Trial Outcomes & Findings for HeRO Graft Compared to Permanent Catheters for End Stage Renal Disease (ESRD) Patients Receiving Hemodialysis (NCT NCT01343251)

NCT ID: NCT01343251

Last Updated: 2017-09-08

Results Overview

Compare mortality rate between study arms

Recruitment status

COMPLETED

Target enrollment

33 participants

Primary outcome timeframe

1 year

Results posted on

2017-09-08

Participant Flow

Participant milestones

Participant milestones
Measure
HeRO Graft
patients who are evaluated and receive a Hemodialysis Reliable Outflow (HeRO) graft implant for hemodialysis
Control
control group of non-HeRO patients who are evaluated but do not receive a HeRO graft for any reason
Overall Study
STARTED
16
17
Overall Study
COMPLETED
16
17
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

HeRO Graft Compared to Permanent Catheters for End Stage Renal Disease (ESRD) Patients Receiving Hemodialysis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HeRO Graft
n=16 Participants
patients who are evaluated and receive a HeRO graft implant for hemodialysis
Control
n=17 Participants
control group of non-HeRO patients who are evaluated but do not receive a HeRO graft for any reason
Total
n=33 Participants
Total of all reporting groups
Age, Continuous
56.69 years
STANDARD_DEVIATION 11.08 • n=5 Participants
63.12 years
STANDARD_DEVIATION 11.49 • n=7 Participants
60.00 years
STANDARD_DEVIATION 11.38 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
12 Participants
n=7 Participants
21 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants
17 participants
n=7 Participants
33 participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Compare mortality rate between study arms

Outcome measures

Outcome measures
Measure
HeRO Graft
n=16 Participants
HeRO Graft Recipients
Control
n=17 Participants
HeRO eligible patients who did not receive HeRO
Mortality
18.8 percentage of participants who died
29.4 percentage of participants who died

SECONDARY outcome

Timeframe: 1 year

Compare incidence of infection between study arms

Outcome measures

Outcome measures
Measure
HeRO Graft
n=16 Participants
HeRO Graft Recipients
Control
n=17 Participants
HeRO eligible patients who did not receive HeRO
Infection Rate (Percentage of Participants With at Least One Infection)
25.0 Percentage of Patients
64.7 Percentage of Patients

SECONDARY outcome

Timeframe: 1 year

Population: The number of completed tests varied by time point and study group. The number of completed tests for Test 1, Test 2, Test 3, and Test 4 was 14, 13, 10, and 8 for the HeRO Graft group and 17, 13, 7, and 4 for the Control group, respectively. Only completed tests were included in the analysis.

Compare the RAND Short Form (SF)-36 Health Survey, Total Test Scores at baseline, 3, 6, and 12 months between study arms. Total test scores range on a scale from 0-100, with the lower the score equating to more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability.The eight sections are: vitality, physical functioning, bodily pain, general health perceptions, physical role functioning, emotional role functioning, social role functioning, and mental health. The total score is calculated using a methodology described by the RAND Corporation, which assigns a recoded value to each survey item. Recoded items are averaged amongst scales and the total score is an average of the eight sections. (http://www.rand.org/content/dam/rand/www/external/health/surveys\_tools/mos/mos\_core\_36item\_scoring.pdf).

Outcome measures

Outcome measures
Measure
HeRO Graft
n=16 Participants
HeRO Graft Recipients
Control
n=17 Participants
HeRO eligible patients who did not receive HeRO
Quality of Life
Test 1 (Baseline)
58.06 units on a scale
Standard Deviation 25.49
51.30 units on a scale
Standard Deviation 28.78
Quality of Life
Test 2 (3 Months)
56.30 units on a scale
Standard Deviation 23.78
55.22 units on a scale
Standard Deviation 22.40
Quality of Life
Test 3 (6 Months)
58.44 units on a scale
Standard Deviation 22.08
53.53 units on a scale
Standard Deviation 23.49
Quality of Life
Test 4 (12 Months)
60.41 units on a scale
Standard Deviation 18.06
20.14 units on a scale
Standard Deviation 4.67

SECONDARY outcome

Timeframe: 1 year

Compare vascular intervention rates between study arms. The vascular interventions which were included were: Angioplasty, Thrombectomy, Arteriovenous (AV) Fistulogram/Diagnostic Angiogram, Banding, Access Removal, Access Exchange, Access Revision, Creation of New Access, and any combination of these interventions which were performed simultaneously.

