NCT02478242

Brief Summary

Randomized study to evaluate the efficacy and safety of nafamostat mesilate use during continuous renal replacement therapy in acute kidney injury patients at a high risk of bleeding.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Jul 2010

Longer than P75 for phase_4

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

Study Start

First participant enrolled

July 1, 2010

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2015

Completed
10 days until next milestone

First Submitted

Initial submission to the registry

June 11, 2015

Completed
12 days until next milestone

First Posted

Study publicly available on registry

June 23, 2015

Completed
Last Updated

June 23, 2015

Status Verified

June 1, 2015

Enrollment Period

4.9 years

First QC Date

June 11, 2015

Last Update Submit

June 22, 2015

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of filters used per hour

    24 months

Secondary Outcomes (2)

  • Urea reduction ratio

    24 months

  • Survival rate

    24 months

Study Arms (2)

Nafamostat mesilate group

ACTIVE COMPARATOR

Nafamostat mesilate was used for maintenance anticoagulation during continuous renal replacement therapy.

Drug: Nafamostat mesilate

No anticoagulation group

PLACEBO COMPARATOR

Normal saline was used for maintenance anticoagulation during continuous renal replacement therapy.

Drug: Normal saline

Interventions

nafamostat mesilate use for anticoagulation

Also known as: Futhan
Nafamostat mesilate group
No anticoagulation group

Eligibility Criteria

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

You may qualify if:

  • Patients who were admitted to the intensive care unit and required CRRT
  • active bleeding such as gastrointestinal bleeding and intracranial hemorrhage,
  • activated partial thromboplastin time \> 60 s,
  • prothrombin time-international normalized ratio \> 2.0,
  • thrombocytopenia (\<100,000/µL), and
  • surgery within 48 h before CRRT.

You may not qualify if:

  • Pregnant or possibly pregnant women
  • Patients who were allergic to nafamostat mesilate
  • Patients who were hypercoagulable

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Tsujimoto H, Tsujimoto Y, Nakata Y, Fujii T, Takahashi S, Akazawa M, Kataoka Y. Pharmacological interventions for preventing clotting of extracorporeal circuits during continuous renal replacement therapy. Cochrane Database Syst Rev. 2020 Dec 14;12(12):CD012467. doi: 10.1002/14651858.CD012467.pub3.

MeSH Terms

Conditions

Acute Kidney Injury

Interventions

nafamostatSaline Solution

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

Crystalloid SolutionsIsotonic SolutionsSolutionsPharmaceutical Preparations

Study Officials

  • Chan-Duck Kim, M.D., PhD

    Associate Professor

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

June 11, 2015

First Posted

June 23, 2015

Study Start

July 1, 2010

Primary Completion

June 1, 2015

Study Completion

June 1, 2015

Last Updated

June 23, 2015

Record last verified: 2015-06