Coronary Artery DiseaseVCAB-2NCT07078370
Safety Study of Acellular Tissue Engineered Vessel for Coronary Artery Bypass
A study testing ATEV with ESS in people with Coronary Artery Disease and Multi Vessel Coronary Artery Disease, run by Vascudyne, Inc. at 4 sites in Poland.
Trial summary
To assess safety and feasibility of a coronary bypass created with Vascudyne Acellular Tissue Engineered Vessel (ATEV) with External Support Structure (ESS) in patients requiring multi vessel coronary artery bypass grafting (CABG). Read more about this study
- Who is it for?
- Ages 45 to 75 years
- Conditions the study is for
- Coronary Artery Disease, Multi Vessel Coronary Artery Disease
- What is being tested?
- ATEV with ESS
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 4 sitesPoland
- Study dates
- 28 Aug 2025to 31 Jul 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 45 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects must meet ALL of the following inclusion criteria:
- Patient with limited quantity of good quality saphenous vein graft (SVG) for planned operation per the surgeon discretion.
- Bypass to at least two coronary arteries (CA); primary target shall be an Internal mammary artery (IMA) bypass to the Left anterior descending (LAD) artery, and one IMD to a secondary target CA that:
- requires ≤ 15cm long conduit
- has a diameter at least 1.5 mm at targeted landing site
- has at least 70% stenosis proximal to the target bypass
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- evidence that sufficient runoff will exist in the target vessel after bypass
- Male or female patients between the ages of 45 and 75 years inclusive.
- Elective patient, selected and accepted by the local Heart Team and confirmed by the Sponsor's Screening Committee for an on-pump full sternotomy coronary artery bypass grafting (CABG) surgery.
- Female subjects must be 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).
- Patient has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent.
- Patient has been informed and agrees to pre- and post-procedure follow-up, including follow-up cardiac ultrasound and coronary angiogram or computed tomography (CT).
- Patient is willing to be compliant with prescribed anticoagulant therapy (critical to preventing thrombus in the ATEV).
Who cannot join
- Patients with left ventricular ejection fraction < 35%.
- Patients with diffusely diseased coronary arteries suggestive of either poor target quality, or poor vessel runoff.
- Patients requiring emergency surgery.
- Patients with cardiogenic shock.
- Patients with any prior open cardiac surgery such as CABG.
- Any planned concomitant cardiac surgery, including but not limited to: valve surgery, repair of intracardiac shunt, surgical arrhythmia ablation.
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- History of cardiac resynchronization therapy (CRT) or implantable cardioverter defibrillator (ICD) implantation.
- Myocardial infarction (MI) within 21 days or cerebral vascular accident (CVA) within 90 days of the CABG procedure.
- Concomitant life-threatening disease likely to limit life expectancy to less than 2 years.
- Patient with uncontrolled diabetes (glycated hemoglobin > 8%).
- Chronic Kidney Disease (CKD) with Glomerular Filtration Rate (GFR) <45 mL/min/1.73m2 (Category: G3b-G5 according to Kidney Disease: Improving Global Outcomes (KDIGO)).
- Moderate to severe chronic obstructive pulmonary disease (COPD) with a forced expiratory volume (FEV) <1.5 L/sec or 45% predicted FEV1.
- Patient with known interstitial lung disease, diagnosed by imaging or pulmonary function tests, including Diffusing Capacity of the Lungs for Carbon Monoxide (DLCO).
- Endocarditis, pericarditis, or any other active systemic infection that would interfere with patient safety.
- Patient on preoperative anticoagulant, or pre existing indication for anticoagulation (e.g. atrial fibrillation, history of thromboembolism), or with known coagulation disorder.
- Abnormal blood values (e.g. leukopenia, anemia, thrombocytopenia, or thrombocytosis with Platelet Count >400,000 per mL that could influence graft hemostasis or patient recovery
- Known allergies to study device components: Nitinol, Nickel, Titanium, or agents/medication such as contrast agents, antiplatelet therapy, beta-blocker, or statins required for study assessment or optimal post-CABG medical treatment (hospital standard of care).
- Contraindication to or known serious allergy to anticoagulant, aspirin, or planned antiplatelet (clopidogrel, ticagrelor, prasugrel) and factor Xa inhibitor therapy.
- Any planned medical intervention or condition within the 12 months following ATEV implantation that requires temporary or permanent discontinuation of antiplatelet or anticoagulant therapy.
- History of heparin-induced thrombocytopenia.
- Documented or suspected untreated diffuse peripheral vascular disease such as: carotid stenosis or claudication of the extremities.
- Immunodeficiency including Human Immunodeficiency Virus (HIV), active autoimmune disease, or on immunosuppressant therapy.
- Treatment with any investigational drug or device within 60 days prior to study entry or ongoing participation in another clinical study of an investigational product.
