Trial Outcomes & Findings for FLEX Vessel Prep Prior to Angioplasty in Native Arteriovenous Fistulae (AVF) (NCT NCT05034939)

NCT ID: NCT05034939

Last Updated: 2025-07-03

Results Overview

Defined as the Serious Adverse Event (SAE) rate involving the AV access circuit through 30 days post- procedure.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

75 participants

Primary outcome timeframe

30 Days

Results posted on

2025-07-03

Participant Flow

Participant milestones

Participant milestones
Measure
FLEX Vessel Prep System Followed With PTA (TEST Arm)
FLEX Vessel Prep System is used to create circumferential, continuous micro-incisions along the length of the stenosis by performing a retrograde pullback through the lesion. Following FLEX, standard balloon angioplasty is performed with an uncoated PTA balloon sized to meet the reference vessel diameter, according to its corresponding instructions for use. Once advanced to the lesion, the balloon should be inflated according to the site's standard of care. FLEX Vessel Prep System: The FLEX Vessel Prep System™ is an over-the-wire sheathed catheter with a three-strut treatment element near the distal tip. As the device is pulled back in a retrograde fashion through the target lesion, the Treatment Element "flexes" providing continuous engagement along the lesion to create controlled depth micro-incisions.
PTA Only (CONTROL Arm)
Standard Balloon angioplasty is performed with an uncoated PTA balloon sized to meet the reference vessel diameter, according to its corresponding instructions for use. Once advanced to the lesion, the balloon should be inflated according to the site's standard of care. Angioplasty: The brand and type of PTA balloon(s) used will be at the discretion of the treating physician and used according to its Instructions for Use (IFU). PTA balloons consist of an over-the-wire catheter with a balloon fixed at the distal tip. Within the lesion the balloon is inflated to a pressure that allows full effacement.
Overall Study
STARTED
38
37
Overall Study
COMPLETED
38
37
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

FLEX Vessel Prep Prior to Angioplasty in Native Arteriovenous Fistulae (AVF)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FLEX Vessel Prep System Followed With PTA (TEST Arm)
n=38 Participants
FLEX Vessel Prep System is used to create circumferential, continuous micro-incisions along the length of the stenosis by performing a retrograde pullback through the lesion. Following FLEX, standard balloon angioplasty is performed with an uncoated PTA balloon sized to meet the reference vessel diameter, according to its corresponding instructions for use. Once advanced to the lesion, the balloon should be inflated according to the site's standard of care. FLEX Vessel Prep System: The FLEX Vessel Prep System™ is an over-the-wire sheathed catheter with a three-strut treatment element near the distal tip. As the device is pulled back in a retrograde fashion through the target lesion, the Treatment Element "flexes" providing continuous engagement along the lesion to create controlled depth micro-incisions.
PTA Only (CONTROL Arm)
n=37 Participants
Standard Balloon angioplasty is performed with an uncoated PTA balloon sized to meet the reference vessel diameter, according to its corresponding instructions for use. Once advanced to the lesion, the balloon should be inflated according to the site's standard of care. Angioplasty: The brand and type of PTA balloon(s) used will be at the discretion of the treating physician and used according to its Instructions for Use (IFU). PTA balloons consist of an over-the-wire catheter with a balloon fixed at the distal tip. Within the lesion the balloon is inflated to a pressure that allows full effacement.
Total
n=75 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=5 Participants
20 Participants
n=7 Participants
39 Participants
n=5 Participants
Age, Categorical
>=65 years
19 Participants
n=5 Participants
17 Participants
n=7 Participants
36 Participants
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
14 Participants
n=7 Participants
24 Participants
n=5 Participants
Sex: Female, Male
Male
28 Participants
n=5 Participants
23 Participants
n=7 Participants
51 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
35 Participants
n=5 Participants
31 Participants
n=7 Participants
66 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
25 Participants
n=5 Participants
21 Participants
n=7 Participants
46 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
38 participants
n=5 Participants
37 participants
n=7 Participants
75 participants
n=5 Participants
Weight
184 pounds
n=5 Participants
171 pounds
n=7 Participants
177 pounds
n=5 Participants

PRIMARY outcome

Timeframe: 30 Days

Defined as the Serious Adverse Event (SAE) rate involving the AV access circuit through 30 days post- procedure.

Outcome measures

Outcome measures
Measure
FLEX Vessel Prep System Followed With PTA (TEST Arm)
n=38 Participants
FLEX Vessel Prep System is used to create circumferential, continuous micro-incisions along the length of the stenosis by performing a retrograde pullback through the lesion. Following FLEX, standard balloon angioplasty is performed with an uncoated PTA balloon sized to meet the reference vessel diameter, according to its corresponding instructions for use. Once advanced to the lesion, the balloon should be inflated according to the site's standard of care. FLEX Vessel Prep System: The FLEX Vessel Prep System™ is an over-the-wire sheathed catheter with a three-strut treatment element near the distal tip. As the device is pulled back in a retrograde fashion through the target lesion, the Treatment Element "flexes" providing continuous engagement along the lesion to create controlled depth micro-incisions.
PTA Only (CONTROL Arm)
n=37 Participants
Standard Balloon angioplasty is performed with an uncoated PTA balloon sized to meet the reference vessel diameter, according to its corresponding instructions for use. Once advanced to the lesion, the balloon should be inflated according to the site's standard of care. Angioplasty: The brand and type of PTA balloon(s) used will be at the discretion of the treating physician and used according to its Instructions for Use (IFU). PTA balloons consist of an over-the-wire catheter with a balloon fixed at the distal tip. Within the lesion the balloon is inflated to a pressure that allows full effacement.
Primary Safety Endpoint: Serious Adverse Event Rate
0 percentage of patients
2.7 percentage of patients

Adverse Events

FLEX Vessel Prep System Followed With PTA (TEST Arm)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 2 deaths

PTA Only (CONTROL Arm)

Serious events: 1 serious events
Other events: 0 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
FLEX Vessel Prep System Followed With PTA (TEST Arm)
n=38 participants at risk
FLEX Vessel Prep System is used to create circumferential, continuous micro-incisions along the length of the stenosis by performing a retrograde pullback through the lesion. Following FLEX, standard balloon angioplasty is performed with an uncoated PTA balloon sized to meet the reference vessel diameter, according to its corresponding instructions for use. Once advanced to the lesion, the balloon should be inflated according to the site's standard of care. FLEX Vessel Prep System: The FLEX Vessel Prep System™ is an over-the-wire sheathed catheter with a three-strut treatment element near the distal tip. As the device is pulled back in a retrograde fashion through the target lesion, the Treatment Element "flexes" providing continuous engagement along the lesion to create controlled depth micro-incisions.
PTA Only (CONTROL Arm)
n=37 participants at risk
Standard Balloon angioplasty is performed with an uncoated PTA balloon sized to meet the reference vessel diameter, according to its corresponding instructions for use. Once advanced to the lesion, the balloon should be inflated according to the site's standard of care. Angioplasty: The brand and type of PTA balloon(s) used will be at the discretion of the treating physician and used according to its Instructions for Use (IFU). PTA balloons consist of an over-the-wire catheter with a balloon fixed at the distal tip. Within the lesion the balloon is inflated to a pressure that allows full effacement.
Vascular disorders
Aneurysm of upper arm
0.00%
0/38 • 30 days for primary endpoint
2.7%
1/37 • 30 days for primary endpoint

Other adverse events

Adverse event data not reported

Additional Information

Vice President, Clinical, Regulatory & Quality

VentureMed Group, Inc.

Phone: 763-296-2021

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place