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End Stage Renal DiseaseNCT03257410

Theranova 400 Dialyzer In End Stage Renal Disease (ESRD) Patients

A study testing Theranova 400 dialyzer and Elisio-17H dialyzer in people with End Stage Renal Disease, run by Vantive Health LLC at 20 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study evaluates the efficacy and safety of the Theranova 400 dialyzer compared with Elisio-17 H dialyzer in end stage renal disease patients receiving hemodialysis treatment. Efficacy will be determined by the removal of middle molecules (with different molecular size) from the blood compartment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
End Stage Renal Disease
What is being tested?
Theranova 400 dialyzer and Elisio-17H dialyzer
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
172 participants
Where
20 sitesUnited States
Study dates
29 Sep 2017to 27 Oct 2018
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • ESRD patients age 22 and older, or between ages 18 and 21 with a weight ≥ 40kg.
  • Clinically stable as judged by the treating physician and as demonstrated by stable medical history for 30 days prior to enrollment, physical examination, and laboratory testing.
  • Hemodialysis therapy with high-flux dialyzers for at least 3 months immediately prior to study enrollment and expected to survive for the next 12 months.
  • Expected to maintain an acceptable urea clearance (Kt/V) with a dialyzer of an approximate surface area of 1.7 m2.
  • Currently being dialyzed at an in-center setting, on a schedule of 3 times per week.
  • Able to give informed consent after an explanation of the proposed study, and who are willing to comply with the study requirements for therapy during the entire study treatment period.
  • Have a stable functioning vascular access (arteriovenous fistula, graft, or dual lumen tunneled catheter); stable access will be confirmed by observed Kt/V >= 1.2 for past 2 measurements, and/or achievement of within 15% the prescribed blood flow rate over 3 treatments prior to study entry.

Who cannot join

  • Are female and pregnant, lactating, or planning to become pregnant during the study period. Note: Female subjects of childbearing potential, defined as a woman <55 years old who has not had a partial or full hysterectomy or oophorectomy, must have a negative serum beta human chorionic gonadotropin (β-hCG) pregnancy test at screening. Subjects of childbearing potential must use a medically acceptable means of contraception during their participation in the study.
  • Have chronic liver disease.
  • Have a known paraprotein-associated disease.
  • Have known bleeding disorders (e.g., gastrointestinal bleed, colonic polyps, small bowel angiodysplasia, and active peptic ulcers).
  • Have had a major bleeding episode (i.e. soft tissue bleeding, blood in stool, prolonged nose bleeds, joint damage, retinal bleeding, extensive mucosal bleeding, exsanguination, cerebral hemorrhage) ≤ 12 weeks prior to randomization.
  • Have had a blood (red blood cell) transfusion ≤ 12 weeks prior to randomization.
Show all 21Show fewer
  • Have had an acute infection ≤ 4 weeks prior to randomization.
  • Have active cancer, except for basal cell or squamous cell skin cancer.
  • Have a known serum κ/λ FLC ratio that is less than 0.37, or greater than 3.1.b
  • Have a known monoclonal gammopathy (monoclonal gammopathy of uncertain significance, smoldering [asymptomatic] multiple myeloma, symptomatic multiple myeloma, plasmacytomas, or plasma cell leukemia).
  • Have a known polyclonal gammopathy (connective tissue disease, liver disease, chronic infection, lymphoproliferative disorder, or other hematologic condition).
  • Have a positive serology test for human immunodeficiency virus or hepatitis infection.
  • Have a significant psychiatric disorder or mental disability.
  • Are scheduled for planned interventions requiring hospitalization > 1 week.
  • Are scheduled for living-donor transplantation within the study period + 3 months, plan to change to PD therapy within the next 9 months, plan to change to a home hemodialysis treatment, or plan to relocate to an area where no study center is located.
  • Are currently participating in another interventional clinical study or has participated in another interventional clinical study in the past 3 months.
  • Have a history of non-compliance with HD as assessed by an investigator.
  • Have had a major cardiovascular or cerebrovascular event within 3 months of study entry.
  • Have a history with consistent evidence of intradialytic hypotension.
  • Have uncontrolled (systolic BP > 180 mmHg) hypertension.
  • Have had adverse reactions to dialyzer materials.

Trial locations and contacts

20 sites in 1 country.

