Fondaparinux as an Anticoagulant in Haemofiltration in Patients With Acute Kidney Failure.
Recruitment status was Recruiting
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Purpose
The purpose of this project is to assess the safety and effectiveness of fondaparinux, a new drug to prevent blood clotting in the continuous dialysis machine used in intensive care patients who have kidney failure.
| Condition | Intervention |
|---|---|
|
Patients Requiring Haemofiltration for Acute Renal Failure. |
Drug: Fondaparinux Sodium |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Assessment of the Safety and Efficacy of Fondaparinux as an Anticoagulant in Haemofiltration in Patients With Acute Renal Failure. |
- The study will evaluate the duration of filter patency using fondaparinux as an anticoagulant in haemofiltration and compare this to the current standard haemofilter anticoagulant, enoxaparin. [ Time Frame: Duration of the haemofilter life ]
- To assess the incidence of complications, primary bleeding with fondaparinux compared to enoxaparin in this setting. [ Time Frame: Until hospital discharge ]
| Estimated Enrollment: | 20 |
| Study Start Date: | June 2004 |
| Estimated Study Completion Date: | December 2007 |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: One
Enoxaparin Sodium (Clexane ) is to be used in the control arm of the study
|
Drug: Fondaparinux Sodium
The active group of the study will be given fondaparinux 10mg/24 hours for haemofiltration anticoagulation
Other Name: Arixtra
|
Detailed Description:
The study hypothesis is that when used as an anticoagulant in haemofiltration, fondaparinux prolongs the filter life when compared to enoxaparin.
Fondaparinux is the first compound of a new class of synthetic oligosaccharides with antithrombotic effects. It represents the active portion of the natural heparin molecule.
The null hypothesis is that there is no difference in filter life when using fondaparinux or enoxaparin as anticoagulation for haemofiltration.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult patients (18 years or over) admitted to the ICU and expected to stay for more than 48 hours.
- Patients who require continuous renal replacement therapy.
Patients who consent or if the patient is not competent, the next of kin who consent to inclusion in the study. .
-
Exclusion Criteria:
- Patients aged less than 18 years of age.
- Patients who are pregnant
- Patients with a contraindication to anticoagulation for pre existing bleeding diathesis
- Patients or next of kin who do not consent to study inclusion. -
Contacts and Locations| Contact: Megan Robertson, MBBS | + 61 3 93427441 | megan.robertson@mh.org.au |
| Contact: Deborah Barge | + 61 3 93427710 | deborah.barge@mh.org.au |
| Australia, Victoria | |
| The Royal Melbourne Hospital Intensive Care Unit Grattan Street | Recruiting |
| Parkville, Victoria, Australia, 3050 | |
| Contact: Megan Robertson, MBBS +61 3 93427441 megan.robertson@mh.org.au | |
| Contact: Deborah K Barge +61 3 93427441 deborah.barge@mh.org.au | |
| Principal Investigator: John F Cade, MBBS | |
| Sub-Investigator: Megan Robertson | |
| Sub-Investigator: Julian Hunt-Smith | |
| Principal Investigator: | John F Cade | Melbourne Health |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00256100 History of Changes |
| Other Study ID Numbers: | 2004.066 |
| Study First Received: | November 17, 2005 |
| Last Updated: | February 3, 2009 |
| Health Authority: | Australia: Department of Health and Ageing Therapeutic Goods Administration |
Additional relevant MeSH terms:
|
Anticoagulants Acute Kidney Injury Renal Insufficiency Kidney Diseases Urologic Diseases Fondaparinux PENTA |
Hematologic Agents Therapeutic Uses Pharmacologic Actions Fibrinolytic Agents Fibrin Modulating Agents Molecular Mechanisms of Pharmacological Action Cardiovascular Agents |
ClinicalTrials.gov processed this record on May 19, 2013