ClinicalTrials.gg
Active, not recruitingNCT05418816SW-AVFUpdated Apr 1, 2025

SelfWrap-Assisted Arteriovenous Fistulas

An interventional study of SelfWrap Bioabsorbable Perivascular Wrap in Chronic Kidney Diseases, Chronic Kidney Failure and End Stage Renal Disease, sponsored by VenoStent. Active, not recruiting at 1 site in Paraguay. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-01.

Primary conditionKidney Failure, ChronicRegistry: Renal Insufficiency, ChronicReclassifiedWhy we changed it
Registry
Renal Insufficiency, Chronic — the first condition term the registry derived for this study.
ClinicalTrials.gg
Kidney Failure, Chronic
Why
  1. The study's listed conditions name Kidney Failure, Chronic, a narrower term within Renal Insufficiency, Chronic.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by VenoStent · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Jun 2021, registered Jun 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a single-center, prospective, single-arm clinical study to evaluate the feasibility, safety, and performance of VenoStent's SelfWrap® Bioabsorbable Perivascular Wrap on arteriovenous fistulas (AVFs). All participants are chronic kidney disease (CKD) patients already receiving hemodialysis treatments that are referred for creation of a new arteriovenous fistula (AVF).

02

Conditions studied

  • Chronic Kidney Diseases
  • Chronic Kidney Failure
  • End Stage Renal Disease
  • End Stage Kidney Disease
  • Arteriovenous Fistula
  • Hemodialysis Access Failure
  • Catheter Complications
  • Catheter Dysfunction
  • Vascular Diseases
  • Arteriovenous Malformations
  • Vascular Malformations
  • Vascular Fistula
  • Fistula
  • Renal Insufficiency
  • Renal Failure
  • Renal Failure Chronic
  • Urologic Diseases

Keywords

  • Dialysis
  • Hemodialysis
  • Chronic Kidney Disease
  • End Stage Renal Disease
  • Vascular Surgery
  • Vascular Access
  • Arteriovenous Fistula
  • AVF
  • Nephrology
  • Bioabsorbable
  • Perivascular Wrap
  • External Support
03

In context

Kidney Failure, Chronic Reclassified

2,108 studies on the registry are indexed under Kidney Failure, Chronic; 273 are open to participants now.

This study's enrollment of 20 is below the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

VenoStent is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Compared within Kidney Failure, Chronic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Renal Insufficiency, Chronic. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥ 18 years, male or female;
  2. Subjects already receiving hemodialysis treatments that are ultimately referred for a new AVF, per current US KDOQI Clinical Practice Guidelines for Vascular Access updated in 2019 which recommend an AVF or arteriovenous graft (AVG) consistent with patient life-plan, overall goals of care, and anticipated duration of hemodialysis; if > 1 year, recommend forearm AVF, forearm AVG, or upper arm AVF; if \< 1 year, recommend forearm AVG/upper arm AVG; if urgent start, early cannulation AVG or central venous catheter (CVC);
  3. Target cephalic vein inner diameter ≥ 2.5 mm and target artery ≥ 2.0 mm as measured via duplex ultrasound with a tourniquet applied;
  4. For radial AVFs, a nonpathological modified Allen test;
  5. Triphasic arterial flow and intact venous outflow;
  6. A vascular access site being used for hemodialysis that is either positioned contralateral to the planned AVF creation surgery or located in the groin. If the catheter is positioned on the same side as the planned AVF, the catheter will be moved to the other arm prior to the AVF created surgery.
  7. Participant is willing and able to comply with study requirements and sign an .

Exclusion criteria

Exclusion Criteria:

  1. Planned index procedure to revise or repair an existing fistula;
  2. Twelve months or longer with a catheter, on the planned side of AVF creation; or if there has been any previously failed AVF and AVG on the planned side of AVF creation.
  3. Significant (> 50%) stenosis at the target vein on the side of surgery, as diagnosed by preoperative ultrasound;
  4. Known central venous stenosis > 50%;
  5. Amputated limb;
  6. Use of a peripherally-inserted central catheter (PICC) line;
  7. Abnormal cardiac rhythm;
  8. Known coagulation disorder;
  9. Known or suspected active infection at the time of surgery;
  10. Congestive heart failure class 4;
  11. Prior steal on the side of surgery;
  12. Enrolled in another drug, device, or biological study and has not completed the primary endpoint(s), or was previously enrolled in this study;
  13. less than 12 months;
  14. Patient expecting to undergo kidney transplant surgery within 12 months of enrollment;
  15. Patient has a comorbid condition that, in the judgment of the Investigator, may cause him/her to be non-compliant with the protocol or confound data interpretation.
  16. Unwillingness or inability to give consent and/or comply with the study follow up schedule.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    SelfWrap-treated

    Treated with SelfWrap Bioabsorbable Perivascular Wrap during AVF creation surgery

    Device: SelfWrap Bioabsorbable Perivascular Wrap

Interventions

  • DeviceSelfWrap Bioabsorbable Perivascular Wrap

    SelfWrap is applied during the normal arteriovenous fistula (AVF) creation procedure. It provides mechanical support to the vein and induces outward remodeling to improve maturation and patency of AVFs.

