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Peripherally Inserted Central CatheterNCT05278507

Comparing Arrow PICC Catheters w/ Arrowga+rd Blue Advanced Protection Performance and Safety to Unprotected PICC's

A study testing Arrowga+rd Blue Advance Protection PICC Placement in people with Peripherally Inserted Central Catheter, run by Teleflex at 5 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study seeks to compare the standard unprotected PICC with the AGBA PICC for placement success, incidence of venous thrombosis through duplex ultrasound, observing for signs and symptoms of thrombotic occlusion and recording treatment response when diagnosed by sluggish fluid flow, inability to aspirate blood and… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peripherally Inserted Central Catheter
What is being tested?
Arrowga+rd Blue Advance Protection PICC Placement
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
444 participants
Where
5 sitesChina
Study dates
16 Jan 2020to 30 Jun 2023
Phase
Interventional
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

  • Patients age ≥ 18 years requiring a PICC
  • Patient will remain an inpatient for the entire dwell time
  • Ability to comply with study requirements of duplex ultrasound procedures prior to and at the time of PICC removal
  • Patients cognitively and physically able to give written consent to participate in the study or patient has a legally authorized representative (LAR) who may give written consent to participate in the study

Who cannot join

  • Current diagnosis of venous thrombosis within the venous tract of the proposed catheter
  • Diagnosis of peripheral or central vein stenosis (on proposed insertion side)
  • History or diagnosis of veno-occlusive disease
  • Diagnosis of superior vena cava syndrome
  • Known, pre-existing diagnosis of hypercoagulation disorder unrelated to underlying disease
  • Previous enrollment in this study
Show all 10Show fewer
  • Currently pregnant or breast feeding
  • Skin condition at or within 15 cm of the proposed catheter insertion site, including signs and symptoms of inflammation, rash, crusts, wounds with drainage, sites of intravenous infusion infiltration or extravasation, hematoma, phlebitis and or thrombophlebitis
  • Medical, social, and/or psychological problems precluding subject from study participation
  • Known allergy or sensitivity to chlorhexidine

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

China5 sites, 5 recruiting
  • Beijing Hospital

    Beijing, Doncheng District, 100730

    Hui Liu

    Recruiting
  • The Fifth Medical Center of Chinese PLA General Hospital

    Beijing, Fengtai District, 100039

    Xiu Bin Xiao

    Recruiting
  • Peking University Third Hospital

    Beijing, Haidian District, 100191

    Hong Mei Jing

    Recruiting
  • The First Medical Center of Chinese PLA General Hospital

    Beijing, Haidian District, 100853

    Dai Hong Lui

    Recruiting
  • Peking University People's Hospital

    Beijing, Xicheng District, 100044

    Xaio Hui Zhang

    Recruiting

Other trials in China

About this study

Official title: A Prospective, Randomized Study Comparing Device Performance Characteristics and Safety of Arrow Peripherally Inserted Central Catheters With Arrowga+rd Blue Advanced Protection to Standard Unprotected PICCs

This study seeks to compare the standard unprotected PICC with the AGBA PICC for placement success, incidence of venous thrombosis through duplex ultrasound, observing for signs and symptoms of thrombotic occlusion and recording treatment response when diagnosed by sluggish fluid flow, inability to aspirate blood and or difficulty/inability to infuse via a lumen or lumens of the catheter. The incidence of catheter-related bloodstream infection will also be tracked during the study.

Read the detailed description

The primary purpose of this study is to prospectively collect outcome data in order to evaluate the performance and safety of the Arrowga+rd Blue Advanced PICC with regard to first attempt insertion success and incidence of complications as compared to use of standard, unprotected PICC devices.

