VenaSeal Spectrum: Global Post-Market Randomized Controlled Trial

NCT ID: NCT03820947

Last Updated: 2025-12-30

Study Results

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

506 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-05

Study Completion Date

2025-11-10

Brief Summary

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Global, Post-Market, Prospective, Multi-Center, Randomized Controlled Trial of the VenaSeal™ Closure System vs. Surgical Stripping or Endothermal Ablation (ETA) for the Treatment of Early and Advanced Stage Superficial Venous Disease

Detailed Description

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The study is designed with two randomized studies and one single arm study.

Two randomized studies are for CEAP 2-5 subjects:

1. VenaSeal vs. Surgical Stripping Study (outside of the United States only)
2. VenaSeal vs. ETA Study

The single arm study is for CEAP 6 subjects with active venous leg ulcers (VLU):

1\. VLU Study

Conditions

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Venous Reflux

Keywords

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Venous reflux Venous leg ulcer Varicose Veins Chronic Venous Insufficiency VenaSeal Endothermal Ablation Surgical Stripping Radiofrequency Ablation Laser Ablation Great Saphenous Vein Small Saphenous Vein Anterior Accessory Saphenous Vein

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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Randomized study VenaSeal™ System versus Endothermal Ablation (ETA): VenaSeal™ System

CEAP 2-5 subjects will be randomized to VenaSeal™ System vs. ETA

Group Type EXPERIMENTAL

VenaSeal™ System

Intervention Type DEVICE

The VenaSeal™ System is the non-tumescent, non-thermal, non-sclerosant device that uses a proprietary medical adhesive delivered endovenously to close the vein.

Randomized study VenaSeal™ System versus Endothermal Ablation (ETA): ETA

CEAP 2-5 subjects will be randomized to VenaSeal™ System vs. ETA

Group Type ACTIVE_COMPARATOR

Endothermal Ablation (ETA)

Intervention Type DEVICE

ETA includes EVLA that uses laser or RFA that uses radiofrequency heating to close the vein. Heat is applied in both EVLA and RFA therapies to close the vein.

Subject can be treated with either EVLA or RFA if randomized to ETA arm per site's standard practice.

Randomized study VenaSeal™ System versus Surgical Stripping: VenaSeal™ System

CEAP 2-5 subjects will be randomized to VenaSeal™ System vs. Surgical Stripping

Group Type EXPERIMENTAL

VenaSeal™ System

Intervention Type DEVICE

The VenaSeal™ System is the non-tumescent, non-thermal, non-sclerosant device that uses a proprietary medical adhesive delivered endovenously to close the vein.

Randomized study VenaSeal™ System versus Surgical Stripping: Surgical Stripping

CEAP 2-5 subjects will be randomized to VenaSeal™ System vs. Surgical Stripping

Group Type ACTIVE_COMPARATOR

Surgical Stripping

Intervention Type PROCEDURE

Surgical stripping involves stripping (removal) of the diseased vein via surgical procedures.

Single arm Venous Leg Ulcer (VLU) Study: VenaSeal™ System

CEAP 6 active leg ulcer subjects will not be randomized to a comparator, all subjects will be treated with VenaSeal™ System

Group Type EXPERIMENTAL

VenaSeal™ System

Intervention Type DEVICE

The VenaSeal™ System is the non-tumescent, non-thermal, non-sclerosant device that uses a proprietary medical adhesive delivered endovenously to close the vein.

Interventions

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VenaSeal™ System

The VenaSeal™ System is the non-tumescent, non-thermal, non-sclerosant device that uses a proprietary medical adhesive delivered endovenously to close the vein.

Intervention Type DEVICE

Endothermal Ablation (ETA)

ETA includes EVLA that uses laser or RFA that uses radiofrequency heating to close the vein. Heat is applied in both EVLA and RFA therapies to close the vein.

Subject can be treated with either EVLA or RFA if randomized to ETA arm per site's standard practice.

Intervention Type DEVICE

Surgical Stripping

Surgical stripping involves stripping (removal) of the diseased vein via surgical procedures.

Intervention Type PROCEDURE

Other Intervention Names

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Endovenous laser ablation (EVLA) Radiofrequency ablation (RFA)

Eligibility Criteria

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Inclusion Criteria

1. Patient is ≥18 years of age
2. Patient has venous reflux in superficial truncal vein(s) (e.g., GSV, SSV, accessory saphenous veins) with CEAP 2 (symptomatic) or CEAP 3, 4a, 4b, 5, 6, appropriate for treatment, as confirmed by Duplex Ultrasound (DUS)
3. Eligibility for treatment:

* VenaSeal vs ETA Study: Patient is eligible for treatment with the VenaSeal™ system and ETA
* VenaSeal vs Surgical Stripping Study: Patient is eligible for treatment with the VenaSeal™ system and surgical stripping
* VLU Study: patients should be eligible for treatment with the VenaSeal™ system
4. Treatable refluxing segment of target vein(s) 10 cm in length or longer
5. Patient has a target vein diameter of ≥3 mm throughout the intended treated segment of the target vein as measured by DUS while patient is standing
6. Patient is willing and capable of complying with specified follow-up evaluations at the specified times
7. Patient has an ability to understand the requirements of the study and to provide informed consent

