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Renal FailurePhase 3NCT03183245

Comparison of the Human Acellular Vessel (HAV) With Fistulas as Conduits for Hemodialysis

A Phase 3 study testing Human Acellular Vessel (HAV), Arteriovenous fistula (AVF) and Hemodialysis in people with Renal Failure and End Stage Renal Disease, run by Humacyte, Inc. at 31 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main purpose of this study is to compare the Human Acellular Vessel (HAV) with arteriovenous fistula (AVF) when used for hemodialysis access Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Human Acellular Vessel (HAV), Arteriovenous fistula (AVF) and Hemodialysis
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
242 participants
Where
31 sitesUnited States
Study dates
29 Sep 2017to 19 Jun 2025
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

  • Subjects with end-stage renal disease (ESRD), receiving HD via DC and are suitable for the creation of an AVF or implantation of AVG for HD access.
  • Subjects who plan to undergo HD at a dialysis unit of a participating dialysis provider for at least the first 6 months after SA creation.
  • Subjects aged at least 18 years at Screening.
  • Suitable anatomy for creation of a forearm or upper arm AVF and for implantation of straight or looped HAV in either the forearm or upper arm.
  • Hemoglobin ≥8 g/dL and platelet count ≥100,000 /mm3.
  • International Normalized Ratio (INR) ≤ 1.5.
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  • Female subjects must be either:
  • Of non-childbearing potential, which is defined as post-menopausal (at least 1 year without menses prior to Screening) or documented surgically sterile or post hysterectomy (at least 1 month prior to Screening).
  • Or, of childbearing potential, in which case:
  • Must have a negative urine or serum pregnancy test at Screening, and ii. Must agree to use at least one form of the following birth control methods for the duration of the study:
  • Established use of oral, injectable or implanted hormonal methods of contraception.
  • Placement of an intrauterine device or intrauterine system.
  • Barrier methods of contraception: condom or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/ gel/ film/ cream/ suppository.
  • Subject, or legal representative, able to communicate effectively with investigative staff, competent and willing to give written informed consent, and able to comply with entire study procedures including all scheduled follow-up visits.
  • Life expectancy of at least 2 years.

Who cannot join

  • Subjects who are optimal candidates for radiocephalic AVF as indicated by meeting ALL of the following criteria:
  • No previous failed AVF.
  • Cephalic vein diameter on ultrasound of more than 3.5mm.
  • Radial artery diameter on ultrasound of more than 3mm.
  • Vein depth of less than 0.5cm from the skin.
  • Normal Allen's test indicating that ulnar artery flow to the hand is sufficient.
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  • No calcification in the wall of the distal radial artery.
  • Sufficient length of the proposed fistula outflow vein to provide an adequate (at least 6 cm) cannulation segment.
  • No evidence of iatrogenic injury to target artery or vein.
  • Uncontrolled diabetes;
  • HbA1c >10% (at Screening).
  • History or evidence of severe peripheral arterial disease in the extremity selected for implant.
  • Known or suspected central vein stenosis or obstruction on the side of planned SA creation, unless corrected prior to randomization.
  • Planned AVF creation that requires more than one stage to complete. (e.g. basilic vein transposition AVF performed in 2 stages).
  • Planned AVF creation by means other than suture or vascular anastomotic clips (e.g. endovascular surgery or other anastomotic creation devices).
  • Treatment with any investigational drug or device within 60 days prior to study entry (Day 0) or ongoing participation in a clinical trial of an investigational product.
  • Cancer that is actively being treated with a cytotoxic agent.
  • Documented hyper-coagulable state.
  • Bleeding diathesis.
  • Active clinically significant immune-mediated disease, not controlled by maintenance immunosuppression.
  • Low dose glucocorticoid therapy (e.g. 5-10mg prednisone [Deltason]) is acceptable.
  • High dose glucocorticoid therapy for treatment of autoimmune flare, or other inflammatory diseases is excluded.
  • Patients using glucocorticoids for immunosuppression post-transplant to prevent against transplanted allograft rejection in the period post allograft failure are excluded.
  • The following examples of immunosuppressive agents (or the like) are exclusionary for enrollment in this clinical trial:
  • tacrolimus or FK506 [Prograf]
  • mycophenolate mofetil [Cellcept],
  • cyclosporine [Sandimmune or Gengraf]
  • sirolimus [Rapamune] (this only includes systemically administered, drug eluting stents are acceptable)
  • Anticipated renal transplant within 6 months.
  • History of heparin-induced thrombocytopenia.
  • Venous outflow from SA cannot be located more centrally than the venous outflow of any previous failed access in that extremity.
  • Active local or systemic infection (white blood cells [WBC] > 15,000 cells/mm3 at Screening). If the infection resolves, the subject must be at least one week post resolution of that infection before SA creation.
  • Known serious allergy or intolerance to aspirin and alternative antiplatelet therapy.
  • Pregnant women, or women intending to become pregnant during the course of the trial.
  • Any other condition which in the judgment of the investigator would preclude adequate evaluation of the safety and efficacy of the SA.
  • Previous enrollment in this study or any other study with HAV.
  • Employees of Humacyte and employees or relatives of an investigator.