20 sites in 1 country

United States20 sites
  • Dialysis Center, Inc. Albany

    Albany, Georgia, 31701

  • Dialysis Center, Inc. Kidney Associates of Kansas City

    Belton, Missouri, 64012

  • DaVita Inc, Greater Hartford Nephrology

    Bloomfield, Connecticut, 06002

  • Dialysis Center, Inc. Boston

    Boston, Massachusetts, 02111

  • DaVita Inc., Norfolk Dialysis

    Chesapeake, Virginia, 23320

  • DaVita Corona

    Corona, California, 92881

  • DaVita Inc., Transmountain Dialysis

    El Paso, Texas, 79902

  • DaVita Inc., Medical Center Dialysis

    Houston, Texas, 77004

  • Dialysis Center, Inc. Holston River Clinic

    Knoxville, Tennessee, 37924

  • DaVita Five Star Dialysis Center

    Las Vegas, Nevada, 89128

  • DaVita Inc., South Las Vegas Dialysis

    Las Vegas, Nevada, 89169

  • DaVita Renal Center of Lewisville

    Lewisville, Texas, 75057

  • Dialysis Center of Lincoln

    Lincoln, Nebraska, 68510

  • DaVita Inc., Waterbury Dialysis

    Middlebury, Connecticut, 06762

  • Dialysis Center, Inc. North Brunswick

    North Brunswick, New Jersey, 08902

  • Dialysis Center, Inc. Philidelphia

    Philadelphia, Pennsylvania, 19129

  • DaVita Riverside

    Riverside, California, 92501

  • DaVita Inc., Northwest Medical Center Dialysis

    San Antonio, Texas, 78229

  • DaVita Floyd Curl Dialysis

    San Antonio, Texas, 78240

  • DaVita Inc., Bronx Dialysis Center

    The Bronx, New York, 10461

Other trials in United States

About this study

Official title: A Multi-Center, Prospective, Randomized, Controlled, Open-label, Parallel Study to Evaluate the Safety and Efficacy of the Theranova 400 Dialyzer In End Stage Renal Disease (ESRD) Patients

The study evaluates the efficacy and safety of the Theranova 400 dialyzer compared with Elisio-17 H dialyzer in end stage renal disease patients receiving hemodialysis treatment. Efficacy will be determined by the removal of middle molecules (with different molecular size) from the blood compartment. Safety will be evaluated by maintaining pre-dialysis serum albumin levels and other safety events including laboratory tests and adverse events.

Patients will undergo 3 dialysis sessions per week, for 24 weeks.

Being tested
Theranova 400 dialyzer, Elisio-17H dialyzer
Medical subject headings
Kidney Failure, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Theranova 400 dialyzerDevice

    Also called MCO-Ci 400 Dialyzer, medium cut-off dialysis membrane

    Patients should continue with their pre-study hemodialysis prescriptions (in terms of treatment time, blood flow rate and dialysate flow rate) and prescriptions should be kept stable throughout the study.

  • Elisio-17H dialyzerDevice

    Patients should continue with their pre-study hemodialysis prescriptions (in terms of treatment time, blood flow rate and dialysate flow rate) and prescriptions should be kept stable throughout the study.

Study groups in NCT03257410
Study groupRoleWhat they receive
Theranova 400ExperimentalThree (3) dialysis sessions per week in an in-center setting over 24-week period.
Receives: Device: Theranova 400 dialyzer
Elisio-17HActive comparatorThree (3) dialysis sessions per week in an in-center setting over 24-week period.
Receives: Device: Elisio-17H dialyzer

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Reduction Ratio of Lambda Immunoglobulin FLC at Week 24

    FLC=free light chains

    Measured: Week 24

  2. Pre-dialysis Serum Level of Albumin at Week 24

    Measured: Week 24

Secondary outcomes (66)
  1. Reduction Ratio of Lambda Immunoglobulin FLC at Week 4 and Week 24

    FLC=free light chains

    Measured: Week 4 and Week 24

  2. Reduction Ratio of Complement Factor D

    CFD=complement factor D

    Measured: Week 4 and 24

  3. Reduction Ratio of κ FLC

    κ FLC = Kappa Free light chains

    Measured: Week 4 and 24

  4. Reduction Ratio of Interleukin 6

    IL-6=interleukin 6

    Measured: Week 4 and 24

  5. Reduction Ratio of Tumor Necrosis Factor Alpha

    TNFα=tumor necrosis factor alpha

    Measured: Week 4 and 24

  6. Reduction Ratio of β2-microglobulin

    β2=beta 2

    Measured: Week 4 and 24

  7. Change From Baseline in Pre-dialysis β2-microglobulin at Week 24

    Measured: Baseline, Week 24

  8. Kt/Vurea

    Kt/Vurea = Dimensionless number used to quantify hemodialysis and peritoneal dialysis adequacy.

    Measured: Week 4, 8, 12, 16, 20, 24

  9. Change From Baseline in Pre-dialysis Serum Albumin by Visit

    Measured: Baseline, Week 4, 8, 12, 16, 20, 24

  10. Change From Baseline in Pre-dialysis Factor VII by Visit

    Measured: Baseline, Week 12, Week 24

  11. Change From Baseline in Pre-dialysis Protein C by Visit

    Measured: Baseline, Week 12, Week 24

  12. Change From Baseline in Pre-dialysis Vitamin A by Visit

    Measured: Baseline, Week 4, Week 24

  13. nPNA (nPCR)

    nPNA=normalized Protein equivalent of Nitrogen Appearance, and nPCR=normalized Protein Catabolic Rate.

