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NCT05382078: NMFADCICIP

Nafamostat Mesilate for Anticoagulation During CRRT in Critically Ill Patients

Status unknown Last updated 19 May 2022
What this trial tests

trial in Sepsis Syndrome in 188 participants. Status unknown.

Timeline
31 May 2022
Primary endpoint
4 May 2023
3 May 2024

Quick facts

Lead sponsorFirst Affiliated Hospital Xi'an Jiaotong University
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment188
Start date31 May 2022
Primary completion4 May 2023
Estimated completion3 May 2024
Sites1 location across China

Conditions studied

Sponsor

First Affiliated Hospital Xi'an Jiaotong University

Who can join

Adults 18 to 84, any sex, with Sepsis Syndrome or MODS. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Continuous renal replacement therapy is widely used in intensive care medicine, which is known as an alternative therapy to save injured kidney . Anticoagulation is an important part of this therapy. An insufficient anticoagulation would cause a poor curative effect of CRRT. Hemorrhage,heparin-induced thrombocytopenia (HIT), citrate accumulation, acidosis ad filter extra-cost usually happened on anticoagulation during CRRT. Therefore a new effective anticoagulation of CRRT needs to be carried out. Nafamostat Mesylate (NM) is a new anticoagulant. This serine protease inhibitor with broad spectrum can inhibit kinds of enzymes on the process of coagulation. NM is mainly rapidly decomposed in the liver and also removed by dialysis or filtration. The elimination half life of is only 8 minutes. If NM is applied as a regional anticoagulant, approximate 40% NM is removed by dialysis and / or convection in cardiopulmonary bypass circuit, and then rapidly degraded by esterase in liver and blood, which ensures security in patients with bleeding tendency. Based on the information above, the investigators designed an observational clinical study aimed to testify that NM would have equivalent anticoagulant results compared with those traditional ways and might even have a better effect than traditional anticoagulant therapy.The study team has investigated the current situation of CRRT in Shaanxi province in China through a cross-sectional survey last year. The survey involved 74 hospitals in Shaanxi province and the results basically illustrated a real status of CRRT. These scientific results helped investigators to design this multi-center, parallel, controlled, non intervention study and real world study.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Sepsis Syndrome

Currently open trials in the same condition.

Other First Affiliated Hospital Xi'an Jiaotong University trials

Trials by the same sponsor.

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