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Trial registered on ANZCTR
Registration number
ACTRN12609000588291
Ethics application status
Approved
Date submitted
27/04/2009
Date registered
15/07/2009
Date last updated
20/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Study of new femoral artery closure device to assist haemostasis in patients following cardiac catheterisation.
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Scientific title
Safety and feasibilty study of new arterial closure device in patients following a Cardiac compared with literature controls for safety and time to haemostasis.
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Secondary ID [1]
287955
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
CAT VI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Coronary Heart Disease
4673
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Condition category
Condition code
Cardiovascular
4979
4979
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0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
In the Catheterization lab, provided no bleeding around the introducer sheath is observed and appropriate sterile technique is used, the Boomerang Catalyst VI Wire will be inserted through the indwelling 6F or 7F introducer sheath at the puncture site according to the Instructions for Use. After temporary hemostasis is achieved, imaging of the vessel will be performed to confirm correct placement of the device disc immediately prior to deployment of the extravascular collagen patch; the puncture site will then be observed for oozing blood and or signs of hematoma formation. At some point after hemostasis and prior to discharge, another ultrasound of the vessel will be performed and a digital image recorded as a baseline for the appearance of the collagen patch in proximity to the arteriotomy site.
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Intervention code [1]
4435
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Treatment: Devices
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Comparator / control treatment
time to haemostasis using manual compression. no control group. Compared with average times for manual compression. As this is a safety and feasibilty study, no comparision will be made with other closure device times for haemostasis. A further Randomised Controlled Trial (RCT) will then be undertaken.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary safety endpoint is the incidence of major adverse events of the image-guided investigational device did not exceed those of manual compression alone as reported in literature.
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Assessment method [1]
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Timepoint [1]
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discharge and 30 days post procedure
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Primary outcome [2]
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The primary effectiveness endpoint is to demonstrate a superior (reduced) hold time till haemostasis with the Boomerang Catalyst VI System image-guided, extravascular patch as compared to literature controls for manual compression alone.
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Assessment method [2]
5827
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Timepoint [2]
5827
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discharge and 30 days post procedure
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Secondary outcome [1]
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the successful imaging of deployed Boomerang Catalyst VI disc and collagen patch prior to deployment, by clinician assessment
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Assessment method [1]
241831
0
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Timepoint [1]
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post procedure
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Secondary outcome [2]
241832
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device success rate, by clinician assessment and vascular ultrasound
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Assessment method [2]
241832
0
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Timepoint [2]
241832
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post procedure
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Secondary outcome [3]
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time to ambulation eligibility, by clinicain assessment
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Assessment method [3]
241833
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Timepoint [3]
241833
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post procedure
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Secondary outcome [4]
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time to discharge eligibility, by clinician assessment
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Assessment method [4]
241834
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Timepoint [4]
241834
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discharge
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Eligibility
Key inclusion criteria
clinically scheduled for angiogram or angioplasty, able to ambulate >20 feet,
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Minimum age
18
Years
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Maximum age
80
Years
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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
current infection, femoral arteriotomy in <30 days, femoral arrter closure device in past 180 days, low platelets, high international normalised ratio (INR), anaemia, intra-procedural bleeding, high activated clotting time (ACT), A suspected intraluminal thrombus, hematoma, pseudo-aneurysm, or AV fistula of the target artery or 'multiple wall' arterial puncture.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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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
Not Applicable
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2009
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Actual
6/11/2009
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Date of last participant enrolment
Anticipated
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Actual
16/11/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
17
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Recruitment outside Australia
Country [1]
1741
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New Zealand
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State/province [1]
1741
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Funding & Sponsors
Funding source category [1]
4855
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Commercial sector/Industry
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Name [1]
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Cardiva Medical Inc
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Address [1]
4855
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2585 Leghorn Street
Mountain View,
California 94043
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Country [1]
4855
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United States of America
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Primary sponsor type
Commercial sector/Industry
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Name
Cardiva Medical Inc
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Address
2585 Leghorn Street
Mountain View,
California 94043
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Country
United States of America
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Christchurch Hospital
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Address [1]
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Cardiology Department
Christchurch Hospital
Private bag 4710
Christchurch, 8140
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Country [1]
4393
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New Zealand
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Secondary sponsor category [2]
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Hospital
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Name [2]
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Auckland City Hospital
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Address [2]
291123
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Auckland
New Zealand
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Country [2]
291123
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
6913
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Multi-Regional Ethics Committee
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Ethics committee address [1]
6913
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Ministry of Health 133 Molesworth Street Wellington 6145 New Zealand
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
6913
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01/05/2009
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Approval date [1]
6913
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22/07/2009
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Ethics approval number [1]
6913
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MEC/09/05/055
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Summary
Brief summary
The Boomerang Catalyst VI System is designed to help in controlling bleeding (gaining haemostasis) following an arterial puncture made for the purpose of completing a coronary angiogram or angioplasty (procedures done in the cardiac catheter laboratory to look for or treat narrowings in the coronary arteries). This puncture is usually made in the femoral artery in the groin. Often haemostasis is gained by manual compression (using the fingers or hand) and the literature reported average time for this technique will be compared the time it takes to gain haemostasis using the wire and collagen patch components of the device, as well as compression. There are several other closure devices used in New Zealand, and more than 50% of procedures would now have these used. The device is placed into the femoral artery in the catheter laboratory once the angiogram has been completed, followed by a minimum of one minute of manual compression. 100 consecutive patients at 5 sites (20 per site) will be enrolled. The time taken to control the bleeding, time till the participant can stand and walk around, and the time till they are fit for discharge will be recorded. Also adverse, serious adverse and device adverse events will be recorded. Participants will be seen prior to discharge and again at 30 days and at these time points ultrasound will be used to assess the position of the collagen patch to the puncture site.
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Trial website
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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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Dr James Blake
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Address
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Christchurch Hospital
cardiology Department
Private bag 4710
Christchurch
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Country
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New Zealand
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Phone
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+64 3 364 0640
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Catherine Cruickshank
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Address
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Cardiology Department
Christchurch Hospital
Private bag 4710
Christchurch 8140
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Country
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New Zealand
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Phone
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+64 3 3601096
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Fax
12784
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Email
12784
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[email protected]
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Contact person for scientific queries
Name
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Dr James Blake
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Address
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Cardiology Department
Christchurch Hospital
Private bag 4710
Christchurch 8140
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Country
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New Zealand
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Phone
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+64 3 3640 640
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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