Clinical trial Recruiting at 1 site Interventional Ages 18 to 99

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.

More Dialysis trials

Quick facts

Study typeInterventional
Ages18 Years to 99 Years
SexAll
Enrollment100 (estimated)
SponsorWonju Severance Christian Hospital
Academic / other
Locations1 site (Wŏnju, Kangwondo)
StatusRecruiting
StartedDecember 1, 2023
Main results expectedDecember 31, 2025
Study endsDecember 31, 2026
Registry record updatedJuly 30, 2024
Trial IDNCT05874674 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

  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.