NCT02264964

Brief Summary

The duration and adverse events of non-cuffed catheter in patients with hemodialysis will be investigated by multicenter prospective cohort. Totally, 1,400 patients with chronic renal failure requiring hemodialysis will be enrolled. 900 patients will be given right internal jugular catheterization, and the other 500 patients unsuitable for right internal jugular catheterization will receive femoral catheterizations. Every patient will be followed-up for six months. During following-up period, the duration time and adverse events of non-cuffed catheter will be recorded in details, including inadequate hemodialysis blood flow, venous stenosis, venous thrombosis, infection, catheter thrombosis and so on. The central vein will be evaluated by CT Angiography to identify its stenosis at last visit after 6 months. This multicentre trial will provide evidence to develop guideline for duration time of using non-cuffed catheter.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
1,400

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2015

Typical duration for not_applicable

Status
unknown

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 23, 2014

Completed
22 days until next milestone

First Posted

Study publicly available on registry

October 15, 2014

Completed
3 months until next milestone

Study Start

First participant enrolled

January 1, 2015

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2017

Completed
Last Updated

October 15, 2014

Status Verified

October 1, 2014

Enrollment Period

2.9 years

First QC Date

September 23, 2014

Last Update Submit

October 9, 2014

Conditions

Keywords

HemodialysisEnd-Stage Kidney DiseaseCentral Venous CatheterizationDigital Subtraction Angiography

Outcome Measures

Primary Outcomes (7)

  • Bloodstream infection due to central venous catheter

    Participants will be followed-up during non-cuffed catheter retention, an expected up to 3 months.

    up to 3 months

  • Central venous catheter exit site infection

    Participants will be followed-up during non-cuffed catheter retention, an expected up to 3 months.

    up to 3 months

  • Inadequate hemodialysis blood flow

    Participants will be followed-up during non-cuffed catheter retention, an expected up to 3 months.

    up to 3 months

  • Central venous catheter thrombosis

    Participants will be followed-up during non-cuffed catheter retention, an expected up to 3 months.

    up to 3 months

  • venous thrombosis

    Participants will be followed-up during non-cuffed catheter retention, an expected up to 3 months.

    up to 3 months

  • venous stenosis

    Participants will be followed-up during non-cuffed catheter retention, an expected up to 3 months.

    up to 3 months

  • Duration time of non-cuff catheter

    Participants will be followed-up during non-cuffed catheter retention, an expected up to 3 months.

    up to 3 months

Secondary Outcomes (3)

  • Long term occurrence of venous stenosis

    6 months

  • Effects on ECG

    From baseline to 6months

  • Safety Evaluation

    From baseline to 6months

Study Arms (2)

internal jugular vein catheterization

EXPERIMENTAL

900 patients will be received temporary central vena catheterization in right internal jugular vein with non-cuff GamCath® catheter.They will undergo AVF creation.

Device: GamCath®Procedure: Arteriovenous fistula creation

femoral vein catheterization

EXPERIMENTAL

500 patients will be received temporary central vena catheterization in femoral vein with non-cuff GamCath® catheter, which are unsuitable for right internal jugular vein catheterization.They will undergo AVF creation.

Device: GamCath®Procedure: Arteriovenous fistula creation

Interventions

GamCath®DEVICE

Using non-cuff GamCath® catheter in patients with chronic renal failure requiring hemodialysis to building short-term vascular access in femoral vein.

Also known as: radiopaque catheter(11F) polyurethane
femoral vein catheterization

500 patients will undergo AVF creation in either arm for femoral vein catheterization group.

Also known as: Arteriovenous fistulization, AVF creation
femoral vein catheterization

Eligibility Criteria

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

You may qualify if:

  • Chronic renal failure requiring hemodialysis.
  • No medical history of central vena catheterization.
  • Maintenance hemodialysis after central vena catheterization.
  • Signed informed consent.

You may not qualify if:

  • Had been performed central venous puncture or catheterization before.
  • Can not use heparin.
  • Refused to sign the informed consent.
  • Advanced cancer patients.
  • With or will take arteriovenous fistula surgery in right arm.
  • Other inappropriate situation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Venous ThrombosisUpper Extremity Deep Vein ThrombosisKidney Failure, Chronic

Condition Hierarchy (Ancestors)

ThrombosisEmbolism and ThrombosisVascular DiseasesCardiovascular DiseasesRenal Insufficiency, ChronicRenal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Changlin Mei, master

    Division of Nephrology, Shanghai ChangZheng Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Yiyi Ma, master

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, Director, Division of Nephrology

Study Record Dates

First Submitted

September 23, 2014

First Posted

October 15, 2014

Study Start

January 1, 2015

Primary Completion

December 1, 2017

Study Completion

December 1, 2017

Last Updated

October 15, 2014

Record last verified: 2014-10