xDot Access Management System Early Feasibility Study

Recruiting now · Not applicable

Conditions studied: Vascular Closure Devices

In brief

The objective of this study is to demonstrate safety and investigate effectiveness of the xDot Access Management System (AMS) for closure of large bore femoral-arterial and femoral-venous access sites.

Key facts

Study ID

NCT07464353

Run by

xDot Medical, Inc

People needed

30

Starts

2026-06-16

Expected to finish

2026-08-01

Last updated by the study team

2026-07-06

Who can join

Age: 18 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 18 to 80 years
• Willing and able to provide written informed consent prior to initiation of study procedures
• Willing and able to comply with the protocol-specified procedures and assessments
• Investigator opinion suitable for xDot AMS for femoral closure (arterial or venous, as applicable)
• Minimum vessel diameter of 5.5 mm and vessel depth ≥1.5 cm and ≤5.0 cm, <50% stenosis for the: a. femoral artery, as determined by computed tomography angiography (CTA) b. femoral vein, as determined by duplex ultrasound (DUS) or angiogram.
• Candidate for elective or planned (i.e., not emergent or urgent) percutaneous transcatheter interventional procedure through:
• The common femoral artery using 8F to 22F devices or sheaths (max 26F OD; e.g., TAVR, EVAR)
• The common femoral vein using 8F to 26F devices or sheaths (max 30F OD; e.g., transcatheter mitral/tricuspid valve repair/replacement and LAA occlusion)

You may not qualify if…

• Individuals who are pregnant, planning to become pregnant, or lactating
• Immunocompromised or with pre-existing autoimmune disease
• Active systemic infection or a local infection at or near the access site
• Known or suspected COVID-19 infection
• Significant anemia (hemoglobin <10 g/dL, hematocrit <30%)
• Morbidly obese or cachectic (Body mass index [BMI] >40 kg/m2 or <20 kg/m2)
• Severe co-existing co-morbidities which, in the opinion of the investigator, would clinically confound the study primary endpoints
• Known bleeding disorder including thrombocytopenia (platelet count <100,000 cells/UL), thrombasthenia, hemophilia, or von Willebrand disease
• Allergy to any device material, including polypropylene, NiTinol, or Titanium
• Common femoral artery or vein with calcium, as determined by baseline CTA or angiogram, which, in the clinical judgment of the investigator, precludes safe access, or severe peripheral vascular disease as evidenced by severe claudication when ambulating <100 feet, weak or absent pulses in the affected limb, or ankle-brachial index (ABI) <0.5 at rest
• Previous iliofemoral intervention in the region of the access site, including prior atherectomy, stenting, or surgical or grafting procedures
• Use of an intra-aortic balloon pump through the access site within 30 days prior to the baseline evaluation
• Continuous oral anticoagulation therapy that cannot be stopped for the peri-procedural period or international normalized ratio (INR) >1.8 at the time of the procedure
• Unable to be adequately anti-coagulated for the procedure
• Unable to ambulate at baseline (e.g., wheelchair user or confined to bed)
• ST-elevation myocardial infarction (MI) within 30 days prior to procedure or acute coronary syndrome (i.e., unstable angina or MI) ≤30 days before the catheterization procedure
• New York Heart Association (NYHA) class IV heart failure
• Left ventricular ejection fraction <20%
• Unilateral or bilateral lower extremity amputation
• Renal insufficiency (serum creatinine >2.5 mg/dl) or on dialysis therapy
• Existing nerve damage in the ipsilateral leg
• Additional planned endovascular procedure within the next 30 days
• Currently participating in another clinical trial of an unapproved investigational device or drug that has not concluded the follow-up period
• Vulnerable subject populations (e.g., incarcerated or cognitively challenged adults)
• Intraprocedural Exclusion Criteria

Where it is running

• CentraCare Heart and Vascular Center — Saint Cloud, Minnesota, United States (enrolling)
• Oklahoma Heart Institute — Tulsa, Oklahoma, United States (enrolling)
• North Central Heart — Sioux Falls, South Dakota, United States (enrolling)

Full record on ClinicalTrials.gov

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