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The Pristine Post-Market Study

Primary Purpose

Kidney Failure, Chronic, Hemodialysis Complication, Hemodialysis Catheter Infection

Status
Terminated
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Pristine™ Long-Term Hemodialysis Catheter
Sponsored by
C. R. Bard
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Kidney Failure, Chronic focused on measuring Kidney Replacement Therapy, Hemodialysis, Vascular Access

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. The participant or legally designated representative must voluntarily sign and date the approved Informed Consent Form (ICF) prior to collection of study-specific data or performance of study-specific procedures.
  2. The participant must be willing and able to comply with protocol requirements, including all study visits and procedures.
  3. The participant must be either a male or non-pregnant female ≥18 years of age.
  4. The participant must have a diagnosis of End Stage Renal Disease with indication for a tunneled dialysis catheter creation.
  5. Participant must require chronic hemodialysis treatments 3 times per week with intended use of the Pristine™ Long-Term Hemodialysis Catheter.
  6. The participant meets the indications for hemodialysis use and does not meet any of the contraindications per the Pristine Instructions for Use (IFU).
  7. The participant must have a patent jugular vein or subclavian vein.

Exclusion Criteria:

  1. The participant has known central venous stenosis
  2. Based on the local primary investigator's discretion, the patient would not be an appropriate study candidate.
  3. The participant has already undergone an AVF or AVG procedure and is awaiting maturation.
  4. The participant has an active infection at the time of study enrollment.
  5. The participant has a presence of bacteremia or infection within 7 days prior to enrollment.
  6. The participant has a history neutropenia or a history of severe immunodeficiency disease.
  7. The participant has uncontrolled abnormal coagulation parameters and are at additional risk for clotting or excessive bleeding at time of enrollment per physicians opinion.
  8. The participant has a known allergy, intolerance or sensitivity to heparin, or previous incidence of heparin-induced thrombocytopenia.
  9. The participant has a known allergy or hypersensitivity to any of the device materials or Ethylene oxide (EtO).
  10. The participant has another medical condition or treatment, which in the opinion of the investigator, the participant may be non-compliant with the protocol, confound the data interpretation, or is associated with a life expectancy insufficient to allow for completion of study procedures and follow-up.
  11. The participant is currently participating in an investigational drug or another device study that has not completed the study treatment or that clinically interferes with the study endpoints. Note: Studies requiring extended follow-up visits for products that were investigational but have since become commercially available, are not considered investigational studies.

Sites / Locations

  • Trinity Research Group LLC
  • Yale University
  • Louisiana State University Health Shreveport Medical Center
  • Henry Ford Health System
  • North Carolina Nephrology, PA
  • JML Research Associates

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Pristine™ Long-Term Hemodialysis Catheter

Arm Description

The Pristine™ Long-Term Hemodialysis Catheter is a chronic hemodialysis catheter consisting of a dual lumen radiopaque shaft with a pre-formed split tip, which enables long-term vascular access for hemodialysis. The device is intended to be used in patients suffering from chronic kidney disease. The Pristine™ Catheter will be placed according to the Instructions for Use (IFU).

Outcomes

Primary Outcome Measures

Overall Complication Rate of the Pristine™ Catheter
The combined Primary Endpoint is the overall rate of infectious complications and non-infectious complications requiring revision to maintain patency and improve access performance, evaluated against a performance goal (PG) derived from the Dialysis Outcomes and Practice Patterns Study (DOPPS) data.

Secondary Outcome Measures

Rate of freedom from catheter-related bloodstream infection (CRBSI)
Defined by 2019 KDOQI Guidelines for CRBSI.
Rate of freedom from Device and/or Procedure-related adverse events
Rate of Technical Success
Defined as the successful placement of the Pristine™ Long-Term Hemodialysis Catheter
Overall Participant Survival Rate
Defined as the proportion of participants that have not died from any catheter related complication.
Overall Catheter Survival Rate
Defined as the proportion of Pristine™ Catheters that have not been removed for any cause.
Overall Patency Rate
Defined as the Pristine™ catheter having the ability to achieve a mean dialysis blood flow of ≥300mL/min without need for additional interventions.

Full Information

First Posted
January 27, 2022
Last Updated
November 28, 2022
Sponsor
C. R. Bard
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1. Study Identification

Unique Protocol Identification Number
NCT05228132
Brief Title
The Pristine Post-Market Study
Official Title
A Prospective, Multi-Center, Single-Arm Clinical Study of the Pristine™ Long-Term Hemodialysis Catheter
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Terminated
Why Stopped
Terminated due to considerable changes in the clinical landscape post Covid-19, leading to difficulties executing the study.
Study Start Date
May 16, 2022 (Actual)
Primary Completion Date
September 21, 2022 (Actual)
Study Completion Date
September 21, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
C. R. Bard

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a prospective, multi-center, single-arm study designed to assess the safety and performance of the Pristine™ Long-Term Hemodialysis Catheter.
Detailed Description
A total of 142 patients will be enrolled and have the Pristine™ Long-Term Hemodialysis Catheter placed. Under the current enrollment assumptions, up to 15 investigational sites in the United States (US) will participate. Eligible participants will have End Stage Renal Disease requiring hemodialysis through a tunneled dialysis catheter. Follow-up for all enrolled participants will be performed at 1-month, 3-months, 6-months, and 12-months post-Index Procedure.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Kidney Failure, Chronic, Hemodialysis Complication, Hemodialysis Catheter Infection, Hemodialysis Access Failure, Central Venous Catheter Related Bloodstream Infection, End Stage Renal Disease
Keywords
Kidney Replacement Therapy, Hemodialysis, Vascular Access

