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Recruiting NCT07555717

STARgraft (10401) Pilot

No phase Interventional End Stage Kidney Disease (ESRD)

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: STARgraft (10401).
Who it may be relevant to
Registry conditions: End Stage Kidney Disease (ESRD). Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Paraguay
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

STARgraft Vascular Graft 10401 for Hemodialysis Access Pilot

Overview

This study is a single site, prospective, single arm evaluation of the safety and effectiveness of the Healionics STARgraft (10401) hemodialysis access graft. The study is enrolling patients with End Stage Renal Disease (ESRD) requiring hemodialysis via a prosthetic vascular graft. The study proposes to evaluate the performance of the investigational STARgraft (10401) compared to the ePTFE controls in a prior study (NCT03916731) and to published results, over a period of 6 months. Additional data out to 36 months post-implantation may be captured.

Interventions

  • Device STARgraft (10401)
    Participants will be implanted with 6mm diameter STARgraft (10401) grafts as an upper arm Brachial Artery to Axillary Vein shunt for hemodialysis access.

Primary outcome measures

  • Effectiveness - Primary unassisted patency [Time frame: 6 months]
  • Safety - Serious Device Related Adverse Events [Time frame: 6 months]
Secondary outcome measures (5)
  • Primary unassisted patency [Time frame: 12, 18, 24 and 36 months]
  • Assisted primary patency [Time frame: 6, 12, 18, 24 and 36 months]
  • Incidence of graft infections [Time frame: 6, 12, 18, 24 and 36 months]
  • Incidence of serious device-related adverse events [Time frame: 12, 18, 24 and 36 months]
  • Incidence of major events [Time frame: 6, 12, 18, 24 and 36 months]

Eligibility criteria

Inclusion criteria

  • Adult patients, 18 years or older.
  • Patient has given informed consent to participate in the trial.
  • Stated willingness to comply with all trial procedures and availability for the duration of the trial.
  • Able to effectively communicate with trial personnel.
  • Indicated patient population (end stage renal disease).
  • Candidate for a new AV graft placed in the upper arm and judged to need dialysis within 2 months. Patient may have a failed access at a different anatomical location.
  • Life expectancy judged to be at least 2 years with consideration of patient frailty.
  • Axillary vein approximately 7 mm in diameter or greater.
  • Brachial artery approximately 4 mm in diameter or greater.
  • Acceptable cardiac risk level (cardiac output ≥ 3.5 l/min, pulmonary artery pressure ≤ 50 mmHg, and ejection fraction ≥ 40%).
  • Systolic blood pressure equal to or greater than 120 mmHg.
  • Absence of central venous stenosis downstream from implant site confirmed with ultrasound and/or venogram.

Exclusion criteria

  • Unable or unlikely to comply with trial protocol and/or follow-up.
  • Pregnancy.
  • Previous history of Peritoneal Dialysis treatment within the last 2 months
  • Central venous catheter located on same side as intended implant location.
  • Clinical morbid obesity (BMI > 40).
  • Anatomical limitations, including issues discovered intraoperatively during vessel exposure.
  • Immunodeficiency syndrome.
  • History of hypercoagulation or bleeding disorders.
  • Elevated platelet count > 1 million per microliter of blood.
  • History of heparin-induced thrombocytopenia syndrome
  • Medically confirmed stenosis or compromised valves in the veins downstream of the implant site.
  • Inadequate arterial flow or pressure proximal to the implant site.
  • Currently participating in another investigational drug or device trial which may clinically interfere with any endpoints of this trial.
  • Fever greater than 38°C.
  • Known allergic reaction to silicone, or untreatable allergy to imaging contrast materials.
  • Confirmed or suspected bacterial, viral or parasitic infection within 8 weeks prior to graft implant, or ongoing symptoms.
  • Uncontrolled or poorly controlled diabetes.
  • History or evidence of severe cardiac disease.
  • Any other condition which, in the judgment of the Investigator, would preclude adequate evaluation or impact patient safety or trial conduct.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Treatment

Study locations

Paraguay · 1 center
  • Italian Hospital — Asunción

Identifiers

NCT: NCT07555717 · 00590

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