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Company acquisition
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Prospective, multi-center study to evaluate the everlinQ endoAVF System when used to create an endovascular arteriovenous fistula (endoAVF) for patients who require vascular access for hemodialysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| endoAVF | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| everlinQ endoAVF System | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| Participants With Primary Patency of the endoAVF at 6 Months Post-Index Procedure | Primary patency was defined in this study as "The interval from the time of access placement until any intervention designed to maintain or re-establish patency, access thrombosis, access abandonment, or the time of measurement of patency". | endoAVF creation through 6 months |
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| Measure | Description | Time Frame |
|---|---|---|
| Participants With Assisted Primary Patency of the endoAVF at 6 Months Post-Index Procedure | Assisted Primary Patency was defined in this study as "The interval from access placement to thrombosis or abandonment; not triggered by access circuit interventions performed in the absence of occlusion". | endoAVF creation through 6 Months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nicholas Inston, MD | University Hospitals Birmingham NHS | Principal Investigator |
| Thomas Schmitz-Rixen, MD | Univerisity of Frankfurt, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Providence Health Care Society | Vancouver | British Columbia | V6Z 2K5 | Canada | ||
| University Hospital Carl Gustav Carus |
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The everlinQ endoAVF Post Market Study began enrollment on September 20th 2016 and the last patient was enrolled on January 17th 2019.
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| ID | Title | Description |
|---|---|---|
| FG000 | endoAVF | everlinQ endoAVF System: The everlinQ device is a single-use disposable device. The everlinQ catheter system consists of two flexible, magnetic catheters. Once the catheters are properly inserted and aligned, the magnets contained in each catheter attract to one another, approximating the vessels while simultaneously aligning the electrode with the backstop. Radiofrequency (RF) energy is delivered to the electrode whereby the arterio-venous fistula (AVF) is created. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | endoAVF | everlinQ endoAVF System: The everlinQ device is a single-use disposable device. The everlinQ catheter system consists of two flexible, magnetic catheters. Once the catheters are properly inserted and aligned, the magnets contained in each catheter attract to one another, approximating the vessels while simultaneously aligning the electrode with the backstop. RF energy is delivered to the electrode whereby the arterio-venous fistula (AVF) is created. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Participants With Primary Patency of the endoAVF at 6 Months Post-Index Procedure | Primary patency was defined in this study as "The interval from the time of access placement until any intervention designed to maintain or re-establish patency, access thrombosis, access abandonment, or the time of measurement of patency". | Posted | Number | percentage of participants | endoAVF creation through 6 months |
|
Adverse events were reported from index procedure through the study follow-up period. Data is reported through 6 months.
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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 | endoAVF | everlinQ endoAVF System: The everlinQ device is a single-use disposable device. The everlinQ catheter system consists of two flexible, magnetic catheters. Once the catheters are properly inserted and aligned, the magnets contained in each catheter attract to one another, approximating the vessels while simultaneously aligning the electrode with the backstop. Radiofrequency (RF) energy is delivered to the electrode whereby the arterio-venous fistula (AVF) is created. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Stenosis | Vascular disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Thrombosis | Vascular disorders | Systematic Assessment |
The study was discontinued prior completion due to company acquisition. Therefore, the full analysis was completed at the 6-month time point for all remaining participants.
