The study investigates the performance of a new dialyzer (Theranova 400) containing a membrane with increased pore sizes. The performance will be determined by the removal of middle molecules (with different molecular size) from the blood compartment. Three different Theranova 400 prototypes (AA, BB and CC) operated in hemodialysis mode will be compared with a Cordiax FX-80 dialyzer, operated in hemodialysis mode. Safety events and albumin loss into the dialysate will be monitored
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Hemodialysis
Hemodialysis
Hemodialysis
LKH-Universität Klinikum Graz, Abteilung für Innere Medizin, Klinische Abteilung für Nephrologie und Dialyse
Graz, Austria
Overall clearance of lambda immunoglobulin free light chains (molecular weight 45 kDa)
The primary efficacy endpoint is the overall clearance of lambda immunoglobulin free light chains during a mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time frame: One mid-week dialysis session
Instantanous clearance of a set of molecules with molecular sizes between 60 Da and 45 kDa
One secondary efficacy endpoint is the instantaneous clearance of a set of molecules with molecular sizes from 60 Da to 45 kDa at 30 min after start of a mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time frame: At 30 min from start of a mid-week dialysis session
Instantanous clearance of a set of molecules with molecular sizes between 60 Da and 45 kDa
One secondary efficacy endpoint is the instantaneous clearance of a set of molecules with molecular sizes from 60 Da to 45 kDa at 120 min after start of a mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time frame: at 120 min from start of a mid-week dialysis session
Overall clearance of a set of molecules with molecular sizes between 60 Da and 40 kDa
One secondary efficacy endpoint is the overall clearance of a set of molecules from 60 Da to 40 kDa during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time frame: One mid-week dialysis session
Total mass removed of a set of molecules with molecular sizes between 60 Da and 45 kDa
One secondary efficacy endpoint is the total mass removed of a set of molecules from 60 Da to 45 kDa during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
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Hemodialysis
Time frame: One mid-week dialysis session
Removal rate of a set of molecules with molecular sizes between 60 Da and 45 kDa
One secondary efficacy endpoint is the removal rate of a set of molecules from 60 Da to 45 kDa during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time frame: One mid-week dialysis session
Total mass removed of albumin
One secondary safety endpoint is the total removed mass of albumin during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time frame: One mid-week dialysis session
Post- to pre-dialysis changes in a set of hematology parameters (blood cell counts, hematocrit and hemoglobin)
One secondary safety endpoint is the change in hematology parameters during one mid-week hemodialysis session, assessed once with each experimental and active comparator product
Time frame: One mid-week dialysis session
Types and frequency of adverse events and device deficiencies as a measure of safety and dialyzer tolerability
Any adverse events and device deficiencies will be recorded.
Time frame: Continuously, from signature of informed consent form until 1 week after last hemodialysis session with an experimental or active comparator product, an expected average of 29 days