Prevention of Vascular Access Graft Failure in Patients With Chronic Renal Failure Requiring Hemodialysis

NCT ID: NCT00086164

Last Updated: 2005-07-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2004-05-31

Brief Summary

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The purpose of this study is to determine the effect of recipient vein pretreatment of edifoligide (E2F Decoy), compared to placebo, on graft/recipient vein stenosis in polytetrafluoroethylene (PTFE) vascular access grafts placed for hemodialysis at 6 months after enrollment.

Detailed Description

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Conditions

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Hyperplasia Chronic Renal Failure

Keywords

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edifoligide E2F Decoy Chronic Renal failure hemodialysis AV Graft neointimal hyperplasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

DOUBLE

Interventions

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edifoligide (E2F Decoy)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Be scheduled to undergo placement of a new straight or loop arm PTFE arteriovenous hemodialysis access graft or a Vectragraft® (Thoratec, Inc.)
* Be currently receiving chronic dialysis or be expected to begin hemodialysis within 4 weeks of placement of the index PTFE graft
* Have undergone an assessment of patency (such as venography) of central veins if any of the following conditions have occurred on the ipsilateral arm intended for graft placement: presence of collateral veins, upper extremity edema or increased size (relative to the contralateral arm), history of subclavian catheter, transvenous pacemaker, or history of trauma or surgery that may have involved the neck or chest veins
* Be \> 18 and \<80 years old
* Have a documented negative serum pregnancy test (for all women of childbearing potential)
* Be using an acceptable method of birth control if of reproductive potential and agree to continue using the birth control for at least 3 months following the graft procedure
* Have agreed to participate voluntarily and have signed and dated an IRB/EC approved, Patient Informed Consent form

Exclusion Criteria

* Have an intended recipient vein \>6 mm or \<3 mm in diameter
* Have a history of three or more previous PTFE grafts
* Have uncorrected central vein (including the subclavian vein) stenosis
* Have markedly diminished arterial pulses in the access location (unless adequate flow has been documented by arteriography or Doppler ultrasound)
* Anticipate receipt of a renal transplant within 6 months of enrollment into this study
* Have anticipated use of the index PTFE graft \<14 days after enrollment (this does not apply to Vectragraft®)
* Have a known allergy to iodinated contrast
* Have a known hypercoagulable state (e.g., antithrombin III deficiency; antiphospholipid or anticardiolipin antibodies; Factor V Leiden; circulating lupus anticoagulant; current, active, heparin-induced thrombocytopenia; Protein C or S deficiency; or a history of recurrent deep venous thrombosis not related to AV access)
* Have been in another investigational (i.e., nonapproved) drug or device study within the previous 30 days or prior participation in another clinical study with E2F Decoy
* Have been previously enrolled in this study for an earlier access graft
* Have any comorbid, nonrenal condition that makes 6-month survival questionable (e.g., end-stage cancer, advanced heart failure)
* Have a known or suspected history of drug or alcohol abuse within the previous 6 months
* Have a known allergy to any component of the investigational product (drug or device), including latex
Minimum Eligible Age

18 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Anesiva, Inc.

INDUSTRY

Sponsor Role lead

Locations

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National Institute of Clinical Research, American Medical Tower

Los Angeles, California, United States

Site Status

Outcomes Research International, Inc.

Hudson, Florida, United States

Site Status

University of Miami, School of Medicine

Miami, Florida, United States

Site Status

Tampa General Hospital

Tampa, Florida, United States

Site Status

LifeLink Transplant Institute

Tampa, Florida, United States

Site Status

Emory University, Renal Division

Atlanta, Georgia, United States

Site Status

University Transplant

Chicago, Illinois, United States

Site Status

Stoney Island Dialysis

Chicago, Illinois, United States

Site Status

Methodist Hospital, Tower Surgical

Indianapolis, Indiana, United States

Site Status

Vascular Surgery Associates

Baton Rouge, Louisiana, United States

Site Status

Tulane Center for Abdominal Transplant

New Orleans, Louisiana, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Thoracic & Cardiovascular Healthcare Foundation

Lansing, Michigan, United States

Site Status

St. Louis University, Division of Nephrology

St Louis, Missouri, United States

Site Status

NYU Medical Center

New York, New York, United States

Site Status

St. Luke's Hospital, Department of Surgery

New York, New York, United States

Site Status

University of Rochester, The Center for Vascular Disease

Rochester, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Surgical Education

Greenville, South Carolina, United States

Site Status

University of Utah School of Medicine, Dept of Surgery

Salt Lake City, Utah, United States

Site Status

Nephrology Clinical Research Center

Charlottesville, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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CGT003-05

Identifier Type: -

Identifier Source: org_study_id