Baxter De Novo Granted for Theranova Dialysis Membrane
FDA has granted Baxter International a de novo application for the Theranova dialysis membrane. The company says the device was designed to deliver expanded hemodialysis therapy, which filters a wider range of molecules from the blood than traditional hemodialysis filters, like high-flux membranes, by “targeting effective removal of conventional (500 Da to 25 kDa) and large middle molecules (25 kDa to 45 kDa).”
Expanded hemodialysis therapy is performed the same way as conventional hemodialysis, with only a change in dialyzer membrane required, Baxter says. “Once in the machine, the Theranova dialyzer’s innovative Medium Cut-Off membrane combines high permeability and selectivity for uremic toxins (up to 45 kDa), while retaining essential proteins and maintaining albumin levels during treatment, it says. “This unique cut-off and high retention onset profile expands clearance, allowing for filtration closer to that of the natural kidney.”
For the de novo decision, Baxter says it conducted a randomized controlled clinical study in the U.S. that evaluated the safety and efficacy of expanded hemodialysis therapy enabled by Theranova. Data from the study, which was published in the Clinical Journal of the American Society of Nephrology, found that expanded hemodialysis therapy with the Theranova 400 dialyzer provided superior removal of large middle molecules compared to a similarly sized high flux dialyzer while maintaining serum albumin levels, it says.