Study Comparing Lutonix AV Drug Coated Balloon vs Standard Balloon for Treatment of Dysfunctional AV Fistulae

NCT ID: NCT02440022

Last Updated: 2020-05-06

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

285 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2018-06-30

Brief Summary

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This prospective, global, multicenter, randomized, controlled study is designed to evaluate the safety and effectiveness of the Lutonix 035 AV Drug Coated Balloon PTA Catheter compared to a standard PTA Catheter in treating subjects presenting with clinical and hemodynamic abnormalities in native arteriovenous (AV) fistulae located in the upper extremity.

Detailed Description

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Conditions

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Arteriovenous Fistula

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Lutonix DCB

Percutaneous transluminal angiography (PTA) will be performed using the Lutonix AV drug coated balloon.

Group Type EXPERIMENTAL

Lutonix DCB

Intervention Type COMBINATION_PRODUCT

Percutaneous Transluminal Angiography

Intervention Type PROCEDURE

Percutaneous transluminal angioplasty (PTA) is a procedure that can open up a blocked blood vessel using a small, flexible plastic tube, or catheter, with a "balloon" at the end of it. When the tube is in place, it inflates to open the blood vessel, or artery, so that normal blood flow is restored.

Standard Balloon Angioplasty Catheter

Percutaneous transluminal angiography (PTA) will be performed using a commercially available uncoated PTA balloon. Balloons with an external wire support, cutting/scoring component or other similar modifications are not permitted. Multiple balloons, inflations and/or prolonged inflation may be used.

Group Type ACTIVE_COMPARATOR

Standard Balloon Angioplasty Catheter

Intervention Type DEVICE

Percutaneous Transluminal Angiography

Intervention Type PROCEDURE

Percutaneous transluminal angioplasty (PTA) is a procedure that can open up a blocked blood vessel using a small, flexible plastic tube, or catheter, with a "balloon" at the end of it. When the tube is in place, it inflates to open the blood vessel, or artery, so that normal blood flow is restored.

Interventions

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Lutonix DCB

Intervention Type COMBINATION_PRODUCT

Standard Balloon Angioplasty Catheter

Intervention Type DEVICE

Percutaneous Transluminal Angiography

Percutaneous transluminal angioplasty (PTA) is a procedure that can open up a blocked blood vessel using a small, flexible plastic tube, or catheter, with a "balloon" at the end of it. When the tube is in place, it inflates to open the blood vessel, or artery, so that normal blood flow is restored.

Intervention Type PROCEDURE

Other Intervention Names

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PTA

Eligibility Criteria

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Inclusion Criteria

1. Age ≥21 years;
2. The subject is legally competent, has been informed of the nature, the scope and the relevance of the study, voluntarily agrees to participation and the study's provisions, and has duly signed the informed consent form (ICF);
3. Arteriovenous fistula located in the arm;
4. Native AV fistula was created ≥30 days prior to the index procedure and has undergone one or more hemodialysis sessions;
5. Venous stenosis of an AV fistula with the target lesion located from the anastomosis to the axillosubclavian junction and an abnormality attributable to the stenosis as defined by K/DOQI guidelines.;
6. Successful pre-dilation of the target lesion with a percutaneous transluminal angioplasty (PTA) balloon;
7. Intended target lesion.

Exclusion Criteria

1. Women who are pregnant, lactating, or planning on becoming pregnant during the study;
2. Hemodialysis access is located in the leg;
3. Subject has more than two lesions in the access circuit;
4. Subject has a secondary non-target lesion that cannot be successfully treated;
5. Target lesion is located central to the axillosubclavian junction;
6. The subject has a secondary lesion located in the central venous system (central to the axillosubclavian junction);
7. A thrombosed access;
8. Surgical revision of the access site planned;
9. Recent prior surgical interventions of the access site;
10. Other planned treatment during the index procedure;
11. Known contraindication (including allergic reaction) or sensitivity to iodinated contrast media, that cannot be adequately managed with pre-and post-procedure medication;
12. Known contraindication (including allergic reaction) or sensitivity to paclitaxel.
13. Subjects who are taking immunosuppressive therapy or are routinely taking

≥10mg of prednisone per day;
14. Subject has another medical condition, which, in the opinion of the Investigator, may cause him/her to be noncompliant with the protocol or confound the data interpretation;
15. Subject has a life expectancy \<12 months;
16. Anticipated for a kidney transplant;
17. Anticipated conversion to peritoneal dialysis;
18. Subject has a stent located in the target or secondary non target lesion;
19. Subject has an infected AV access or systemic infection;
20. Currently participating in an investigational drug, biologic, or device study, or previous enrollment in this study.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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C. R. Bard

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Scott Trerotola, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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The Board of Trustees of The University of Alabama for the University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Arizona Kidney Disease and Hypertension Center Medical Research Services, LLC

Phoenix, Arizona, United States

Site Status

Southwest Clinical Research Institute, LLC

Tempe, Arizona, United States

Site Status

Capital Nephrology Medical Group

Sacramento, California, United States

Site Status

Nephrology Associates, P.A.

Newark, Delaware, United States

Site Status

Rush University

Chicago, Illinois, United States

Site Status

RenalCare Associates, S.C. d/b/a Illinois Kidney Disease & Hypertension Center

Peoria, Illinois, United States

Site Status

MakrisMD, LLC, d/b/a Chicago Access Care

Westmont, Illinois, United States

Site Status

Massachusetts General Physicians Organizations, Inc.

Boston, Massachusetts, United States

Site Status

Renal and Transplant Associates of New England, PC

Springfield, Massachusetts, United States

Site Status

Michigan Vascular Center

Flint, Michigan, United States

Site Status

Minnesota Vascular Surgery Center

New Brighton, Minnesota, United States

Site Status

Capital Nephrology Associates, P.A.

Raleigh, North Carolina, United States

Site Status

Oklahoma Life Access, PLLC

Tulsa, Oklahoma, United States

Site Status

Trustees of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Providence Interventional Associates, LLC

Providence, Rhode Island, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Spartanburg Regional Health Services District, Inc.

Spartanburg, South Carolina, United States

Site Status

University Vascular Access

Memphis, Tennessee, United States

Site Status

Tarrant Vascular Clinic

Fort Worth, Texas, United States

Site Status

San Antonio Kidney Disease Center Physicians Group, PLLC

San Antonio, Texas, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Board of Regents of the University of Wisconsin System

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Trerotola SO, Lawson J, Roy-Chaudhury P, Saad TF; Lutonix AV Clinical Trial Investigators. Drug Coated Balloon Angioplasty in Failing AV Fistulas: A Randomized Controlled Trial. Clin J Am Soc Nephrol. 2018 Aug 7;13(8):1215-1224. doi: 10.2215/CJN.14231217. Epub 2018 Jul 24.

Reference Type DERIVED
PMID: 30042225 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CL0023-01

Identifier Type: -

Identifier Source: org_study_id

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