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Safety and Efficacy Study of Ultrasonic Thrombolytic Therapy for Hemodialysis Vascular Access Thrombosis

Multicenter Single-Arm Trial on the Safety and Efficacy of Microbubbles and Ultrasound Accelerated Thrombolysis for Thrombosis in Hemodialysis Vascular Access

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs031240333
Enrollment
20
Registered
2024-09-12
Start date
2024-09-12
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Thrombosis in Hemodialysis Vascular Access Thrombosis in Hemodialysis Vascular Access

Interventions

One vial of sonazoid is suspended in 2 ml of the supplied water for injection and administered intravenously through a contrast catheter or introducer sheath (with the peripheral end of the target res

Sponsors

Ohki Takao
Lead Sponsor
Shirakawa Takako
Collaborator

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Thrombotic occlusion of a dialysis vascular access (within 2 days of onset) 2) Thrombotic stenosis of the vascular access for dialysis 3) Resident in Japan, Japanese (excluding half or quarter Japanese) 4) Age between 18 and 85 years old at the time of consent 5) Have received a thorough explanation of the study and have given written consent of their own free will based on a thorough understanding of the study. 6) Patients who are able to make outpatient visits in accordance with the research schedule. Criteria 1) and 2) are acceptable if either of the selection criteria is met.

Exclusion criteria

Exclusion criteria: 1) Patients who have had a thrombotic occlusion for more than 3 days. 2) Patients with arteriovenous (right-left) shunts in the heart or lungs. 3) Patients with serious cardiac disease 4) Patients with serious pulmonary disease 5) Allergy to egg yolk or Sonazoid. 6) Pregnant or possibly pregnant 7) Are breast-feeding. 8) Any other person who is deemed inappropriate to participate in this study by the principal investigator (subinvestigator).

Design outcomes

Primary

MeasureTime frame
1) Primary safety endpoint: nature and severity of adverse events and frequency of occurrence 2) Primary efficacy endpoint: technical success (disappearance of clots)

Secondary

MeasureTime frame
1) Thrombus reduction rate (thrombus area before ultrasound irradiation - thrombus area after ultrasound irradiation)/thrombus area before ultrasound irradiation x 100) 2) Blood flow at 1 week, 1, 3, and 6 months 3) Resistance coefficient at 1 week, 1, 3, and 6 months 4) Restenosis rate at ultrasound irradiated area at 1 week, 1, 3, and 6 months (short diameter of normal vessel - short diameter of vessel at maximal stenosis / short diameter of normal vessel x 100) 5) Time to re-treatment up to 6 months

Contacts

Public ContactKentaro Kasa

The Jikei University Hospital

kskntr3190@gmail.com+81-3-3433-1111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026