Status:

RECRUITING

Randomised Clinical Trial Comparing Drug-coated Balloon to Plain Balloon for All Peripheral AVF Stenosis

Lead Sponsor:

Singapore General Hospital

Collaborating Sponsors:

Singapore Clinical Research Institute

Boston Scientific Corporation

Conditions:

Arteriovenous Fistula

Arteriovenous Fistula Stenosis

Eligibility:

All Genders

21+ years

Phase:

PHASE3

Brief Summary

To compare the access circuit primary patency after Ranger drug-coated balloon angioplasty of arteriovenous fistula (AVF) stenosis with that after conventional balloon angioplasty

Detailed Description

This is a blinded randomized controlled trial recruiting 94 patients with AVF stenosis who will be randomized in a 1:1 ratio to either drug-coated balloon (Ranger) or conventional balloon. All periphe...

Eligibility Criteria

Inclusion

  • Failing AVF with at least 1 AVF stenosis presenting with any clinical, physiological or haemodynamic abnormalities. Both de novo and recurrent stenosis are accepted.
  • AVF has been used successfully for at least 1 month (non-mature AVF are not allowed).
  • Less than 30% residual stenosis after angioplasty.
  • ≥ 21 years old
  • Informed and valid consent given.

Exclusion

  • Thrombosed AVFs
  • Haemodynamically significant central vein stenosis
  • Target lesion not treatable with the available sizes of drug eluting balloon (up to 8mm)
  • Contraindication to antiplatelet therapy
  • Coagulopathy or thrombocytopenia that cannot be managed adequately with periprocedural transfusion.
  • Allergy / contraindication to paclitaxel.
  • Acute infection over proposed puncture site.
  • Women who are breastfeeding, pregnant \* or planning on becoming pregnant during study.
  • Participant with medical conditions, which in the opinion of the investigator may cause noncompliance with protocol.
  • Currently participating in an investigational drug, biologic or device trial that may have an impact on the dialysis access or previous enrolment in this study.

Key Trial Info

Start Date :

January 4 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2029

Estimated Enrollment :

94 Patients enrolled

Trial Details

Trial ID

NCT06553443

Start Date

January 4 2024

End Date

December 31 2029

Last Update

August 14 2024

Active Locations (1)

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1

Singapore General Hospital

Singapore, Singapore