ARISTOCRAT-A Randomized Controlled Trial Evaluating Closure Following Access With the AXERA (Device Name) 2 Access System

NCT ID: NCT02061696

Last Updated: 2018-05-23

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2016-01-31

Brief Summary

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The goal of the research study is to observe the clinical safety, effectiveness and patient satisfaction of the AXERA 2 Access System in subjects undergoing coronary angiographic and possible Percutaneous Coronary Intervention (PCI) through the femoral artery when compared to standard manual compression.

Detailed Description

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The study is a single center 1:1 randomized controlled trial in subjects undergoing coronary angiography and PCI.

It is anticipated that the enrollment period for this study will be two years.

The post procedure follow up period is up to 37 days following the procedure.

Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Standard Manual Compression

Standard manual compression at the access site applied as per standard of care protocol for sheath removal.

Group Type ACTIVE_COMPARATOR

Standard Manual Compression

Intervention Type PROCEDURE

Closure procedure by Manual Compression

AXERA 2 Access System

The Vascular Access device used is the AXERA 2 Access System for patients randomized to this arm.

Group Type ACTIVE_COMPARATOR

Vascular Access Device

Intervention Type DEVICE

AXERA 2 Access System with Reduced Manual Compression

Interventions

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Vascular Access Device

AXERA 2 Access System with Reduced Manual Compression

Intervention Type DEVICE

Standard Manual Compression

Closure procedure by Manual Compression

Intervention Type PROCEDURE

Other Intervention Names

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AXERA 2 Access System

Eligibility Criteria

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Inclusion Criteria

* Subject is between 18 and 85 years of age.
* Cardiac catheterization procedure is indicated with involving access through a 5 French (F) or 6 French (F) introducer in the femoral artery.
* Subject is able to ambulate without assistance prior to the procedure and can be expected to ambulate (20 feet) post-procedure.
* Subject or legally authorized representative has signed informed consent.

Exclusion Criteria

* Subject is unable to routinely 20 feet without assistance (e.g. requires a walker or wheelchair to mobilize or has paralysis)
* Subject has an active systemic or cutaneous infection or inflammation (e.g. (septicemia at the time of the procedure).
* Subject undergoing emergent or urgent cardiac catheterization for acute myocardial infarction.
* Extensive calcification of the femoral artery as see on fluoroscopy.
* Subject has systemic hypertension unresponsive to treatment (\>180mm Hg systolic and \>110mm Hg diastolic).
* Subject has received thrombolytic therapy within the 72 hours prior to catheterization.
* Subject has known bleeding disorder,such as Factor 5 deficiency, Idiopathic thrombocytopenic purpura (ITP), thrombasthenia, Von Willebrand's disease.
* Is on warfarin with an International Ratio (INR)\>1.5.
* Platelet count is \< 100,000.
* Anemia (Hemoglobin \<10 g/dl or Hematocrit\<30%).
* Subject has compromised femoral artery access site.
* Subject procedure requires an introducer sheath size of \> 6 French (F).
* Subject has had prior vascular surgery or vascular grafts at the femoral artery access site.
* Subject presents with hemodynamic instability or is in need of emergent surgery.
* Subject has received femoral artery closure on the target access vessel with a collagen/PEG closure device within 90 days.
* Subject has a pre-existing severe non-cardiac systemic disease or illness that results in an expected life expectancy of \< 1 year.
* Subject is participating in an investigational drug or another device research study that interferes with the current research study endpoints.
* Pregnant or lactating subjects.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Borgess Medical Center

UNKNOWN

Sponsor Role collaborator

Borgess Cardiology Group

UNKNOWN

Sponsor Role collaborator

Borgess Heart Center for Excellence

UNKNOWN

Sponsor Role collaborator

Frank Saltiel

OTHER

Sponsor Role lead

Responsible Party

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Frank Saltiel

Borgess Heart Institute, Chairman

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Frank Saltiel, MD

Role: PRINCIPAL_INVESTIGATOR

Chairman, Borgess Heart Institute

Locations

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Borgess Medical Center

Kalamazoo, Michigan, United States

Site Status

Countries

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United States

References

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Turi ZG, Wortham DC, Sampognaro GC, Kresock FD, Held JS, Smith RD, Veerina KK, Hinohara T, Kaki A. Use of a novel access technology for femoral artery catheterization: results of the RECITAL trial. J Invasive Cardiol. 2013 Jan;25(1):13-8.

Reference Type BACKGROUND
PMID: 23293169 (View on PubMed)

Other Identifiers

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BRI-001

Identifier Type: -

Identifier Source: org_study_id

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