    Measured: Week 4, 8, 12, 16, 20, 24

  14. Change From Baseline in Pre-dialysis Factor II by Visit

    Factor II (Prothrombin)

    Measured: Baseline, Week 12, Week 24

  15. Change From Baseline in Sodium (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline and Week 24

  16. Change From Baseline in Potassium (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline and Week 24

  17. Change From Baseline in Calcium (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  18. Change From Baseline in Phosphate (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  19. Change From Baseline in Chloride (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  20. Change From Baseline in Bicarbonate (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  21. Change From Baseline in Glucose (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  22. Change From Baseline in Prothrombin Time (Sec) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  23. Change From Baseline in Prothrombin Intl. Normalized Ratio at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  24. Change From Baseline in Activated Partial Thromboplastin Time (Sec) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  25. Change From Baseline in Hematocrit (L/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  26. Change From Baseline in Hemoglobin (g/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  27. Change From Baseline in Erythrocyte Mean Corpuscular Hemoglobin (pg) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  28. Change From Baseline in Erythrocyte Mean Corpuscular HGB Concentration (g/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  29. Change From Baseline in Erythrocyte Mean Corpuscular Volume (fL) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  30. Change From Baseline in Platelets at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  31. Change From Baseline in Erythrocytes at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  32. Change From Baseline in Leukocytes at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  33. Change From Baseline in Basophils (%) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  34. Change From Baseline in Eosinophils (%) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  35. Change From Baseline in Lymphocytes (%) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  36. Change From Baseline in Monocytes (%) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  37. Change From Baseline in Neutrophils (%) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  38. Change From Baseline in Pre-Dialysis Blood Urea Nitrogen (mmol Urea/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  39. Change From Baseline in Post-Dialysis Blood Urea Nitrogen (mmol Urea/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  40. Change From Baseline in BUN Reduction Ratio at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  41. Change From Baseline in Creatinine (μmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  42. Kt/Vurea by Visit

    Measured: Week 4, Week 8, Week 12, Week 16, Week 20, Week 24

  43. Change From Baseline in Vitamin A (μmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  44. Change From Baseline in Cholesterol (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  45. Change From Baseline in HDL Cholesterol (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  46. Change From Baseline in LDL Cholesterol (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  47. Change From Baseline in Triglycerides (mmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  48. Change From Baseline in Alkaline Phosphatase (U/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  49. Change From Baseline in Alanine Aminotransferase (U/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  50. Change From Baseline in Aspartate Aminotransferase (U/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  51. Change From Baseline in Direct Bilirubin (μmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  52. Change From Baseline in Bilirubin (μmol/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  53. Change From Baseline in Gamma Glutamyl Transferase (U/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  54. Change From Baseline in Protein (g/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  55. Change From Baseline in Globulin (g/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  56. Change From Baseline in High-sensitivity C-reactive Protein (mg/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  57. Change From Baseline in Prothrombin Activity (%) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  58. Change From Baseline in Albumin (g/dL) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  59. Change From Baseline in Factor XIV Activity (%) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  60. Change From Baseline in Tumor Necrosis Factor (pg/mL) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  61. Change From Baseline in Factor VII Activity (%) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  62. Change From Baseline in Lambda Light Chain, Free (mg/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  63. Change From Baseline in Interleukin 6 (pg/mL) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  64. Change From Baseline in Complement Factor D (mcg/mL) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  65. Change From Baseline in Kappa Light Chain, Free (mg/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

  66. Change From Baseline in Beta-2 Microglobulin (mg/L) at End of Study (up to Week 24)

    Measured: Baseline, Week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Aug 2017
  2. Study start29 Sep 2017
  3. Primary completion27 Oct 2018
  4. Study completion27 Oct 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
172 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03257410
Sponsor's protocol ID
7905001
Status last verified
Jul 2025
First submitted
18 Aug 2017
Last updated
14 Jul 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Weiner DE, Falzon L, Skoufos L, Bernardo A, Beck W, Xiao M, Tran H. Efficacy and Safety of Expanded Hemodialysis with the Theranova 400 Dialyzer: A Randomized Controlled Trial. Clin J Am Soc Nephrol. 2020 Sep 7;15(9):1310-1319. doi: 10.2215/CJN.01210120. Epub 2020 Aug 25.

    PubMed 32843372

Questions about this trial

What is this clinical trial studying?

A study testing Theranova 400 dialyzer and Elisio-17H dialyzer in people with End Stage Renal Disease, run by Vantive Health LLC at 20 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Dec 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Reduction Ratio of Lambda Immunoglobulin FLC at Week 24 (time frame: Week 24). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03257410, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2025.

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