Status:

TERMINATED

The Safety and Tolerability of Intra-abdominal t-PA and DNase on Peritonitis in Peritoneal Dialysis Patients

Lead Sponsor:

Sir Charles Gairdner Hospital

Collaborating Sponsors:

The University of Western Australia

Conditions:

Peritoneal Dialysis

Peritoneal Dialysis, Continuous Ambulatory

Eligibility:

All Genders

18-100 years

Phase:

PHASE1

Brief Summary

Hypothesis: Intraperitoneal tPA and DNase is well tolerated at a number of different doses. Different doses of tPA and DNase will have a dose-related effect on inflammatory markers (CRP and intraperi...

Eligibility Criteria

Inclusion

  • PD patient
  • Proven peritonitis (as defined as at least 2 of: (i) Symptoms and/or signs of peritonitis; (ii) Cloudy dialysate OR dialysate white cell count \> 100x 106/L with \>50% neutrophils; (iii) Positive culture of dialysate
  • Age \> 18 years old

Exclusion

  • More than one organism on culture
  • Contra-indication for systemic thrombolysis (eg. current or recent stroke, major haemorrhage or major trauma; proliferative retinopathy; major surgery in the previous 5 days)
  • Known sensitivity to DNase or t-PA
  • Pregnancy or lactating mother
  • Expected survival less than 3 months
  • Clinical indication for PD catheter removal, as defined by treating team
  • Inability to provide written informed consent
  • Systemic anticoagulation
  • Severe uncontrolled hypertension
  • Documented ulcerative gastrointestinal disease during the last three months

Key Trial Info

Start Date :

January 1 2016

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 13 2022

Estimated Enrollment :

5 Patients enrolled

Trial Details

Trial ID

NCT01478698

Start Date

January 1 2016

End Date

May 13 2022

Last Update

May 19 2022

Active Locations (1)

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1

Sir Charles Gairdner Hospital

Perth, Western Australia, Australia, 6009