Outcome measures

Outcome measures
Measure
HeRO Graft
n=16 Participants
HeRO Graft Recipients
Control
n=17 Participants
HeRO eligible patients who did not receive HeRO
Intervention Rate (Percentage of Participants Who Required at Least One Intervention While on Study)
93.8 percentage of participants
64.7 percentage of participants

SECONDARY outcome

Timeframe: 1 year

Compare incidence of hospitalization (for any reason) between study arms. Reasons for hospitalizations included: infection, cardiac problems, bleeding, vascular access thrombosis, fall (injury), hematuria, fluid overload, peripheral neuropathy, pulmonary embolism, edema, and shortness of breath.

Outcome measures

Outcome measures
Measure
HeRO Graft
n=16 Participants
HeRO Graft Recipients
Control
n=17 Participants
HeRO eligible patients who did not receive HeRO
Hospitalization Rate (Percentage of Participants Who Were Hospitalized at Least Once While on Study)
62.5 Percentage of patients
64.7 Percentage of patients

Adverse Events

HeRO Graft

Serious events: 16 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 15 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
HeRO Graft
n=16 participants at risk
HeRO Graft recipients
Control
n=17 participants at risk
HeRO eligible patients who did not receive a HeRO Graft
Blood and lymphatic system disorders
Bleeding
12.5%
2/16 • Number of events 2 • 1 year
0.00%
0/17 • 1 year
Blood and lymphatic system disorders
Pulmonary Embolism
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/17 • 1 year
Cardiac disorders
Arteriosclerotic Heart Disease
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/17 • 1 year
Cardiac disorders
Chest Pain
6.2%
1/16 • Number of events 1 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
Cardiac disorders
Congestive Heart Failure
0.00%
0/16 • 1 year
11.8%
2/17 • Number of events 3 • 1 year
Cardiac disorders
Pulmonary Hypertension
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/17 • 1 year
Cardiac disorders
Syncope
0.00%
0/16 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
Gastrointestinal disorders
GI Bleeding
0.00%
0/16 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
Cardiac disorders
Death-Cardiac Arrest
0.00%
0/16 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
Infections and infestations
Death-Sepsis
0.00%
0/16 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
General disorders
Death-Unknown Cause
18.8%
3/16 • Number of events 3 • 1 year
17.6%
3/17 • Number of events 3 • 1 year
Infections and infestations
Infection
37.5%
6/16 • Number of events 11 • 1 year
70.6%
12/17 • Number of events 18 • 1 year
Injury, poisoning and procedural complications
Injury-Fall
6.2%
1/16 • Number of events 1 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
Nervous system disorders
Peripheral Neuropathy
0.00%
0/16 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
Renal and urinary disorders
Fluid Overload
6.2%
1/16 • Number of events 2 • 1 year
0.00%
0/17 • 1 year
Renal and urinary disorders
Hematuria
0.00%
0/16 • 1 year
5.9%
1/17 • Number of events 2 • 1 year
Respiratory, thoracic and mediastinal disorders
Hemoptysis
0.00%
0/16 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Shortness of Breath
0.00%
0/16 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
Vascular disorders
Access Creation
0.00%
0/16 • 1 year
17.6%
3/17 • Number of events 3 • 1 year
Vascular disorders
Access Exchange
6.2%
1/16 • Number of events 2 • 1 year
23.5%
4/17 • Number of events 9 • 1 year
Vascular disorders
Access Explant
12.5%
2/16 • Number of events 3 • 1 year
0.00%
0/17 • 1 year
Vascular disorders
Access Revision
6.2%
1/16 • Number of events 1 • 1 year
5.9%
1/17 • Number of events 1 • 1 year
Vascular disorders
Graft Swelling
6.2%
1/16 • Number of events 1 • 1 year
0.00%
0/17 • 1 year
Vascular disorders
Intervention to Restore Patency
75.0%
12/16 • Number of events 35 • 1 year
23.5%
4/17 • Number of events 5 • 1 year
Vascular disorders
Pseudoaneurysm
12.5%
2/16 • Number of events 2 • 1 year
0.00%
0/17 • 1 year

Other adverse events

Adverse event data not reported

Additional Information

Dr. Robert Provenzano

St John Hospital and Medical Center

Phone: 313-886-8787

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place