Data collection and data management was completed by a third party contractor independent of the sponsor. Statistical analysis was completed per protocol by an independent statistician.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Courtney Rothwell, Clinical Project Manager | BD Peripheral Intervention | 602-830-5544 | courtney.rothwell@bd.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 6, 2018 | Aug 18, 2021 | Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| Participants With Secondary Patency of the endoAVF at 6 Months Post-Index Procedure |
Secondary Patency in this study was defined as "The interval from the time of access placement until access abandonment, loss to thrombosis, or the time of patency measurement including intervening manipulations (surgical or endovascular interventions) designed to re-establish functionality in thrombosed access". |
| endoAVF creation through 6 Months |
| Participants With Functional Patency of the endoAVF at 6 Months Post-Index Procedure | Functional Patency in this study was defined as "The interval of time from the first 2-needle dialysis utilizing the access until access abandonment". | endoAVF creation through 6 Months |
| Number of Days Post-Index Procedure for Participants to Achieve Successful Cannulation of the endoAVF | The time (number of days) from the index procedure (successful endoAVF creation) to the first use of the endoAVF. This endpoint is evaluated per participant rather than at specific time points. | endoAVF creation to cannulation |
| Number of Participants With Procedural Success at the Index Procedure | The successful creation of an endoAVF with blood flow confirmed intraoperatively by fistulography or by duplex ultrasound postoperatively. This outcome measure is assessed at the time of the endoAVF creation. | endoAVF creation |
| Number of Participants With Interventions Occurring During the Index Procedure (Adjunctive Procedures) | The endoAVF-related interventions include:
This outcome measure is assessed at the time of the endoAVF creation. | endoAVF creation |
| Number of Participants With Interventions Occurring After the Index Procedure (Reinterventions) | The endoAVF-related interventions include:
| endoAVF creation through 6 Months |
| Participants in Which endoAVF Maturation Was Achieved | Total time from successful endoAVF creation to one of the following:
Note: 63 participants completed the 6-month visit. Participants who did not receive a duplex ultrasound and have not yet successfully dialyzed using 2 needle cannulation are not counted for this endpoint. | endoAVF creation through 6 months |
| Number of Participants That Were Not on Dialysis at endoAVF Creation and Are Central Venous Catheter (CVC) Free at Indicated Time Points | Number of participants that were not on dialysis at endoAVF creation and are central venous catheter (CVC) free at indicated time points. | endoAVF creation through 6 Months |
| Number of Participants That Experienced Device-related Serious Adverse Events Through 6 Months Post-Index Procedure | AE that:
| endoAVF creation through 6 Months |
| Number of Participants That Experienced Procedure-related Serious Adverse Events Through 6 Months Post-Index Procedure | AE that:
| endoAVF creation through 6 Months |
| Dresden |
| Germany |
| Dominikus Hospital | Düsseldorf | Germany |
| University of Frankfurt | Frankfurt | Germany |
| University of Leipzig | Leipzig | Germany |
| University of Mannheim | Mannheim | Germany |
| St. Franziskus-Hospital Münster | Münster | Germany |
| Oxford University Hospitals - NHS Foundation Trust | Headington | Oxford | OX3 9DU | United Kingdom |
| University Hospitals Birmingham | Birmingham | United Kingdom |
| St. George's University | London | United Kingdom |
| Manchester University NHS Foundation Trust | Manchester | M13 9WL | United Kingdom |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m^2 |
|
| EndoAVF Device | This baseline measure describes the everlinQ endoAVF device selected by the physician for the participant's index procedure. Two different size devices were used within this study: the 4 French version and the 6 French version. | Count of Participants | Participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Other Pre-specified | Participants With Assisted Primary Patency of the endoAVF at 6 Months Post-Index Procedure | Assisted Primary Patency was defined in this study as "The interval from access placement to thrombosis or abandonment; not triggered by access circuit interventions performed in the absence of occlusion". | Posted | Number | percentage of participants | endoAVF creation through 6 Months |
|
|
|
| Other Pre-specified | Participants With Secondary Patency of the endoAVF at 6 Months Post-Index Procedure | Secondary Patency in this study was defined as "The interval from the time of access placement until access abandonment, loss to thrombosis, or the time of patency measurement including intervening manipulations (surgical or endovascular interventions) designed to re-establish functionality in thrombosed access". | Posted | Number | percentage of participants | endoAVF creation through 6 Months |
