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CompletedNCT02234830CLOSE-UP IIUpdated Jun 1, 2017

Randomized Comparison of ExoSeal® and Angio-Seal Vascular Closure Devices: The CLOSE-UP II Trial

An interventional study of Exoseal closure device and Angioseal closure device in Coronary Disease, sponsored by Aarhus University Hospital Skejby. Completed at 2 sites in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-06-01.

Sponsored by Aarhus University Hospital Skejby · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled Dec 2012, registered Jun 2014).
Phase
Not applicable
Study type
Interventional
Enrollment
818
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Is the ExoSeal VSD non-inferior to Angio-Seal vascular closure device (VSD) in the incidence of adverse access site related events at 30 days.

Read the detailed description

Prospective, randomized (1:1) controlled, single blind, single center study in 2000 percutaneous coronary intervention (PCI) patients comparing the ExoSeal VCD (test device) to the AngioSeal VCD (standard comparator). In-hospital and 30 days safety and efficacy endpoints and 6 months safety endpoints will be reported.

02

Conditions studied

  • Coronary Disease

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Keywords

  • PCI
03

In context

Coronary Disease

2,839 studies on the registry are indexed under Coronary Disease; 311 are open to participants now.

This study's enrollment of 818 is above the median of 124 across 1,583 interventional studies indexed under Coronary Disease.

Browse Coronary Disease studies →

Lead sponsor

Aarhus University Hospital Skejby is the lead sponsor of 59 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Should be able to provide valid informed signed consent
  • PCI procedure including treatment by balloon and/or stent
  • PCI indicated by silent ischemia, stable angina pectoris, non-ST elevation myocardial infarction (NSTEMI) or ST elevation myocardial infarction (STEMI)

Exclusion criteria

Exclusion Criteria:

  • Only coronary angiography
  • Multiple punctures
  • Active infection
  • Groin haematoma before the closure procedure
  • Sheath size > 7 French
  • Known pseudoaneurysm or arteriovenous (AV)-fistula in the ipsilateral groin
  • Prior arterial surgery in abdomen and/or lower extremities
  • Cardiogenic shock
  • Life expectancy less than one year
  • The patient is a female of childbearing potential with possible pregnancy or a positive pregnancy test within 7 days before the index procedure or is lactating
  • Simultaneous or planned subsequent femoral vein access
  • Allergy to any of the components in the closure material left in the groin
  • Puncture on same site \< 30 days
  • Peripheral artery disease patients can be included at operator´s discretion except if heavy calcification is present at the access site which at the operator's discretion precludes insertion of the VCD
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
818 participants (actual)

Study arms

  • Experimental
    Exoseal closure device

    Closure device for femoral artery access closure

    Device: Exoseal closure device

  • Active comparator
    Angio-Seal closure device

    Closure device for femoral artery access closure

    Device: Angioseal closure device

Interventions

  • DeviceExoseal closure device

    Closure device for femoral artery access closure

  • DeviceAngioseal closure device

    Closure device for femoral artery access closure

06

What researchers measure

Primary outcomes

  1. Incidence at 30 days of the composite endpoint of access site related major adverse vascular events (MAVE)

    This includes: major bleeding and/or bleeding necessitating blood transfusion, pseudoaneurysm with indication for treatment, arteriovenous fistula, groin surgery and/or possible related vascular surgery, infection needing antibiotics.

    Time frame: 30 days

Secondary outcomes

  1. Time to haemostasis from removing the sheath (AngioSeal) or inserting the device (ExoSeal) until haemostasis

    Insignificant bleeding seen on the bandage or small continuous oozing is considered haemostasis. Continuous oozing will be counted as a Bleeding Academic Research Consortium (BARC) type 1 bleeding event

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 2 days

  2. Device failure

    Combined endpoint of any mechanic failure, deployment failure and/or immediate profuse bleeding needing prolonged manual compression. Individual endpoints will be reported.

    Time frame: 30 minutes

  3. Vasovagal reaction until 5 minutes after end of closure procedure

    Time frame: 30 minuts

  4. Need for new onset of manual compression

    Time frame: 30 days

  5. Pain and discomfort related to the closure procedure

    Assessed on a numerical rating scale (NRS) from 0 (no pain or discomfort) to 10 (worst possible pain or discomfort) Scripted language will be used when discussing pain scores with the patient. Pain and discomfort score will be assessed just before and immediately after the closure procedure and reported. The delta-value will be reported and compared. The patient will be given predefined standardized instructions on how to rate and that only pain and discomfort related to the closure procedure should be assessed

    Time frame: Closure procedure and 30 days

  6. Time to mobilization

    From start of closure procedure to patient is mobilized. Patients treated for ST-elevation myocardial infarction are assessed separately

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 2 days

  7. In-hospital large groin haematoma

    Larger than 5x5 cm measured by ruler in the catheterization laboratory and at discharge

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 2 days

  8. Bleedings according to the BARC definitions

    Access site related and non-access site related

    Time frame: 30 days

  9. Major bleeding and/or bleeding necessitating blood transfusion

    Time frame: 6 months

  10. Pseudoaneurysm with indication for treatment

    Time frame: 30 days and 6 months

  11. Arteriovenous fistula

    Time frame: 30 days and 6 months

  12. Groin surgery and/or possible related vascular surgery

    Time frame: 30 days and 6 months

  13. Infection needing antibiotics

    Time frame: 30 days and 6 months

  14. Need for medical evaluation of possible closure procedure related symptom(s)

    Time frame: 30 days

07

Study locations

2 sites
  • Aarhus University Hospital
    Aarhus N, 8200, Denmark
  • Odense University Hospital
    Odense, 5000, Denmark
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02234830
Lead sponsor
Aarhus University Hospital Skejby
Collaborators
Cordis Corporation, Abbott Medical Devices
Responsible party
Evald Hoej Christiansen (MD, Aarhus University Hospital Skejby) — Principal investigator
First posted
Sep 9, 2014
Start date
Dec 21, 2012
Primary completion
May 14, 2016
Completion
May 14, 2017
Last update
Jun 1, 2017

Study contacts

Evald H Christiansen, MD, PhD
principal investigator · Arhus University Hospital Skejby

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2017. You cannot join it, but the record below documents what was studied.

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