Comparison of Tesio and LifeCath Twin Permanent Dialysis Catheters (VyTes)
Recruitment status was Recruiting
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Purpose
This study aims to compare two available types of central venous haemodialysis catheters (lines) - CVCs, and will examine how easy they are to insert, complications, blood flow on dialysis over time, line loss, line clotting and infective events. It will examine whether the LifeCath type of CVC can deliver high blood flow rates from first use after insertion and equivalent function and complication rate to the Tesio type of CVC that is in use in our centre already. Complications relating to dialysis access make up 30% of admissions for haemodialysis patients and so this is a study that could benefit patients and their care providers.
| Condition | Intervention |
|---|---|
|
Haemodialysis |
Device: TesioCath Device: LifeCath Twin |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Comparison of Tesio and LifeCath Twin Permanent Dialysis Catheters |
- Achieving a blood flow rate>=450ml/min at first use after insertion [ Time Frame: First haemodialysis session after insertion ] [ Designated as safety issue: No ]
- Achievement of flow rates>=450ml/min at each dialysis session [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Line retention (either/both lumens) [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Infective episodes (catheter & non-catheter related) [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Catheter dysfunction requiring use of thrombolytic agents [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Complications at catheter insertion [ Time Frame: Day 1 ] [ Designated as safety issue: Yes ]
- Recirculation rates [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 90 |
| Study Start Date: | October 2008 |
| Estimated Study Completion Date: | January 2012 |
| Estimated Primary Completion Date: | January 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Tesio Catheter
Patients randomised to receive the established catheter type in use at our centre [control]
|
Device: TesioCath
Insertion of the TesioCath(TM) central venous catheter for haemodialysis vascular access
Other Name: BioFlex TesioCath (TM) - MedComp, Harleysville, PA, USA
|
|
Active Comparator: LifeCath
Patients randomised to receive the LifeCath Twin catheter - the catheter type being compared to the standard line in use at our centre (Tesio)
|
Device: LifeCath Twin
Insertion of the LifeCath Twin central venous catheter for haemodialysis vascular access
Other Name: Vygon LifeCath Twin - Vygon(UK) Ltd, Cirencester, Gloucs, UK
|
Detailed Description:
Complications relating to dialysis access make up to 30% of admissions in haemodialysis patients. Comparative studies of complications between dialysis lines can help physicians and patients choose the best CVC type. In addition determining a type of dialysis line that can deliver good blood flows from the outset can minimise length of hospital stay for access creation. This study aims to perform a head-to-head comparison of two very similar (twin catheter) dialysis lines and examine short and long-term function as well as complication rates at our centre.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age >=18 years old
- No history of prior central venous catheter insertion
- Medically fit for procedure (able to lie flat, no haemodynamic instability)
- No active infection (recent positive blood cultures, clinical signs of infection, CRP>100)
- Able to give informed consent
- Expected to survive more than 12 months after catheter insertion
Exclusion Criteria:
- As above
Contacts and Locations| Contact: Neill Duncan, MBBS MRCP | 0044 2083835232 | neill.duncan@imperial.nhs.uk |
| Contact: Albert Power, MBBChir MRCP | 0044 2083835256 | albert.power@imperial.nhs.uk |
| United Kingdom | |
| Imperial College Healthcare NHS Trust | Recruiting |
| London, United Kingdom, W12 0HS | |
| Contact: Neill Duncan, MBBS MRCP 0044 2083835232 neill.duncan@imperial.nhs.uk | |
| Contact: Albert Power, MBBChir MRCP 0044 2083835256 albert.power@imperial.nhs.uk | |
| Principal Investigator: Neill Duncan, MBBS MRCP | |
| Sub-Investigator: Albert Power, MBBChir MRCP | |
| Principal Investigator: | Neill Duncan, MBBS MRCP | Imperial College Healthcare NHS Trust |
| Study Director: | Albert Power, MBBChir MRCP | Imperial College Healthcare NHS Trust |
More Information
Publications:
| Responsible Party: | Dr Neill Duncan, Consultant Nephrologist, Imperial College Healthcare NHS Trust |
| ClinicalTrials.gov Identifier: | NCT01022359 History of Changes |
| Other Study ID Numbers: | 08/H0710/24 |
| Study First Received: | November 30, 2009 |
| Last Updated: | July 6, 2010 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Keywords provided by Imperial College Healthcare NHS Trust:
|
haemodialysis vascular access central venous catheter |
ClinicalTrials.gov processed this record on May 19, 2013