Validation of a Regional Citrate Anticoagulation Protocol in Critically Ill Patients on Continuous Renal Replacement Therapy
NCT07514650 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 43
Last updated 2026-04-07
Summary
The objective of this study is to evaluate the effectiveness of a modified continuous renal replacement therapy (CRRT) protocol in maintaining electrolyte balance in adult patients with acute kidney injury (AKI) admitted to the intensive care unit (ICU).
The study assesses whether the use of continuous venovenous hemodiafiltration (CVVHDF) with post-filter replacement under citrate anticoagulation reduces electrolyte losses and the need for electrolyte supplementation compared with standard dialytic CRRT.
Participants receiving standard CRRT will be compared with those treated with the modified protocol.
The duration of participation corresponds to the period during which CRRT is required. Data collection will cease once CRRT is discontinued.
Conditions
- Acute Kidney Injury
- ICU Patients
- Continuous Renal Replacement Therapy (CRRT)
- Electrolytes
Interventions
- PROCEDURE
-
continuous renal replacement therapy
Continuous renal replacement therapy (CRRT) using regional citrate anticoagulation. Treatment modalities include continuous venovenous hemodialysis (CVVHD) and continuous venovenous hemodiafiltration (CVVHDF) with post-filter replacement, depending on study group assignment.
Sponsors & Collaborators
-
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
lead OTHER
Principal Investigators
-
Alejandra Espinosa Guerrero, Clinical Operations Head · Fundació de Gestió Sanitarària de l'Hospital de la Santa Creu i Sant Pau de Barcelona
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-11-24
- Primary Completion
- 2026-11-30
- Completion
- 2026-11-30
Countries
- Spain
Study Locations
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