VEST III PMS Clinical Protocol

NCT ID: NCT02511834

Last Updated: 2020-06-26

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

COMPLETED

Clinical Phase

NA

Total Enrollment

184 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-19

Study Completion Date

2019-10-31

Brief Summary

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Post marketing surveillance (PMS) study. 200 patients will be enrolled in a prospective, multi center, randomized, two-arm, open label, and controlled, enrolling patients with multi vessel atherosclerotic coronary artery disease, scheduled to undergo Coronary artery bypass grafting (CABG) with arterial grafting of IMA to LAD, one saphenous vein graft (SVG) to the right territory and one or more SVGs to the left territory. Of all vein grafts, one will be selected randomly to receive treatment with VEST and another designated Control.

Detailed Description

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Conditions

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Coronary Artery Disease

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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VEST supported

Vein graft supported by VEST

Group Type EXPERIMENTAL

VEST External Support

Intervention Type DEVICE

Coronary Artery Bypass Surgery

Intervention Type PROCEDURE

Control

Vein grafts unsupported by VEST

Group Type ACTIVE_COMPARATOR

Coronary Artery Bypass Surgery

Intervention Type PROCEDURE

Interventions

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VEST External Support

Intervention Type DEVICE

Coronary Artery Bypass Surgery

Intervention Type PROCEDURE

Other Intervention Names

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CABG

Eligibility Criteria

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Inclusion Criteria

1. Patient scheduled for on-pump CABG on clinical grounds
2. Two or more bypass vein grafts bypasses indicated as follows: one (1) for right coronary artery, 1 or more for left coronary arteries and IMA indicated for the LAD on clinical grounds
3. Appropriately sized and accessible target coronary arteries, with a minimum diameter of 1.5 mm and adequate vascular bed
4. Ability to give their informed written consent
5. Ability and willingness to comply with study follow up requirements
6. Patient is ≥ 18 and ≤ 80 years of age, and has Life expectancy ≥5 years

Exclusion Criteria

1. Concomitant non-CABG cardiac procedure
2. Prior cardiac surgery
3. Emergency CABG surgery (cardiogenic shock, inotropic pressure support, IABP)
4. Contraindication for on-pump CABG with cardioplegic arrest (e.g. severely calcified aorta)
5. Calcification at the intended anastomotic sites, as assessed upon opening of the chest, before randomization
6. Severe vein varicosity
7. Prior debilitating stroke less than 1 year before surgery
8. Severe renal dysfunction (Cr\>2.0 mg/dL or \>177 μmol/L)
9. Women of child bearing age
10. Concomitant life-threatening disease likely to limit life expectancy to less than 5 years
11. Indication for Warfarin up to time of surgery
12. Inability to tolerate or comply with required normal post-operative drug regimen (antiplatelet, statin and beta-blockers) that cannot adequately be controlled.
13. inability to take aspirin
14. Contraindication to intravascular contrast material that cannot be adequately controlled with pre-medication
15. Inability to comply with required follow-ups including angiographic and/or CT imaging methods.
16. Participating in any other investigational study for either drug or device which can influence collection of valid data under this study
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vascular Graft Solutions Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Medical University of Innsbruck

Innsbruck, , Austria

Site Status

Medical University of Vienna

Vienna, , Austria

Site Status

German Heart Center

Berlin, , Germany

Site Status

Immanuel Hospital Bernau. Brandenburg Heart Center

Bernau, , Germany

Site Status

University Hospital of Cologne

Cologne, , Germany

Site Status

West-German Heart Center Essen University

Essen, , Germany

Site Status

University Medical Center Schleswig-Holstein

Lübeck, , Germany

Site Status

Krankenhaus der Barmherzigen Bruder

Trier, , Germany

Site Status

Rambam - Health Care Campus

Haifa, , Israel

Site Status

Sheba Medical Center Hospital

Ramat Gan, , Israel

Site Status

Papworth Hospital

Papworth Everard, Cambridge, United Kingdom

Site Status

Blackpool Victoria Hospital

Blackpool, , United Kingdom

Site Status

University Hospitals Bristol

Bristol, , United Kingdom

Site Status

The John Radcliffe Hospital

Oxford, , United Kingdom

Site Status

University Hospital Southampton

Southampton, , United Kingdom

Site Status

Countries

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Austria Germany Israel United Kingdom

References

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Amin S, Werner RS, Madsen PL, Krasopoulos G, Taggart DP. Influence of external stenting on venous graft flow parameters in coronary artery bypass grafting: a randomized study. Interact Cardiovasc Thorac Surg. 2018 Jun 1;26(6):926-931. doi: 10.1093/icvts/ivy007.

Reference Type DERIVED
PMID: 29373645 (View on PubMed)

Other Identifiers

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CD0113

Identifier Type: -

Identifier Source: org_study_id

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