|
|
|
| Other Pre-specified | Participants With Functional Patency of the endoAVF at 6 Months Post-Index Procedure | Functional Patency in this study was defined as "The interval of time from the first 2-needle dialysis utilizing the access until access abandonment". | Posted | Number | percentage of participants | endoAVF creation through 6 Months |
|
|
|
| Other Pre-specified | Number of Days Post-Index Procedure for Participants to Achieve Successful Cannulation of the endoAVF | The time (number of days) from the index procedure (successful endoAVF creation) to the first use of the endoAVF. This endpoint is evaluated per participant rather than at specific time points. | Only participants remaining in the study that were on dialysis can be counted for this endpoint. | Posted | Median | Inter-Quartile Range | days | endoAVF creation to cannulation |
|
|
|
| Other Pre-specified | Number of Participants With Procedural Success at the Index Procedure | The successful creation of an endoAVF with blood flow confirmed intraoperatively by fistulography or by duplex ultrasound postoperatively. This outcome measure is assessed at the time of the endoAVF creation. | Posted | Count of Participants | Participants | endoAVF creation |
|
|
|
| Other Pre-specified | Number of Participants With Interventions Occurring During the Index Procedure (Adjunctive Procedures) | The endoAVF-related interventions include:
This outcome measure is assessed at the time of the endoAVF creation. | Posted | Count of Participants | Participants | endoAVF creation |
|
|
|
| Other Pre-specified | Number of Participants With Interventions Occurring After the Index Procedure (Reinterventions) | The endoAVF-related interventions include:
| Posted | Count of Participants | Participants | endoAVF creation through 6 Months |
|
|
|
| Other Pre-specified | Participants in Which endoAVF Maturation Was Achieved | Total time from successful endoAVF creation to one of the following:
Note: 63 participants completed the 6-month visit. Participants who did not receive a duplex ultrasound and have not yet successfully dialyzed using 2 needle cannulation are not counted for this endpoint. | Posted | Count of Participants | Participants | endoAVF creation through 6 months |
|
|
|
| Other Pre-specified | Number of Participants That Were Not on Dialysis at endoAVF Creation and Are Central Venous Catheter (CVC) Free at Indicated Time Points | Number of participants that were not on dialysis at endoAVF creation and are central venous catheter (CVC) free at indicated time points. | Posted | Count of Participants | Participants | endoAVF creation through 6 Months |
|
|
|
| Other Pre-specified | Number of Participants That Experienced Device-related Serious Adverse Events Through 6 Months Post-Index Procedure | AE that:
| Posted | Count of Participants | Participants | endoAVF creation through 6 Months |
|
|
|
| Other Pre-specified | Number of Participants That Experienced Procedure-related Serious Adverse Events Through 6 Months Post-Index Procedure | AE that:
| Posted | Count of Participants | Participants | endoAVF creation through 6 Months |
|
|
|
| Post-Hoc | Dialysis Status | This outcome measure references the participant's dialysis status throughout the study. Participants who began dialysis during the study and participants who were not on dialysis through the end of the study were not on dialysis at baseline. | Posted | Number | participants | endoAVF creation through 6 months |
|
|
|
| 3 |
| 100 |
| 24 |
| 100 |
| 7 |
| 100 |
| Pseudoaneurysm | Vascular disorders | Systematic Assessment |
|
| Bruising/Hematoma | Blood and lymphatic system disorders | Systematic Assessment |
|
| Thrombosis | Vascular disorders | Systematic Assessment |
|
| Compartment Syndrome | Blood and lymphatic system disorders | Systematic Assessment |
|
| Closure Device Embolization | Blood and lymphatic system disorders | Systematic Assessment |
|
| Infection | Infections and infestations | Systematic Assessment |
|
| Numbness | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Allergic Reaction | Immune system disorders | Systematic Assessment |
|
| Myocardial Infarction | Cardiac disorders | Systematic Assessment |
|
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| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Title | Measurements |
|---|---|
|
| Thrombectomy |
|
| Thrombolytic Therapy |
|
| Transposition |
|
| Creation of Surgical AVF/Graft |
|
| Other |
|
| Participants with ≥1 Adjunctive Procedures |
|
| Title | Measurements |
|---|---|
|
| Superficialization (Maturation) |
|
| Coiling (Maturation) |
|
| Total Maintenance Interventions |
|
| PTA (Maintenance) |
|
| Stent Placement (Maintenance) |
|
| Thrombolysis (Maintenance) |
|
| Title | Measurements |
|---|---|
|