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Clinical Trials/NCT04627051
NCT04627051UnknownNot Applicable

A Prospective, Single-Centre Study Investigating the Clinical Use and Safety of the Jetstream Atherectomy With Drug Coated Balloon (Ranger) for the Treatment of Dysfunctional Arterio-Venous Graft Stenosis

University Health Network, Toronto2 sites in 1 country30 target enrollmentStarted: November 12, 2020Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Enrollment
30
Locations
2
Primary Endpoint
Target Lesion Primary Patency (TLPP) through 6 months

Study Overview

Brief Summary

This single-centre, single-arm, prospective study will enroll 30 subjects presenting with clinical and hemodynamic abnormalities in arteriovenous graft (AVG) in the arm. Subjects will be treated with the Jetstream™ atherectomy device and Ranger™ Drug Coated Balloons (DCB). Subjects will be followed up clinically via office visit or phone visit at 6 and 12 months post procedure. This study is to demonstrate safety and assess the clinical use and outcomes of the Jetstream ™atherectomy device and Ranger™ DCB for the treatment of dysfunctional AV graft.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Male or non-pregnant, non-breastfeeding female ≥18 years of age;
  • Subject is willing to provide informed consent, and is willing to comply with the protocol-required follow up visits;
  • Target lesion must be a mature arteriovenous graft presenting with any clinical, physiological or hemodynamic abnormalities warranting angiographic imaging as defined in the K/DOQI guidelines;
  • Subject has a target lesion at the venous anastomosis of the AVG;
  • Successful crossing of the stenosis;
  • Each lesion length is ≤20mm, which may include tandem lesions that are ≤20mm apart

Exclusion Criteria

  • Subject is currently participating in an investigational drug or device study which has not yet reached its primary endpoint or was previously enrolled into this study;
  • Subject has a non-controllable allergy to contrast;
  • Subject has more than 3 lesions in the access circuit requiring intervention;
  • Target lesion diameter >10mm;
  • A thrombosed access or an access with a thrombosis treated ≤30 days prior to the index procedure;
  • Prior surgical interventions of the access site ≤30 days before the index procedure;
  • Target lesion is located within a bare metal or covered stent.

Outcomes

Primary Outcomes

Target Lesion Primary Patency (TLPP) through 6 months

Time Frame: within 6 months post intervention

50% re-stenosis of the target lesion

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (2)

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