About this trial
The study is planned to be conducted at multiple centers, with an intended enrollment of 326 subjects. Protocol-eligible subjects will be randomized in a 1:1 ratio to either the investigational group or the control group. The investigational group will receive a Biological Vascular Graft(LineMatrix®) manufactured by Humatrix Medical Technology (Suzhou) Co., LTD, while the control group will receive an arteriovenous graft (GORE-INTERING®) manufactured by W.L. Gore \& Associates, Inc. The primary endpoints are the Primary patency rate at 6 months postoperatively and the Cumulative Patency Rate at 12 Months postoperatively. Subjects will undergo follow-up during the screening period, at the time of AVG procedure, and at 1 month, 3 months, 6 months, and 12 months post-operatively. Safety and efficacy parameters will be observed and recorded during and after the surgery to evaluate the safety and effectiveness of the LineMatrix® Biological Vascular Graft for the creation of arteriovenous graft in patients with end-stage renal disease (ESRD).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
(1) Age ≥18 years and ≤80 years, male or female;
(2) Diagnosed with end-stage renal disease (ESRD) requiring maintenance hemodialysis;
(3) Requiring establishment of a long-term hemodialysis vascular access but unable to have a autologous arteriovenous fistula (AVF) created;
(4) Assessed by the investigator as suitable for implantation of an arteriovenous graft (AVG) in the upper extremity;
Disqualifiers
(1) Known or suspected history of allergy to heparin, alcohol, or bovine-derived products;
(2) Planned to undergo renal transplantation or transition to peritoneal dialysis within 1 year;
(3) Hemoglobin concentration <60 g/L, or platelet count <60 × 10⁹/L;
(4) Left ventricular ejection fraction (LVEF) <30%;
Trial design
Parallel
Treatments tested in this trial
LineMatrix® Biological Vascular Graft
DeviceLineMatrix® Biological Vascular Graft
GORE-INTERING®
DeviceGORE-INTERING®
Treatment groups
Trial outcomes
Primary outcomes
Primary patency rate at 6 months postoperatively
Primary Patency Rate is defined as the proportion of subjects who have not experienced any of the following events from the date of vascular access creation through 6 months post-operatively: thrombosis, or any intervention performed to promote, maintain, or re-establish patency (e.g., angioplasty).
Cumulative Patency Rate at 12 Months Postoperatively
Cumulative Patency Rate is defined as the proportion of subjects whose vascular access has not been abandoned from the date of vascular access creation through 12 months post-operatively.
Secondary outcomes
Primary patency rate at 3,12 months postoperatively
Primary Patency Rate is defined as the proportion of subjects who have not experienced any of the following events from the date of vascular access creation through 3,12 months post-operatively: thrombosis, or any intervention performed to promote, maintain, or re-establish patency (e.g., angioplasty).
Cumulative Patency Rate at 3,6 Months Postoperatively
Cumulative Patency Rate is defined as the proportion of subjects whose vascular access has not been abandoned from the date of vascular access creation through 3, 6 months post-operatively.
Surgical success rate
Surgical success rate is defined as the successful completion of the arteriovenous graft (AVG) surgery using the investigational device, without any device-related serious adverse events occurring during the perioperative period.
Time to First Cannulation
Time to First Cannulation is defined as the interval from the AVG procedure to the first hemodialysis session performed using the arteriovenous graft.
Sponsors and contacts
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Longhua Hospital
Lead sponsor
Humatrix Medical Technology (Suzhou) Co., LTD
Collaborator