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NCT07016841Completed

Effects of pHA Hemoperfusion Plus Hemodialysis on Protein-Bound Uremic Toxins

Effects of Conventional Hemodialysis Combined With pHA Hemoperfusion Therapy on Protein-Bound Uremic Toxins in Maintenance Hemodialysis Patients: A Single-Center, Prospective Cohort Study

Source: ClinicalTrials.gov · Last updated 10 Sept 2026

Brief summary (registry, in English)

This single-center, prospective cohort Study evaluates whether adding the pHA130 hemoperfusion cartridge to conventional hemodialysis (HD) or hemodiafiltration (HDF) more effectively reduces protein-bound uremic toxins-specifically indoxyl sulfate (IS) and p-cresyl sulfate (PCS)-in maintenance HD patients. Adults on thrice-weekly, 4-hour HD for at least three months are randomized to one of three arms: HD/HDF alone; HD/HDF plus biweekly pHA130 hemoperfusion; or HD/HDF plus biweekly HA130 hemoperfusion. After a four-week washout, toxin levels are measured at baseline and again at Weeks 4, 12, and 24, with the primary endpoint being the reduction in IS and PCS at Week 24. Secondary endpoints include single-session toxin removal, middle-molecule clearance (β₂-microglobulin, PTH), patient-reported outcomes (itching, sleep, quality of life), and rates of hospitalization and mortality. Safety is closely monitored through adverse event reporting and consistent anticoagulation dosing. Findings will clarify the clinical value of pHA130 hemoperfusion for improving toxin clearance and guiding optimal dialysis strategies.

Status (registry)
Completed
Study type
Observational
Enrollment
109 (actual)
First submitted
26 May 2025
Start date
12 May 2025
Primary completion date
30 Jun 2026
Lead sponsor
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
NCT number
NCT07016841

What you commit to

  • Study type: Observational
  • Participants enrolled: 109
  • From 12 May 2025 to the primary completion date, 30 Jun 2026
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patients receiving combined hemodialysis (HD) and peritoneal dialysis (PD) treatment;

Other illness

  • Patients with known allergy to hemoperfusion device materials, contraindications, or intolerance to the device;
  • Patients with acute severe infection, severe cardiopulmonary insufficiency, severe cerebrovascular disease, severe bleeding tendency, or active bleeding;
  • Patients with malignant tumors in the active stage or undergoing treatment for malignant tumors;
  • Other conditions deemed unsuitable for enrollment in this study by the researchers.

Lab values

  • Patients with a platelet count \< 60 × 10⁹/L;

Who the study is looking for

  • Age ≥18 years, with no restriction on gender;
  • Undergoing regular hemodialysis 3 times per week, 4 hours per session, and has received maintenance hemodialysis treatment for ≥3 months;
  • Willing and able to receive treatment as per the protocol requirements, and has signed the informed consent form for subjects.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Xinhua Hospital Affiliated To Shanghai Jiao tong University School of Medicine
Coordinator of this site? Confirm its status
ShanghaiChinaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.