Race against poison: can early dialysis beat the clock?
NCT ID NCT06966765
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two approaches to dialysis in people who have been severely poisoned by the herbicide diquat. One group starts dialysis right away after a blood-cleaning procedure, while the other waits until kidney damage appears. The goal is to see if earlier dialysis reduces deaths. The trial will involve 267 adults across multiple hospitals.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Continuous veno-venous hemodiafiltration (a type of dialysis)
- What this could lead to
- If it works, this could establish a new standard for treating severe diquat poisoning, potentially saving more lives by starting dialysis sooner.
- What could go wrong
- This is a single trial with 267 participants, and earlier dialysis may not improve survival and could increase complications like bleeding or infection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 267 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: 1. Age ≥ 18 years; and 2. A history of oral exposure to diquat solution, reported by patient(s) or their legal proxies; and 3. An exposure time (time form exposure to presentation at ED) ≤ 48 hours, reported by patient(s) or their legal proxies; and 4. Plasma diquat concentration measured upon ED presentation ≥ 1,000 ng/mL. Exclusion criteria: 1. Evidence of co-ingestion of other toxic substances alongside diquat; and/or 2. Withholding of CVVHDF due to limitations on the escalation of life-sustaining therapies; and/or 3. Any CKRT within the previous 2 months; and/or 4. Kidney transplant within the past 365 days; and/or 5. Known pre-hospitalization advanced chronic kidney disease, defined by an estimated glomerular filtration rate calculated using serum creatine (eGFRer) of less than 30 mL/min/1.73 m2 by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation, if pre-hospitalization serum creatine is available; and/or (6) Treating clinician(s) believe(s) that either immediate or deferral of CVVHDF initiation is mandated; and/or (7) Pregnant or breast feeding.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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