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NCT00695617

Citrate Anticoagulation During MARS Treatment

Status unknown Phase 2/Phase 3 Last updated 4 March 2009
What this trial tests

Phase 2/Phase 3 trial testing trisodiumcitrate in Liver Failure in 10 participants. Status unknown.

Timeline
1 July 2008
Primary endpoint
1 December 2009
1 December 2009

Quick facts

Lead sponsorUniversitaire Ziekenhuizen KU Leuven
PhasePhase 2/Phase 3
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposetreatment
Enrollment10
Start date1 July 2008
Primary completion1 December 2009
Estimated completion1 December 2009
Sites1 location across Belgium

Drugs / interventions tested

Conditions studied

Sponsor

Universitaire Ziekenhuizen KU Leuven — full company profile →

Who can join

18 and older, any sex, with Liver Failure. Patients with the condition only — healthy volunteers not accepted.

What's being measured

Primary outcomes are the specific endpoints the trial is designed to prove or disprove.

Sponsor's own description

The optimal anticoagulation procedure during MARS treatment has not been defined. In various multi-centre trials, such as MARS-RELIEF, anticoagulation procedures are left to the discretion of the treating physician. On the one hand, given the increased risk of bleeding associated with liver failure, high dosage of anticoagulation therapy should be avoided. On the other hand, contact of blood or blood components with the extracorporeal circuit will likely result in coagulation activation or even loss of coagulation factors. Citrate anticoagulation has gained popularity, especially in hemodialysis patients. It results in a highly effective anticoagulation, exclusively confined to the extracorporeal circulation. Moreover, dependent on the type of dialyser membrane, citrate anticoagulation resulted in reduced activation of other cellular components. In contrast to hemodialysis patients, experience with citrate anticoagulation during treatment with artificial liver devices is limited. The liver contributes substantially to the metabolism of exogenous citrate. As a result, cirrhotic patients have decreased endogenous citrate clearances. Importantly, blood purification devices contribute substantially to overall citrate clearance, thereby preventing accumulation of citrate. Several centres, including our own, have gained experience with citrate anticoagulation during fractionated plasma separation and adsorption (FPSA), a related liver dialysis device, in the treatment of liver failure patients. Citrate anticoagulation during MARS treatment has not been studied so far.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A prospective randomized open-label crossover trial of regional citrate anticoagulation vs. anticoagulation free liver dialysis by the Molecular Adsorbents Recirculating System.
    Meijers B, Laleman W, Vermeersch P, Nevens F, et al · · 2012 · cited 30× · PMID 22305273 · DOI 10.1186/cc11180

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Data sources for this page

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