Evaluating Nafamostat Mesylate for Dialysis Patients at High Risk of Bleeding
Official title: The Safety of Nafamostat Mesylate for Patients With High Risk Bleeding Diathesis Undergoing Hemodialysis: A Pilot Study
Run by Wonju Severance Christian Hospital · NCT05874674 · Data updated 2026-11-12
This study is testing if Nafamostat Mesylate can be a safer blood thinner than heparin for dialysis patients who are at high risk of bleeding.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Wonju Severance Christian Hospital Academic / other |
| Locations | 1 site (Wŏnju, Kangwondo) |
| Status | Recruiting |
| Started | December 1, 2023 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2026 |
| Registry record updated | July 30, 2024 |
| Trial ID | NCT05874674 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include dialysis patients with significant bleeding risks, such as low platelet counts and recent major surgeries.
✕Probably not a fit
Patients with active bleeding in major organs, cancer, liver cirrhosis, or those who are pregnant may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This pilot study compares the safety and efficacy of Nafamostat Mesylate to low molecular weight heparin in patients undergoing hemodialysis who are at high risk for bleeding complications. The study aims to determine whether Nafamostat can provide a safer alternative for anticoagulation in this vulnerable population. Participants will be monitored for bleeding events and other complications during the treatment period. The study focuses on patients with specific bleeding risks, including those with low platelet counts and recent major surgeries.
Why it matters
Potential benefit: If successful, this study could lead to safer anticoagulation options for dialysis patients at high risk of bleeding.
How similar studies have gone: While there is limited data on Nafamostat specifically in this context, similar studies have explored alternative anticoagulants in high-risk populations with varying degrees of success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * platelet below 10k PTT above 60 second INR above 20 patient with bleeding (epistaxis, orbital bleeding, hematuria) recent brain hemorrhage (within 6 months) receiving anticoagulant therapy (coumadin or NOAC) dual antiplatelet agent users received major surgery within one month Exclusion Criteria: * cancer liver cirrhosis pregnancy drug allergy current bleeding on major organ (brain, gastrointestinal)
Where it's running
-
Yonsei Unviersity Wonju College of Medicin
Wŏnju, Kangwondo, South Korea Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.