Blood Urea Nitrogen (BUN)
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | -58.118 | ± 20.0848 |
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Prismaflex HF20 Set and Prismaflex® System 7.10/7.20 for Acute Continuous Renal Replacement Therapy (CRRT) in Children
NA trial testing Prismaflex HF20 CRRT Filter in Acute Kidney Injury in Pediatric Patients in 23 participants. Terminated before completion.
| Lead sponsor | Vantive Health LLC |
|---|---|
| Phase | NA |
| Status | Terminated |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 23 |
| Start date | 10 November 2015 |
| Primary completion | 6 April 2018 |
| Estimated completion | 6 April 2018 |
| Sites | 6 locations across United States |
Vantive Health LLC — full company profile →
Eligibility, any sex, with Acute Kidney Injury in Pediatric Patients. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Blood Urea Nitrogen (BUN)
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | -58.118 | ± 20.0848 |
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | -45.687 | ± 19.8848 |
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | 38.287 | ± 29.6885 |
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
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | 11.79 | 5.07 – 68.09 |
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | NA | 18.65 – NA |
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | NA | NA – NA |
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
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | 7 |
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | 13 |
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Prismaflex HF20 CRRT | 0 |
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.
| Reaction | System | Prismaflex HF20 CRRT |
|---|---|---|
| Cardiac Arrest | Cardiac disorders | — |
| Right Ventricular Failure | Cardiac disorders | — |
| Hypercalcaemia | Metabolism and nutrition disorders | — |
| Intraventricular Haemorrhage | Nervous system disorders | — |
| Pleural Effusion | Respiratory, thoracic and mediastinal disorders | — |
| Pulmonary Haemorrhage | Respiratory, thoracic and mediastinal disorders | — |
| Pulmonary Hypertensive Crisis | Respiratory, thoracic and mediastinal disorders | — |
| Peripheral Ischaemia | Vascular disorders | — |
| Reaction | System | Prismaflex HF20 CRRT |
|---|---|---|
| HYPOKALAEMIA | Metabolism and nutrition disorders | — |
| HYPOTHERMIA | General disorders | — |
| HYPERCALCAEMIA | Metabolism and nutrition disorders | — |
| HYPERTENSION | Vascular disorders | — |
| BRADYCARDIA | Cardiac disorders | — |
| HYPOPHOSPHATAEMIA | Metabolism and nutrition disorders | — |
| HYPOTENSION | Vascular disorders | — |
| THROMBOCYTOPENIA | Blood and lymphatic system disorders | — |
| HEPATIC FAILURE | Hepatobiliary disorders | — |
| HEPATIC FUNCTION ABNORMAL | Hepatobiliary disorders | — |
| CITRATE TOXICITY | Injury, poisoning and procedural complications | — |
| HYPOMAGNESAEMIA | Metabolism and nutrition disorders | — |
| LACTIC ACIDOSIS | Metabolism and nutrition disorders | — |
| AGITATION | Psychiatric disorders | — |
| PLEURAL EFFUSION | Respiratory, 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.
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).
1 peer-reviewed publication reference this trial (live from Europe PMC):
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