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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06001827
Other study ID # VENO-CIP002
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date November 20, 2023
Est. completion date December 2027

Study information

Verified date March 2024
Source VenoStent
Contact Mark Barakat, MD
Phone (832) 429-5362
Email mark.barakat@venostent.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a prospective, randomized, multi-center clinical trial for chronic kidney disease (CKD) patients referred for creation of a new arteriovenous fistula (AVF) in order to assess the safety and effectiveness of SelfWrap, a bioabsorbable perivascular wrap.


Description:

This is a multi-center, prospective, randomized, double-arm, single-blind, evaluator-blinded clinical trial for CKD patients referred for creation of a new arteriovenous fistula (AVF). This study will involve approximately 200 participants from up to 20 investigational sites, randomized 1:1 to treatment with the SelfWrap or the untreated AVF control (i.e. standard of care, SOC). Participants will be followed for a duration of 36 months.


Recruitment information / eligibility

Status Recruiting
Enrollment 200
Est. completion date December 2027
Est. primary completion date June 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Age of at least 18 years - Referred for creation of a new AVF - Willing and able to comply with study requirements, communicate with the study team, and attend follow up visits over a period of 36 months Exclusion Criteria: - Planned index procedure to revise or repair an existing fistula - Target artery inner diameter < 2.0 mm, as measured by ultrasound while the target arm is under tourniquet pressure and anesthesia - Target vein inner diameter < 2.0 mm, as measured by ultrasound while the target arm is under tourniquet pressure and anesthesia - Significant (at least 50%) stenosis at the target vein on the side of surgery (between the planned anastomosis site and the axillary vein), as diagnosed by preoperative ultrasound - Known central venous stenosis of at least 50% on the side of surgery - Presence of a stent or a stent graft within the access circuit - Known or suspected coagulation disorder that, in the opinion of the Investigator, puts too much risk on the patient for AVF creation - Known or suspected active infection at the time of surgery - Congestive heart failure NYHA class 4 - Prior steal on the side of surgery; - Enrolled in another investigational drug, device, or biological study, or was previously enrolled in this study - Life expectancy less than 12 months - Expected to undergo kidney transplant surgery within 6 months of enrollment - Expected to undergo home hemodialysis - Females of childbearing potential (premenopausal and not surgically sterile) without documented current negative pregnancy test at screening - Presence of a comorbid condition that, in the opinion of the Investigator, may significantly confound the collection of safety and efficacy data in this study - Unwillingness or inability to give consent and/or comply with the study follow up schedule - Any health condition, which in the opinion of the Investigator, would interfere with the safety of the participant or the participant's ability to comply with the study.

Study Design


Intervention

Device:
SelfWrap Bioabsorbable Perivascular Wrap
SelfWrap is applied during arteriovenous fistula (AVF) creation surgery. It provides mechanical support to improve maturation and patency of AVFs.
Procedure:
Untreated AVF Control
AVF creation surgery without any intervention

Locations

Country Name City State
United States Cardiothoracic and Vascular Surgeons Austin Texas
United States Surgical Specialists of Charlotte, PA Charlotte North Carolina
United States Lutheran Medical Group Fort Wayne Indiana
United States AKDHC Marana Surgery Center Marana Arizona
United States Medical University of South Carolina (MUSC) Orangeburg / Dialysis Access Institute Orangeburg South Carolina
United States Arizona Kidney Disease & Hypertension Centers (AKDHC) Phoenix Surgery Center Phoenix Arizona
United States WakeMed Raleigh North Carolina

Sponsors (1)

Lead Sponsor Collaborator
VenoStent

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Unassisted Maturation by 180 days A participant who is either 1) on hemodialysis on or before day 150 and the AVF has been cannulated with two needles for at least 75% of dialysis sessions within any 4 consecutive week period to achieve the prescribed dialysis by the 180 day follow up, and did not require any facilitative endovascular or surgical intervention to achieve this, or 2) is not on hemodialysis on or before day 150, but ultrasound measurements by the 180 day follow up indicate a proximal arterial flow rate of at least 500 mL/min and a vein inner diameter of at least 5.0 mm at 5 - 8 cm from the anastomosis, and did not require any facilitative endovascular or surgical intervention through the 180 day follow up. Assessed at up to 6 months
Primary Freedom from access-related adverse events through 30 days Freedom from access-related adverse events through 30 days Assessed through 30 days
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