Exclusion Criteria

1. Patient has a known history of allergic sensitivities (including but not limited to cyanoacrylate adhesives), or any other condition, which in the opinion of the investigator may make the patient more susceptible to cyanoacrylate adhesive hypersensitivity
2. Patient has known deep vein obstruction in the target limb, as identified by the site's standard of care
3. Patient has abnormal pulse exam or ABI \<0.8
4. Patient has acute superficial thrombophlebitis
5. Patient requires any non-target vein treatments in the contralateral or ipsilateral limb, or any other surgical procedure up tp 30 days pre-procedure and through 3 months post-procedure
6. Patient has any co-morbid conditions, which in the investigator's opinion may interfere with the patient's compliance with study visits and procedures, or may confound interpretation of study data (e.g., congestive heart failure Class III and IV, non-ambulatory patients, severe hepatic dysfunction, life expectancy \< 1 year)
7. IFU contraindications:

* VenaSeal vs. ETA Study: Patient has VenaSeal™ system and/or ETA product's IFU contraindication(s)
* VenaSeal vs Surgical Stripping Study: Patient has surgical stripping and/or VenaSeal™ system IFU contraindication(s)
* VLU Study: Patient has VenaSeal™ system IFU contraindication(s)
8. Patient is non-ambulatory
9. Patient is a female of childbearing potential who may be pregnant or breastfeeding at the time of the index procedure
10. Patient belongs to a vulnerable population per investigator's judgment or patient has any kind of disorder that compromises his/her ability to give written informed consent and/or to comply with study procedures
11. Patient is currently participating in an investigational drug or device study when the data collected could be conflicting or biased due to participation in another study
12. Patient has documented COVID-19 infection currently or within the past 3 months. Patient is not completely recovered from past COVID-19 infection, per physician's discretion.
13. VLU Study: Patient has target ulceration identified to be of non-venous etiology, as confirmed by the independent core laboratory
14. VLU Study: Patient has target circumferential ulceration that cannot be captured in a single photograph (any ulcer curvature around the leg that goes out of sight)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic Endovascular

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kathleen Gibson, MD

Role: PRINCIPAL_INVESTIGATOR

Lake Washington Vascular, US

Manjit Gohel, MD

Role: PRINCIPAL_INVESTIGATOR

Addenbrooke's Hospital, UK

Locations

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Yavapai Regional Medical Center

Prescott Valley, Arizona, United States

Site Status

PIMA Heart and Vascular

Tucson, Arizona, United States

Site Status

Valley Vascular Surgical Associates

Fresno, California, United States

Site Status

Vascular Care Connecticut

Darien, Connecticut, United States

Site Status

Yale School of Medicine

New Haven, Connecticut, United States

Site Status

Georgetown University Medical Center

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

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Vascular Care Group

Wellesley, Massachusetts, United States

Site Status

New York-Presbyterian Hospital/Weill Cornell Medical Center

New York, New York, United States

Site Status

OhioHealth Riverside Methodist Hospital

Columbus, Ohio, United States

Site Status

Orion Medical

Houston, Texas, United States

Site Status

Lake Washington Vascular

Bellevue, Washington, United States

Site Status

Sunshine Coast University Hospital

Birtinya, , Australia

Site Status

Wollongong Hospital

Wollongong, , Australia

Site Status

East Toronto Vascular Clinic

Toronto, Ontario, Canada

Site Status

CHU Dijon Bourgogne

Dijon, DIjon Cedex, France

Site Status

Clinique du Parc

Lyon, , France

Site Status

Clinique Pasteur

Toulouse, , France

Site Status

Praxis fur Innere Medizin und Gefäβkrankheiten

Halle, , Germany

Site Status

Ospedale Fatebenefratelli e Oftalmico

Milan, , Italy

Site Status

Azienda Ospedaliera di Padova Ospendale Sant' Antonio

Padua, , Italy

Site Status

Rijnstate - Locatie Arnhem

Arnhem, , Netherlands

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Seoul Saint Mary's Hospital

Seoul, , South Korea

Site Status

Konkuk University Medical Center

Seoul, , South Korea

Site Status

Gangnam Severance Hospital

Seoul, , South Korea

Site Status

Complejo Hospitalario Universitario Granada (Hospital Campus de la Salud)

Granada, , Spain

Site Status

Sanitas Hospital Universitario La Zarzuela

Madrid, , Spain

Site Status

Bedfordshire Hospitals NHS Foundation Trust

Bedford, , United Kingdom

Site Status

Cambridge University Hospitals NHS Foundation Trust - Addenbrooke's Hospital

Cambridge, , United Kingdom

Site Status

West London Vascular and Interventional Centre

Harrow, , United Kingdom

Site Status

Imperial College Healthcare NHS Trust - Charing Cross Hospital

London, , United Kingdom

Site Status

Countries

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Switzerland United States Australia Canada France Germany Italy Netherlands South Korea Spain United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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MDT18034

Identifier Type: -

Identifier Source: org_study_id