Status:

COMPLETED

Quantitative Mass Transfer of SFP-iron From Dialysate to Blood in CKD-HD Patients

Lead Sponsor:

Rockwell Medical Technologies, Inc.

Conditions:

Kidney Failure

Eligibility:

All Genders

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

The purpose of this study is to determine the quantity of iron derived from SFP that is transferred from the dialysate to patients during a single dialysis session. The effects of various conditions w...

Detailed Description

* A total of 12 subjects on standard 3X/week hemodialysis will be studied in 2 groups (6 subjects per group) * 2 primary dialyzer membranes will be studied.: * Polyamide Membrane (Gambro Polyflux s...

Eligibility Criteria

Inclusion

  • Adult subject ≥ 18 years of age undergoing chronic hemodialysis for chronic kidney disease (CKD) for at least 3 months, expected to remain on hemodialysis and be able to complete the study.
  • Screening Hgb ≥ 9.5 g/dL.
  • Screening transferrin saturation % (TSAT) ≥ 15% to ≤ 45%.
  • Screening serum ferritin ≥ 200 to ≤ 1200 µg/L.
  • Subject's standard dialyzer membrane is one of the 2 types, i.e. Baxter CT-190 or Gambro 17R or 21R.
  • The subject uses a reprocessed dialyzer for standard HD treatments.
  • Prescribed dialysis 3X/week.
  • Minimally adequate measured dialysis dose defined as URR (urea reduction ratio) ≥ 65%, or single-pool Kt/V (dialyzer clearance of urea multiplied by dialysis time, divided by patient's total body water) ≥ 1.2, or KIDt/V (online dialyzer clearance measured using ionic dialysance multiplied by dialysis time, divided by patients total body water) ≥ 1.2.
  • Stable dialyzer blood flow rate that is generally ≥ 350 mL/min and acceptable to the Investigator.
  • Stable dialysate flow rate that is generally ≥ 600 mL/min and acceptable to the Investigator.
  • Vascular access for dialysis that will be used upon enrollment with stable function in the judgment of the Investigator.
  • Female subjects must be either amenorrheic for ≥ 1 year or agree to not become pregnant by continuous use of an effective birth control method acceptable to the Investigator for the duration of their participation in the study.
  • Must be willing and able to provide written informed consent directly or through their authorized representative.

Exclusion

  • Subject has a living kidney donor identified or living-donor kidney transplant scheduled during study participation. (Note: Patients awaiting deceased-donor transplant need not be excluded.)
  • Vascular access for hemodialysis is a femoral catheter.
  • Known active bleeding from any site other than AV fistula or graft (e.g., gastrointestinal, hemorrhoidal, nasal, pulmonary, etc.).
  • Scheduled surgery during the study.
  • RBC or whole blood transfusion within 4 weeks prior to Screening.
  • Hospitalization in the month prior to Screening (except for vascular access surgery) that, in the opinion of the Investigator, confers a significant risk of hospitalization during the course of this study.
  • Evidence of current malignancy involving a site other than skin (except any melanoma, which renders the patient non-eligible).
  • History of drug or alcohol abuse within the last 6 months.
  • Regularly requiring hemodialysis more than three times per week.
  • Noncompliance with dialysis regimen in the opinion of the Investigator.
  • Pregnancy or intention to become pregnant before completing all study drug treatment.
  • Known ongoing inflammatory disorder (other than CKD), such as systemic lupus erythematosus, rheumatoid arthritis, or other collagen-vascular disease undergoing a disease flare.
  • Any current febrile illness (e.g., oral temperature \> 100.4°F, 38°C). (The patient may subsequently become eligible at least 1 week after resolution of the illness).
  • Known active bacterial, tuberculosis, fungal, viral, or parasitic infection requiring anti-microbial therapy or anticipated to require anti-microbial therapy during the patient's participation in this study.
  • Occult tuberculosis requiring prophylactic treatment with anti-tubercular drug(s) that overlaps with the patient's participation in this study.
  • Known positive status for hepatitis B surface antigen (hepatitis B testing is not required as part of this protocol).
  • Known human immunodeficiency virus (HIV) infection (HIV testing is not required as part of this protocol).
  • Cirrhosis of the liver based on histological criteria or clinical criteria (i.e., presence of ascites, esophageal varices, multiple spider nevi, or history of hepatic encephalopathy).
  • Active hepatitis with ALT and/or AST levels consistently greater than twice the upper limit of normal at any time during the two months prior to enrollment.
  • Participation in a study of an investigational drug or device within 30 days prior to randomization in this study.

Key Trial Info

Start Date :

July 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2013

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT01894906

Start Date

July 1 2013

End Date

September 1 2013

Last Update

February 16 2015

Active Locations (1)

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Minneapolis, Minnesota, United States, 55404