A First-In-Man Study to Assess Safety and Efficacy of Ultra High Pressure PTA Balloon ULTRAVIOLET in Treating A-V Fistula Stenosis

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorCardionovum GmbH

About this trial

First-In-Man Single Arm Prospective Study to assess the safety and efficacy of ULTRAVIOLET UHP PTA balloon.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients able to understand the purpose of the study, voluntarily agree to participate and signed Informed Consent form

Patients with impaired haemodialysis access due to narrowed lesions, as indicated by contrast or ultrasound or clinical diagnosis.

Indications for percutaneous endovascular therapy with diameter stenosis >50% and fistula's hemodynamic showing abnormalities (thrombosis in the AVF, high venous pressure, re-circulation, abnormal physical examination, decrease in dialysis efficiency, decrease in blood flow through the vascular access)

Target lesion is a resistant de novo or restenotic lesion

Disqualifiers

Female of childbearing potential, unless a recent pregnancy test is negative, who possibly plan to become pregnant any time after enrolment into this study;

Patients who are actively participating in another drug or device investigational study, who have not completed the primary endpoint follow-up period;

Patients who have undergone major surgical procedures (such as open chest surgery, head surgery) within 30 days before being enrolled in the study;

Patients who plan to undergo major surgical procedures (such as open chest surgery, head surgery) within 30 days after being enrolled in the study;

Trial design

Design model

Single group

Treatments tested in this trial

  • PTA balloon

    Device

    Angioplasty of a resistant stenotic lesion in the arterio-venous fistula

Treatment groups

35 Participants
are divided into 1 treatment group
Group A: ULTRAVIOLET UHP PTAExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Technical Success

Ability to cross the lesion and fully efface the balloon, leaving no residual stenosis (\<30%) evaluated by fistulography

Time frame
At the end of the procedure (up to 40 minutes)
2

Freedom from procedure-related complications after 1 month

freedom from adverse events related to the procedure in 1 month follow up period

Time frame
1 month

Secondary outcomes

1

Acute Device Success

successful delivery, balloon inflation, deflation, and retrieval of the intact study device without burst below rated burst pressure

Time frame
At the end of the procedure (up to 40 minutes)
2

Clinical Success

after intervention, the function of hemodialysis access is improved, dialysis function is restored, and at least one complete dialysis session has been completed

Time frame
At the end of the procedure (up to 40 minutes)
3

Procedural Surgery success

Once technical success has been achieved, no major adverse events (MAE) occurred during the procedure or hospitalization, including death, stroke, thrombosis, allergic reactions, or pulmonary disease

Time frame
At the end of hospitalization (assessed up to 5 days)
4

Target Lesion Primary Patency

Primary patency rate refers to the peak systolic velocity ratio (PSVR) measured by Doppler ultrasound (DUS) ≤ 2.0, which confirms the absence of restenosis and does not require clinically driven target lesion revascularization (CD-TLR)

Time frame
1 month

Other outcomes

Sponsors and contacts

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