Trial locations and contacts

31 sites in 1 country.

31 sites in 1 country

United States31 sites
  • Grady Memorial Hospital

    Atlanta, Georgia, 30303

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Surgical Specialists of Charlotte

    Charlotte, North Carolina, 28207

  • The Vascular Experts

    Darien, Connecticut, 06820

  • Decatur Memorial Hospital

    Decatur, Illinois, 62526

  • Denver Health Medical Center

    Denver, Colorado, 80204

  • University of California, Irvine

    Irvine, California, 92868

  • University of Tennessee Knoxville

    Knoxville, Tennessee, 37920

  • University of California San Diego, Jacobs Medical Center

    La Jolla, California, 92103

  • University of CA, San Diego - LaJolla VA Hospital

    La Jolla, California, 92161

  • Alliance Research

    Laguna Hills, California, 92653

  • United Surgical Associates

    Lexington, Kentucky, 40504

  • VA Long Beach Healthcare System

    Long Beach, California, 90822

  • University of Southern California

    Los Angeles, California, 90033

  • South Plains Surgery Center

    Lubbock, Texas, 79416

  • Rutgers University

    Newark, New Jersey, 07103

  • The Regional Medical Center

    Orangeburg, South Carolina, 29118

  • Huntington Hospital

    Pasadena, California, 91105

  • Memorial Healthcare System

    Pembroke Pines, Florida, 33021

  • Coastal Vascular & Interventional, PLLC

    Pensacola, Florida, 32503

  • Arizona Kidney Disease and Hypertension Center (AKDHC)

    Phoenix, Arizona, 85012

  • VA Pittsburgh

    Pittsburgh, Pennsylvania, 15213

  • Kaiser Permanente Sunnsyide

    Portland, Oregon, 97015

  • UC Davis

    Sacramento, California, 95817

  • Balboa Nephrology

    San Diego, California, 92123

  • Mills Peninsula Hospital

    San Mateo, California, 94401

  • Overlook Medical Center

    Summit, New Jersey, 07901

  • Olive View- UCLA Medical Center

    Sylmar, California, 91342

  • Tampa General Hospital

    Tampa, Florida, 33606

  • University of Arizona

    Tucson, Arizona, 85724

  • Kidney Care & Transplant Services of New England

    West Springfield, Massachusetts, 01089

Other trials in United States

About this study

Official title: A Phase 3 Study to Compare the Efficacy and Safety of Humacyte's Human Acellular Vessel With That of an Autologous Arteriovenous Fistula in Subjects With End Stage Renal Disease

The main purpose of this study is to compare the Human Acellular Vessel (HAV) with arteriovenous fistula (AVF) when used for hemodialysis access

Read the detailed description

This is a Phase 3, prospective, multicenter, open-label, randomized, two-arm, comparative study. Subjects who sign informed consent will undergo study-specific screening assessments within 45 days from the day of informed consent.

Eligible study subjects will be randomized to receive either an HAV or AVF. The randomization will be stratified by upper arm or forearm placement based on the investigator's determination of where the study access (SA) should be located. Subjects will be followed to 24 months post SA creation at routine study visits regardless of patency status. After 24 months, AVF subjects with a patent SA will be followed (while the SA remains patent) for up to 5 years (60 months) post SA creation at routine study visits. After 24 months, HAV subjects will be followed (regardless of SA patency) for 5 years (60 months) post SA creation at routine study visits.

Being tested
Human Acellular Vessel (HAV), Arteriovenous fistula (AVF), Hemodialysis
Medical subject headings
Renal Insufficiency, Kidney Failure, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Human Acellular Vessel (HAV)Biological

    Surgical implantation of the HAV and subsequent use of the implanted vascular conduit for hemodialysis vascular access.

  • Arteriovenous fistula (AVF)Procedure or surgery

    Surgical creation of an autologous arteriovenous fistula and subsequent use of the implanted vascular conduit for hemodialysis vascular access.

