This prospective, global, multicenter, single arm post-approval study is designed to investigate the clinical use and safety of the Lutonix® 035 AV Drug Coated Balloon (DCB) PTA Catheter in subjects presenting with clinical and hemodynamic abnormalities in native arteriovenous (AV) fistulae located in the upper extremity.
This post-market approval study (PAS) is required by the FDA as a condition of approval for the Lutonix drug coated balloon catheter. It is intended to demonstrate safety and assess the clinical use and outcomes of the LUTONIX Catheter in dysfunctional arteriovenous fistulae (AVF) in a heterogeneous patient population in real world clinical practice.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
213
All subjects will receive the Lutonix® 035 Drug Coated Balloon PTA Catheter.
Percentage of Participants With Target Lesion Primary Patency (TLPP)
TLPP is defined as the interval following index procedure intervention until clinically driven reintervention of the target lesion or access thrombosis.
Time frame: 6 Months
Percentage of Participants With No Primary Safety Events
Primary safety events include any serious adverse event(s) involving the AV access circuit through 30 days
Time frame: 30 days
Percentage of Participants With Target Lesion Primary Patency
TLPP is defined as the interval following index procedure intervention until clinically driven reintervention of the target lesion or access thrombosis.
Time frame: 12, 18, 24 Months
Number of re-interventions required to maintain target lesion patency
Clinically driven reintervention is defined as a lesion that has ≥ 50% stenosis and at least one clinical, physiological or hemodynamic abnormality attributable to the stenosis defined in the K/DOQI guidelines.
Time frame: 6, 12, 18, 24 Months
Percentage of Participants With Access Circuit Primary Patency (ACPP)
Access circuit is defined as the area from the AV access anastomosis to the superior vena cava-right atrial junction.
Time frame: 6, 12, 18, 24 Months
Number of re-interventions required to maintain access circuit patency
Clinically driven reintervention is defined as a lesion that has ≥ 50% stenosis and at least one clinical, physiological or hemodynamic abnormality attributable to the stenosis defined in the K/DOQI guidelines.
Time frame: 6, 12, 18, 24 Months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
University of Alabama at Birmingham
Birmingham, Alabama, United States
TERMINATEDFlowers Hospital
Dothan, Alabama, United States
TERMINATEDSt. Joseph Hospital of Orange
Orange, California, United States
TERMINATEDKaiser Permanente
San Diego, California, United States
RECRUITINGYale University
New Haven, Connecticut, United States
TERMINATEDUniversity of Iowa Hospital and Clinics
Iowa City, Iowa, United States
RECRUITINGUniversity of Louisville
Louisville, Kentucky, United States
RECRUITINGOchsner Health System
New Orleans, Louisiana, United States
RECRUITINGOchsner Louisiana State University Health
Shreveport, Louisiana, United States
RECRUITINGMedStar Health Research Institute
Annapolis, Maryland, United States
TERMINATED...and 16 more locations
Percentage of Participants With Device, Procedural, and Clinical Success
Device Success: Successful delivery to the target lesion, deployment, and retrieval at index procedure. Procedural Success: At least one indicator of hemodynamic success (e.g., physical examination with restoration of a thrill, direct measurement of flow) in the absence of peri-procedural (index procedure and through hospital stay) Serious Adverse Device Effects (SADEs). Clinical Success: The resumption of dialysis for at least one session after the index procedure.
Time frame: 24 Months
Percentage of Participants With Abandonment of Permanent Access in the Index Extremity
The arteriovenous fistula / access circuit is considered abandoned when it is no longer being used for dialysis because the access was not functioning.
Time frame: 6, 12, 18, 24 Months
Percentage of Participants With Secondary Patency of the Access Circuit
Survival of patency of access circuit from the time of intervention until access abandonment or achievement of a censored event (death, transfer to another hemodialysis unit, transfer to peritoneal dialysis, transplantation, and end of study period), and includes all surgical and endovascular interventions.
Time frame: 6, 12, 18, 24 Months
Time to loss of target lesion secondary patency following DCB intervention
Time between first reintervention with the DCB to the next loss of patency
Time frame: 24 Months
Percentage of Participants With Freedom from any Serious Adverse Event(s) Involving the AV Access Circuit
Safety events include any serious adverse event(s) involving the AV access circuit
Time frame: 6, 12, 18, 24 Months
Percentage of Participants With Device and Procedure Related Adverse Events
Freedom from device-related or procedure-related serious adverse events
Time frame: 6, 12, 18, 24 Months