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. 2018 Apr 3;2018(4):CD010597. doi: 10.1002/14651858.CD010597.pub2

CLOCK 2017.

Methods
  • Study design: parallel RCT

  • Study duration: March 2014 to November 2016

  • Duration of follow‐up: 100 days

Participants
  • Setting: single centre

  • Country: Brazil

  • Participants aged between 18 to 75 years and with a CKD 5D diagnosis; on high efficiency HD and long‐term CVC for HD, with a subclavian insertion on either the right and left sides

  • Number: treatment group 1 (25); treatment group 2 (25); control group (25)

  • Mean age ± SD (years): treatment group 1 (53.3 ± 15.5); treatment group 2 (55 ± 13); control group (53.2 ± 15.5)

  • Sex (M/F): treatment group 1 (12/13); treatment group 2 (12/13); control group (12/13)

  • Exclusion criteria: pregnant females; on oral anticoagulant treatment; signs of subclinical or active infection; poor catheter care

Interventions Treatment group 1
  • Trisodium citrate: 30%


Treatment group 2
  • M‐EDTA


Control group
  • Heparin: 1000 IU/mL

Outcomes
  • Increased hydraulic resistance

  • CRI

  • Infection (clinical signs and laboratory findings)

  • Adverse drug reactions

Notes
  • Funding source: "We also thank the following institutions for grants: University of Sao Paulo, Conselho Nacional de Desenvolvimento Cientıfico e Tecnol ogico (CNPq), Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)."

CKD ‐ chronic kidney disease; CRI ‐ catheter‐related infection; CVC ‐ central venous catheter; HD ‐ haemodialysis; M/F ‐ male/female; RCT ‐ randomised controlled trial; SD ‐ standard deviation