Safety and Efficacy of Angiotech Vascular Wrap Paclitaxel-Eluting Mesh for Hemodialysis Vascular Access
Kidney Diseases, ESRD

About this trial
This is an interventional treatment trial for Kidney Diseases focused on measuring Hemodialysis Access
Eligibility Criteria
Inclusion Criteria:
- be ≥ 18 years of age;
- if female of childbearing potential, provide evidence of a negative pregnancy test within 3 days prior to graft placement (Day -3 to Day 0);
- be a candidate for a new end-to-side arteriovenous anastomosis graft placed in the upper extremity;
- have an outflow vein of greater than or equal to 3 mm in diameter;
- be able to effectively communicate with study personnel;
- be considered by the physician to be available for subsequent visits;
- be willing to comply with all aspects of the treatment and evaluation schedule over a 52 week duration;
- 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;
- sign and date an IRB-approved written informed consent prior to initiation of any study procedures, including screening procedures;
- 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
- have the Lifespan® ePTFE Vascular Graft successfully implanted.
Exclusion Criteria:
- 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;
- 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;
- a central venous stenosis on the ipsilateral side is documented;
- a hypercoagulable state is documented;
- life expectancy is less than one year;
- an organ transplant is expected within 6 months of test or control product (study products) placement;
- hypersensitivity to any component of the study products or procedural materials or medications is known;
- concurrently involved in another investigational study;
- a study product being investigated by others has been received within 30 days prior to randomization in this trial;
- the study product being studied in this trial has previously been received;
- uncontrolled hypertension with systolic BP >200mmHg or diastolic BP >115mmHg is present at screening;
- currently receiving chemotherapy or radiation therapy; or
- placement of a new end-to-end arteriovenous anastomosis graft is required.
Sites / Locations
- Clinical Research Center
- Ladenheim, Inc.
- Centinela Hospital
- National Institute of Clinical Research
- USC CVTI - Healthcare Consultation II
- UCSD Medical Center
- Southern California Permanente Medical Group
- San Francisco VA Medical Center
- Florida Research Network, LLC
- Jacksonville Center for Clincal Research
- Discovery Medical Research Group
- Baptist Cancer Institute
- Southeastern Urological Center, P.A
- University of South Florida- Research Foundation
- Cardiothoracic and Vascular Surgery Associates
- Renal Care Associates
- Southern Illinois University
- Indiana University
- Washington County Hospital Association
- Michigan Vascular Research Center
- Thoracic and Cardiovascular Healthcare Foundation
- Biomedical Research Alliance of New York
- BRANY - Montefiore Medical Center
- Nephrology Associates P. C.
- St. Luke's Roosevelt Hospital Center
- Rex Hospital
- Clinical Research of Winston-Salem, Inc.
- University of Cincinnati Medical Center
- University of Toledo
- Health First Medical Group
- Texas Tech University Health Sciences Center
- Peripheral Vascular Associates
- The Wisconsin Heart Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Vascular Wrap and Graft
Lifespan® ePTFE Vascular 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.
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.