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NCT02561247

Prismaflex HF20 Set and Prismaflex® System 7.10/7.20 for Acute Continuous Renal Replacement Therapy (CRRT) in Children

Terminated NA Results posted Last updated 14 July 2025
What this trial tests

NA trial testing Prismaflex HF20 CRRT Filter in Acute Kidney Injury in Pediatric Patients in 23 participants. Terminated before completion.

Timeline
10 November 2015
Primary endpoint
6 April 2018
6 April 2018

Quick facts

Lead sponsorVantive Health LLC
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment23
Start date10 November 2015
Primary completion6 April 2018
Estimated completion6 April 2018
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Vantive Health LLC — full company profile →

Who can join

Eligibility, any sex, with Acute Kidney Injury in Pediatric Patients. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percent Change From Baseline in BUN (mg/dL) at 24 Hours Following Initiation of CRRT Primary · 24 hours from CRRT initiation

Blood Urea Nitrogen (BUN)

GroupValue95% CI
Prismaflex HF20 CRRT-58.118± 20.0848
Percent Change From Baseline in Creatinine (Umol/L) at 24 Hours Following Initiation of CRRT Secondary · 24 hours from CRRT initiation
GroupValue95% CI
Prismaflex HF20 CRRT-45.687± 19.8848
Percent Change From Baseline in Bicarbonate (mmol/L) at 24 Hours Following Initiation of CRRT Secondary · 24 hours from CRRT initiation
GroupValue95% CI
Prismaflex HF20 CRRT38.287± 29.6885
HF20 Set Filter Survival Time Secondary · Up to 72 Hours after Initiation

Filters that were replaced any time CRRT was stopped for reasons other than the failure to mediate the two alarms specified were censored at their current duration of usage (filter clotted and TMP excessive). Only filters that were replaced due to the two alarms were considered events for this survival analysis. A total of 34 filters were used in the study and 22 filters were censored, leaving data from only 12 filters to complete the survival estimate. Due to the small amount of filter data available, only the 25th percentile survival estimate was used since the 50th and 75th percentiles were

25th Percentile
GroupValue95% CI
Prismaflex HF20 CRRT11.795.07 – 68.09
50th Percentile
GroupValue95% CI
Prismaflex HF20 CRRTNA18.65 – NA
75th Percentile
GroupValue95% CI
Prismaflex HF20 CRRTNANA – NA
Number of Participants Experiencing at Least One Prismaflex Alarms Related to Fluid Balance and Extracorpeal Life Secondary · Up to 72 hours from CRRT initiation

The end of the extracorporeal circuit life will be defined by the occurrence of one or both of the following Prismaflex ® System alarms, after which CRRT will be terminated and the extracorporeal circuit replaced: * Warning: Filter is Clotted, and/or * Caution: TMP (Trans Membrane Pressure) Excessive Alarms from Prismaflex ® System 7.10 related to fluid balance will be noted and recorded for the following alarms: * Caution: Flow Problem * Caution: Gain Limit Reached * Caution: Loss Limit Reached

Alarm: Warning Filter Clotted
GroupValue95% CI
Prismaflex HF20 CRRT7
Alarm: Caution TMP Excessive
GroupValue95% CI
Prismaflex HF20 CRRT1
Alarm: Caution Flow Problem
GroupValue95% CI
Prismaflex HF20 CRRT13
Alarm: Warning Loss Limit Reached
GroupValue95% CI
Prismaflex HF20 CRRT0
Alarm: Warning Gain Limit Reached
GroupValue95% CI
Prismaflex HF20 CRRT0

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 24 hours prior to CRRT (Screening) through HF20 CRRT End (72 hours), for a total of up to 96 hours. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Prismaflex HF20 CRRT
Serious: 5/23 (22%)
Deaths: 2/23

Serious adverse events (8 terms)

ReactionSystemPrismaflex HF20 CRRT
Cardiac ArrestCardiac disorders
Right Ventricular FailureCardiac disorders
HypercalcaemiaMetabolism and nutrition disorders
Intraventricular HaemorrhageNervous system disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
Pulmonary HaemorrhageRespiratory, thoracic and mediastinal disorders
Pulmonary Hypertensive CrisisRespiratory, thoracic and mediastinal disorders
Peripheral IschaemiaVascular disorders
Other adverse events (15 terms — click to expand)

ReactionSystemPrismaflex HF20 CRRT
HYPOKALAEMIAMetabolism and nutrition disorders
HYPOTHERMIAGeneral disorders
HYPERCALCAEMIAMetabolism and nutrition disorders
HYPERTENSIONVascular disorders
BRADYCARDIACardiac disorders
HYPOPHOSPHATAEMIAMetabolism and nutrition disorders
HYPOTENSIONVascular disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
HEPATIC FAILUREHepatobiliary disorders
HEPATIC FUNCTION ABNORMALHepatobiliary disorders
CITRATE TOXICITYInjury, poisoning and procedural complications
HYPOMAGNESAEMIAMetabolism and nutrition disorders
LACTIC ACIDOSISMetabolism and nutrition disorders
AGITATIONPsychiatric disorders
PLEURAL EFFUSIONRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Cardiac Arrest, Right Ventricular Failure, Hypercalcaemia, Intraventricular Haemorrhage, Pleural Effusion, Pulmonary Haemorrhage, Pulmonary Hypertensive Crisis, Peripheral Ischaemia.

Data from ClinicalTrials.gov NCT02561247 adverse events section.

Sponsor's own description

The primary objective of this study is to evaluate the efficacy of the Gambro Prismaflex® HF20 Set based on testing the hypothesis that it delivers sufficient renal replacement therapy to effectively treat acute kidney injury (AKI) in pediatric patients by reducing blood urea nitrogen (BUN).

Publications & conference data

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

  1. Pediatric Acute Kidney Injury-The Time for Nihilism Is Over.
    Goldstein SL. · · 2020 · cited 6× · PMID 32083043 · DOI 10.3389/fped.2020.00016

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing