Access in Dialysis for Better Outcomes in Patient Therapy
ADOPT
A Pragmatic Multicenter Pilot Trial Evaluating the Cost-Effectiveness of BioFlo DuraMax Hemodialysis Catheter vs Standard of Care Catheter
1 other identifier
interventional
92
1 country
3
Brief Summary
This is a prospective, multi-center health economic study in Canada. Participants will be randomly assigned to receive either the study or control dialysis catheter. The primary objective is to evaluate resource utilization in Ontario related to hemodialysis catheter placement including tissue plasminogen activator (tPA) usage, catheter exchange rates, catheter patency, and missed dialysis days.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Aug 2016
Typical duration 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
Study Start
First participant enrolled
August 29, 2016
CompletedFirst Submitted
Initial submission to the registry
March 20, 2017
CompletedFirst Posted
Study publicly available on registry
April 12, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2019
CompletedNovember 5, 2019
October 1, 2019
2.8 years
March 20, 2017
October 31, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Resource utilization related to hemodialysis catheter placement - tPA
vials of tPA utilized (unit)
1 year
Secondary Outcomes (1)
Incidence of catheter-related complications
1 year
Study Arms (2)
Standard of Care Device
OTHERCurrent standard of care polyurethane catheter used at the hospital
Study Device
OTHERBioFlo DuraMax Chronic Hemodialysis Catheter
Interventions
Eligibility Criteria
You may qualify if:
- Is indicated for a dialysis catheter for the purpose of attaining long-term vascular access for hemodialysis. Long-term vascular access is defined by physician anticipated duration of hemodialysis for three months or longer.
- Is ≥ 18 years of age.
- Is indicated to receive dialysis treatment at a location where dialysis treatment data will be accessible by the study team.
- Is able to comprehend and have signed the Informed Consent Form (ICF) to participate in the study.
You may not qualify if:
- Has known or suspected presence of other device-related infection, bacteremia, or septicemia or has been treated with antibiotics for documented or suspected infection within prior 45 days.
- Is receiving prophylactic anti-coagulation or anti-platelet pharmacotherapy for the purpose of central venous catheter (CVC) patency (anti-coagulation or anti-platelet pharmacotherapy for therapeutic indications do not exclude the patient from the study).
- Has severe chronic obstructive lung disease.
- Had past radiation therapy at the prospective insertion site.
- Had previous episodes of venous thrombosis or vascular surgical procedures at the prospective insertion site.
- Has local tissue factors that will prevent proper device stabilization and/or access.
- Has a stent placed in the vessel where the catheter will be placed
- Is pregnant
- History of drug or alcohol abuse in the past 12 months obtained from patient record and/or interview
- Subjects who weigh ≤ 30 kg.
- Has been previously enrolled in this clinical study, or is participating in another clinical study that is contraindicative to the treatment or outcomes of this investigation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- William Osler Health Systemlead
- Angiodynamics, Inc.collaborator
Study Sites (3)
William Osler Health System
Brampton, Ontario, L6R 3J7, Canada
Halton Healthcare
Oakville, Ontario, L6M 0L8, Canada
Niagara Health System
Saint Catharines, Ontario, L2S 0A9, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sandra Donnelly, MD
William Osler Health System
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Nephrologist
Study Record Dates
First Submitted
March 20, 2017
First Posted
April 12, 2017
Study Start
August 29, 2016
Primary Completion
June 30, 2019
Study Completion
June 30, 2019
Last Updated
November 5, 2019
Record last verified: 2019-10