Safety and Efficacy of Angiotech Vascular Wrap Paclitaxel-Eluting Mesh for Hemodialysis Vascular Access

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00448708
Recruitment Status : Terminated (Due to an imbalance in graft infections between groups.)
First Posted : March 19, 2007
Results First Posted : November 17, 2011
Last Update Posted : November 17, 2011
Information provided by (Responsible Party):
Angiotech Pharmaceuticals

Brief Summary:

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

Condition or disease Intervention/treatment Phase
Kidney Diseases ESRD Device: Vascular Wrap Paclitaxel-Eluting Mesh Device: Lifespan® ePTFE Vascular Graft Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 222 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Trial to Assess the Effectiveness of Maintaining Patency and Safety of the Vascular Wrap Paclitaxel-Eluting Mesh After Surgical Implantation With the Lifespan® ePTFE Vascular Graft in the Upper Extremity for Hemodialysis Vascular Access
Study Start Date : March 2007
Actual Primary Completion Date : April 2009
Actual Study Completion Date : April 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Dialysis
Drug Information available for: Paclitaxel

Arm Intervention/treatment
Experimental: Vascular Wrap and Graft
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.
Device: Vascular Wrap Paclitaxel-Eluting Mesh
0.9 µg/mm^2 paclitaxel
Other Names:
  • Vascular Wrap
  • paclitaxel mesh

Device: Lifespan® ePTFE Vascular Graft
vascular graft

No Intervention: Lifespan® ePTFE Vascular Graft
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.
Device: Lifespan® ePTFE Vascular Graft
vascular graft

Primary Outcome Measures :
  1. Time-to-loss of Target Site Primary Patency [ Time Frame: 1 year ]
    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.

Secondary Outcome Measures :
  1. Adverse Events [ Time Frame: 1 year ]
    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.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. be ≥ 18 years of age;
  2. if female of childbearing potential, provide evidence of a negative pregnancy test within 3 days prior to graft placement (Day -3 to Day 0);
  3. be a candidate for a new end-to-side arteriovenous anastomosis graft placed in the upper extremity;
  4. have an outflow vein of greater than or equal to 3 mm in diameter;
  5. be able to effectively communicate with study personnel;
  6. be considered by the physician to be available for subsequent visits;
  7. be willing to comply with all aspects of the treatment and evaluation schedule over a 52 week duration;
  8. allow representatives of the sponsor, designated CRO, Institutional Review Board (IRB), the Ethics Committee, and U.S. Food and Drug Administration (FDA) to review his/her relevant medical records;
  9. sign and date an IRB-approved written informed consent prior to initiation of any study procedures, including screening procedures;
  10. must agree to participate in protocol 014-VWAV07, a safety study to run consecutively for an additional 4 years or until Post-Market Approval (PMA), whichever is longer; and
  11. have the Lifespan® ePTFE Vascular Graft successfully implanted.

Exclusion Criteria:

  1. pregnant, breast-feeding, or female of childbearing potential who do not agree to remain abstinent or to use a contraceptive method during the study period. Non-childbearing potential is defined as either post-menopausal (amenorrheic for at least 1 year) or surgically sterile. Surgically sterile is defined as tubal ligation or the absence of the uterus and/or ovaries;
  2. male of childbearing potential, who does not agree to remain abstinent or to use contraception to prevent fathering a child during the course of the study. Non-childbearing potential is defined as vasectomy or bilateral orchiectomy;
  3. a central venous stenosis on the ipsilateral side is documented;
  4. a hypercoagulable state is documented;
  5. life expectancy is less than one year;
  6. an organ transplant is expected within 6 months of test or control product (study products) placement;
  7. hypersensitivity to any component of the study products or procedural materials or medications is known;
  8. concurrently involved in another investigational study;
  9. a study product being investigated by others has been received within 30 days prior to randomization in this trial;
  10. the study product being studied in this trial has previously been received;
  11. uncontrolled hypertension with systolic BP >200mmHg or diastolic BP >115mmHg is present at screening;
  12. currently receiving chemotherapy or radiation therapy; or
  13. placement of a new end-to-end arteriovenous anastomosis graft is required.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00448708

  Hide Study Locations
United States, Alabama
Clinical Research Center
Birmingham, Alabama, United States, 35213
United States, California
Ladenheim, Inc.
Fresno, California, United States, 93710
Centinela Hospital
Inglewood, California, United States, 90301
National Institute of Clinical Research
Los Angeles, California, United States, 90017
USC CVTI - Healthcare Consultation II
Los Angeles, California, United States, 90033
UCSD Medical Center
San Diego, California, United States, 92109
Southern California Permanente Medical Group
San Diego, California, United States, 92120
San Francisco VA Medical Center
San Francisco, California, United States, 94121
United States, Florida
Florida Research Network, LLC
Gainsville, Florida, United States, 32605
Jacksonville Center for Clincal Research
Jacksonville, Florida, United States, 32216
Discovery Medical Research Group
Ocala, Florida, United States, 34471
Baptist Cancer Institute
Pensacola, Florida, United States, 32501
Southeastern Urological Center, P.A
Tallahassee, Florida, United States, 32308
University of South Florida- Research Foundation
Tampa, Florida, United States, 33606
United States, Georgia
Cardiothoracic and Vascular Surgery Associates
Macon, Georgia, United States, 31208
United States, Illinois
Renal Care Associates
Peoria, Illinois, United States, 61603
Southern Illinois University
Springfield, Illinois, United States, 62702
United States, Indiana
Indiana University
Indianapolis, Indiana, United States, 46202
United States, Maryland
Washington County Hospital Association
Hagerstown, Maryland, United States, 21740
United States, Michigan
Michigan Vascular Research Center
Flint, Michigan, United States, 48507
Thoracic and Cardiovascular Healthcare Foundation
Lansing, Michigan, United States, 48910
United States, New York
Biomedical Research Alliance of New York
Bronx, New York, United States, 10461
BRANY - Montefiore Medical Center
Bronx, New York, United States, 10467
Nephrology Associates P. C.
Flushing, New York, United States, 11355
St. Luke's Roosevelt Hospital Center
New York, New York, United States, 10025
United States, North Carolina
Rex Hospital
Raleigh, North Carolina, United States, 27606
Clinical Research of Winston-Salem, Inc.
Winston-Salem, North Carolina, United States, 27103
United States, Ohio
University of Cincinnati Medical Center
Cincinnati, Ohio, United States, 45206
University of Toledo
Toledo, Ohio, United States, 43615
United States, Texas
Health First Medical Group
Fort Worth, Texas, United States, 76135
Texas Tech University Health Sciences Center
Lubbock, Texas, United States, 79430
Peripheral Vascular Associates
San Antonio, Texas, United States, 78205
United States, Wisconsin
The Wisconsin Heart Hospital
Milwaukee, Wisconsin, United States, 53217
Sponsors and Collaborators
Angiotech Pharmaceuticals
Study Chair: Rui Avelar, MD Angiotech Pharmaceuticals

Responsible Party: Angiotech Pharmaceuticals Identifier: NCT00448708     History of Changes
Other Study ID Numbers: 012-VWAV06
First Posted: March 19, 2007    Key Record Dates
Results First Posted: November 17, 2011
Last Update Posted: November 17, 2011
Last Verified: October 2011

Keywords provided by Angiotech Pharmaceuticals:
Hemodialysis Access

Additional relevant MeSH terms:
Kidney Diseases
Urologic Diseases
Albumin-Bound Paclitaxel
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action