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CompletedNCT02816398Updated Feb 5, 2021Results posted

Catheter System Feasibility Clinical Trial

An interventional study of Percutaneous creation of an arteriovenous fistula in Renal Insufficiency, Chronic, sponsored by Medtronic Endovascular. Completed. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-02-05.

Sponsored by Medtronic Endovascular · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
26
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Feasibility clinical study to evaluate the safety and effectiveness of the catheter system for the percutaneous creation of an arteriovenous fistula for patients with end stage renal disease requiring dialysis access.

02

Conditions studied

  • Renal Insufficiency, Chronic
03

In context

Renal Insufficiency

1,995 studies on the registry are indexed under Renal Insufficiency; 173 are open to participants now.

This study's enrollment of 26 is below the median of 43 across 1,504 interventional studies indexed under Renal Insufficiency.

Browse Renal Insufficiency studies →

Lead sponsor

Medtronic Endovascular is the lead sponsor of 50 studies on the registry; 3 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients deemed medically eligible for AV fistula creation per institutional guidelines and/or clinical judgment
  • Patients diagnosed with chronic kidney disease classification stage IV or V
  • Adequate quality vein >= 2 mm with confirmed clinically significant outflow based on pre-operative assessment
  • Adequate quality radial artery >= 2 mm based on pre-operative assessment
  • Adequate collateral arterial perfusion
  • Radial artery-adjacent vein proximity \< = 1.5 mm
  • Able to provide informed consent
  • Able to travel to institution for follow up examination
  • Able to intraoperatively place an .014" guidewire in artery

Exclusion criteria

Exclusion Criteria:

  • Suspected skin disease
  • Immunocompromised patients (e.g. HIV positive)
  • Edema of extremities
  • Current diagnosis of carcinoma
  • Pregnancy or currently breast feeding
  • Diagnosed hypercoaguable state
  • Active infection
  • Evidence of vascular disease at target site
  • Pre-existing vascular disease that could confound study results
  • Vessel tortuosity or spasm preventing placement of .014" guidewire
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
26 participants (actual)

Study arms

  • Experimental
    Treatment

    Interventional use of experimental Ellipsys catheter system for percutaneous creation of an arteriovenous fistula

    Device: Percutaneous creation of an arteriovenous fistula

Interventions

  • DevicePercutaneous creation of an arteriovenous fistula

    Use of catheter system for percutaneous creation of an arteriovenous fistula

06

What researchers measure

Primary outcomes

  1. Number of Participants With Sufficient Patency for Clinical Access

    Arteriovenous fistula is patent as determined by auscultation or ultrasound and eligible for maturation assistance to achieve clinical access flow rate.

    Time frame: 6 weeks

  2. Number of Patients Achieving Dialysis Access

    Arteriovenous fistula is mature and patient has started dialysis using the fistula

    Time frame: 6 weeks

  3. Number of Patients on Dialysis Using the Arteriovenous Fistula or Has Adequate Access Flow Rate to Allow Dialysis

    Arteriovenous fistula is mature or has achieved a minimum clinically acceptable access flow rate as determined by doppler ultrasound assessment to support dialysis

    Time frame: 3 months

Secondary outcomes

  1. Number of Patients Requiring Additional Interventions to Achieve Maturation and Dialysis Access

    The number of patients requiring additional interventions to achieve maturation and initiation of dialysis.

    Time frame: 12 weeks

07

Results

Posted Aug 12, 2020

Participant flow

Participant flow — Overall Study
MilestoneTreatment
Started26
Completed12
Not completed14
Withdrew: Death5
Withdrew: Lack of efficacy8
Withdrew: Lost to follow-up1

Outcome measures

PrimaryNumber of Participants With Sufficient Patency for Clinical Access

Arteriovenous fistula is patent as determined by auscultation or ultrasound and eligible for maturation assistance to achieve clinical access flow rate.

Time frame:
6 weeks
Reported as:
Count of participants · Participants
Number of Participants With Sufficient Patency for Clinical Access
ParticipantsTreatment
Number of Participants With Sufficient Patency for Clinical Access20
PrimaryNumber of Patients Achieving Dialysis Access

Arteriovenous fistula is mature and patient has started dialysis using the fistula

Time frame:
6 weeks
Reported as:
Count of participants · Participants
Number of Patients Achieving Dialysis Access
ParticipantsTreatment
Number of Patients Achieving Dialysis Access1
PrimaryNumber of Patients on Dialysis Using the Arteriovenous Fistula or Has Adequate Access Flow Rate to Allow Dialysis

Arteriovenous fistula is mature or has achieved a minimum clinically acceptable access flow rate as determined by doppler ultrasound assessment to support dialysis

Time frame:
3 months
Reported as:
Count of participants · Participants
Number of Patients on Dialysis Using the Arteriovenous Fistula or Has Adequate Access Flow Rate to Allow Dialysis
ParticipantsTreatment
Number of Patients on Dialysis Using the Arteriovenous Fistula or Has Adequate Access Flow Rate to Allow Dialysis20
SecondaryNumber of Patients Requiring Additional Interventions to Achieve Maturation and Dialysis Access

The number of patients requiring additional interventions to achieve maturation and initiation of dialysis.

Time frame:
12 weeks
Reported as:
Count of participants · Participants
Number of Patients Requiring Additional Interventions to Achieve Maturation and Dialysis Access
ParticipantsTreatment
Number of Patients Requiring Additional Interventions to Achieve Maturation and Dialysis Access23

Adverse events

Collected over Adverse event data was collected over a period of 6 months from index procedure through arteriovenous fistula maturation. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment—9/23 (39.1%)0/23 (0%)
Most frequent serious events
Most frequent serious events
EventTreatment
DeathGeneral disorders5/23
Acute thrombosisVascular disorders3/23
HematomaBlood and lymphatic system disorders1/23

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Treatment
<=18 years0
Between 18 and 65 years24
>=65 years2
Age, Continuous
Age, Continuous(Years)Treatment
Mean45.5 ± 13.6
Sex: Female, Male
Sex: Female, Male(Participants)Treatment
Female16
Male10
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White0
More than one race26
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Treatment
Mexico26
08

Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02816398
Lead sponsor
Medtronic Endovascular
Collaborators
Hospital Universitario Dr. Jose E. Gonzalez
Responsible party
Sponsor
First posted
Jun 28, 2016
Start date
Jan 2014
Primary completion
Oct 2015
Completion
Jan 2016
Results posted
Aug 12, 2020
Last update
Feb 5, 2021

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2016. You cannot join it, but the record below documents what was studied.

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