  • HemodialysisOther

    Procedure that filters a person's blood when their kidneys are no longer functioning properly

Study groups in NCT03183245
Study groupRoleWhat they receive
Human Acellular Vessel (HAV)ExperimentalThe HAV is a tissue-engineered vascular conduit (6mm diameter) for hemodialysis access in patients with end-stage renal disease. It will be surgically implanted in the forearm or upper arm on Study Day 0.
Receives: Biological: Human Acellular Vessel (HAV); Other: Hemodialysis
Arteriovenous fistula (AVF)Active comparatorThe comparator is an autologous arteriovenous fistula created in the forearm or upper arm on Study Day 0.
Receives: Procedure: Arteriovenous fistula (AVF); Other: Hemodialysis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of subjects with functional patency at 6 months post study access (SA) creation

    Co-primary endpoint #1: Proportion of subjects with functional patency at 6 months post study access (SA) creation

    The definition of "functional patency" is: Dialysis with "2 needles for ≥75% of dialysis sessions over a continuous 4-week period and either: (1) 4 consecutive sessions during the 4-week period in which 2 needles are used and the mean dialysis machine blood pump speed is ≥300 mL/min, or (2) a measured spKt/Vurea is ≥ 1.4 or urea reduction ratio >70% during any session in which 2 needles are used within the 4-week period. SpKt/Vurea is calculated from pre and post-treatment serum urea nitrogen concentrations, body weight, and dialysis session duration."

    The functional patency ascertainment period will take place between the 1st day of Week 21 (Day 140) and the last day of Week 26 (Day 181) after AVF creation or HAV placement. The endpoint is met when the functional patency criteria are satisfied within any consecutive 4 week period within this ascertainment period.

    Measured: 6 months post SA creation

  2. Proportion of subjects with secondary patency of SA at 12 months post SA creation.

    Co-primary endpoint #2: Proportion of subjects with secondary patency of SA at 12 months post SA creation.

    The SA maintains secondary patency until it is abandoned, irrespective of interventions to maintain or restore patency.

    Abandonment is defined as AVF or HAV that can no longer be used for 2-needle, prescribed dialysis as it may be unable to provide adequate flows and/or is deemed unsafe for the subject, and the associated problem cannot be corrected by any intervention, including medical, surgical, or radiological interventions or rest.

    Measured: 12 months post SA creation

Secondary outcomes (13)
  1. Time to loss of secondary patency (abandonment).

    Measured: 12, 24, and 60 months post SA creation

  2. Incidence rate of HD access related interventions over the period from SA creation until SA abandonment or 12 months post SA creation

    Measured: 12 months post SA creation

  3. Incidence rate of infections related to any HD access in situ over the period from SA creation until 12 months post SA creation, irrespective of SA abandonment.

    Measured: 12 months post SA creation

  4. Proportion of subjects with unassisted functional patency at 6 months post SA creation.

    Measured: 6 months post SA creation

  5. Incidence rate of HD access-related interventions over the period from SA creation until SA abandonment or the conclusion of the suitability ascertainment period (6 months).

    Measured: 6 months post SA creation

  6. Time to loss of primary unassisted patency

    Measured: 12, 24, and 60 months post SA creation

  7. Proportion of HD sessions completed via DC (1 or 2 lines) over the period from SA creation until 12 months post SA creation, irrespective of SA abandonment.

    Measured: 12 months post SA creation

  8. Number of days with DC in situ "catheter contact time" over the period from SA creation until 12 months post SA creation, irrespective of SA abandonment

    Measured: 12 months post SA creation

  9. Histopathological remodeling of HAV and AVF - based on histological examination of SA samples explanted for clinical reasons

    Measured: 12, 24, and 60 months post SA creation

  10. Incidence rate of HD access-related infections over the period from SA creation until SA abandonment.

    Measured: 12, 24, and 60 months post SA creation

  11. Incidence rate of clinically significant aneurysm or pseudoaneurysm over the period from SA creation until SA abandonment

    Measured: 12, 24, and 60 months post SA creation

  12. Incidence rate of SA site infections (CDC definition) over the period from SA creation until SA abandonment.

    Measured: 12, 24, and 60 months post SA creation

  13. Frequency and severity of AEs.

    Measured: 12, 24, and 60 months post SA creation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jun 2017
  2. Study start29 Sep 2017
  3. Primary completion22 Apr 2024
  4. Study completion19 Jun 2025

Resources

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
Parallel groups
Masking
None (open label)
Enrolment
242 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03183245
Sponsor's protocol ID
CLN-PRO-V007
Status last verified
Nov 2024
First submitted
8 Jun 2017
Last updated
20 Nov 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hussain MA, Moore EE, Villa R, Khondker Z, Niklason LE, Parikh S; CLN-PRO-V007 Investigators. Bioengineered acellular tissue engineered vessels versus autogenous fistulae for haemodialysis access: a multicentre, randomised, controlled, phase 3 trial. Lancet Digit Health. 2027 Jun 22:101036. doi: 10.1016/j.landig.2026.101036. Online ahead of print.

    PubMed 42613284

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Human Acellular Vessel (HAV), Arteriovenous fistula (AVF) and Hemodialysis in people with Renal Failure and End Stage Renal Disease, run by Humacyte, Inc. at 31 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 15 inclusion and 37 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 20 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 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?

Proportion of subjects with functional patency at 6 months post study access (SA) creation (time frame: 6 months post SA creation). 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?

On the ClinicalTrials.gov record for NCT03183245, which also lists 1 linked publication.

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 20 Nov 2025.

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