The eMESH 1 Feasibility Study

NCT ID: NCT01676376

Last Updated: 2015-02-19

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

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2020-06-30

Brief Summary

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Multi-center, dual cohort (randomized and single vessel) study designed to demonstrate feasibility, initial safety and performance of the Kips Bay Medical, Inc. eSVS® Mesh as an external vein support device for use over saphenous vein grafts during coronary artery bypass surgery. In the Randomized Cohort, each study subject will receive a SVG without Mesh (control) and a SVG with the eSVS Mesh (treatment). In the Single Vessel Cohort, each study subject will receive one SVG with the eSVS Mesh.

Detailed Description

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Conditions

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Atherosclerosis of Autologous Vein Coronary Artery Bypass Graft(s)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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eSVS Mesh treated saphenous vein graft

Each subject will be randomized to an eSVS Mesh treated SVG to the right or left coronary system.

Group Type ACTIVE_COMPARATOR

eSVS Mesh treated saphenous vein graft

Intervention Type DEVICE

During coronary artery bypass graft surgery, one SVG will be randomized to be treated with eSVS Mesh and implanted in the right or left coronary system.

Control saphenous vein graft

Each subject will be randomized to an untreated (no eSVS Mesh) SVG to the right or left coronary system.

Group Type SHAM_COMPARATOR

Control saphenous vein graft

Intervention Type OTHER

During coronary artery bypass graft surgery, one SVG will be randomized to be the control (no eSVS Mesh) and implanted in the right or left coronary system.

Single Vessel Treatment

Each subject with receive one SVG with eSVS Mesh either to the right or left coronary system.

Group Type ACTIVE_COMPARATOR

eSVS Mesh treated saphenous vein graft

Intervention Type DEVICE

During coronary artery bypass graft surgery, one SVG will be randomized to be treated with eSVS Mesh and implanted in the right or left coronary system.

Interventions

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eSVS Mesh treated saphenous vein graft

During coronary artery bypass graft surgery, one SVG will be randomized to be treated with eSVS Mesh and implanted in the right or left coronary system.

Intervention Type DEVICE

Control saphenous vein graft

During coronary artery bypass graft surgery, one SVG will be randomized to be the control (no eSVS Mesh) and implanted in the right or left coronary system.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Randomized Cohort: Requires CABG surgery with a SVG to the right coronary artery (RCA) system AND the left circumflex artery (LCX) system with a ≥ 70% stenosis in each of the two systems.
* Single Vessel Cohort: Requires CABG surgery with a SVG to the RCA system or the LCX system with a \> 70% stenosis in the system.
* Medial sternotomy with cardiopulmonary bypass (CPB) during surgery.
* Both saphenous vein graft length are adequate for planned intervention, vein outer diameter is between 3.6 mm and 7.0 mm and double wall thickness less than 1.4 mm.
* Agreement to post-procedure follow-up contact and testing (including follow-up coronary angiogram).

Exclusion Criteria

* Concomitant non-CABG cardiac procedure.
* Prior cardiac surgery (does not include percutaneous procedures).
* Cerebrovascular or transient ischemia attack within 30 days of the CABG procedure.
* Age \> 85 years.
* Left ventricular ejection fraction ≤ 35%.
* Creatinine \> 133 μmol/L (1.5 mg/dL) prior to CABG procedure or on chronic dialysis.
* STEMI within 7 days or total CK \> 2 times the upper limit of normal prior to the CABG procedure.
* Both enrolled grafts will feed non-viable myocardial territory.
* Diffuse atherosclerotic disease (\> 70%) distal to either of the enrolled target coronary arteries.
* Randomized Cohort: By visual estimate, the target coronary artery diameter of both the right coronary system and left circumflex system must be within 1.5mm of each other.
* Planned endarterectomy of the target coronary artery.
Minimum Eligible Age

21 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kips Bay Medical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lars Englberger, MD

Role: PRINCIPAL_INVESTIGATOR

University of Bern

John Puskas, MD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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Emory University Hospital Midtown

Atlanta, Georgia, United States

Site Status RECRUITING

Northeast Georgia Heart Center

Gainesville, Georgia, United States

Site Status RECRUITING

Mayo Clinic / St. Mary's Hospital

Rochester, Minnesota, United States

Site Status RECRUITING

The Valley Hospital

Ridgewood, New Jersey, United States

Site Status RECRUITING

Lenox Hill Hospital

New York, New York, United States

Site Status RECRUITING

General University Hospital

Prague, , Czechia

Site Status RECRUITING

Hospital na Homolce

Prague, , Czechia

Site Status RECRUITING

University Hospital Kralovske Vinohrady

Prague, , Czechia

Site Status ACTIVE_NOT_RECRUITING

C.H.U. Dupuytren

Limoges, , France

Site Status RECRUITING

Bordeaux University Hospital

Pessac, , France

Site Status RECRUITING

Lancisi Hospital

Ancona, , Italy

Site Status RECRUITING

Heart Hospital - G. Monasterio Tuscany Foundation for Health & Research

Massa, , Italy

Site Status RECRUITING

Catharina Ziekenhuis

Eindhoven, , Netherlands

Site Status RECRUITING

University Hospital of Bern

Bern, , Switzerland

Site Status RECRUITING

Royal Brompton Hospital

London, , United Kingdom

Site Status RECRUITING

Countries

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United States Czechia France Italy Netherlands Switzerland United Kingdom

Central Contacts

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Rebecca Wetterling

Role: CONTACT

763-235-3540

Facility Contacts

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Kimberly Michel, RN

Role: primary

201-447-8000 ext. 2745

Nirav Patel, MD

Role: primary

Jaroslav Lindner, MD

Role: primary

+420 224 962 709

Ivo Skalsky, MD

Role: primary

+420257273209

Giuseppe Rescigno, MD

Role: primary

Other Identifiers

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11016

Identifier Type: -

Identifier Source: org_study_id

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