Chronic Kidney Disease Requiring HemodialysisVENOS-2NCT06712251
Early Feasibility Study of the Velocity™ Percutaneous Arterio-Venous Fistula System for Creating Hemodialysis Vascular Access
A study testing Velocity pAVF System in people with Chronic Kidney Disease Requiring Hemodialysis and End Stage Renal Disease (ESRD), run by Venova Medical at 5 sites in United States.
Trial summary
The Velocity Percutaneous Arterio-Venous System is a minimally invasive method of creating hemodialysis vascular access. The study aims to understand clinical efficacy and initial clinical safety data of the device. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Chronic Kidney Disease Requiring Hemodialysis, End Stage Renal Disease (ESRD)
- What is being tested?
- Velocity pAVF System
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 5 sitesUnited States
- Study dates
- 8 Jan 2025to 4 Jan 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- CKD stage 4/5 or ESRD
- Eligible for a native surgical proximal forearm radiocephalic arteriovenous fistula following assessment by the principal investigator and study sponsor
- Cubital perforating vein diameter ⩾ 2.0 and ⩽ 5.0 mm
- Proximal radial artery diameter ⩾ 2.0 and ⩽ 4.0 mm
- Willing and competent to give written informed consent
- Willing and able to complete all study assessments and follow-up requirements
Who cannot join
- Distance between Proximal Radial Artery and Cubital Perforating Vein > 3 mm
- Subject study extremity systolic blood pressure < 100mmHg Known central venous stenosis of > 50% ipsilateral to the study extremity
- Any obstruction of superficial venous outflow from intended device implant site to the axillary vein
- Subjects with occlusion of the ulnar or radial artery at any level or an abnormal Allen's test
- Any previous dialysis vascular access procedures in the study extremity
- History of access related hand ischemia from a previous hemodialysis vascular access of the non-study extremity which required intervention or access abandonment
Show all 25Show fewer
- Upper extremity venous occlusion and/or vessel abnormality of the study extremity that precludes endovascular AVF creation as determined by principal investigator or study sponsor
- Evidence of active systemic infections on day of the procedure or infection at the procedure access site within the past 7 days
- History or evidence of severe cardiac disease (NYHA Functional Class III or IV), myocardial infarction within six months prior to study entry, ventricular tachyarrhythmias requiring continuing treatment, or unstable angina
- Any contraindication to antiplatelet therapy
- Currently being treated with another investigational device or drug
- Known adverse effects to sedation and/or anesthesia which cannot be adequately pre-medicated
- Uncontrolled or poorly controlled diabetes defined as a HbA1C > 10%
- Known hypercoagulable condition, bleeding diathesis or coagulation disorder
- Receiving anti-coagulant therapy that cannot be safely held in the peri-procedural period
- Edema of the study extremity
- Scheduled kidney transplant within 6 months of enrollment
- Peripheral white blood cell count < 1,500 cells/microL or > 13,000 cells/microL and neutrophil > 80%
- Platelet count < 75,000 cells/ microL
- Serum procalcitonin level > 0.75 ng/mL for subjects with central venous catheters
- Current diagnosis of carcinoma (unless in remission > 1 year)
- Pregnant or currently breast feeding
- History of substance abuse or anticipated to be non- compliant with medical care or study requirements based on investigator judgment
- Allergies to nickel or nickel titanium alloy (NiTi) or any of the components of the Velocity Implant or Delivery System
- Any other medical condition that in the opinion of the investigator would put the welfare of the subject at risk or confound interpretation of the study data
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
United States5 sites
Trinity Research Group
Dothan, Alabama, 36301
Texas Research Institute
Fort Worth, Texas, 76104
American Access Care of Jacksonville
Jacksonville, Florida, 32218
Apex Research
Riverside, California, 92505
STAR Vascular
San Antonio, Texas, 78207
About this study
Official title: Early Feasibility Study of the Velocity™ Percutaneous Arterio-Venous Fistula System
The Velocity Percutaneous Arterio-Venous System is a minimally invasive method of creating hemodialysis vascular access. The study aims to understand clinical efficacy and initial clinical safety data of the device.
- Being tested
- Velocity pAVF System
- Keywords
- Dialysis Access, Hemodialysis, AV Fistula, Percutaneous AVF
- Medical subject headings
- Kidney Failure, Chronic, Arteriovenous Fistula
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Velocity pAVF SystemDevice
Also called pAVF, endoAVF
The Velocity Percutaneous Arterio-Venous Fistula System consists of a percutaneous method designed to create an arteriovenous fistula for hemodialysis vascular access.
| Study group | Role | What they receive |
|---|---|---|
| Velocity Percutaneous Arterio-Venous Fistula System | Experimental | Not described Receives: Device: Velocity pAVF System |
What is being measured
The primary outcome is the main question the study is designed to answer.
Physiologic Maturation
The proportion of participants that reach the binary outcome of Physiologic Maturation (mature/unmature). Physiologic Maturation is a composite measure, reached when Duplex ultrasound demonstrates a brachial artery blood flow of ≥ 500 ml/min and an outflow vein diameter of ≥ 5 mm.
Measured: 6 weeks
Serious Adverse Device Effect
Any Serious Adverse Event that reasonably suggests is caused by the device or procedure
Measured: 30 days
Secondary outcomes (12)
Functional Maturation
The number of participants with successful two needle cannulation for 75% of dialysis sessions over a consecutive 4 weeks period following pAVF creation
Measured: 3 months
Unassisted Functional Maturation
The number of participants that reach functional maturation without any endovascular or surgical interventions to the pAVF to facilitate maturation and/or manage complications
Measured: 3 months
Time to First Hemodialysis
The interval from the time of pAVF creation to the first hemodialysis session using 2-needles in the ESRD subgroup
Measured: Up to 52 weeks
Number of Catheter Days
The number of days from pAVF creation to central venous catheter removal in the ESRD subgroup.