- Subject has medical, social, or psychosocial factors that, in the opinion of the investigator, could impact safety or compliance.
- Has any other condition, in the opinion of the principal investigator, which would put the patient at increased risk from participating in the study or otherwise prevent participation.
Trial locations and contacts
4 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Poland4 sites
University Clinical Hospital in Poznań
Poznan
University Clinical Hospital No. 2 PUM in Szczecin
Szczecin
Medicover
Warsaw
Military Institute of Medicine - National Research Institute
Warsaw
About this study
Official title: Safety Study of Vascudyne's Small Diameter Acellular Tissue Engineered Vessel (ATEV) for Coronary Artery Bypass
To assess safety and feasibility of a coronary bypass created with Vascudyne Acellular Tissue Engineered Vessel (ATEV) with External Support Structure (ESS) in patients requiring multi vessel coronary artery bypass grafting (CABG).
Read the detailed description
Prospective, non-randomized, evaluation clinical study to assess the feasibility of Acellular Tissue Engineered Vessel (ATEV) with External Support Structure (ESS) for secondary coronary targets in patients needing multiple coronary artery bypass.
Patients will be implanted with a single ATEV with ESS bypass (single proximal and distal anastomoses) to the second or third coronary arteries (CA) bypass target.
The primary target CA shall be bypassed using an arterial graft. The left anterior descending (LAD) CA bypass, if needed, shall be bypassed using the left internal mammary artery (LIMA). A native vessel shall be used for any additional targets as needed.
- Being tested
- ATEV with ESS
- Keywords
- CABG, ATEV, Tissue Engineered Vessel, coronary artery disease
- Medical subject headings
- Coronary Artery Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ATEV with ESSDevice
Also called CABG
Patients will be implanted with a single Acellular Tissue Engineered Vessel with External Support Structure bypass (single proximal and distal anastomoses) to the second or third coronary artery bypass target
| Study group | Role | What they receive |
|---|---|---|
| ATEV with ESS | Experimental | Surgical implant of Acellular Tissue Engineered Vessel with External Support Structure as Coronary Artery bypass Receives: Device: ATEV with ESS |
What is being measured
The primary outcome is the main question the study is designed to answer.
Successful implantation
Successful implantation as defined by meeting each of the following points:
- Completion of both a proximal and distal anastomosis,
- Placement of ESS,
- No evidence of ATEV twist or kink on direct visual inspection.
Measured: 30 days.
Freedom from Major Adverse Cardiac and Cerebrovascular events (MACCE) at 30 days.
Freedom from Major Adverse Cardiac and Cerebrovascular events (MACCE) at 30 days. MACCE is defined as combination of:
- death,
- non-fatal stroke,
- non-fatal myocardial infarction,
- unplanned revascularization
- hospitalization due to heart failure
Measured: 30 days.
Secondary outcomes (6)
Patency at 1 and 6 months
Patency of conduit assessed by Coronary Computed Tomography Angiography (CCTA) results at 1 and 6 months post-implantation.
Measured: 1 month and 6 months.
Patency at 12 months
Patency of conduit assessed by angiography results at 12 months, defined according to Fitzgibbon classification.
Measured: 12 months.
Lumen Diameter Uniformity
Lumen Diameter Uniformity of all bypasses assessed by angiography results at 12 months.
Measured: 12 months.
Immune Response
Panel Reactive Antibody assessment via serum assay at baseline, 1, 6, and 12 months.
Measured: 12 months.
Device Serious Adverse Event (SAE)
Device Related Serious Adverse Events identified at 6, 12, 24, 48 and 60 months follow-ups.
Measured: 6 months, 12 months, 24 months, 48 months, and 60 months.
Freedom from (major adverse cardiac and cerebrovascular events) MACCE
Freedom from (major adverse cardiac and cerebrovascular events) MACCE at 6, 12, 24, 48 and 60 months follow-ups.
Measured: 6 months, 12 months, 24 months, 48 months, and 60 months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jul 2025
- Study start28 Aug 2025
- Primary completion30 Mar 2027 (estimated)
- Study completion31 Jul 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Coronary Artery DiseaseStudies 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
- Model description
- Patients will be implanted with a single Acellular Tissue Engineered Vessel with External Support Structure bypass (single proximal and distal anastomoses) to the second or third coronary artery bypass target
- Masking
- None (open label)
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Vascudyne, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- KCRI
- Responsible party
- Sponsor
- Investigators
- Krzysztof Wrobel, MD PhD, Principal investigator, MEDICOVER SP Z O.O.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07078370
- Sponsor's protocol ID
- CIP-004
- Acronym
- VCAB-2
- Status last verified
- Jul 2026
- First submitted
- 29 Jun 2025
- Last updated
- 29 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safety Study of Vascudyne's Small Diameter Acellular Tissue Engineered Vessel (ATEV) for Coronary Artery Bypass
- ClinicalTrials.gov ID
- NCT07078370
- Acronym / sponsor ID
- VCAB-2 / CIP-004
- Keywords
- CABG, ATEV, Tissue Engineered Vessel, coronary artery disease
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- Vascudyne, Inc.Industry (pharma, biotech, devices)
- Collaborators
- KCRI
- Study start
- 28 Aug 2025 (actual)
- Primary completion
- 30 Mar 2027 (estimated)
- Study completion
- 31 Jul 2027 (estimated)
- First posted
- 22 Jul 2025 (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.
