IN.PACT™ AV Access Post-Approval Study (PAS002)

NCT ID: NCT04543539

Last Updated: 2025-10-17

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

ACTIVE_NOT_RECRUITING

Total Enrollment

240 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-11-13

Study Completion Date

2029-02-28

Brief Summary

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Long-term safety will be summarized

Detailed Description

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The purpose of this study is to evaluate the long-term safety of the IN.PACT™ AV Access Drug Coated Balloon (DCB) for treatment of subjects presenting with de novo or non-stented restenotic obstructive lesion of native arteriovenous dialysis fistulae (AVF) in the upper extremity. Patients will be followed for five years. The IN.PACT™ AV Access PAS 002 is required by the Food and Drug Administration (FDA) as a condition of product approval. This study is conducted within Medtronic's post market surveillance platform.

Conditions

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Arteriovenous Fistula Arteriovenous Fistula Stenosis Arteriovenous Fistula Occlusion Fistula

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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IN.PACT™ AV Access PAS Primary Cohort

The primary cohort consists of enrolled subjects treated with the IN.PACT™ AV DCB according to labeling requirements who meet the inclusion/exclusion criteria for the primary cohort.

IN.PACT™ AV Drug Coated Balloon (DCB) - Primary Cohort

Intervention Type COMBINATION_PRODUCT

For the treatment of obstructive lesions up to 100 mm in length in the native arteriovenous dialysis fistulae with reference vessel diameters of 4 to 12 mm.

IN.PACT™ AV Access PAS Extended Cohort

The extended cohort consists of enrolled subjects who do not meet the eligibility criteria for the primary cohort and receive the IN.PACT™ AV DCB device for treatment of stenosis in the AV circuit.

IN.PACT™ AV Drug Coated Balloon (DCB) - Extended Cohort

Intervention Type COMBINATION_PRODUCT

For treatment of stenosis in the AV circuit

Interventions

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IN.PACT™ AV Drug Coated Balloon (DCB) - Primary Cohort

For the treatment of obstructive lesions up to 100 mm in length in the native arteriovenous dialysis fistulae with reference vessel diameters of 4 to 12 mm.

Intervention Type COMBINATION_PRODUCT

IN.PACT™ AV Drug Coated Balloon (DCB) - Extended Cohort

For treatment of stenosis in the AV circuit

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* Patient is ≥ 21 years of age
* Patient has a mature native AV fistula created ≥ 60 days prior to the index procedure
* Patient has a de novo and/or non-stented restenotic lesion located between the arteriovenous anastomosis and axillosubclavian junction
* Patient has a target lesion or a tandem lesion that is ≤ 100 mm in length (by visual estimate) Note: Tandem lesions may be included provided they meet all of the following criteria: a. Separated by a gap of ≤ 30 mm (3 cm), b. Total combined lesion length, including 30 mm gap, ≤ 100 mm, c. Able to be treated as a single lesion
* Patient has a target vessel diameter of 4.0 - 12.0 mm (by visual estimate)
* Patient underwent successful crossing of the target lesion with the guide wire and pre-dilatation with a PTA balloon defined as: Residual stenosis of ≤ 30% AND Absence of a flow limiting dissection or perforation AND No extravasation requiring treatment


* Patient is ≥ 21 years of age

Exclusion Criteria

* Women who are breastfeeding, pregnant, or are intending to become pregnant, or men intending to father children
* Patient is receiving immunosuppressive therapy
* Patient has an infected AV access or systemic infection
* Patient with hemodynamically significant central venous stenoses that cannot be successfully treated prior to treatment of the target lesion
* Patient with target lesion located central to the axillosubclavian junction
* Patient has significant arterial inflow lesion requiring treatment more than 2 cm upstream from the anastomosis in the AV access
* Patient has presence of pseudoaneurysm or aneurysm requiring treatment at the lesion site
* Target lesion is located within a bare metal or covered stent
* Patients with known allergies or sensitivities to paclitaxel
* Patient with known contraindication, including allergic reaction, or sensitivity to contrast material that cannot be adequately pre-treated
* Patient who cannot receive recommended antiplatelet and/or anticoagulant therapy
* Patient is enrolled in another investigational drug, device, or biologic study and has not completed the primary endpoint, or was previously enrolled in this study
* Patient has a co-morbid condition that, in the judgment of the Investigator, may cause him/her to be non-compliant with the protocol or confound the data interpretation
* Patient has an active COVID-19 infection with ongoing sequela at enrollment or hospitalization for treatment of COVID-19


* Patient has an active COVID-19 infection with ongoing sequela at enrollment or hospitalization for treatment of COVID-19
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cedars-Sinai Heart Institute

Los Angeles, California, United States

Site Status

Stanford University Medical Center

Stanford, California, United States

Site Status

Yale New Haven Hospital

New Haven, Connecticut, United States

Site Status

Medstar Washington Hospital

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

Site Status

NCH Healthcare System

Naples, Florida, United States

Site Status

Coastal Vascular and Interventional

Pensacola, Florida, United States

Site Status

University of Iowa

Iowa City, Iowa, United States

Site Status

University of Michigan Health System - University Hospital

Ann Arbor, Michigan, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Holy Name Medical Center

Teaneck, New Jersey, United States

Site Status

Albany Medical College

Albany, New York, United States

Site Status

The Mount Sinai Hospital

New York, New York, United States

Site Status

Staten Island University Hospital

Staten Island, New York, United States

Site Status

FirstHealth of the Carolinas

Pinehurst, North Carolina, United States

Site Status

Oregon Health & Science University Hospital

Portland, Oregon, United States

Site Status

Lancaster General Hospital

Lancaster, Pennsylvania, United States

Site Status

MUSC Health Dialysis Access Institute

Orangeburg, South Carolina, United States

Site Status

Spartanburg Regional Medical Center

Spartanburg, South Carolina, United States

Site Status

University of Virginia Medical Center

Charlottesville, Virginia, United States

Site Status

University of Wisconsin-Madison - Meriter Hospital

Madison, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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IN.PACT™ AV Access PAS002

Identifier Type: -

Identifier Source: org_study_id

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