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Trial registered on ANZCTR
Registration number
ACTRN12611000652976
Ethics application status
Approved
Date submitted
24/06/2011
Date registered
24/06/2011
Date last updated
2/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
To investigate patient's outcome using different hemofilter materials in those with sepsis associated acute renal failure
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Scientific title
The effect of PMMA versus PS membrane on mortality in patients with septic acute kidney injury receiving continuous venovenous hemofiltration
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Secondary ID [1]
262462
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Severe sepsis
268151
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Acute kidney injury
268152
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Condition category
Condition code
Renal and Urogenital
268286
268286
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0
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Kidney disease
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Infection
268294
268294
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Citrate continuous venovenous hemofiltration using Polymethylmethacrylate (PMMA) membrane hemofilter during acute kidney injury period until death or discharge from ICU
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Intervention code [1]
266821
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Treatment: Devices
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Comparator / control treatment
Citrate continuous venovenous hemofiltration using Polysulfone (PS) membrane hemofilter during acute kidney injury period until death or discharge from ICU
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Control group
Active
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Outcomes
Primary outcome [1]
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Mortality
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Assessment method [1]
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Timepoint [1]
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28 days
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Secondary outcome [1]
276827
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Sequential Organ Failure Assessment (SOFA) score
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Assessment method [1]
276827
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Timepoint [1]
276827
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Daily until death or discharge from ICU
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Secondary outcome [2]
276828
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Best mean arterial pressure (MAP)
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Assessment method [2]
276828
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Timepoint [2]
276828
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Daily until death or discharge from ICU
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Secondary outcome [3]
276829
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Vasopressor dosage
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Assessment method [3]
276829
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Timepoint [3]
276829
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Daily until death or discharge from ICU
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Secondary outcome [4]
276830
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Best Oxygenation (PaO2/FiO2 ratio) based on arterial blood gas results and oxygen concentration provided via oxygen cannula or ventilator
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Assessment method [4]
276830
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Timepoint [4]
276830
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Daily until death or discharge from ICU
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Secondary outcome [5]
276831
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Urine output based on all urinary catheter output charting
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Assessment method [5]
276831
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Timepoint [5]
276831
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Daily until death or discharge from ICU
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Secondary outcome [6]
276832
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Length of stay in intensive care unit (ICU)
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Assessment method [6]
276832
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Timepoint [6]
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ICU discharge time
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Secondary outcome [7]
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Length of stay in hospital
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Assessment method [7]
276833
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Timepoint [7]
276833
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Hospital discharge time
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Eligibility
Key inclusion criteria
1. Severe sepsis (defined based on ACCP/ SCCM criteria, ie Systemic Inflammatory Response Syndrome in the presence of suspected or known infection, leading to organ dysfunction), and
2. Acute kidney injury (defined based on RIFLE criteria, “Injury” grade or above, who required continuous venovenous hemofiltration support)
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Contraindication for regional citrate anticoagulation (Liver failure or cirrhosis with impaired citrate metabolism, allergy to citrate)
2. Pregnancy
3. Terminal illness
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
1. Eligible patients should fulfill all the inclusion criteria and without any exclusion criteria
2. Obtain consent from patient directly. For those with impaired consciousness due to underlying illness, consent should be obtained from their close relatives
3. Randomization by computer generated scheme
4. Allocation concealment by sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization by computer generated scheme
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data collected is being analysed
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
1/08/2011
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Actual
17/05/2012
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Date of last participant enrolment
Anticipated
30/04/2017
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Actual
30/04/2017
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Date of last data collection
Anticipated
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Actual
30/06/2017
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Sample size
Target
120
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Accrual to date
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Final
25
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Recruitment outside Australia
Country [1]
3644
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Hong Kong
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State/province [1]
3644
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Funding & Sponsors
Funding source category [1]
267295
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Hospital
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Name [1]
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Pamela Youde Nethersole Eastern Hospital
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Address [1]
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3 Lok Man Road
Chai Wan
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Country [1]
267295
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Hong Kong
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Primary sponsor type
Hospital
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Name
Department of intensive care, Pamela Youde Nethersole Eastern Hospital
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Address
3 Lok Man Road
Chai Wan
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Country
Hong Kong
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Secondary sponsor category [1]
266363
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None
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Name [1]
266363
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Address [1]
266363
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Country [1]
266363
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
269289
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Hong Kong East Cluster ethics committee
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Ethics committee address [1]
269289
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3 Lok Man Road Chai Wan
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Ethics committee country [1]
269289
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Hong Kong
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Date submitted for ethics approval [1]
269289
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Approval date [1]
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20/06/2011
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Ethics approval number [1]
269289
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HKEC-2011-032
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Summary
Brief summary
Acute kidney injury (AKI) affects 5% to 7% of all hospitalized patients. Sepsis and septic shock remain the most important cause of AKI in critically ill patients and account for more than 50% of cases of AKI in the intensive care unit. The Acute Dialysis Quality Initiative has developed a consensus definition of AKI that uses the acronym RIFLE (Risk, Injury, Failure, Loss and End stage). Septic AKI is AKI occurring in the simultaneous presence of both the RIFLE criteria for AKI and the consensus criteria for sepsis, in the absence of other clear and established, non–sepsis-related (e.g., radiocontrast, other nephrotoxins) cause of AKI. It is widely accepted that cytokines play an important role in the pathogenesis of sepsis and septic shock. Cytokines removal by varies blood purification techniques like high volume hemofiltration and plasmaphresis may be useful in these situations. Polymethylmethacrylate (PMMA) membrane hemofilter remove cytokines from blood mainly by adsorption to membrane matrix of the hemofilter. This special membrane characteristic is absence in Polyacrylonitrate (PAN) or Polysulfone (PS) membrane hemofilter commonly used for continuous renal replacement therapy (CRRT). Studies showed that using PMMA based CRRT in patient with septic AKI may associate with early improvement of hemodynamics, oxygenation and improvement of urine output. When compared with PAN based CRRT, patients treated with PMMA based CRRT showed significant 28-days mortality benefit (61.5% vs. 15.4%). The aim of this study is to investigate whether citrate post-dilution continuous venovenous hemofiltration (CVVH) using PMMA based hemofilter (PMMA-CVVH) in the treatment of patient with septic AKI provide better clinical outcome compared with CVVH using polysulfone based hemofilter (PS-CVVH)
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Hoi-Ping SHUM
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Address
32784
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Department of Intensive Care
Pamela Youde Nethersole Eastern Hospital
3 Lok Man Road
Chai Wan
Hong Kong SAR
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Country
32784
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Hong Kong
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Phone
32784
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+852-25956111
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Fax
32784
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Email
32784
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[email protected]
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Contact person for public queries
Name
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Dr. Hoi-Ping Shum
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Address
16031
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Department of Intensive Care
Pamela Youde Nethersole Eastern Hospital
3 Lok Man Road
Chai Wan
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Country
16031
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Hong Kong
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Phone
16031
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852-25956111
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Fax
16031
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Email
16031
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[email protected]
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Contact person for scientific queries
Name
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Dr. Hoi-Ping Shum
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Address
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Department of Intensive Care
Pamela Youde Nethersole Eastern Hospital
3 Lok Man Road
Chai Wan
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Country
6959
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Hong Kong
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Phone
6959
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852-25956111
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Fax
6959
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Email
6959
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Extracorporeal blood purification for sepsis.
2016
https://dx.doi.org/10.12809/hkmj164876
N.B. These documents automatically identified may not have been verified by the study sponsor.
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