SAVE-FistulaS: the SelfWrap-Assisted ArterioVEnous Fistulas Study

NCT ID: NCT06001827

Last Updated: 2025-04-01

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

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-03

Study Completion Date

2029-03-31

Brief Summary

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This is a prospective, randomized, multi-center clinical trial for chronic kidney disease (CKD) patients referred for creation of a new arteriovenous fistula (AVF) in order to assess the safety and effectiveness of SelfWrap, a bioabsorbable perivascular wrap.

Detailed Description

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This is a multi-center, prospective, randomized, double-arm, single-blind, evaluator-blinded clinical trial for CKD patients referred for creation of a new arteriovenous fistula (AVF). This study will involve approximately 200 participants from up to 25 investigational sites, randomized 1:1 to treatment with the SelfWrap or the untreated AVF control (i.e. standard of care, SOC). Participants will be followed for a duration of 36 months.

Conditions

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Chronic Kidney Diseases End Stage Renal Disease Arteriovenous Fistula Hemodialysis Access Failure ESRD Vascular Access Complication Renal Failure Catheter Complications Catheter Dysfunction Renal Insufficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Treatment Arm

Treated with SelfWrap Bioabsorbable Perivascular Wrap during AVF creation surgery

Group Type EXPERIMENTAL

SelfWrap Bioabsorbable Perivascular Wrap

Intervention Type DEVICE

SelfWrap is applied during arteriovenous fistula (AVF) creation surgery. It provides mechanical support to improve maturation and patency of AVFs.

Control Arm

AVF creation surgery without any intervention (untreated AVF control, or standard of care)

Group Type SHAM_COMPARATOR

Untreated AVF Control

Intervention Type PROCEDURE

AVF creation surgery without any intervention

Interventions

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SelfWrap Bioabsorbable Perivascular Wrap

SelfWrap is applied during arteriovenous fistula (AVF) creation surgery. It provides mechanical support to improve maturation and patency of AVFs.

Intervention Type DEVICE

Untreated AVF Control

AVF creation surgery without any intervention

Intervention Type PROCEDURE

Other Intervention Names

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SelfWrap Standard of Care

Eligibility Criteria

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Inclusion Criteria

* Age of at least 18 years
* Referred for creation of a new AVF
* Willing and able to comply with study requirements, communicate with the study team, and attend follow up visits over a period of 36 months

Exclusion Criteria

* Planned index procedure to revise or repair an existing fistula
* Target artery inner diameter \< 2.0 mm, as measured by ultrasound while the target arm is under tourniquet pressure and anesthesia
* Target vein inner diameter \< 2.0 mm, as measured by ultrasound while the target arm is under tourniquet pressure and anesthesia
* Significant (at least 50%) stenosis at the target vein on the side of surgery (between the planned anastomosis site and the axillary vein), as diagnosed by preoperative ultrasound
* Known central venous stenosis of at least 50% on the side of surgery
* Presence of a stent or a stent graft within the access circuit
* Known or suspected coagulation disorder that, in the opinion of the Investigator, puts too much risk on the patient for AVF creation
* Known or suspected active infection at the time of surgery
* Congestive heart failure NYHA class 4
* Prior steal on the side of surgery;
* Enrolled in another investigational drug, device, or biological study, or was previously enrolled in this study
* Life expectancy less than 12 months
* Expected to undergo kidney transplant surgery within 6 months of enrollment
* Expected to undergo home hemodialysis
* Females of childbearing potential (premenopausal and not surgically sterile) without documented current negative pregnancy test at screening
* Presence of a comorbid condition that, in the opinion of the Investigator, may significantly confound the collection of safety and efficacy data in this study
* Unwillingness or inability to give consent and/or comply with the study follow up schedule
* Any health condition, which in the opinion of the Investigator, would interfere with the safety of the participant or the participant's ability to comply with the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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VenoStent

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Timothy Boire, PhD

Role: STUDY_DIRECTOR

VenoStent, Inc.

