Hemostasis of Arterial PuncturesPhase 3NCT00388284
Safety and Efficacy Study Comparing Thrombin for Arterial Sealing
A Phase 3 study testing Arterial Sealing in people with Hemostasis of Arterial Punctures, run by Vascular Solutions LLC at 6 sites in United States.
Trial summary
This trial is designed as a prospective, multi-center, randomized, double blinded clinical trial to evaluate the safety and efficacy of the Thrombin VSI. An immunological sub-study to assess antibody and coagulation changes in the subjects following exposure to the Vascular Solutions Diagnostic Duett Pro manufactured… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hemostasis of Arterial Punctures
- What is being tested?
- Arterial Sealing
- Type of treatment
- Medical device
- How many people
- 270 participants
- Where
- 6 sitesUnited States
- Study dates
- Aug 2006to Mar 2007
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The subject is 18 years of age or older
- The subject is undergoing a diagnostic or interventional endovascular procedure via a retrograde femoral arterial access
- The subject is willing and able to provide appropriate informed consent
- The subject is willing and able to comply with the requirements of the study protocol, including the predefined follow-up evaluations
Who cannot join
- The subject has a history of clinically severe peripheral vascular disease documented as any of the following:
- Severe claudication (walking < 100 feet)
- Absent pulses in the affected limb
- ABI < 0.5 at rest
- Known diameter stenosis ≥ 50% in the iliac or femoral artery on the affected side
- Prior vascular bypass surgery involving the affected femoral artery
Show all 32Show fewer
- Prior stent placement in the vicinity of the arterial puncture site
- The subject is known to be, or suspected to be, pregnant (verified in a manner consistent with institution's standard of care), or is lactating
- The subject has a pre-existing severe non-cardiac systemic disease or pre-existing terminal illness
- The subject has had an acute myocardial infarction ≤ 72 hours before the catheterization procedure
- The subject is unable to ambulate at baseline
- The subject is known to require an extended hospitalization (e.g., subject is undergoing CABG surgery)
- The subject has a known bleeding disorder (including thrombocytopenia [< 100,000 platelet count], thrombobasthenia, hemophilia, or von Willebrand disease)
- The subject is receiving Coumadin/warfarin therapy and has an INR > 2.0 on the day of, or the day before the study procedure. (INR of > 2.0 should not result in a dose change prior to the study procedure. If dosage changed, test should be repeated prior to the procedure)
- The subject has a known allergy to bovine derived products or any other materials used in the Diagnostic Duett Pro Sealing Device
- The subject has undergone prior use of a closure device in the ipsilateral common femoral artery ≤ 6 months before the current catheterization procedure
- The subject has undergone prior use of manual compression for closure in the ipsilateral common femoral artery ≤ 6 weeks before the current catheterization procedure
- The subject has undergone current, recent, or prior use of an intra-aortic balloon pump through the existing arterial puncture site
- The subject is unavailable for follow-up
- The subject is currently participating in another investigational device or drug trial
- The subject has previously participated in this trial (Protocol 0106)
- The subject has an antegrade puncture
- The subject's arterial introducer sheath is <5F or > 9F or longer than 15.2 cm in overall length
- The subject has a suspected posterior femoral arterial wall puncture or puncture distal to the common femoral artery bifurcation
- The subject's common femoral artery diameter is estimated to be < 6 mm via angiogram
- The subject has tortuous vascular anatomy with greater than 90o bends on femoral angiogram
- The subject is severely hypertensive (defined as systolic BP > 180 mmHg or diastolic BP > 110 mmHg)
- The subject has experienced hemodynamic instability, defined as systolic blood pressure < 90 mmHg or cardiogenic shock, during or immediately post-procedure
- The subject has been anticoagulated with unfractionated heparin and has an ACT of > 300 seconds at completion of the antecedent procedure
- The subject is anticipated to continue dosing of heparin or anti-coagulant therapy (except any approved GPIIb/IIIa platelet receptor blocker) ≤ 6 hours following completion of the interventional or diagnostic procedure
- The subject has received thrombolytic therapy (e.g., streptokinase, urokinase, or t-PA) ≤ 24 hours prior to the catheterization procedure
- The subject has a large hematoma (≥ 6cm in diameter) present prior to vascular sealing.
Trial locations and contacts
6 sites in 1 country.
6 sites in 1 country
United States6 sites
Charleston Area Medica Center (CAMC)
Charleston, West Virginia, 25304
Mary Washington Hospital
Fredericksburg, Virginia, 22401
University of Wisconsin
Madison, Wisconsin, 53792
Ochsner Clinic
New Orleans, Louisiana, 70121
WakeMed
Raleigh, North Carolina, 27610
The Heart and Vascualr Institute of Florida
Safety Harbor, Florida, 34695
About this study
Official title: Comparative Analysis of Thrombin Utilized in Endovascular Procedures of the Femoral Artery - CEASE Study
This trial is designed as a prospective, multi-center, randomized, double blinded clinical trial to evaluate the safety and efficacy of the Thrombin VSI. An immunological sub-study to assess antibody and coagulation changes in the subjects following exposure to the Vascular Solutions Diagnostic Duett Pro manufactured with Thrombin VSI and Thrombin JMI will be conducted as a component of this trial with a subset of the enrolled study subjects.