Patients will receive peripherally-inserted central catheters that are indicated for short or long term peripheral access to the central venous system for intravenous therapy, blood sampling, infusion, pressure injection of contrast media and allows for central venous pressure monitoring. Using randomization, patients will be assigned to receive the institution's standard of care uncoated/unprotected PICC or the study device, the Arrow PICC with Arrowga+rd Blue Advanced Protection

Study Device: Arrow PICC With Arrowga+rd Blue Advanced Protection:

The Arrow PICC with Arrowga+rd Blue Advanced protection (Teleflex Medical Incorporated, Morrisville, NC, USA; hereafter referred to as "AGBA") is an FDA-cleared pressure injectable device that offers both antimicrobial and anti-thrombogenic protection for at least 30 days. The application of Arrowga+rd Blue Advanced protection uses a proprietary process whereby chlorhexidine is chemically bonded to the intra- luminal catheter surfaces from tip to hub, and extra-luminal catheter body. The device is cleared for marketing in the United States of America by the Food and Drug Administration, and has obtained the CE mark for marketing in the European Union. The French size and length selected for use will be documented.

Standard of Care: The standard, unprotected PICC currently in use at the institution will be used in this study (here after referred to as Standard). The details of the PICC selected will be recorded including brand, French size, and length.

Study Design: Prospective, randomized, multicenter study

Number of Subjects: 444 subjects will be enrolled in the study and randomized to receive one of the two PICC devices.

Duration of Subject Study Participation:

Maximum of 92 days, which includes a maximum dwell time of 90 days and follow up 1 to 2 days - 9 days post PICC removal. A subject may remain in the study, with the CVC in place, beyond the expected maximum participant duration (90 days dwell, 1 - 2 day posts removal follow up) if the following conditions are met:

  • On day 90 dwell, the subject requires continued PICC access, the assigned PICC remains functional, and it is in the best interest of the subject to continue access via the inserted device.
  • It is in the best interest of the subject for the PICC to remain in place, due to health concerns precluding device removal.
Being tested
Arrowga+rd Blue Advance Protection PICC Placement, Sham Comparator PICC placement
Keywords
PICC

What participants receive

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

  • Arrowga+rd Blue Advance Protection PICC PlacementDevice

    The PICC will be placed by a qualified healthcare professional, in accordance with institutional policies and procedures and the device's IFU.

  • Sham Comparator PICC placementDevice

    The sham comparator PICC will be placed by a qualified healthcare professional, in accordance with institutional policies and procedures and the device's IFU.

Study groups in NCT05278507
Study groupRoleWhat they receive
Arrow PICC With Arrowga+rd Blue Advanced ProtectionExperimentalThe Arrow PICC with Arrowga+rd Blue Advanced protection (Teleflex Medical Incorporated, Morrisville, NC, USA; hereafter referred to as "AGBA") is an FDA-cleared pressure injectable device that offers both antimicrobial and anti-thrombogenic protection for at least 30 days. The application of Arrowga+rd Blue Advanced protection uses a proprietary process whereby chlorhexidine is chemically bonded to the intra- luminal catheter surfaces from tip to hub, and extra-luminal catheter body. The device is cleared for marketing in the United States of America by the Food and Drug Administration, and has obtained the CE mark for marketing in the European Union. The French size and length selected for use will be documented.
Receives: Device: Arrowga+rd Blue Advance Protection PICC Placement
Standard of Care PICCSham comparatorThe standard, unprotected PICC currently in use at the institution will be used in this study (here after referred to as Standard). The details of the PICC selected will be recorded including brand, French size, and length.
Receives: Device: Sham Comparator PICC placement

What is being measured

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

  1. First attempt PICC insertion success

    rate of first attempt insertion success = number of patients with first attempt insertion /total number of patients *100%

    • First attempt insertion success and number of failed attempts will be documented

    Measured: During placement

  2. PICC Placement Success - Confirmation of tip placement in the lower 1/3 of the superior vena cava at or above the superior vena cava/right atrium junction will be performed by chest x-ray or other tip confirmation system/device and documented.

    Once the PICC placement is complete, confirmation of catheter tip location in the lower 1/3 of the superior vena cava at or above the superior vena cava/right atrium junction will be performed by chest x-ray or other tip confirmation system/device and documented. Any adjustments to catheter length post-insertion must be performed using sterile technique and maximal barrier precautions. The number of adjustments to the inserted PICC needed to achieve proper tip location will be recorded.

