Ignite Creation Date:
2024-05-06 @ 3:47 PM
Last Modification Date:
2024-10-26 @ 1:57 PM
Study NCT ID:
NCT04756427
Status:
TERMINATED
Last Update Posted:
2023-11-29
First Post:
2021-02-11
Brief Title:
Sodium Citrate 4 Locking Solution for Children Requiring Home Parenteral Nutrition
Sponsor:
Johns Hopkins University
Organization:
Johns Hopkins University
Study Overview
Official Title:
Sodium Citrate 4 Locking Solution for Children Requiring Home Parenteral Nutrition
Status:
TERMINATED
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Subject recruitment was challenging
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study an open label prospective observational cohort study to evaluate the safety and efficacy of sodium citrate 4 locking solution in preventing central line associated blood stream infection in children requiring long term central venous catheters for home parenteral nutrition Sodium citrate 4 is FDA-approved for dialysis catheters but has not been formally evaluated for use in tunneled catheters for parenteral nutrition The rate of central line-associated bloodstream infection CLABSI and other potential adverse events will be monitored for 12 months with the option to remain in the study for a longer period of time
Detailed Description:
In this prospective observational cohort study of pediatric patients requiring home parenteral nutrition for intestinal failure participants will be enrolled from the pediatric intestinal rehabilitation clinic and data collection will be obtained from the electronic medical record Participant will receive daily sodium citrate 4 catheter locking solution for CLABSI prophylaxis instead of heparin locks Participants will be monitored for 12 months for adverse events including CLABSI Participants will have the same routine laboratory schedule and monthly outpatient follow up After 12 months participants will be given the option to continue to use sodium citrate 4 locks after the initial study period if no serious adverse events have occurred The investigators anticipate enrolling 10-15 participants per year and anticipate enrollment to continue for 3-5 years
Sodium citrate locks 3 ml vials of locking solution will be prepared by the infusion pharmacy using commercially available 4 sodium citrate IV fluid available in 500 ml bags The sodium citrate locks will be instilled into the central catheter daily during the period that parenteral nutrition is not infusing and will be withdrawn and disposed of prior to resuming infusion of parenteral nutrition If subjects are hospitalized sodium citrate locks will be temporarily held during the duration of the inpatient stay and will be resumed once the participant is discharged home
Sodium citrate locks 3 ml vials of locking solution will be prepared by the infusion pharmacy using commercially available 4 sodium citrate IV fluid available in 500 ml bags The sodium citrate locks will be instilled into the central catheter daily during the period that parenteral nutrition is not infusing and will be withdrawn and disposed of prior to resuming infusion of parenteral nutrition If subjects are hospitalized sodium citrate locks will be temporarily held during the duration of the inpatient stay and will be resumed once the participant is discharged home
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
True
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
True
Is an FDA AA801 Violation?:
None