Skip to main content
OpenTrials
Completed

NCT Number: NCT04836026

Registry for HF20 for Pediatric CRRT Under Emergency Use Authorization

Historically, innovations for acute kidney injury (AKI) and continuous renal replacement therapy (CRRT) have centered around an adult population. However, research has shown that over 10% of pediatric patients develop severe AKI within the first week in an intensive care unit (ICU). When a pediatric patient requires renal replacement therapy for AKI in the ICU, CRRT is usually the modality of choice. The HF20™ is indicated for supporting patients weighing 8 to 20 kilograms, addressing a critical clinical need for critically ill children who require CRRT. Current US Food and Drug Administration (FDA) approved CRRT filters are designed for patients weighing more than 20 kg or less than 10 kg, leaving a gap in appropriately designed filters for pediatric patients.

A previous trial in the US showed that the HF20™ is safe and effective, however the membrane composition of the HF20™ used in that trial is different than what is currently manufacturer and available. Baxter Healthcare Corporation has received an Emergency Use Authorization (EUA) for the currently available HF20™ to be used in the era of the COVID-19 pandemic, however participants do not need to be infected with the SAR-CoV-2 virus in order to be treated. The EUA for the HF20™ allows for treatment for any children weighing between 8 and 20 kilograms in need of CRRT. This registry will collect clinical data related to the safety and efficacy of the HF20™ filter for CRRT in pediatric patients weighing 8 to 20 kilograms at participating institutions, however participation in this registry is not a requirement in order to be treated with the HF20™ filter.

Completed

Looking for future studies?

Notify Me

Key information

Sex eligibility

All sexes

Study type

Observational

Primary location

Lucile Packard Children's Hospital Stanford, Palo Alto, California, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Receiving or plan to receive CRRT with the HF20™ filter as standard of care
  • Acute kidney injury (AKI) or fluid overload as defined as one of the two below:
  • AKI defined as Kidney Disease Improving Global Outcomes (KDIGO) Stage 1 or higher by either:
  • Serum creatinine criteria (0.3 mg/dL increase over baseline in 48 hours, or a 50 percent increase within the previous 7 days) or
  • Urine output criteria (less than 0.5 mL/kg/hr for 6 or more hours)
  • Severe fluid overload defined as greater than 10 percent fluid accumulation based on ICU admission weight

Exclusion criteria

  • Weight less than 8 kilograms
  • Weight more than 20 kilograms
  • Patient not expected to survive more than 48 hours
  • Received renal replacement therapy in the previous 5 days

Treatment and study plan

HF20™

Device

HF20™ will be used for CRRT

Primary outcomes

  1. Change in Blood Urea Nitrogen (BUN)

    Time frame: After 24 hours of CRRT with the HF20™ filter as compared to baseline

Secondary outcomes

  1. Change in Serum Creatinine

    Time frame: After 24 hours of CRRT with the HF20™ filter as compared to baseline

  2. Change in Serum Bicarbonate/Carbon Dioxide

    Time frame: After 24 hours of CRRT with the HF20™ filter as compared to baseline

Sponsors and collaborators

Lead sponsor

Children's Hospital Medical Center, Cincinnati

Other

Collaborators

  • Baxter Healthcare Corporation

Registry information

Official study title

Evaluation of the HF20™ Filter for Pediatric Continuous Renal Replacement Therapy (CRRT)

Important dates

Study start
2021
Primary completion
2023
Study completion
2023
First posted
Apr 8, 2021
Registry last updated
Dec 21, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.