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Effect of Dialysis Membranes on Inflammatory and Immune Processes in Hemodialysis

Effect of Dialysis Membranes on Inflammatory and Immune Processes in Hemodialysis

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03836508
Enrollment
50
Registered
2019-02-11
Start date
2018-09-01
Completion date
2019-07-01
Last updated
2020-03-19

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

Conditions

Dialysis Related Complication, Kidney Failure, Renal Insufficiency, Chronic

Brief summary

Double blinded, randomized controlled trial evaluating medium cut-off dialyzer compared to high flux dialyzer in ironic hemodialysis patients over a 6 months period with 3 months crossovers.

Interventions

DEVICEMedium cut-off

All the dialysis sessions in this arm will be performed with the medium cut-off membrane (MCO) manufactured by Baxter International Corp. membrane for three months. This membrane will exclusively be used in hemodialysis. After third month, all patients will be switched to high-flux membrane manufactured by Fresenius. Modalities of hemodialysis : Blood flow: 300-400 mL/min; Dialysate flow: 500-800 mL/min

DEVICEHigh-Flux

All the dialysis sessions in this arm will be performed with the high-flux membrane manufactured by Fresenius for three months. This membrane will exclusively be used in hemodialysis. After third month, all patients will be switched to MCO manufactured by Baxter International Corp. Modalities of hemodialysis : Blood flow: 300-400 mL/min; Dialysate flow: 500-800 mL/min

Sponsors

Sisli Hamidiye Etfal Training and Research Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* patients who are older than 18 years and younger than 65 years * patient with end-stage renal disease, hemodialysis more than 6 months * patients under hemodialysis with high-flux dialyzer more than 3 months * patients willing to participate after given fair and clear information about study

Exclusion criteria

* patients living with Hepatitis B or C, * patients with malignancy * patients under immunosuppressive treatment * patients with autoimmune diseases such as systemic lupus erythematosus, etc. * patients with active infections * patients planned to have a kidney transplantation in 6 months * patients having vascular access problems * patients planned to transfer to another center

Design outcomes

Primary

MeasureTime frameDescription
Comparison of pre and post-dialysis of Interleukin (IL) 17-A3 monthsComparison of pre and post-dialysis of IL-17A

Secondary

MeasureTime frameDescription
Comparison of pre and post-dialysis of Interferon (IFN) gama3 monthsComparison of pre and post-dialysis of IFN gama
Comparison of pre and post-dialysis necrosis factor (TNF) alpha3 monthsComparison of pre and post-dialysis of TNF alpha
Comparison of pre and post-dialysis of IL-43 monthsComparison of pre and post-dialysis of IL-4
Comparison of pre and post-dialysis of Urea3 monthsComparison of pre and post-dialysis of Urea
Comparison of pre and post-dialysis of creatinine3 monthsComparison of pre and post-dialysis of creatinine
Comparison of pre and post-dialysis of beta2 microglobulin3 monthsComparison of pre and post-dialysis of beta2 microglobulin
Comparison of pre and post-dialysis of free light chain kappa3 monthsComparison of pre and post-dialysis of free light chain kappa
Comparison of pre and post-dialysis of IL-103 monthsComparison of pre and post-dialysis of IL-10
Comparison of pre and post-dialysis of myoglobulin3 monthsComparison of pre and post-dialysis of myoglobulin
Comparison of pre and post-dialysis of fibroblast growth factor (FGF) 233 monthsComparison of pre and post-dialysis of FGF 23
Comparison of pre and post-dialysis IL-18 levels3 monthsComparison of pre and post-dialysis IL-18 levels
Comparison of pre and post-dialysis monocyte chemoattractant protein (MCP)-1 levels3 monthsComparison of pre and post-dialysis MCP-1 levels
Comparison of pre and post-dialysis NACHT, LRR and PYD domains-containing protein3 (NLRP3) levels3 monthsComparison of pre and post-dialysis NLRP3 levels
Comparison of pre and post-dialysis regulated on activation, normal T cell expressed and secreted (RANTES)3 monthsComparison of pre and post-dialysis RANTES
Comparison of pre and post-dialysis of free light chain lambda3 monthsComparison of pre and post-dialysis of free light chain lambda

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026