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
7 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pristine™ Long-Term Hemodialysis Catheter
Arm Type
Experimental
Arm Description
The Pristine™ Long-Term Hemodialysis Catheter is a chronic hemodialysis catheter consisting of a dual lumen radiopaque shaft with a pre-formed split tip, which enables long-term vascular access for hemodialysis. The device is intended to be used in patients suffering from chronic kidney disease. The Pristine™ Catheter will be placed according to the Instructions for Use (IFU).
Intervention Type
Device
Intervention Name(s)
Pristine™ Long-Term Hemodialysis Catheter
Intervention Description
Placement of the Pristine™ Long-Term Hemodialysis Catheter Placement.
Primary Outcome Measure Information:
Title
Overall Complication Rate of the Pristine™ Catheter
Description
The combined Primary Endpoint is the overall rate of infectious complications and non-infectious complications requiring revision to maintain patency and improve access performance, evaluated against a performance goal (PG) derived from the Dialysis Outcomes and Practice Patterns Study (DOPPS) data.
Time Frame
At 3 months post index procedure.
Secondary Outcome Measure Information:
Title
Rate of freedom from catheter-related bloodstream infection (CRBSI)
Description
Defined by 2019 KDOQI Guidelines for CRBSI.
Time Frame
At 1-month, 3-months, 6-months, and 12 months post-index procedure.
Title
Rate of freedom from Device and/or Procedure-related adverse events
Time Frame
At 1-month, 3-months, 6-months, and 12 months post-index procedure.
Title
Rate of Technical Success
Description
Defined as the successful placement of the Pristine™ Long-Term Hemodialysis Catheter
Time Frame
At 1-month, 3-months, 6-months, and 12 months post-index procedure.
Title
Overall Participant Survival Rate
Description
Defined as the proportion of participants that have not died from any catheter related complication.
Time Frame
At 1-month, 3-months, 6-months, and 12 months post-index procedure.
Title
Overall Catheter Survival Rate
Description
Defined as the proportion of Pristine™ Catheters that have not been removed for any cause.
Time Frame
At 1-month, 3-months, 6-months, and 12 months post-index procedure.
Title
Overall Patency Rate
Description
Defined as the Pristine™ catheter having the ability to achieve a mean dialysis blood flow of ≥300mL/min without need for additional interventions.
Time Frame
At 1-month, 3-months, 6-months, and 12 months post-index procedure.
Other Pre-specified Outcome Measures:
Title
Kit Component Safety and Performance
Description
Defined as the overall rate of the catheter's procedure kit component complications from time of procedure to discharge.
Time Frame
At 1-month, 3-months, 6-months, and 12 months post-index procedure.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The participant or legally designated representative must voluntarily sign and date the approved Informed Consent Form (ICF) prior to collection of study-specific data or performance of study-specific procedures. The participant must be willing and able to comply with protocol requirements, including all study visits and procedures. The participant must be either a male or non-pregnant female ≥18 years of age. The participant must have a diagnosis of End Stage Renal Disease with indication for a tunneled dialysis catheter creation. Participant must require chronic hemodialysis treatments 3 times per week with intended use of the Pristine™ Long-Term Hemodialysis Catheter. The participant meets the indications for hemodialysis use and does not meet any of the contraindications per the Pristine Instructions for Use (IFU). The participant must have a patent jugular vein or subclavian vein. Exclusion Criteria: The participant has known central venous stenosis Based on the local primary investigator's discretion, the patient would not be an appropriate study candidate. The participant has already undergone an AVF or AVG procedure and is awaiting maturation. The participant has an active infection at the time of study enrollment. The participant has a presence of bacteremia or infection within 7 days prior to enrollment. The participant has a history neutropenia or a history of severe immunodeficiency disease. The participant has uncontrolled abnormal coagulation parameters and are at additional risk for clotting or excessive bleeding at time of enrollment per physicians opinion. The participant has a known allergy, intolerance or sensitivity to heparin, or previous incidence of heparin-induced thrombocytopenia. The participant has a known allergy or hypersensitivity to any of the device materials or Ethylene oxide (EtO). The participant has another medical condition or treatment, which in the opinion of the investigator, the participant may be non-compliant with the protocol, confound the data interpretation, or is associated with a life expectancy insufficient to allow for completion of study procedures and follow-up. The participant is currently participating in an investigational drug or another device study that has not completed the study treatment or that clinically interferes with the study endpoints. Note: Studies requiring extended follow-up visits for products that were investigational but have since become commercially available, are not considered investigational studies.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffrey Hoggard, MD
Organizational Affiliation
Raleigh Access Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Trinity Research Group LLC
City
Dothan
State/Province
Alabama
ZIP/Postal Code
36301
Country
United States
Facility Name
Yale University
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520
Country
United States
Facility Name
Louisiana State University Health Shreveport Medical Center
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71103
Country
United States
Facility Name
Henry Ford Health System
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Facility Name
North Carolina Nephrology, PA
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27610
Country
United States
Facility Name
JML Research Associates
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02906
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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The Pristine Post-Market Study

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