ClinicalTrials.gg
Not yet recruitingNCT07034092Updated Sep 17, 2026

PATH-03 Paraguay Feasibility Study

An interventional study of ePATH System will be used to create an endoAVF in Kidney Disease, End-Stage, sponsored by Pathfinder Medical. Not yet recruiting at 1 site in Paraguay. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Pathfinder Medical · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this study is to evaluate the safety and effectiveness of the ePATH system in the creation of an endovascular AVF (endoAVF) in patients who require or will soon require hemodialysis and are eligible for a fistula.

02

Conditions studied

  • Kidney Disease, End-Stage

Keywords

  • fistula, AVF, endoAVF, hemodialysis, vascular access
  • endovascular AVF
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 20 is below the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

This is the only study on the registry with Pathfinder Medical as lead sponsor.

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. Patients deemed eligible for creation of an AV fistula according to institutional or local guidelines and/or clinical judgement of the investigator
  2. Adults (age >18 years old)
  3. Non-reversible kidney failure requiring hemodialysis (this can include pre-dialysis patients)
  4. Target vein diameter of ≥2.0 mm
  5. Target artery diameter of ≥2.0 mm
  6. Both radial and ulnar artery flow to the hand, confirmed with Duplex Ultrasound and/or Allen's test (i.e. palmar arch)
  7. Able to provide
  8. Able to comply with follow-up visit assessment requirements
  9. Patient is free from conditions or illnesses that might compromise the procedure or the AVF

Exclusion criteria

Exclusion Criteria:

  1. Significant central venous stenosis or narrowing that exceeds 50% based on imaging
  2. Hypercoagulable state or known bleeding diathesis
  3. NHYA Class III or IV heart failure
  4. Estimated life-expectancy of \<1 year based on the physician's opinion
  5. Oedema of extremities
  6. Current diagnosis of carcinoma
  7. Pregnant or breastfeeding women
  8. Diagnosed or suspected skin disease at the access site
  9. or otherwise immunocompromised patients
  10. Currently being treated with another device or medication
  11. Allergy to contrast or other drugs associated with surgery, e.g., sedation agents, or to device materials
  12. Anatomy that prevents formation of AVF, e.g., misalignment of vessels or tortuosity
  13. Patient is unwilling to undergo 2nd stage procedure, e.g. endovascular prothesis placement or balloon dilatation, if required
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

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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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Intervention group

    An endoAVF will be created in the treated subjects.

    Device: ePATH System will be used to create an endoAVF

Interventions

  • DeviceePATH System will be used to create an endoAVF

    An endoAVF will be created in subjects that need fistulas for hemodialysis

06

What researchers measure

Primary outcomes

  1. Primary Safety Endpoint

    Proportion of patients that experience one or more serious ePATH device-related or ePATH portion of the procedure-related adverse events during the first 3 months following AVF creation.

    Time frame: 3 months

Secondary outcomes

  1. Technical Success

    Technical success: Successful creation of a fistula with the ePATH system. Verification that an endoAVF has been created with the ePATH system and that it remains patent 1-7 days after the index procedure. Patency will be defined by an experienced examiner as the presence of a bruit as detected by stethoscope, or the presence of a thrill, or with duplex ultrasonography for all study endpoints.

    Time frame: 7 days

  2. AVF maturation

    Defined as an AVF that is free from stenosis or thrombosis with an arterial inflow of at least 500 ml/min and/or a diameter of at least 4 mm (as measured by duplex ultrasonography) or the patient was successfully dialysed with 2 needles.

    Time frame: 3 months

  3. Time to fistula maturation

    Number of days between the index procedure and the date at which AVF maturation is achieved

    Time frame: 3 months

  4. Rate of other device or other procedure-related adverse events

    Rate of serious other device (not ePATH device) or other procedure-related (not ePATH portion of the procedure) adverse events at 3 months following the index procedure

    Time frame: 3 months

  5. Rate of device and/or procedure related infections

    Rate of device and/or procedure related infections at 3 months following the index procedure

    Time frame: 3 months

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 Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07034092
Lead sponsor
Pathfinder Medical
Collaborators
MINSA SA
Responsible party
Sponsor
First posted
Jun 24, 2025
Start date
Mar 2027 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Mar 2028 (estimated)
Last update
Sep 17, 2026

Study contacts

Sorin C Popa, BESc, MRes
Contact
sorin@pathfindermed.com
+44 (0) 7939186529
Adrian A Ebner, MD
principal investigator · Sanatorio Italiano

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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