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Teh Priincipal investigator responsible for the trial no longer employed at the study site.
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| One | Active Comparator | Enoxaparin Sodium (Clexane ) is to be used in the control arm of the study |
|
| Two | Active Comparator | Fondaparinux will be used as the anticoagulant in the sencond arm of the study |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fondaparinux Sodium | Drug | The active group of the study will be given fondaparinux 10mg/24 hours for haemofiltration anticoagulation |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Duration of the haemofilter life |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the incidence of complications, primary bleeding with fondaparinux compared to enoxaparin in this setting. | Until hospital discharge |
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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. .
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Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John F Cade | Melbourne Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Royal Melbourne Hospital Intensive Care Unit Grattan Street | Parkville | Victoria | 3050 | Australia |
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| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D000077425 | Fondaparinux |
| ID | Term |
|---|---|
| D009844 | Oligosaccharides |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
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| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |