfractionated Heparin)

Unfractionated Heparin

ACTIVE COMPARATOR
Drug: Unfractionated HeparinDrug: Placebo (for Tinzaparin)

Interventions

Also known as: Innohep
Tinzaparin
Also known as: Heparin LEO
Unfractionated Heparin

0.9% Normal Saline

Unfractionated Heparin

0.9% Normal Saline

Tinzaparin

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age \>= 18 years
  • End stage renal disease maintained on outpatient hemodialysis for \>= 3 months
  • Frequency of hemodialysis: 3 times per week
  • Anticoagulation with an unfractionated heparin protocol for at least 4 weeks
  • Patient or legal guardian able to provide written consent
  • Baseline INR \<= 1.3
  • Baseline platelet count \>= 80,000 x 10\^9/L

You may not qualify if:

  • Therapeutic systemic anticoagulation
  • Clinically apparent bleeding in the last 2 months
  • High risk of bleeding
  • Planned major surgery in the next 4 months
  • Major surgery in the past 48 hours
  • Pregnant or lactating
  • Child bearing potential
  • Allergy/intolerance to heparin or history of heparin induced thrombocytopenia
  • Current participation in a related randomized drug trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

St. Joseph's Healthcare Hamilton

Hamilton, Ontario, L8N 4A6, Canada

Location

Related Publications (1)

  • 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.

MeSH Terms

Conditions

Kidney Failure, Chronic

Interventions

TinzaparinHeparin

Condition Hierarchy (Ancestors)

Renal Insufficiency, ChronicRenal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Heparin, Low-Molecular-WeightGlycosaminoglycansPolysaccharidesCarbohydrates

Study Officials

  • Dr. Christine M Ribic, MD, MSc

    St. Joseph's Healthcare Hamilton/McMaster University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Nephrologist

Study Record Dates

First Submitted

August 22, 2013

First Posted

August 28, 2013

Study Start

September 1, 2013

Primary Completion

September 1, 2016

Study Completion

September 1, 2016

Last Updated

October 14, 2016

Record last verified: 2016-10

Locations