New citrate dialysis cuts bleeding risk for critically ill patients
NCT ID NCT03842657
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new way to prevent blood clots in the dialysis machine without using heparin, a blood thinner that can cause dangerous bleeding. The method uses a special fluid with citrate and no calcium, and adds calcium back into the body as needed. The study included 97 critically ill patients with a high risk of bleeding and found the approach to be safe and effective.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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97 people
The number who actually took part.
- Started
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Jul 2019
- Finished
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Sep 2021
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: will be included in the study, patients * hat require two sessions of dialysis that last for greater than 240 minutes in the 7 days following the inclusion. * With a moderate to high risk of bleeding (platelets count below 150.000/mm3; platelet disorders; bleeding in the last 10 days, surgery or biopsy in the last 10 days or planned in the next 7 days; admission to the ICU) * Older than 18 years of age * That gave written informed consent Exclusion Criteria: will be excluded from the study, patients with * Heparin allergy * On-going treatment by vitamin-K antagonists (INR \> 1.2) or unfractionated heparin (anti-Xa activity \> 0.10).. * Known allergy to the Evodial (Baxter, France) or Cordiax FX100 (Fresenius, France) membranes * On-going treatment by angiotensin converting enzyme inhibitors * Pregnancy or risk of pregnancy * Patient under guardianship
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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.
Contacts and locations
Locations
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CHU Toulouse
Toulouse, France
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Montpellier Hospital
Montpellier, France
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Nimes Hospital
Nîmes, France
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Pellegrin Hospital
Bordeaux, France
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Tenon Hospital
Paris, France
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