    Measured: During placement

  3. Confirmation of tip patency by aspirating each lumen for brisk blood return and flushing each lumen with at least 10 mL of 0.9% NaCl injection USP

    Once the PICC placement is complete, the inserter will confirm patency by aspirating each lumen for brisk blood return and flushing each lumen with at least 10 mL of 0.9% NaCl injection USP.

    For inpatients, each lumen will be assessed for patency at least every 12 hours and/or before administration of infusion therapies. Patency assessments will be documented.

    • Patency checks resulting in brisk blood return and ability to flush easily will be considered patent.
    • Patency checks resulting in inability to aspirate blood with ability to flush easily will be documented as a withdrawal occlusion.
    • Patency checks resulting in sluggish flow and/or ability to flush will be documented as a partial occlusion.
    • Patency checks resulting in inability to aspirate blood and inability to flush will be documented as a complete occlusion.

    Measured: up to 92 days

  4. Incidence of catheter related bloodstream infection assessed by laboratory confirmed bloodstream infection

    Subjects will be assessed for laboratory confirmed bloodstream infection (LCBI) as described below through one day post PICC removal

    LCBI 1 Patient of any age has a recognized pathogen, which is an organism not included on the NHSN common commensal list, identified from one or more blood specimens obtained by a culture or non-culture based microbiologic testing method (excluding organisms identified by testing on sera) AND Organism(s) identified in blood is not related to an infection at another site

    LCBI 2 Patient of any age has at least one of the following signs or symptoms:

    fever (>38.0oC), chills, or hypotension AND Organism(s) identified in blood is not related to an infection at another site AND The same NHSN common commensal is identified by a culture or non-culture based microbiologic testing method, from two or more blood specimens collected on separate occasions.

    Measured: up to 92 days

Secondary outcomes (4)
  1. Incidence of complete loss of catheter function versus the total number of effective catheters placed

    Incidence of total loss of catheter function = number of total loss of catheter function/number of effective catheter placement

    Measured: up to 92 days

  2. Incidence of catheter-associated external wall thrombosis versus the total number of effective catheters placed

    Incidence of catheter-related external wall thrombosis = number of patients with catheter-related external wall thrombosis/total number of patients with effective catheter placement

    Measured: up to 92 days

  3. Device performance evaluation

    Evaluate whether the accessories in the package meet the control requirements of the country and the medical institution, whether the guide wire placement is smooth, whether the catheter placement is smooth, and whether the product is smooth and satisfactory

    Measured: During placement

  4. Evaluation of other safety parameters such as Adverse Events and Device Defects during testing

    1. Vital signs (temperature (C), heart rate (b.p.m.), respiration rate (b.p.m.) and blood pressure (m.m.Hg) throughout the clinical study period);
    2. Laboratory examination (as appropriate during the evaluation process);
    3. The number and incidence of any related adverse events, severe adverse events during the trial
    4. Number and incidence of any device defects during the test

    Measured: up to 92 days

Timeline

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

  1. First posted14 Mar 2022
  2. Study start16 Jan 2020
  3. Primary completion30 Jun 2023 (estimated)
  4. Study completion30 Jun 2023 (estimated)

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 N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
The primary purpose of this study is to prospectively collect outcome data in order to evaluate the performance and safety of the Arrowga+rd Blue Advanced PICC with regard to first attempt insertion success and incidence of complications as compared to use of standard, unprotected PICC devices.
Masking
None (open label)
Enrolment
444 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05278507
Sponsor's protocol ID
2018-10
Status last verified
Mar 2022
First submitted
21 Feb 2022
Last updated
23 Jan 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: The Study protocol will be come available after the trademark has been registered to investigators whose proposed research has received IRB/EC approval

Questions about this trial

What is this clinical trial studying?

A study testing Arrowga+rd Blue Advance Protection PICC Placement in people with Peripherally Inserted Central Catheter, run by Teleflex at 5 sites in China.

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 10 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: status not confirmed, as of the sponsor's last update on 23 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in China. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Linda Wu (15010697631, lindi.wu@teleflex.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

First attempt PICC insertion success (time frame: During placement). The study lists 4 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 23 Jan 2023.

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