Buttonhole Versus Step Ladder Cannulation in High Dose Hemodialysis
Vanguard Multi-Centre Feasibility Trial to Determine if Buttonhole Versus Step Ladder Cannulation for High Dose Hemodialysis is Associated With Reduced Overall Cost
1 other identifier
interventional
14
1 country
3
Brief Summary
The purpose of the pilot study is to determine: 1) Will patients agree to be randomized to two different methods of putting needles in their arteriovenous fistula and, 2) if we can adequately coordinate all of the sites to get useful multicentre trial data
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Oct 2013
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 16, 2013
CompletedStudy Start
First participant enrolled
October 1, 2013
CompletedFirst Posted
Study publicly available on registry
October 14, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
February 11, 2019
CompletedResults Posted
Study results publicly available
September 29, 2020
CompletedSeptember 29, 2020
September 1, 2020
4.1 years
September 16, 2013
December 4, 2018
September 28, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Feasibility of Participant Recruitment and Site Coordination
The percent of qualified patients enrolled in the study for the pilot study to be successful will be ≥70%. If we can not reach this target we will not move forward with the definitive study. The pilot study will also allow us to see if we can coordinate multiple sites in needling techniques and determine if we can move forward with the definitive study.
2 years
Secondary Outcomes (4)
Participant Training Time
Up to 90 days
Cost
12 Months
Number of Participants With Complications
12 Months
Pain With Needling
baseline, end of training (2 months), and 2 months after graduating training (4 months)
Study Arms (2)
Buttonhole needling technique
ACTIVE COMPARATORthe intervention is the Buttonhole needling technique for home hemodialysis
Step Ladder Group
NO INTERVENTIONPatients will use step ladder needling technique
Interventions
the intervention is the type of needling used for home hemodialysis patients. They will be randomized to either buttonhole cannulation or stepladder cannulation
Eligibility Criteria
You may qualify if:
- Adult patients \> 18 years old,
- Training for home hemodialysis
- Able to give informed consent,
- Arteriovenous fistula 5. Life expectancy of greater than 12 months.
You may not qualify if:
- Potential to be lost from the program within 12 months of training (planned living donor transplant, transfer to peritoneal dialysis (PD) or move from training centre catchment area),
- Allergy to mupirocin,
- Short segments or aneurysms within the arteriovenous fistula (AVF) that the attending nephrologist believes require buttonhole cannulation.,
- Mechanical heart valves,
- Patients who require intradermal lidocaine for needle insertion -
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ottawa Hospital Research Institutelead
- Baxter Healthcare Corporationcollaborator
Study Sites (3)
Foothills Hospital
Calgary, Alberta, Canada
London Health Sciences Centre
London, Ontario, Canada
Ottawa Hospital
Ottawa, Ontario, K1H 7W9, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Deborah Zimmerman
- Organization
- Ottawa HRI
Study Officials
- PRINCIPAL INVESTIGATOR
Deborah Zimmerman, MD, MSc
Ottawa Hospital Research Institute
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 16, 2013
First Posted
October 14, 2013
Study Start
October 1, 2013
Primary Completion
November 1, 2017
Study Completion
February 11, 2019
Last Updated
September 29, 2020
Results First Posted
September 29, 2020
Record last verified: 2020-09