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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03171155
Registration number
NCT03171155
Ethics application status
Date submitted
23/05/2017
Date registered
31/05/2017
Titles & IDs
Public title
Clinical Study of the Medeon Biodesign XPro™
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Scientific title
Prospective, Multi-Center, Single Arm Study of the Medeon Biodesign XPro™ Suture-Mediated Vascular Closure Device System
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Secondary ID [1]
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CIP-LHC03
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Percutaneous Closure of Arteriotomy in Common Femoral Artery
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - XPro System
Experimental: XPro System - Implantation of XPro System during percutaneous vascular closure
Treatment: Devices: XPro System
Implantation of the XPro System
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time to Hemostasis
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Assessment method [1]
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Time to hemostasis absent of any access-site-related adjunctive surgical or endovascular procedures.
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Timepoint [1]
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15 minutes
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Primary outcome [2]
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Freedom from major VARC-2 events
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Assessment method [2]
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Freedom from major VARC-2 events within 30 days of the procedure.
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Timepoint [2]
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Up to 30 days of procedure
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Secondary outcome [1]
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Freedom from minor VARC-2 events
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Assessment method [1]
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Freedom from minor VARC-2 events up to 30 days of the procedure.
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Timepoint [1]
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Up to 30 days of procedure
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Secondary outcome [2]
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Successful hemostasis with the XPro System
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Assessment method [2]
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Without the need for any access-site-related adjunctive surgical or endovascular procedures and freedom from major VARC-2 events.
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Timepoint [2]
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at 48 hours or at discharge from hospital, whichever comes first; and up to 30 days post-procedure
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Secondary outcome [3]
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Freedom from access-site infection
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Assessment method [3]
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Freedom from access-site infection requiring IV or IM antibiotics, or extended hospitalization or re-hospitalization.
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Timepoint [3]
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Up to 30 days of procedure
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Eligibility
Key inclusion criteria
* Patient is > 18 years old
* Patient is scheduled for percutaneous BAV, TAVR/TAVI, EVAR, or TEVAR involving access through the femoral artery using an 8-18 Fr introducer sheath
* Patient is able to undergo emergent vascular surgery if a complication related to the vascular closure necessitates such surgery
* Patient, or authorized representative, signs a written Informed Consent form to participate in the study, prior to any study mandated procedures
* Patient is willing and able to complete follow-up
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior intra-aortic balloon pump at access site
* Patients with severe claudication, iliac or femoral artery diameter stenosis greater than 50%
* Common femoral artery lumen diameter is < 6 mm
* Prior target artery closure with any closure device < 90 days, or closure with manual compression = 30 days prior to index procedure
* Prior vascular surgery, vascular graft, or stent in region of access site
* Patients receiving glycoprotein IIb/IIIa inhibitors before, during, or after the catheterization procedure
* Patients with significant anemia ((Hgb < 10 g/dL, Hct < 30%)
* Patient with known bleeding disorder including thrombocytopenia (platelet count < 100,000), thrombasthenia, hemophilia or Von Willebrand's disease
* Patients with renal insufficiency (serum creatinine level > 221µmol/L) or renal transplant
* Known allergy to contrast reagent
* Inability to tolerate aspirin and/or other anticoagulation treatment
* Planned anticoagulation therapy post-procedure such that ACT is expected to be elevated above 350 seconds for more than 24 hours after the procedure
* Connective tissue disease (e.g., Marfan's Syndrome)
* Thrombolytics (e.g. t-PA, streptokinase, urokinase), Angiomax (bivalirudin) or other thrombin-specific anticoagulants = 24 hours prior to the procedure
* Recent (within 8 weeks) cerebrovascular accident or Q-wave myocardial infarction
* Patients who are morbidly obese BMI > 40 kg/m2
* Planned major intervention or surgery within 30 days following the interventional procedure
* Patients who are unable to ambulate at baseline
* Currently participating in a clinical study of an investigational device or drug that has not completed study endpoint
* Known allergy to any device component
* Patient is known or suspected to be pregnant or lactating
* Life expectancy < 1 year as judged by the investigator
* Patient has other medical, social or psychological problem that in the opinion of the investigator precludes them from participating Intra-Procedure
* Access site above the most inferior border of the inferior epigastric artery (IEA) and/or above the inguinal ligament based upon bony landmarks
* Access site in the profunda femoris or superficial femoral arteries, or the bifurcation of these vessels
* Ipsilateral femoral venous sheath during the catheterization procedure
* Common femoral artery calcium, which is fluoroscopically visible
* Patients where there is difficulty inserting the introducer sheath or greater than 2 ipsilateral arterial punctures at the start of the catheterization procedure
* Difficulty in obtaining vascular access resulting in multiple arterial punctures and/or posterior arterial puncture
* Evidence of a pre-existing hematoma, arteriovenous fistula, or pseudoaneurysm at the access site
* Patients with intra-procedural bleeding around access site
* Evidence of active systemic or local groin infection
* Patients receiving glycoprotein IIb/IIIa inhibitors during, or after the catheterization procedure
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
25/05/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
12/09/2019
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Sample size
Target
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Accrual to date
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Final
28
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [2]
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St. Vincent's Hospital Melbourne - Fitzroy
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Recruitment postcode(s) [1]
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2065 - St Leonards
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Recruitment postcode(s) [2]
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3065 - Fitzroy
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Country [2]
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New Zealand
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State/province [2]
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Christchurch
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Country [3]
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New Zealand
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State/province [3]
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Hamilton
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Country [4]
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Taiwan
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State/province [4]
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Taichung
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Medeon Biodesign, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To access the safety and performance of the XPro System to facilitate hemostasis in patients undergoing percutaneous endovascular procedures utilizing 8-18 Fr introducer sheath via the common femoral.
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Trial website
https://clinicaltrials.gov/study/NCT03171155
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03171155