ClinicalTrials.gg
RecruitingNCT06329310Updated Jul 29, 2026

Xeltis Hemodialysis Access (aXess) Conduit: aXess-E Study

An interventional study of aXess-E conduit in End Stage Renal Disease, sponsored by Xeltis. Recruiting at 2 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-29.

Sponsored by Xeltis · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 19 studies in Kidney Failure, Chronic with a site in Portugal — 4 open to participants now, 6 under way, 2 of them phase 3. Kidney Failure, Chronic · Portugal.

Planned enrollment
14th of 15
20 · median 400
Started
2024
with 1 other
No phase
2 of 19
1 open now
Registered
19th of 19
by date
Lead sponsor
2 of 19
Xeltis

Among the 19 studies in Kidney Failure, Chronic with a site in Portugal, this one is the 14th largest by planned enrollment of the 15 interventional ones that give a count, is one of 2 that started in 2024, is one of 2 with no phase, and was the 19th registered.

Kidney Failure, Chronic

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

Browse Kidney Failure, Chronic studies →

Open to participants now

4 of the 19 studies in Kidney Failure, Chronic with a site in Portugal are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Portugal have not opened yet or have stopped. Only those recruiting at a site in Portugal →

Who these studies take

Of the 170 Kidney Failure, Chronic studies recruiting now, 109 (64%) set no upper age limit and 32 (19%) stop at 75 or younger; 18 take children under 18; 22 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 19 studies in Kidney Failure, Chronic with a site in Portugal, or all of them as a file.
02

Study summary

A prospective, single arm, non-randomized feasibility study to confirm the safety and performance of the Xeltis Hemodialysis Access conduit, aXess-E, in subjects older than 18 years with end-stage renal disease, who plan to undergo hemodialysis for at least the first 6 months after study access creation.

03

Conditions studied

  • End Stage Renal Disease
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. Subjects with end-stage renal disease (ESRD) who require placement of an Arteriovenous Graft (AVG) in the upper extremity to start or maintain hemodialysis therapy
  2. At least 18 years of age at screening
  3. Suitable anatomy (e.g. a target vein with a minimum diameter of 5mm) for the implantation of an aXess-E conduit
  4. The patient has been informed about the nature of the study, understands and agrees to its provisions, and has personally provided written
  5. The patient has been informed and agrees to pre- and post- procedure follow-up
  6. of at least 12 months

Exclusion criteria

Exclusion Criteria:

  1. History or evidence of severe cardiac disease ( (NYHA) Functional Class IV and/or (EF) \<25%), myocardial infarction within six months of study enrolment, ventricular tachyarrhythmias requiring continuing treatment, or unstable angina
  2. Uncontrolled or poorly controlled diabetes
  3. Abnormal blood values that could influence patient recovery and or/ conduit hemostasis
  4. Reduced liver function, defined as: >2x the for serum , (INR) >1.5 or prothrombin time (PT) >18 seconds
  5. Any active local or systemic infection
  6. Known heparin-induced thrombocytopenia
  7. Known active bleeding disorder and/or any coagulopathy or thromboembolic disease
  8. Allergies to study device (nitinol) or agents/medication, such as contrast agents or aspirin, that can't be controlled medically
  9. Anticipated renal transplant within 6 months
  10. Known or suspected central vein obstruction on the side of planned conduit implantation
  11. Previous dialysis access conduit in the operative limb unless the aXess-E conduit can be placed more proximally than the previous failed conduit
  12. Previous enrolment in this study
  13. Subject is participating in another study
  14. Pregnant or breastfeeding woman or woman in fertile period not taking adequate
  15. Any other condition which, in the judgement of the investigator would preclude adequate evaluation for the safety and performance of the study conduit

Intra-operative exclusion criteria:

1. Unsuitable anatomy to implant the aXess-E conduit (e.g. target vein and/or artery diameter smaller than anticipated; severe calcification)

Terms in these criteria, in plain language(8)

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.

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.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

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

Study arms

  • Experimental
    aXess-E conduit

    Device: aXess-E conduit

Interventions

  • DeviceaXess-E conduit

    The aXess-E conduit is a sterile, regenerative biodegradable polymer-based vascular conduit, consisting of a tubular structure with a 6mm inner diameter. It is comprised of a highly porous polymer matrix and an embedded electropolished nitinol reinforcement layer (Strain Relief System). The aXess-E conduit is able to support both straight and loop configurations and may be implanted in the upper arm and forearm.

06

What researchers measure

Primary outcomes

  1. Primary Patency rate

    Defined as the interval between vascular access creation and the first intervention to maintain or restore patency.

    Time frame: 6 months

  2. Freedom from device-related Serious Adverse Event (SAE)

    Time frame: 6 months

Secondary outcomes

  1. Implantation success rate

    Defined as a technically successful aXess-E conduit implantation in the planned configuration, free from kinking and tension in the anastomoses.

    Time frame: 1 day, from moment of implant until end of procedure day

  2. Primary patency rate

    Primary patency: Defined as the interval between vascular access creation and the first intervention to maintain or restore patency.

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

  3. Primary assisted patency rate

    Assisted primary patency: Defined as the interval between vascular access creation and the first occlusion (thrombosis), including interventions (operative or endovascular) aimed to maintain the functionality the vascular access.

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

  4. Secondary patency rate

    Secondary patency: Defined as the interval between vascular access creation and abandonment with or without interventions (operative or endovascular) aimed to maintain the functionality the vascular access, including occurrence of a censored event (death, change of modality, loss of follow-up).

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

  5. Functional patency rate

    Functional patency: Defined as the interval between first cannulation and abandonment, including occurrence of a censored event (death, change of modality, loss of follow-up).

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

  6. Time (expressed in months) to first intervention and to access abandonment

    Time frame: 24 months

  7. Rate of access-related interventions required to achieve/maintain patency

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

  8. Freedom from device-related SAE

    Time frame: 12, 18, and 24 months

  9. Rate of access site infections

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

  10. Proportion of hemodialysis sessions completed via central venous catheter (CVC) during the first 12 months of access creation and access cannulation, irrespective of access abandonment

    Time frame: 24 months

  11. Time to first cannulation

    Assessed only in subjects who are already on dialysis at the time of implant.

    Time frame: 24 months

  12. Following first cannulation, number of days with CVC in situ (catheter contact time) irrespective of access abandonment

    Time frame: 12 months

07

Study locations

2 of 2 sites recruiting
  • Hospital de Santa Maria
    Lisbon, Portugal
    Recruiting
    • Augusto Ministro · Contact
  • Kliničko bolnički centar Zvezdara Klinika za Interne Bolesti
    Belgrade, Serbia
    Recruiting
    • Marijana Bogosavac · Contact
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2024 (actual). Primary completion is estimated for Jul 2027, 31 months after the start.

Of 78 industry-sponsored interventional studies with no phase under Kidney Failure, Chronic, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 40. This study's planned 31 months is above that.

Counting every sponsor, half of 425 studies reached it within 23 months; a quarter within 8 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 18, 2024
First posted
Mar 25, 2024
StartActual
Dec 16, 2024
Primary completionEst.
Jul 2027
CompletionEst.
Dec 2028
Last update
Jul 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06329310
Lead sponsor
Xeltis
Responsible party
Sponsor
First posted
Mar 25, 2024
Start date
Dec 16, 2024
Primary completion
Jul 2027 (estimated)
Completion
Dec 2028 (estimated)
Last update
Jul 29, 2026

Study contacts

Eliane Schutte
Contact
clinical@xeltis.com
+31 40 751 7614

Oversight

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

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