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NCT06595680: CLEARTOX

Development of an Innovative Hemodialysis Method to Improve Dialytic Clearance of Protein-bound Uremic Toxins

Not yet recruiting Phase 2 Last updated 19 September 2024
What this trial tests

Phase 2 trial testing Medialipide 20% perfusion in End Stage Renal Disease in 12 participants. Not yet recruiting.

Timeline
1 January 2025
Primary endpoint
22 January 2027
22 January 2027

Quick facts

Lead sponsorHospices Civils de Lyon
PhasePhase 2
StatusNot yet recruiting
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposetreatment
Enrollment12
Start date1 January 2025
Primary completion22 January 2027
Estimated completion22 January 2027
Sites1 location across France

Drugs / interventions tested

Conditions studied

Sponsor

Hospices Civils de Lyon — full company profile →

Who can join

18 and older, any sex, with End Stage Renal Disease or Chronic Hemolysis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Current hemodialysis techniques fail to efficiently remove protein-bound uremic toxins (such as p-cresyl sulfate (p-CS) or indoxyl sulfate (IS)) due to their strong binding to serum albumin. The accumulation of these toxins in end-stage renal failure patients on hemodialysis is strongly suspected to contribute to the significant morbidity and mortality observed in this population. Pre-clinical studies conducted previously showed that medium-chain fatty acids (such as sodium octanoate and decanoate), which are natural ligands of albumin, can effectively displace the binding of uremic toxins on serum albumin and thus promote their elimination during a hemodialysis session. Medialipide® 20% (Braun) is an emulsion of medium chain triglycerides (MCT) (6 to 12 carbons) used in parenteral nutrition. Medialipide® constitutes a relevant clinical formulation for the administration of octanoate and decanoate because it contains 94% of sodium octanoate and decanoate. In this study, a proof of concept intervention will be carried out to study the effect on the clearance uremic toxins clearance of the perfusion of Medialipide® emulsion (as a sodium octanoate and decanoate donor) in patients during their hemodialysis session compared to a control situation Sodium chloride (NaCl) 0,9%).

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for End Stage Renal Disease

Currently open trials in the same condition.

Other Hospices Civils de Lyon trials

Trials by the same sponsor.

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Data sources for this page

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