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Not yet recruitingNCT07762794Updated Aug 13, 2026

Multicenter Study to Evaluate the Safety and Efficacy of SYMVESS™ in a Real World Setting in Patients With Extremity Arterial Injury Requiring Urgent Repair

A Phase 4 interventional study of Acellular Tissue Engineered Vessel in Vascular Injury, Arterial Injury and Trauma Injury, sponsored by Humacyte, Inc.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by Humacyte, Inc. · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
125
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this post-marketing observational study is to further assess the long-term safety and efficacy of Symvess in a real-world setting in adult patients with extremity arterial injury.

The primary objective of the study is to determine Symvess secondary patency at 1 year.

Additional key secondary objectives, such as limb salvage, infection-free rate, primary patency, and safety, will also be assessed at 1 year.

All participants will receive Symvess. This is an open-label study and there is no comparator.

Participants will undergo surgery to repair an extremity arterial injury using Symvess. Participants will be asked to return at regular intervals up to 1 year post-implant to undergo imaging to assess Symvess patency, and for other standard clinical safety and efficacy assessments.

Read the detailed description

A Phase 4, observational, multicenter, non-randomized, open-label post-marketing study in patients treated with commercially available Symvess for injuries to upper and lower extremities.

All eligible patients treated with Symvess for extremity vascular trauma, in accordance with the approved indication of the USPI. Eligible patients will be adults suitable for treatment with Symvess as a vascular conduit for extremity arterial injury when urgent revascularization is needed to avoid imminent limb loss, and autologous vein graft is not feasible.

Patients will be implanted with a Symvess as an interposition replacement or bypass using standard vascular surgical techniques. At least one anastomosis should be distal to or within the Axillary artery if repair is in upper extremity and either distal to or within the Femoral artery, if repair is in lower extremity.

Patients with injuries limited to the vessels of the heart, head and neck area or exclusively within the torso are not eligible for the study.

Each patient will be followed for up to 12 months post implantation. Post-implant assessments include the following:

  • Full Physical Exam including surgical site
  • Focused Vascular Assessment
  • Clinical examination of the Symvess implant site
  • Duplex Ultrasound to confirm patency of Symvess
  • Documentation of any Symvess interventions
  • Confirmation of compliance with antiplatelet therapy
  • Concomitant Medications
  • Assessment of Adverse Events
02

Conditions studied

  • Vascular Injury
  • Arterial Injury
  • Trauma Injury

Keywords

  • Trauma
  • Extremity arterial injury
  • Symvess
  • Arterial injury
  • Vascular injury
  • Trauma injury
03

Who can participate

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

Inclusion criteria

  1. Aged at least 18 years old
  2. Patient is suitable to be implanted with a Symvess for extremity vascular trauma, in accordance with the approved indication of the USPI

    1. Symvess implant is to be used to re-establish blood flow to one of the major extremity arteries (see Section 4.1 for examples of size appropriate vessels)
    2. Although the proximal anastomosis may originate in the upper or lower torso region, the distal anastomosis must terminate in the extremity (e.g., below the inguinal crease for lower extremity, in the axillary or more distal in the upper extremity)
  3. Patient or legal representative is able, willing, and competent to give informed consent.
  4. Patient's life expectancy is at least 1 year based on the judgement of the Investigator
  5. Patient must have a home or place of residence whereby he/she may be contacted and a support system which would make them suitable for this study of one year follow-up duration
  6. Patient must have confirmed health insurance

Exclusion criteria

Exclusion Criteria:

  1. Limb at a high risk of amputation due to nature of the initial injury in the judgement of the Investigator, despite adequate revascularization
  2. Patients lacking enough healthy muscle and/or soft tissue for adequate coverage of Symvess
  3. Known drug or alcohol abuse that in the opinion of the Investigator would preclude the patient from being suitable for long-term follow-up

    a. Positive screen for illicit drugs (THC use is not exclusionary)

  4. Patient with known coagulopathies or hypercoagulable states (bleeding or clotting disorders)
  5. Known socioeconomic reasons (such as being homeless) that preclude the patient from being suitable for long-term follow-up
  6. Employee of the Sponsor or patient who is an employee or relative of the Investigator
04

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
125 participants (estimated)

Study arms

  • Other
    Symvess

    Symvess will be surgically implanted in accordance with the approved USPI for patients with extremity vascular injury

    Biological: Acellular Tissue Engineered Vessel

Interventions

  • BiologicalAcellular Tissue Engineered Vessel

    Humacyte Acellular Tissue Engineered Vessel, marketed under the name Symvess

    Also known as: ATEV, Symvess

05

What researchers measure

Primary outcomes

  1. Kaplan-Meier estimated Symvess secondary patency

    Time-to-event analysis estimating the long-term cumulative probabilities of maintaining Symvess secondary patency through the 12-month follow-up period evaluated across the entire study population.

    Time frame: 12 months

Secondary outcomes

  1. Kaplan-Meier estimated limb salvage rate

    Time-to-event analysis estimating the long-term cumulative probabilities of Symvess limb salvage rates through the 12-month follow-up period evaluated across the entire study population.

    Time frame: 12 months

  2. Kaplan-Meier estimated Symvess infection-free rate

    Time-to-event analysis estimating the long-term cumulative probabilities of Symvess infection free rates through the 12-month follow-up period evaluated across the entire study population.

    Time frame: 12 months

  3. Kaplan-Meier estimated Symvess primary patency

    Time-to-event analysis estimating the long-term cumulative probabilities of maintaining Symvess primary patency through the 12-month follow-up period evaluated across the entire study population.

    Time frame: 12 months

  4. Rate and frequency of Treatment Emergent Adverse Events

    Safety events will be assessed including all treatment emergent adverse events, serious adverse events (SAEs), and adverse events of interest (AESIs).

    Time frame: 12 months

Other outcomes

  1. Kaplan-Meier estimated MALE-free rate

    Time-to-event analysis estimating the long-term cumulative probabilities of Symvess MALE-free rate through the 12-month follow-up period evaluated across the entire study population.

    Time frame: 12 months

  2. Kaplan Meier estimated Symvess integrity rate

    Time-to-event analysis estimating the long-term cumulative probabilities of Symvess integrity rate through the 12-month follow-up period evaluated across the entire study population. The loss of mechanical integrity of Symvess is defined as rupture or anastomotic dehiscence

    Time frame: 12 months

  3. Rate of in-hospital events

    The rate of in-hospital events (e.g., major amputation of the index limb, Symvess conduit infection, loss of Symvess secondary patency) prior to discharge.

    Time frame: Perioperative (during hospitalization for index surgery)

06

Study locations

No study locations are listed for this record.

07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07762794
Lead sponsor
Humacyte, Inc.
Responsible party
Sponsor
First posted
Aug 13, 2026
Start date
Sep 2026 (estimated)
Primary completion
Sep 2030 (estimated)
Completion
Sep 2030 (estimated)
Last update
Aug 13, 2026

Study contacts

Warren Prosser
Contact
wprosser@humacyte.com
919-313-9633

Oversight

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

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