Efficiency and Biocompatibility in Hemodiafiltration Procedure
NCT06807905 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2025-02-04
Summary
Hemodiafiltration is a modern, increasingly used special hemodialysis method. Compared to hemodialysis, it allows greater clearance of medium- and high-molecular-weight molecules. Modern hemofiltration membranes are approaching the properties of the glomerular membrane in their properties.
During hemodiafiltration, blood contact with the semipermeable membrane and blood lines causes activation of the coagulation system, so anticoagulation during the procedure is absolutely necessary. Heparin is routinely used as a method of anticoagulation in hemodiafiltration. Regional citrate anticoagulation is used primarily in patients with risk of bleeding.
The purpose of our study is to evaluate the kinetics of citrate, calcium, and magnesium during hemodiafiltration and citrate anticoagulation, and in these way optimizing the citrate anticoagulation protocol during hemodiafiltration, and to compare the clearance of small and medium molecules between the two anticoagulations (citrate and heparin). The purpose of the study is also to compare biocompatibility parameters for heparin and citrate anticoagulation in hemodiafiltration.
Conditions
- End Stage Renal Disease on Dialysis
- Biocompatibility
- Anticoagulation
- Hemodiafiltration
Interventions
- DRUG
-
Heparin anticoagulation
Hemodiafiltration will be performed with heparine anticoagulation
- DRUG
-
Citrate anticoagulation
Patient will perform dialysis with citrate anticoagulation
Sponsors & Collaborators
-
University Medical Centre Ljubljana
lead OTHER
Principal Investigators
-
Milena Andonova, MD · University Medical Centre Ljubljana, Ljubljana, Slovenia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-02-01
- Primary Completion
- 2020-09-01
- Completion
- 2021-02-01
Countries
- Slovenia
Study Locations
More Related Trials
-
Anticoagulation in Chronic Hemodialysis Patients Versus Hemodialyzer Fiber Patency, Bleedings and Quality of Life
NCT05365542 ·Status: COMPLETED
-
Functionality of Albumin in the Context of Hemodialysis
NCT06561191 ·Status: RECRUITING ·Phase: NA
-
Effect of a Pre Heparin Coated Dialysis Filter on Coagulation During Hemodialysis
NCT01388270 ·Status: COMPLETED ·Phase: PHASE4
-
Safety and Efficacy Assessments of NeoKidney® in ESRD Patients Treated With Short Daily Hemodialysis
NCT06024135 ·Status: UNKNOWN ·Phase: NA
-
HepZero:Heparin Free Dialysis With Evodial
NCT01318486 ·Status: COMPLETED ·Phase: NA
-
Hemodialysis Adequacy Using a Heparin-grafted Dialyzer and a Citrate-enriched Dialysate
NCT03887468 ·Status: COMPLETED ·Phase: NA
-
Hemodynamics in Chronic Hemodialysis Patients Undergoing Isolated Ultrafiltration Compared to Conventional Hemodialysis
NCT05642156 ·Status: RECRUITING ·Phase: NA
-
Uremic Toxin Removal and Hemodynamics in Long-hour Hemodialysis and Hemodiafiltration
NCT01328119 ·Status: COMPLETED ·Phase: NA
-
Comparison of Citrate and Heparin Anticoagulation During Hemodialysis With MCO PES-PVP (Theranova) Membrane
NCT04139525 ·Status: UNKNOWN ·Phase: NA
-
Development of an Innovative Hemodialysis Method to Improve Dialytic Clearance of Protein-bound Uremic Toxins
NCT06595680 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Efficacy of Twice Weekly Hemodialysis in Patients With Residual Kidney Function
NCT03874117 ·Status: COMPLETED ·Phase: NA
-
Citrate Anticoagulation vs. Heparin-Coated Dialyzers
NCT00395824 ·Status: COMPLETED ·Phase: PHASE3
-
Strategies for Asymmetrical Triacetate Dialyzer Heparin-Free Effective Hemodialysis
NCT04381234 ·Status: COMPLETED ·Phase: PHASE2
-
Conventional Hemodialysis Versus Post-Dilution Hemofiltration in Incident RRT
NCT05060159 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Contact Phase Activation During Hemodialysis
NCT03090984 ·Status: COMPLETED ·Phase: NA
-
Comparing Hemodiafiltration with and Without Hemoadsorption
NCT06710834 ·Status: COMPLETED ·Phase: NA
-
Non- Clinical Coagulation Activation During Hemodialysis
NCT04063423 ·Status: COMPLETED
-
Microcirculation During Haemodialysis
NCT01396980 ·Status: COMPLETED
-
The Effect of On-line Hemodiafiltratrion on Nutritional Status and Body Composition
NCT03190629 ·Status: COMPLETED ·Phase: NA
-
Characterization of Removal Capacities of the Theranova Membrane by Proteomic Investigations
NCT03137056 ·Status: UNKNOWN ·Phase: NA
-
The Use of Low Molecular Weight Heparin in Hemodiafiltration
NCT00756145 ·Status: COMPLETED ·Phase: PHASE4
-
Functional Proteomics of Uremic Retention Solutes Associated With Immunosenescence, Inflammation and Impaired Adaptive Stress Response
NCT07265635 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Survival Study in Patients Undergoing On-line Hemodiafiltration
NCT00694031 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Dialysis Membranes on Inflammatory and Immune Processes in Hemodialysis
NCT03836508 ·Status: COMPLETED ·Phase: NA
-
Effect of Increased Convective Clearance by On-Line Hemodiafiltration on All Cause Mortality in Chronic Hemodialysis Patients
NCT00205556 ·Status: COMPLETED ·Phase: NA