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Due to an imbalance in graft infections between groups.
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This is a multi-center clinical study in subjects requiring arteriovenous grafts in the upper extremity for hemodialysis access. All subjects will provide informed consent before undergoing any study procedures. The study will consist of multiple subject visits and telephone contacts during the 52 week study period. During the study period subjects must also maintain an appropriate hemodialysis schedule.
IDE Number: G060250
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vascular Wrap and Graft | Experimental | Lifespan® ePTFE Vascular Graft and Vascular WrapTM Paclitaxel-Eluting Mesh: The Lifespan® ePTFE Vascular Graft is implanted as an arteriovenous graft in an upper extremity to provide a hemodialysis access. The Vascular WrapTM Paclitaxel-Eluting Mesh is positioned on the vein and placed around the venous anastomosis to include both the toe and the heel of the anastomosis, and is sutured in place. |
|
| Lifespan® ePTFE Vascular Graft | No Intervention | Lifespan® ePTFE Vascular Graft Only: The Lifespan® ePTFE Vascular Graft is implanted as an arteriovenous graft in an upper extremity to provide a hemodialysis access. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vascular Wrap Paclitaxel-Eluting Mesh | Device | 0.9 µg/mm^2 paclitaxel |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time-to-loss of Target Site Primary Patency | Subjects had primary patency at the target site from graft placement until an intervention on the target site occurred. The duration between graft implantation and graft abandonment due to loss of patency at the target site was the "time-to-loss of primary patency." Note: The study was halted early and therefore became underpowered to analyze efficacy as detailed in the protocol. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | adverse events with at least 5% incidence, reported as number of subjects experiencing the event (rather than total number of events). Adverse events were collected via subject querying at each visit and telephone contact, and by medical record review. | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rui Avelar, MD | Angiotech Pharmaceuticals | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Research Center | Birmingham | Alabama | 35213 | United States | ||
| Ladenheim, Inc. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Vascular Wrap and Graft | Lifespan® ePTFE Vascular Graft and Vascular WrapTM Paclitaxel-Eluting Mesh |
| FG001 | Lifespan® ePTFE Vascular Graft | Lifespan® ePTFE Vascular Graft Only |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Lifespan® ePTFE Vascular Graft | Device | vascular graft |
|
| Lifespan® ePTFE Vascular Graft | Device | vascular graft |
|
| Fresno |
| California |
| 93710 |
| United States |
| Centinela Hospital | Inglewood | California | 90301 | United States |
| National Institute of Clinical Research | Los Angeles | California | 90017 | United States |
| USC CVTI - Healthcare Consultation II | Los Angeles | California | 90033 | United States |
| UCSD Medical Center | San Diego | California | 92109 | United States |
| Southern California Permanente Medical Group | San Diego | California | 92120 | United States |
| San Francisco VA Medical Center | San Francisco | California | 94121 | United States |
| Florida Research Network, LLC | Gainsville | Florida | 32605 | United States |
| Jacksonville Center for Clincal Research | Jacksonville | Florida | 32216 | United States |
| Discovery Medical Research Group | Ocala | Florida | 34471 | United States |
| Baptist Cancer Institute | Pensacola | Florida | 32501 | United States |
| Southeastern Urological Center, P.A | Tallahassee | Florida | 32308 | United States |
| University of South Florida- Research Foundation | Tampa | Florida | 33606 | United States |
| Cardiothoracic and Vascular Surgery Associates | Macon | Georgia | 31208 | United States |
| Renal Care Associates | Peoria | Illinois | 61603 | United States |
| Southern Illinois University | Springfield | Illinois | 62702 | United States |
| Indiana University | Indianapolis | Indiana | 46202 | United States |
| Washington County Hospital Association | Hagerstown | Maryland | 21740 | United States |
| Michigan Vascular Research Center | Flint | Michigan | 48507 | United States |
| Thoracic and Cardiovascular Healthcare Foundation | Lansing | Michigan | 48910 | United States |
| Nephrology Associates P. C. | Flushing | New York | 11355 | United States |
| St. Luke's Roosevelt Hospital Center | New York | New York | 10025 | United States |
| Biomedical Research Alliance of New York | The Bronx | New York | 10461 | United States |
| BRANY - Montefiore Medical Center | The Bronx | New York | 10467 | United States |
| Rex Hospital | Raleigh | North Carolina | 27606 | United States |
| Clinical Research of Winston-Salem, Inc. | Winston-Salem | North Carolina | 27103 | United States |
| University of Cincinnati Medical Center | Cincinnati | Ohio | 45206 | United States |
| University of Toledo | Toledo | Ohio | 43615 | United States |
| Health First Medical Group | Fort Worth | Texas | 76135 | United States |
| Texas Tech University Health Sciences Center | Lubbock | Texas | 79430 | United States |
| Peripheral Vascular Associates | San Antonio | Texas | 78205 | United States |