Locations

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AKDHC Bullhead City

Bullhead City, Arizona, United States

Site Status RECRUITING

AKDHC Marana Surgery Center

Marana, Arizona, United States

Site Status RECRUITING

Arizona Kidney Disease & Hypertension Centers (AKDHC) Phoenix Surgery Center

Phoenix, Arizona, United States

Site Status RECRUITING

Banner University Medical Center

Tucson, Arizona, United States

Site Status RECRUITING

Tallahassee Research Institute

Tallahassee, Florida, United States

Site Status RECRUITING

Lutheran Medical Group

Fort Wayne, Indiana, United States

Site Status RECRUITING

Surgical Associates of Lexington

Lexington, Kentucky, United States

Site Status RECRUITING

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

University of Missouri

Columbia, Missouri, United States

Site Status RECRUITING

Saint Louis University

St Louis, Missouri, United States

Site Status RECRUITING

Washington University School of Medicine

St Louis, Missouri, United States

Site Status RECRUITING

Northwell Health

Lake Success, New York, United States

Site Status RECRUITING

Surgical Specialists of Charlotte, P.A.

Charlotte, North Carolina, United States

Site Status RECRUITING

WakeMed

Raleigh, North Carolina, United States

Site Status RECRUITING

MUSC Charleston

Charleston, South Carolina, United States

Site Status RECRUITING

MUSC Black River

Florence, South Carolina, United States

Site Status RECRUITING

Prisma Health

Greenville, South Carolina, United States

Site Status RECRUITING

Medical University of South Carolina (MUSC) Orangeburg / Dialysis Access Institute

Orangeburg, South Carolina, United States

Site Status RECRUITING

Spartanburg Regional Medical Center

Spartanburg, South Carolina, United States

Site Status RECRUITING

Saint David's HealthCare Partnership, L.P., LLP

Austin, Texas, United States

Site Status RECRUITING

Houston Methodist Research Institute

Houston, Texas, United States

Site Status RECRUITING

Houston Methodist Research Institute (Sugar Land)

Sugar Land, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Mark Barakat, MD

Role: CONTACT

(832) 429-5362

Facility Contacts

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Cynthia Carrizoza

Role: primary

Anell S Munoz Gallego

Role: primary

Cynthia Carrizoza

Role: primary

602-200-8288

Jennifer Lopez

Role: primary

Brianna Everett

Role: primary

Barbara Anderson

Role: primary

260-458-3555

Sharon Eichman

Role: backup

Amanda Gaddis

Role: primary

Navya Kotturu

Role: primary

Danielle Montano

Role: backup

Brianna Ledbetter

Role: primary

573-882-4387

Jennifer Randolph

Role: backup

573-882-4387

Kathryn Lindsay

Role: primary

Craig Dedert

Role: backup

Ashley Cosentino

Role: primary

Laura McDonald

Role: backup

Victoria Wairimu

Role: primary

Decca Taylor

Role: primary

704-945-3560

Crystal Turner

Role: backup

Jenna Cassels

Role: primary

919-350-5252

Rhonda Norton

Role: backup

Natalie Koren

Role: primary

Patricia Robinson

Role: primary

Tannesha Clements

Role: backup

Kya Spann

Role: primary

Nikita Kasinger

Role: backup

Virginia Anderson

Role: primary

803-395-3878

Amy Lawson

Role: backup

Darla Howard

Role: primary

Shannon Stancil

Role: backup

Shir Yelovitch, PhD

Role: primary

512-459-3300 ext. 214

Caroline Antunes

Role: primary

Sheila Moore

Role: primary

Related Links

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https://www.savefistulas.org

SAVE-FistulaS website

https://www.venostent.com

VenoStent website

Other Identifiers

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VENO-CIP002

Identifier Type: -

Identifier Source: org_study_id

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