ClinicalTrials.gg
Active, not recruitingNCT05729620Updated Apr 27, 2026

Evaluation of STARgraft-3 for Hemodialysis

An interventional study of Implant of STARgraft-3 shunt in the upper arm and subsequent use for hemodialysis access in End Stage Renal Disease, sponsored by Healionics Corporation. Active, not recruiting at 1 site in Paraguay. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-27.

Sponsored by Healionics Corporation · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study is a single site, prospective, single arm evaluation of the safety and effectiveness of the Healionics STARgraft-3 hemodialysis access graft. STARgraft devices have been demonstrated in preclinical and other studies to have improved resistance to the common failure modes of venous anastomosis stenosis and infection.

This study is an extension from prior studies with STARgraft AV (NCT03916731) and STARgraft-2 (NCT04783779) investigational devices. A previous study also included control implants of commercially available standard ePTFE grafts approved for the same use.

The study is enrolling patients with End Stage Renal Disease (ESRD) requiring hemodialysis via a prosthetic vascular graft. The study proposes to evaluate the performance of the investigational STARgraft-3 compared to the ePTFE controls in the prior study and to published results, over a period of 6 months, with extended results to 1 year.

Estimated enrollment is 15 subjects in this study.

02

Conditions studied

  • End Stage Renal Disease

Keywords

  • Hemodialysis
  • Vascular Access
  • Arterio-Venous Grafts (AVG)
03

In context

Kidney Failure, Chronic

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

This study's planned enrollment of 21 is below the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

Healionics Corporation is the lead sponsor of 5 studies on the registry; 2 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

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. Male or female, > 18 years or age.
  2. Patient has given to participate in the trial.
  3. Stated willingness to comply with all study procedures and availability for the duration of the study.
  4. Able to effectively communicate with study personnel.
  5. Candidate for a new arterio-venous graft placed in the upper arm.
  6. judged to be at least 2 years.
  7. Axillary vein of greater than or equal to 7 mm in diameter.
  8. Brachial artery of greater than or equal to 4 mm in diameter.
  9. Acceptable cardiac risk level (Cardiac Output ≥ 3.5 L/min, Pulmonary Artery Pressure ≤ 50 mmHg, ≥ 40%)
  10. Systolic blood pressure equal to or greater than 120 mmHg.
  11. Absence of central venous stenosis downstream from implant site confirmed with ultrasound and/or venogram.

Exclusion criteria

Exclusion Criteria:

  1. Unable or unlikely to comply with trial protocol and/or follow-up.
  2. Pregnancy.
  3. Clinically morbid obesity.
  4. Anatomical limitations.
  5. Immunodeficiency syndrome.
  6. History of bacterial infection within 8 weeks prior to graft implantation.
  7. History of hypercoagulation or bleeding disorders.
  8. Elevated count > 1 million per microliter of blood.
  9. History of heparin-induced thrombocytopenia syndrome (HIT).
  10. Medically confirmed stenosis of the veins downstream of the implant site.
  11. Inadequate arterial flow or pressure proximal to the implant site.
  12. Currently participating in another investigation drug or device study which may clinically interfere with any endpoints of this trial.
  13. Fever greater than 38°C.
  14. Prior allergic reaction to silicone.
  15. Confirmed or suspected COVID-19 infection within 8 weeks prior to graft implant, or ongoing COVID-19 symptoms.
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.

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.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

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

Study arms

  • Experimental
    STARgraft-3

    Participants will be implanted with 6mm diameter STARgraft-3 grafts as an upper arm Brachial Artery to Axillary Vein shunt for hemodialysis access.

    Device: Implant of STARgraft-3 shunt in the upper arm and subsequent use for hemodialysis access

Interventions

  • DeviceImplant of STARgraft-3 shunt in the upper arm and subsequent use for hemodialysis access

    After healing from the surgical procedure, the graft will be routinely cannulated for hemodialysis sessions. Periodic evaluations of blood flow by ultrasound imaging will be made over the study period. Established standards of care will be followed as needed to maintain dialysis function.

06

What researchers measure

Primary outcomes

  1. Primary Unassisted Patency

    Percentage of subjects without an occurrence of either an access thrombosis or an access procedure performed to maintain patency.

    Time frame: 6 months post implantation

Secondary outcomes

  1. Primary Unassisted Patency

    Percentage of subjects without an occurrence of either an access thrombosis or an access procedure performed to maintain patency.

    Time frame: 1, 2, 4, 9 and 12 months post implantation

  2. Assisted Primary Patency

    Percentage of subjects retaining patency after one or more interventions so long as patency was not lost at any point.

    Time frame: 1, 2, 4, 6, 9, and 12 months post implantation

  3. Secondary Patency (Cumulative Patency)

    Percentage of subjects without loss of access at the original implant site.

    Time frame: 1, 2, 4, 6, 9, and 12 months post implantation

  4. Frequency of Interventions

    Frequency of interventions related to graft placement and use for dialysis access.

    Time frame: 1, 2, 4, 6, 9 and 12 months post implantation

  5. Blood Flow Rates in Grafts

    Ultrasound measurements of flow rates (ml/minute) to detect patency trends with time after implantation.

    Time frame: 2 weeks and 1, 2, 4, 6, 9, and 12 months post implantation

  6. Safety Outcomes

    Frequency and severity of Adverse Events resulting from graft implantation and use for hemodialysis access.

    Time frame: 1, 2, 4, 6, 9, and 12 months post implantation

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05729620
Lead sponsor
Healionics Corporation
Responsible party
Sponsor
First posted
Feb 15, 2023
Start date
Nov 29, 2022
Primary completion
Feb 2, 2024
Completion
Jul 2027 (estimated)
Last update
Apr 27, 2026

Study contacts

Adrian Ebner, MD
principal investigator · Italian Hospital Asuncion Paraguay

Oversight

Data monitoring committee
No
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 Apr 2026. 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