| The Wisconsin Heart Hospital | Milwaukee | Wisconsin | 53217 | United States |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Vascular Wrap and Graft | Lifespan® ePTFE Vascular Graft and Vascular WrapTM Paclitaxel-Eluting Mesh |
| BG001 | Lifespan® ePTFE Vascular Graft | Lifespan® ePTFE Vascular Graft Only |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||||
| Age Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Time-to-loss of Target Site Primary Patency | Subjects had primary patency at the target site from graft placement until an intervention on the target site occurred. The duration between graft implantation and graft abandonment due to loss of patency at the target site was the "time-to-loss of primary patency." Note: The study was halted early and therefore became underpowered to analyze efficacy as detailed in the protocol. | Posted | Median | 95% Confidence Interval | days | 1 year |
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| Secondary | Adverse Events | adverse events with at least 5% incidence, reported as number of subjects experiencing the event (rather than total number of events). Adverse events were collected via subject querying at each visit and telephone contact, and by medical record review. | Posted | Number | participants | 1 year |
|
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1 year
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Vascular Wrap and Graft | Lifespan® ePTFE Vascular Graft and Vascular WrapTM Paclitaxel-Eluting Mesh | 17 | 110 | 106 | 110 | ||
| EG001 | Lifespan® ePTFE Vascular Graft | Lifespan® ePTFE Vascular Graft Only | 21 | 112 | 110 | 112 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute myocardial infarction | Cardiac disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Cardiac arrest | Cardiac disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Cardiac failure | Cardiac disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Cardiac failure congestive | Cardiac disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Cardio-respiratory arrest | Cardiac disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Cardiogenic shock | Cardiac disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Bacteraemia | Infections and infestations | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Pneumonia | Infections and infestations | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Sepsis | Infections and infestations | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Septic shock | Infections and infestations | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Cachexia | Metabolism and nutrition disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Pancreatic carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Dementia Alzhemier's type | Nervous system disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Haemorrhage intracranial | Nervous system disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
|
| Haemorrhage stroke | Nervous system disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Ischaemic stroke | Nervous system disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Renal failure | Renal and urinary disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Renal failure chronic | Renal and urinary disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Acute respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Pulmonary oedema | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Respiratory distress | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Hypotension | Vascular disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Death unknown cause | General disorders | MedDRA (9.1) | Systematic Assessment | This adverse event resulted in death. Note: In this study, adverse events were never specifically captured as Serious Adverse Events. For this reason, no data other than "adverse events that resulted in death" are available for this category. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Graft infection | Infections and infestations | MedDRA (9.1) | Systematic Assessment |
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| Anemia | Blood and lymphatic system disorders | MedDRA (9.1) | Systematic Assessment |
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| Leukocytosis | Blood and lymphatic system disorders | MedDRA (9.1) | Systematic Assessment |
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| Cardiac failure congestive | Cardiac disorders | MedDRA (9.1) | Systematic Assessment |
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| Tachycardia | Cardiac disorders | MedDRA (9.1) | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Diarrhea | Gastrointestinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Asthenia | General disorders | MedDRA (9.1) | Systematic Assessment |
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| Catheter related complication | General disorders | MedDRA (9.1) | Systematic Assessment |
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| Catheter site hemorrhage | General disorders | MedDRA (9.1) | Systematic Assessment |
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| Chest pain | General disorders | MedDRA (9.1) | Systematic Assessment |
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| Generalized oedema | General disorders | MedDRA (9.1) | Systematic Assessment |