To assess safety and feasibility of a coronary bypass created with Vascudyne Acellular Tissue Engineered Vessel (ATEV) with External Support Structure (ESS) in patients requiring multi vessel coronary artery bypass grafting (CABG).
Detailed description
Prospective, non-randomized, evaluation clinical study to assess the feasibility of Acellular Tissue Engineered Vessel (ATEV) with External Support Structure (ESS) for secondary coronary targets in patients needing multiple coronary artery bypass.
Patients will be implanted with a single ATEV with ESS bypass (single proximal and distal anastomoses) to the second or third coronary arteries (CA) bypass target.
The primary target CA shall be bypassed using an arterial graft. The left anterior descending (LAD) CA bypass, if needed, shall be bypassed using the left internal mammary artery (LIMA). A native vessel shall be used for any additional targets as needed.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Patients will be implanted with a single Acellular Tissue Engineered Vessel with External Support Structure bypass (single proximal and distal anastomoses) to the second or third coronary artery bypass target
| Arm | Type | Receives |
|---|---|---|
| ATEV with ESS | Experimental | Device: ATEV with ESSSurgical implant of Acellular Tissue Engineered Vessel with External Support Structure as Coronary Artery bypass |
Who may qualify
- Ages
- 45 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Patient with limited quantity of good quality saphenous vein graft (SVG) for planned operation per the surgeon discretion.
- Bypass to at least two coronary arteries (CA); primary target shall be an Internal mammary artery (IMA) bypass to the Left anterior descending (LAD) artery, and one IMD to a secondary target CA that:
- Male or female patients between the ages of 45 and 75 years inclusive.
- Elective patient, selected and accepted by the local Heart Team and confirmed by the Sponsor's Screening Committee for an on-pump full sternotomy coronary artery bypass grafting (CABG) surgery.
- Female subjects must be 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).
Key exclusion criteria (25 listed)
- Patients with left ventricular ejection fraction < 35%.
- Patients with diffusely diseased coronary arteries suggestive of either poor target quality, or poor vessel runoff.
- Patients requiring emergency surgery.
- Patients with cardiogenic shock.
- Patients with any prior open cardiac surgery such as CABG.
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 |
|---|---|---|
| ATEV with ESSAlso: CABGPatients will be implanted with a single Acellular Tissue Engineered Vessel with External Support Structure bypass (single proximal and distal anastomoses) to the second or third coronary artery bypass target | Device | ATEV with ESS |
Primary outcome
Successful implantation
Time frame: 30 days.
Successful implantation as defined by meeting each of the following points: 1. Completion of both a proximal and distal anastomosis, 2. Placement of ESS, 3. No evidence of ATEV twist or kink on direct visual inspection.
Freedom from Major Adverse Cardiac and Cerebrovascular events (MACCE) at 30 days.
Time frame: 30 days.
Freedom from Major Adverse Cardiac and Cerebrovascular events (MACCE) at 30 days. MACCE is defined as combination of: 1. death, 2. non-fatal stroke, 3. non-fatal myocardial infarction, 4. unplanned revascularization 5. hospitalization due to heart failure
6 secondary outcomes
Patency at 1 and 6 months
Time frame: 1 month and 6 months.
Patency at 12 months
Time frame: 12 months.
Lumen Diameter Uniformity
Time frame: 12 months.
Immune Response
Time frame: 12 months.
Device Serious Adverse Event (SAE)
Time frame: 6 months, 12 months, 24 months, 48 months, and 60 months.
Freedom from (major adverse cardiac and cerebrovascular events) MACCE
Time frame: 6 months, 12 months, 24 months, 48 months, and 60 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 29 Jul 2026.
- Individual participant dataSharing planned: No
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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.
Krzysztof Wrobel, MD PhD principal investigator
MEDICOVER SP Z O.O.
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ATEV with ESS in people with Coronary Artery Disease and Multi Vessel Coronary Artery Disease, run by Vascudyne, Inc. at 4 sites in Poland.
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 13 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: enrolling by invitation, as of the sponsor's last update on 29 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Poland. 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?
Successful implantation (time frame: 30 days.). 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 29 Jul 2026.