Alteplase for Blood Flow Restoration in Hemodialysis Catheters
NCT00303420 · Status: TERMINATED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 180
Last updated 2008-12-19
Summary
We are investigating a new way of administering alteplase to remove clots from hemodialysis catheters. Currently, alteplase is left to dwell inside the catheter between dialysis treatments to dissolve the clot and restore blood flow through the catheter. We have developed a new way to administer alteplase by advancing it to the tip of the catheter at regular 10 minute intervals. We hypothesize that our new "push" protocol will dissolve clots in hemodialysis catheters better and faster than the current dwell method.
Conditions
Interventions
- DRUG
-
Alteplase "push" protocol
alteplase 2 mg / lumen. Instill and wait 10 minutes, instill 0.3 ml normal saline, wait 10 minutes, instill 0.3 ml of normal saline, wait 10 minutes and aspirate.
- DRUG
-
alteplase dwell arm
alteplase 2 mg / lumen. Instill and let it dwell for 30 minutes. Assess catheter and allow to dwell for a total of 2 hours if necessary
Sponsors & Collaborators
- collaborator INDUSTRY
-
University of Manitoba
lead OTHER
Principal Investigators
-
Lavern M Vercaigne, Pharm.D. · University of Manitoba
-
James M Zacharias, MD · University of Manitoba, Internal Medicine, Section of Nephrology
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2004-09-30
- Primary Completion
- 2008-12-31
- Completion
- 2008-12-31
Countries
- Canada
Study Locations
More Related Trials
-
Low-Dose Alteplase to Treat Blood Clots in Deep Leg Veins
NCT00082355 ·Status: COMPLETED ·Phase: PHASE2
-
A New Anticoagulation Method Using Dalteparin in Quotidian and Nocturnal Home Hemodialysis Patients
NCT02607111 ·Status: COMPLETED ·Phase: PHASE4
-
Safe Delivery of Thrombolytic Treatment for Pulmonary Embolism Using ClotPro® Viscoelastic Tests
NCT06667882 ·Status: COMPLETED ·Phase: NA
-
Factor XI LICA to Reduce Events Such as Heart Attack and Stroke in Patients Whose Kidneys Are no Longer Able to Work as They Should and Require Treatment to Filter Wastes From the Blood: Focus is on the Safety of BAY2976217 and the Way the Body Absorbs, Distributes and Removes the Study Drug
NCT04534114 ·Status: COMPLETED ·Phase: PHASE2
-
Catheter Directed Interventions in Pulmonary Embolism
NCT03595085 ·Status: UNKNOWN ·Phase: NA
-
Catheter-directed Thrombolysis Compared to Anticoagulation Alone for Acute Primary Iliofemoral Deep Venous Thrombosis
NCT04411316 ·Status: WITHDRAWN ·Phase: PHASE4
-
Below Knee DVT Study
NCT03805672 ·Status: TERMINATED ·Phase: PHASE4
-
Efficacy of Direct Oral Anticoagulants as a Prophylactic Anticoagulation of Catheter Induced Thrombosis
NCT05705076 ·Status: UNKNOWN ·Phase: NA
-
Safety and Efficacy of Tissue Plasminogen Activator (tPA) in Neonates and Infants
NCT00265005 ·Status: TERMINATED ·Phase: PHASE1
-
t-PA Prophylaxis to Prevent Catheter-associated Thrombosis and Infection
NCT03672006 ·Status: COMPLETED ·Phase: PHASE2
-
Factor Xa Inhibitor, PRT054021, Against Enoxaparin for the Prevention of Venous Thromboembolic Events (EXPERT)
NCT00375609 ·Status: COMPLETED ·Phase: PHASE2
-
Prevention of Thromboembolic Events in Total Knee Replacement Patients
NCT03393481 ·Status: WITHDRAWN ·Phase: PHASE2
-
Short-Term Anticoagulation Versus Antiplatelet Therapy for Preventing Device Thrombosis Following Left Atrial Appendage Closure
NCT03568890 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Thromboprophylaxis of Venous Thromboembolism in Acutely-ill Medical Inpatients With Thrombocytopenia
NCT01727401 ·Status: TERMINATED ·Phase: PHASE4
-
Platelet Activation Affecting the Rate of Vascular Access Patency
NCT05165797 ·Status: UNKNOWN
-
Intra-Arterial Tenecteplase to Improve the Microvascular Hemodynamics After Mechanical Thrombectomy
NCT06904911 ·Status: RECRUITING ·Phase: PHASE2
-
Heparin or M-EDTA in Preventing Catheter-Related Infections and Blockages in Patients at High Risk for a Catheter-Related Infection
NCT00378781 ·Status: WITHDRAWN ·Phase: NA
-
Catheter Thrombectomy in Patients With Massive Pulmonary Embolism
NCT00314002 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Pharmaco Mechanical Thrombolysis Associated With Anticoagulation Compared With Anticoagulation in the Acute Phase of Very Symptomatic Proximal Venous Thrombosis of the Lower Limbs.
NCT06472518 ·Status: RECRUITING ·Phase: PHASE4
-
Evaluation of the Standard Catheter-directed Thrombolysis Effectiveness in Intermediate-High-Risk Pulmonary Embolism Patients
NCT06487052 ·Status: RECRUITING ·Phase: NA
-
Catheter-Directed Thrombolysis Versus Anticoagulation Monotherapy in Intermediate-High Risk PE
NCT05172115 ·Status: TERMINATED ·Phase: PHASE3
-
Apixaban for the Treatment of Venous Thromboembolism in Patients With Cancer
NCT03045406 ·Status: COMPLETED ·Phase: PHASE3
-
New Oral Anticoagulant Therapy for the Prevention of Blood Clots Following Hip or Knee Replacement Surgery
NCT00074828 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy and Safety of Half Dose Alteplase Added to Heparine, in Patients With Moderate Pulmonary Embolism
NCT02604238 ·Status: WITHDRAWN ·Phase: PHASE3
-
Evaluation of PD 0348292 for Preventing Blood Clots in the Lungs or Deep Leg Veins of Patients After Knee Surgery
NCT00306254 ·Status: COMPLETED ·Phase: PHASE2