The Closer Trial: A Safety and Efficacy Study of the Rex Medical Vascular Sealing System

NCT ID: NCT02136004

Last Updated: 2017-10-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2015-02-28

Brief Summary

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The objective of this trial is to demonstrate the safety and effectiveness of the Rex Medical Closer Vascular Sealing System in sealing femoral arterial access sites.

Detailed Description

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The objective of the trial is to demonstrate the safety and effectiveness of the Rex Medical Closer Vascular Sealing System (VSS) in sealing femoral arterial access sites and providing reduced times to hemostasis (TTH) compared with performance goals at the completion of diagnostic or interventional procedures performed through 5, 6 or 7 Fr procedural sheaths. This study will be considered a success (from a statistical perspective) if it meets both the Closer VSS superiority goal for the primary effectiveness analysis and the Closer VSS performance goal for the primary safety analysis.

Conditions

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Surgical Wound

Keywords

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arteriotomy vessel closure femoral access site

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Closer VSS

Rex Medical Closer Vascular Sealing System to close femoral arteriotomy

Group Type EXPERIMENTAL

Closer VSS

Intervention Type DEVICE

At the end of a percutaneous endovascular procedure, the femoral arterial access site is closed with the Closer device to achieve arterial hemostasis.

Interventions

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Closer VSS

At the end of a percutaneous endovascular procedure, the femoral arterial access site is closed with the Closer device to achieve arterial hemostasis.

Intervention Type DEVICE

Other Intervention Names

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Rex Medical Closer TM Vascular Sealing System (VSS)

Eligibility Criteria

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Inclusion Criteria

1 - Acceptable candidates for an elective, non-emergent diagnostic or interventional endovascular procedure via the common femoral artery using a 5, 6, or 7 Fr introducer sheath.

\-

Exclusion Criteria

1. \- Significant bleeding diatheses or coagulopathy
2. \- Planned endovascular or surgical procedures within next 30 days
3. \- Planned ipsilateral femoral arteriotomy within next 90 days
4. \- Arteriotomy in ipsilateral groin within the past 30 days with any residual hematoma, significant bruising or vascular complication
5. \- Previous vessel closure device used in ipsilateral groin within the past 90 days
6. \- Previous vascular surgery or repair in the vicinity of the target access site
7. \- Severe peripheral vascular disease in the ipsilateral limb requiring surgical or endovascular treatment within the pervious 30 days or next 30 days
8. \- Existing nerve damage in ipsilateral limb
9. \- Extreme morbid obesity (BMI \> 4 kg/m2)

10. \- Use of a procedural sheath that is \< 5 Fr or \> 7 Fr
11. \- Difficult insertion of procedural sheath or needle stick problems at the onset of the procedure
12. \- Placement of an ipsilateral venous sheath for procedure
13. \- Procedural sheath placement either through the superficial femoral artery and into the profunda femoris artery, or placement at or distal to bifurcation of the superficial femoral artery and the profunda femoris artery
14. \- In subjects receiving unfractionated heparin, an ACT \> 350 seconds, or \> 250 seconds in the presence of a GP IIb/IIIa inhibitor
15. \- Procedures or existing medical conditions that may extend index hospitalization beyond 24 hours post-procedure
16. \- Systemic hypertension (SBP \> 180 mmHg) or hypotension (SBP \< 90 mmHg) just prior to enrollment
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rex Medical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shing-Chiu Wong, MD

Role: PRINCIPAL_INVESTIGATOR

New York Presbyterian Hospital

Locations

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UC Davis Medical Center

Sacramento, California, United States

Site Status

Colorado Neurological Institute

Englewood, Colorado, United States

Site Status

Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

Lafayette General Medical Center/Cardiovascular Institute of the South

Lafayette, Louisiana, United States

Site Status

New York Presbyterian Hospital

New York, New York, United States

Site Status

North Ohio Research

Elyria, Ohio, United States

Site Status

Oklahoma Heart Institute

Tulsa, Oklahoma, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

Geisinger Health Center

Danville, Pennsylvania, United States

Site Status

Geisinger Health Center

Wilkes-Barre, Pennsylvania, United States

Site Status

Pinnacle Health

Wormleysburg, Pennsylvania, United States

Site Status

Heart Hospital of Austin

Austin, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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REX-US-2027-001

Identifier Type: -

Identifier Source: org_study_id