Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Citrate anticoagulation protocol to stabilize electrolytes during continuous renal replacement in ICU adults

Official title: Validation of a Regional Citrate Anticoagulation Protocol in Critically Ill Patients on Continuous Renal Replacement Therapy

Run by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau · NCT07514650 · Data updated 2026-11-12

This test tries to see if a modified CRRT method using citrate anticoagulation with post-filter replacement keeps electrolytes more stable and reduces the need for supplements in adult ICU patients with acute kidney injury.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment43 (estimated)
SponsorFundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Academic / other
Locations1 site (Barcelona, Barcelona)
StatusRecruiting
StartedNovember 24, 2024
Main results expectedNovember 2026
Study endsNovember 2026
Registry record updatedApril 7, 2026
Trial IDNCT07514650 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) in the Hospital de la Santa Creu i Sant Pau ICU with acute kidney injury requiring CRRT who can safely receive regional citrate anticoagulation are ideal candidates.

Probably not a fit

Patients with contraindications to citrate anticoagulation (for example severe liver failure), those who are pregnant or breastfeeding, or patients who do not require CRRT are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Electrolyte disturbances are common during CRRT with regional citrate anticoagulation and can increase the need for electrolyte supplementation. This non-randomized, sequential interventional comparison tests CVVHDF with post-filter replacement against historical controls treated with standard CVVHD. Adult patients (≥18) admitted to the multidisciplinary ICU at Hospital de la Santa Creu i Sant Pau who require CRRT and can receive citrate anticoagulation are included. The primary outcome is reduction in electrolyte supplementation during the period of CRRT, with data collection ending when CRRT is discontinued.

Why it matters

Potential benefit: If successful, the protocol could reduce electrolyte losses and lower the need for intravenous electrolyte supplementation, potentially decreasing complications and nursing interventions.

How similar studies have gone: Regional citrate anticoagulation has been shown in prior studies to improve filter life and metabolic control during CRRT, but the specific CVVHDF post-filter replacement modification tested here has limited prior data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* Age ≥18 years
* Admission to the intensive care unit (ICU)
* Diagnosis of acute kidney injury (AKI) requiring continuous renal replacement therapy (CRRT)
* Use of regional citrate anticoagulation during CRRT Exclusion Criteria
* Known allergy or intolerance to citrate
* Contraindications to citrate anticoagulation (e.g., severe liver failure or severe metabolic disorders affecting citrate metabolism)
* Pregnancy or breastfeeding

Where it's running

  • Hospital de la Santa Creu i Sant Pau
    Barcelona, Barcelona, Spain
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.