    Also known as: SelfWrap

06

What researchers measure

Primary outcomes

  1. Primary Patency

    Proportion of participants with a created AVF that is not abandoned nor occluded and is free from access thrombosis as well as any intervention required to facilitate, maintain, or reestablish patency (e.g. angioplasty), through 6 months

    Time frame: Through 6 months post-AVF creation

  2. Cumulative Patency

    Proportion of participants with a created AVF that is not abandoned or occluded, through 6 months

    Time frame: Through 6 months post-AVF creation

  3. Freedom from Device-Related Safety Events

    Proportion of participants with freedom from device-related infection, thrombosis, aneurysm, pseudoaneurysm, major bleeding, and rehospitalizations

    Time frame: Through 6 months post-AVF creation

Secondary outcomes

  1. Primary Patency

    Proportion of participants with a created AVF that is not abandoned nor occluded and is free from access thrombosis as well as any intervention required to facilitate, maintain, or reestablish patency (e.g. angioplasty), through 1, 2, 3, and 12 months

    Time frame: Through 1, 2, 3, 12, 18, and 24 months post-AVF creation

  2. Cumulative Patency

    Proportion of participants with a created AVF that is not abandoned or occluded, through 1, 2, 3, and 12 months

    Time frame: Through 1, 2, 3, 12, 18, and 24 months post-AVF creation

  3. Number of Interventions

    Time frame: Through 1, 2, 3, 6, 12, 18, and 24 months post-AVF creation

  4. Unassisted Physiological Maturation

    A created AVF with a proximal arterial flow rate ≥ 500 mL/min and a vein inner diameter ≥ 4.0 mm near the cannulation site, in absence of intervention(s) to initially establish this flow rate and vein size

    Time frame: 1, 2, 3, and 6 months post-AVF creation

  5. Freedom from Device-Related Safety Events

    Proportion of participants with freedom from device-related infection, thrombosis, aneurysm, pseudoaneurysm, major bleeding, and rehospitalizations

    Time frame: Through 1, 2, 3, 12, 18, and 24 months post-AVF creation

Other outcomes

  1. Assisted Physiological Maturation

    A created AVF with a proximal arterial flow rate ≥ 500 mL/min and a vein inner diameter ≥ 4.0 mm near the cannulation site, which required intervention(s) (e.g. angioplasty) to initially establish this flow rate and vein size

    Time frame: 1, 2, 3, and 6 months post-AVF creation

  2. Assisted Primary Patency

    Proportion of participants with a created AVF that is not abandoned nor occluded and is free from access thrombosis, through 1, 2, 3, 6, and 12 months

    Time frame: 1, 2, 3, 6, 12, 18, and 24 months post-AVF creation

  3. Time-to-Cannulation (or Cumulative Incidence)

    The time from AVF creation to the first two-needle hemodialysis through the newly-created AVF, as reported by the clinical research associate or site-designated clinician

    Time frame: Through 12 months

  4. Time-to-Maturation (Functional Maturation)

    The duration of time from AVF creation to the first date that the AVF is able to provide prescribed dialysis consistently with two needles for more than two thirds of dialysis sessions within 4 consecutive weeks, as reported by the CRA or site-designated clinician

    Time frame: Through 12 months

  5. Functional Primary Patency

    Proportion of participants with a created AVF that is free from thrombosis as well as any intervention required to facilitate, maintain, or reestablish patency (e.g. angioplasty), from the first date that it is able to provide prescribed dialysis consistently with two needles for more than two thirds of dialysis sessions within 4 consecutive weeks (i.e. mature AVF) as reported by the CRA or site-designated clinician, at 2, 3, 6, and 12 months

    Time frame: 2, 3, 6, 12, 18, and 24 months

  6. Functional Cumulative Patency

    Proportion of participants with a created AVF that is not abandoned or occluded, from the first date that it is able to provide prescribed dialysis consistently with two needles for more than two thirds of dialysis sessions within 4 consecutive weeks as reported by the CRA or site-designated clinician, at 2, 3, 6, and 12 months

    Time frame: 2, 3, 6, 12, 18, and 24 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05418816
Lead sponsor
VenoStent
Responsible party
Sponsor
First posted
Jun 14, 2022
Start date
Jun 14, 2021
Primary completion
Feb 23, 2022
Completion
Sep 2026 (estimated)
Last update
Apr 1, 2025

Study contacts

Adrian Ebner, MD
principal investigator · Sanatorio Italiano

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion