Status:

COMPLETED

Access II - Trial of Warfarin to Prevent Malfunction of Haemodialysis Catheters

Lead Sponsor:

Hamilton Health Sciences Corporation

Conditions:

End Stage Renal Disease

Thrombosis

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This study examines whether low intensity, dose adjusted warfarin prolongs the time to mechanical failure of hemodialysis catheters without resulting in an unacceptable rate of bleeding.

Detailed Description

Patients with end-stage renal disease receiving or about to initiate hemodialysis are randomized to receive either adjusted dose warfarin to achieve an INR of 1.5-1.9 or adjusted dose placebo within 7...

Eligibility Criteria

Inclusion

  • Newly placed double-lumen hemodialysis catheter

Exclusion

  • Major bleed within last 3 months
  • Platelet count less than 50 x 10 9/L or current coagulopathy (most recent INR \> 1.5, not due to warfarin)
  • Active peptic ulcer disease
  • Anticipated need for invasive intervention within next 2 weeks
  • Taking warfarin for an indication other than access prophylaxis
  • Allergic to, or intolerant of, warfarin
  • Pregnant
  • Woman of child-bearing age who has not agreed to use an adequate method of birth control for the duration of the study
  • Catheter likely needed for 2 weeks or less
  • Patient previously took part in the study
  • Patient has known aortic aneurysm of 6cm or greater
  • Patients nephrologist has refused consent
  • Patient has refused consent

Key Trial Info

Start Date :

February 1 1999

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2007

Estimated Enrollment :

170 Patients enrolled

Trial Details

Trial ID

NCT00157651

Start Date

February 1 1999

End Date

March 1 2007

Last Update

June 17 2008

Active Locations (1)

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1

St. Joseph's Healthcare

Hamilton, Ontario, Canada, L8N 4A6

Access II - Trial of Warfarin to Prevent Malfunction of Haemodialysis Catheters | DecenTrialz