Measured: Up to 52 weeks
Total Reinterventions
All reinterventions related to the access will be captured over the life of the access until abandonment or when the subject exits the study.
Measured: 12 months
Freedom from Reintervention
The duration from the time of access creation until the first occurrence of a reintervention required to maintain or restore patency of the pAVF
Measured: Up to 104 weeks
Technical Success
Intraprocedural duplex ultrasound demonstrating arterialized flow in the cephalic vein
Measured: Day of study intervention
Primary Patency
The time of access creation until the first occurrence of any reintervention to maintain or reestablish patency or until access abandonment
Measured: 6 months
Primary Assisted Patency
The time from access creation to the first reintervention to maintain patency, including reinterventions intended to prevent thrombosis or restenosis, without the occurrence of thrombosis or abandonment of the access
Measured: 6 months
Cumulative Patency
The interval from the time of access creation or intervention until the final abandonment of the access, inclusive of all successful interventions to maintain or restore patency
Measured: 6 months
Freedom from Serious Adverse Events
The time from access creation to the first occurrence of any serious adverse event (SAE)
Measured: Up to 104 weeks
Functional Patency
Elapsed time from functional maturation to abandonment of the access site
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2024
- Study start8 Jan 2025
- Primary completion15 May 2025
- Study completion4 Jan 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Kidney Disease Requiring HemodialysisStudies 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 N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Venova Medical
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06712251
- Sponsor's protocol ID
- CP0687
- Acronym
- VENOS-2
- Status last verified
- Aug 2025
- First submitted
- 21 Nov 2024
- Last updated
- 17 Aug 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 17 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Early Feasibility Study of the Velocity™ Percutaneous Arterio-Venous Fistula System
- ClinicalTrials.gov ID
- NCT06712251
- Acronym / sponsor ID
- VENOS-2 / CP0687
- Keywords
- Dialysis Access, Hemodialysis, AV Fistula, Percutaneous AVF
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- Venova MedicalIndustry (pharma, biotech, devices)
- Study start
- 8 Jan 2025 (actual)
- Primary completion
- 15 May 2025 (actual)
- Study completion
- 4 Jan 2027 (estimated)
- First posted
- 2 Dec 2024 (actual)
- 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.
The Velocity Percutaneous Arterio-Venous System is a minimally invasive method of creating hemodialysis vascular access. The study aims to understand clinical efficacy and initial clinical safety data of the device.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Velocity Percutaneous Arterio-Venous Fistula System | Experimental | Device: Velocity pAVF System |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- CKD stage 4/5 or ESRD
- Eligible for a native surgical proximal forearm radiocephalic arteriovenous fistula following assessment by the principal investigator and study sponsor
- Cubital perforating vein diameter ⩾ 2.0 and ⩽ 5.0 mm
- Proximal radial artery diameter ⩾ 2.0 and ⩽ 4.0 mm
- Willing and competent to give written informed consent
Key exclusion criteria (25 listed)
- Distance between Proximal Radial Artery and Cubital Perforating Vein > 3 mm
- Subject study extremity systolic blood pressure < 100mmHg Known central venous stenosis of > 50% ipsilateral to the study extremity
- Any obstruction of superficial venous outflow from intended device implant site to the axillary vein
- Subjects with occlusion of the ulnar or radial artery at any level or an abnormal Allen's test
- Any previous dialysis vascular access procedures in the study extremity
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 |
|---|---|---|
| Velocity pAVF SystemAlso: pAVF, endoAVFThe Velocity Percutaneous Arterio-Venous Fistula System consists of a percutaneous method designed to create an arteriovenous fistula for hemodialysis vascular access. | Device | Velocity Percutaneous Arterio-Venous Fistula System |
Primary outcome
Physiologic Maturation
Time frame: 6 weeks
The proportion of participants that reach the binary outcome of Physiologic Maturation (mature/unmature). Physiologic Maturation is a composite measure, reached when Duplex ultrasound demonstrates a brachial artery blood flow of ≥ 500 ml/min and an outflow vein diameter of ≥ 5 mm.
Serious Adverse Device Effect
Time frame: 30 days
Any Serious Adverse Event that reasonably suggests is caused by the device or procedure
12 secondary outcomes
Functional Maturation
Time frame: 3 months
Unassisted Functional Maturation
Time frame: 3 months
Time to First Hemodialysis
Time frame: Up to 52 weeks
Number of Catheter Days
Time frame: Up to 52 weeks
Total Reinterventions
Time frame: 12 months
Freedom from Reintervention
Time frame: Up to 104 weeks
Technical Success
Time frame: Day of study intervention
Primary Patency
Time frame: 6 months
Primary Assisted Patency
Time frame: 6 months
Cumulative Patency
Time frame: 6 months
Freedom from Serious Adverse Events
Time frame: Up to 104 weeks
Functional Patency
Time frame: 12 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Aug 2025.
- Individual participant dataSharing planned: Yes
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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.
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Velocity pAVF System in people with Chronic Kidney Disease Requiring Hemodialysis and End Stage Renal Disease (ESRD), run by Venova Medical at 5 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 6 inclusion and 25 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: under way, not looking for participants, as of the sponsor's last update on 17 Aug 2025. 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 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Physiologic Maturation (time frame: 6 weeks). 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 17 Aug 2025.