The post market surveillance study will employ a prospective, multi-center, single-arm, observational design to capture data on children who undergo CRRT using the Carpediem™ system. Participating clinicians will manage subjects in accordance to their local standard of care practices and decisions on initiating, modifying or discontinuing CRRT are up to the local investigative team's prescription. A minimum of 10 centers in the United States, that have been trained on the use of the Carpediem™ system, will be invited to participate in the study. After obtaining institutional review board approval and written informed consent from a parent or legally authorized representative (LAR), data from all subjects treated with the Carpediem™ system will be included in the study. A minimum of 35 subjects will be enrolled and sites may be asked to screen and enroll patients for the study for up to 36 months. Status of subjects discharged from hospital will be collected at 30- and-90 days following hospital discharge by phone interviews in accordance to local standard of care practices, review of in-hospital records or in-clinic visit, as available.
The post market surveillance study is designed to capture data in the real-world clinical setting on the use of the Carpediem™ system and will evaluate the safety and performance in children requiring CRRT in the US. Data on survival and the effectiveness of the Carpediem™ system on renal function recovery will be evaluated. A comprehensive evaluation of subjects being treated with Carpediem™ will include, but is not limited to, acuity at hospital/ICU admission and prior to CRRT initiation, Carpediem™ treatment parameters, laboratory data, and requirement for mechanical ventilation and/or inotropic support. Subject status and requirement for renal replacement therapy post hospital discharge will be evaluated at 30- and 90-days.
Study Type
OBSERVATIONAL
Enrollment
36
Continuous renal replacement therapy
University of Iowa Healthcare
Iowa City, Iowa, United States
Mayo Clinic
Rochester, Minnesota, United States
Golisano Children's Hospital
Rochester, New York, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
Texas Children's Hospital
Houston, Texas, United States
Seattle Children's
Seattle, Washington, United States
Survival at CRRT Discontinuation
Evaluation subject survival at CRRT discontinuation
Time frame: from the start of CRRT to the date of death or CRRT discontinuation, assessed up to 100 weeks
Survival at intensive care unit (ICU) discharge
Evaluation subject survival at ICU discharge
Time frame: from the start of CRRT to the date of death or ICU dhscharge, assessed up to 100 weeks
Survival through 90 days post hospital discharge
Quantify survival at hospital discharge, and 30- and 90-days post hospital discharge
Time frame: hospital discharge through 90 days post discharge
Hospital and ICU length of stay
Evaluation hospital and ICU length of stay
Time frame: through discharge, assessed up to 100 weeks
Renal function recovery at discharge and 30- and 90- days post hospital discharge
Assess renal function recovery at hospital discharge and 30- and 90- days post hospital discharge
Time frame: Hospital discharge through 90 days post discharge
Overall survival
Characterize overall survival based on variables including, but not limited to; demographic data, laboratory values, patient acuity prior to CRRT initiation and CRRT treatment parameters
Time frame: through study completion, an average of 3 years
Time to CRRT discontinuation
Assess time to CRRT discontinuation
Time frame: from the start of CRRT to the date of death or CRRT discontinuation, assessed up to 100 weeks
Carpediem system-related adverse events
Quantify the rate of Carpediem system-related adverse events
Time frame: through study completion, an average of 3 years
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