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| Oedema peripheral | General disorders | MedDRA (9.1) | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA (9.1) | Systematic Assessment |
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| Bacteraemia | Infections and infestations | MedDRA (9.1) | Systematic Assessment |
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| Catheter related infection | Infections and infestations | MedDRA (9.1) | Systematic Assessment |
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| Cellulitis | Infections and infestations | MedDRA (9.1) | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA (9.1) | Systematic Assessment |
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| Sepsis | Infections and infestations | MedDRA (9.1) | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA (9.1) | Systematic Assessment |
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| Excoriation | Injury, poisoning and procedural complications | MedDRA (9.1) | Systematic Assessment |
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| Graft hemorrhage | Injury, poisoning and procedural complications | MedDRA (9.1) | Systematic Assessment |
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| Graft thrombosis | Injury, poisoning and procedural complications | MedDRA (9.1) | Systematic Assessment |
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| Wound dehiscence | Injury, poisoning and procedural complications | MedDRA (9.1) | Systematic Assessment |
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| Breath sounds abnormal | Investigations | MedDRA (9.1) | Systematic Assessment |
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| Dehydration | Metabolism and nutrition disorders | MedDRA (9.1) | Systematic Assessment |
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| Fluid overload | Metabolism and nutrition disorders | MedDRA (9.1) | Systematic Assessment |
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| Hyperkalemia | Metabolism and nutrition disorders | MedDRA (9.1) | Systematic Assessment |
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| Hypoglycemia | Metabolism and nutrition disorders | MedDRA (9.1) | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (9.1) | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (9.1) | Systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (9.1) | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (9.1) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (9.1) | Systematic Assessment |
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| Hypoaesthesia | Nervous system disorders | MedDRA (9.1) | Systematic Assessment |
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| Unresponsive to stimuli | Nervous system disorders | MedDRA (9.1) | Systematic Assessment |
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| Anxiety | Psychiatric disorders | MedDRA (9.1) | Systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA (9.1) | Systematic Assessment |
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| Mental status changes | Psychiatric disorders | MedDRA (9.1) | Systematic Assessment |
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| Anuria | Renal and urinary disorders | MedDRA (9.1) | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Pulmonary edema | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Rales | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Wheezing | Respiratory, thoracic and mediastinal disorders | MedDRA (9.1) | Systematic Assessment |
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| Erythema | Skin and subcutaneous tissue disorders | MedDRA (9.1) | Systematic Assessment |
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| Pruritis | Skin and subcutaneous tissue disorders | MedDRA (9.1) | Systematic Assessment |
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| Skin ulcer | Skin and subcutaneous tissue disorders | MedDRA (9.1) | Systematic Assessment |
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| Hematoma | Vascular disorders | MedDRA (9.1) | Systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA (9.1) | Systematic Assessment |
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| Hypotension | Vascular disorders | MedDRA (9.1) | Systematic Assessment |
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| Steal syndrome | Vascular disorders | MedDRA (9.1) | Systematic Assessment |
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| Thrombosis | Vascular disorders | MedDRA (9.1) | Systematic Assessment |
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| Venous stenosis | Vascular disorders | MedDRA (9.1) | Systematic Assessment |
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Due to an observed imbalance in the number of graft infections, enrollment in the 1-year study 012-VWAV06 was suspended at the recommendation of the DSMC. Many of the planned efficacy analyses did not occur as a result of this suspension.
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Trudy Estridge | Angiotech Pharmaceuticals | 604-221-7676 | testridge@angio.com |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D007676 | Kidney Failure, Chronic |
| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D051436 | Renal Insufficiency, Chronic |
| D051437 | Renal Insufficiency |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| >=65 years |
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| Male |
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