Two hundred seventy (270) subjects will be enrolled in this trial. A minimum of 50% of the subjects will be interventional subjects and up to 50% will be diagnostic subjects. All 270 subjects will provide blood specimens at baseline and at the 30 day follow-up visit for evaluation in the immunologic sub-study. Within the 270 subjects enrolled, a minimum of 45 subjects treated with the Thrombin VSI and a minimum of 45 subjects treated with the Thrombin JMI will provide blood specimens at the 60 day follow-up visit to be evaluated in the immunologic sub-study.
Read more
The primary efficacy objective is to demonstrate that the device time-to-hemostasis for the study group treated with the sealing device manufactured with Thrombin VSI is non-inferior to the study group treated with the sealing device manufactured with Thrombin JMI.
The primary safety objective is to demonstrate a device-related major complication rate for the study group treated with the sealing device manufactured with Thrombin VSI that is non-inferior to the device-related major complication rate observed for the study group treated with the sealing device manufactured with Thrombin JMI.
- Conditions
- Hemostasis of Arterial Punctures
- Being tested
- Arterial Sealing
- Keywords
- hemostasis, arterial sealing
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Arterial SealingDevice
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Hemostasis
Incidence rate of device-related major complications
Secondary outcomes (5)
Time to ambulation
Subject satisfaction
Procedure success
Device success
Minor complications
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Oct 2006 (estimated)
- Study startAug 2006
- Primary completionMar 2007
- Study completionMar 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hemostasis of Arterial PuncturesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Double blind
- Enrolment
- 270 participants
Sponsor and investigators
- Lead sponsor
- Vascular Solutions LLC
- Sponsor type
- Industry (pharma, biotech, devices)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00388284
- Sponsor's protocol ID
- 0106
- Status last verified
- Feb 2008
- First submitted
- 11 Oct 2006
- Last updated
- 9 Dec 2015
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Analysis of Thrombin Utilized in Endovascular Procedures of the Femoral Artery - CEASE Study
- ClinicalTrials.gov ID
- NCT00388284
- Acronym / sponsor ID
- 0106
- Conditions
- Hemostasis of Arterial Punctures
- Keywords
- hemostasis, arterial sealing
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 270 participants
- Lead sponsor
- Vascular Solutions LLCIndustry (pharma, biotech, devices)
- Study start
- Aug 2006
- Primary completion
- Mar 2007 (actual)
- Study completion
- Mar 2007 (actual)
- First posted
- 16 Oct 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial is designed as a prospective, multi-center, randomized, double blinded clinical trial to evaluate the safety and efficacy of the Thrombin VSI. An immunological sub-study to assess antibody and coagulation changes in the subjects following exposure to the Vascular Solutions Diagnostic Duett Pro manufactured with Thrombin VSI and Thrombin JMI will be conducted as a component of this trial with a subset of the enrolled study subjects.
Two hundred seventy (270) subjects will be enrolled in this trial. A minimum of 50% of the subjects will be interventional subjects and up to 50% will be diagnostic subjects. All 270 subjects will provide blood specimens at baseline and at the 30 day follow-up visit for evaluation in the immunologic sub-study. Within the 270 subjects enrolled, a minimum of 45 subjects treated with the Thrombin VSI and a minimum of 45 subjects treated with the Thrombin JMI will provide blood specimens at the 60 day follow-up visit to be evaluated in the immunologic sub-study.
The primary efficacy objective is to demonstrate that the device time-to-hemostasis for the study group treated with the sealing device manufactured with Thrombin VSI is non-inferior to the study group treated with the sealing device manufactured with Thrombin JMI.
The primary safety objective is to demonstrate a device-related major complication rate for the study group treated with the sealing device manufactured with Thrombin VSI that is non-inferior to the device-related major complication rate observed for the study group treated with the sealing device manufactured with Thrombin JMI.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Double blind
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- The subject is 18 years of age or older
- The subject is undergoing a diagnostic or interventional endovascular procedure via a retrograde femoral arterial access
- The subject is willing and able to provide appropriate informed consent
- The subject is willing and able to comply with the requirements of the study protocol, including the predefined follow-up evaluations
Key exclusion criteria (32 listed)
- The subject has a history of clinically severe peripheral vascular disease documented as any of the following:
- The subject is known to be, or suspected to be, pregnant (verified in a manner consistent with institution's standard of care), or is lactating
- The subject has a pre-existing severe non-cardiac systemic disease or pre-existing terminal illness
- The subject has had an acute myocardial infarction ≤ 72 hours before the catheterization procedure
- The subject is unable to ambulate at baseline
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Arterial Sealing | Device | – |
Primary outcome
Time to Hemostasis
Incidence rate of device-related major complications
5 secondary outcomes
Time to ambulation
Subject satisfaction
Procedure success
Device success
Minor complications
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Dec 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Arterial Sealing in people with Hemostasis of Arterial Punctures, run by Vascular Solutions LLC at 6 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 32 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to Hemostasis. The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Dec 2015.