Prevention of Vascular Access Graft Failure in Patients With Chronic Renal Failure Requiring Hemodialysis

Stopped early · Phase 1/Phase 2

Conditions studied: Hyperplasia, Chronic Renal Failure

In brief

The purpose of this study is to determine the effect of recipient vein pretreatment of edifoligide (E2F Decoy), compared to placebo, on graft/recipient vein stenosis in polytetrafluoroethylene (PTFE) vascular access grafts placed for hemodialysis at 6 months after enrollment.

Key facts

Study ID

NCT00086164

Run by

Anesiva, Inc.

Starts

2004-05-01

Last updated by the study team

2005-07-19

Who can join

Age: 18 and older, up to 79. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Be scheduled to undergo placement of a new straight or loop arm PTFE arteriovenous hemodialysis access graft or a Vectragraft® (Thoratec, Inc.)
• Be currently receiving chronic dialysis or be expected to begin hemodialysis within 4 weeks of placement of the index PTFE graft
• Have undergone an assessment of patency (such as venography) of central veins if any of the following conditions have occurred on the ipsilateral arm intended for graft placement: presence of collateral veins, upper extremity edema or increased size (relative to the contralateral arm), history of subclavian catheter, transvenous pacemaker, or history of trauma or surgery that may have involved the neck or chest veins
• Be > 18 and <80 years old
• Have a documented negative serum pregnancy test (for all women of childbearing potential)
• Be using an acceptable method of birth control if of reproductive potential and agree to continue using the birth control for at least 3 months following the graft procedure
• Have agreed to participate voluntarily and have signed and dated an IRB/EC approved, Patient Informed Consent form

You may not qualify if…

• Have an intended recipient vein >6 mm or <3 mm in diameter
• Have a history of three or more previous PTFE grafts
• Have uncorrected central vein (including the subclavian vein) stenosis
• Have markedly diminished arterial pulses in the access location (unless adequate flow has been documented by arteriography or Doppler ultrasound)
• Anticipate receipt of a renal transplant within 6 months of enrollment into this study
• Have anticipated use of the index PTFE graft <14 days after enrollment (this does not apply to Vectragraft®)
• Have a known allergy to iodinated contrast
• Have a known hypercoagulable state (e.g., antithrombin III deficiency; antiphospholipid or anticardiolipin antibodies; Factor V Leiden; circulating lupus anticoagulant; current, active, heparin-induced thrombocytopenia; Protein C or S deficiency; or a history of recurrent deep venous thrombosis not related to AV access)
• Have been in another investigational (i.e., nonapproved) drug or device study within the previous 30 days or prior participation in another clinical study with E2F Decoy
• Have been previously enrolled in this study for an earlier access graft
• Have any comorbid, nonrenal condition that makes 6-month survival questionable (e.g., end-stage cancer, advanced heart failure)
• Have a known or suspected history of drug or alcohol abuse within the previous 6 months
• Have a known allergy to any component of the investigational product (drug or device), including latex

Where it is running

• National Institute of Clinical Research, American Medical Tower — Los Angeles, California, United States
• Outcomes Research International, Inc. — Hudson, Florida, United States
• University of Miami, School of Medicine — Miami, Florida, United States
• Tampa General Hospital — Tampa, Florida, United States
• LifeLink Transplant Institute — Tampa, Florida, United States
• Emory University, Renal Division — Atlanta, Georgia, United States
• University Transplant — Chicago, Illinois, United States
• Stoney Island Dialysis — Chicago, Illinois, United States
• Methodist Hospital, Tower Surgical — Indianapolis, Indiana, United States
• Vascular Surgery Associates — Baton Rouge, Louisiana, United States
• Tulane Center for Abdominal Transplant — New Orleans, Louisiana, United States
• Henry Ford Hospital — Detroit, Michigan, United States
• Thoracic & Cardiovascular Healthcare Foundation — Lansing, Michigan, United States
• St. Louis University, Division of Nephrology — St Louis, Missouri, United States
• NYU Medical Center — New York, New York, United States
• St. Luke's Hospital, Department of Surgery — New York, New York, United States
• University of Rochester, The Center for Vascular Disease — Rochester, New York, United States
• Montefiore Medical Center — The Bronx, New York, United States
• Surgical Education — Greenville, South Carolina, United States
• University of Utah School of Medicine, Dept of Surgery — Salt Lake City, Utah, United States
• Nephrology Clinical Research Center — Charlottesville, Virginia, United States

Full record on ClinicalTrials.gov

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