Evaluation of Safety and Efficacy of the Mynx Control Venous Vascular Closure Device 6F-12F vs Manual Compression (ReliaSeal)
A Multicenter, Prospective, Randomized, Controlled, Open Label Trial to Evaluate the Safety and Efficacy of Mynx Control Venous Vascular Closure Device 6F-12F vs Manual Compression in Patients Who Have Undergone Endovascular Procedures Utilizing up to 12F Procedural Sheaths
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Arizona
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Phoenix, Arizona, United States, 85016
- Arizona Cardiovascular Research Center
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Colorado
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Lakewood, Colorado, United States, 80228
- Colorado Heart and Vascular PC
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Florida
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Miami, Florida, United States, 33176
- Baptist Health Miami Cardiac and Vascular Institute
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Miami Beach, Florida, United States, 33312
- Palm Vascular Centers
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Tampa, Florida, United States, 33614
- Tampa Cardiovascular Interventions and Research
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Missouri
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Kansas City, Missouri, United States, 64111
- Saint Luke's Hospital of Kansas City
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North Carolina
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Raleigh, North Carolina, United States, 27607
- NC Heart and Vascular Research
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73135
- South Oklahoma Heart Research
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Oklahoma City, Oklahoma, United States, 73134
- Hightower Clinical
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South Carolina
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Rock Hill, South Carolina, United States, 28277
- Onsite Clinical Solutions
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Tennessee
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Chattanooga, Tennessee, United States, 37403
- Erlanger Health System
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Texas
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Dallas, Texas, United States, 75230
- Medical City Dallas Hospital
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McAllen, Texas, United States, 78503
- Rio Grande Regional Hospital
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McKinney, Texas, United States, 75069
- North Dallas Research Associates
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age >18
- Able and willing to provide informed consent and to complete a follow-up visit at 30 days
- Planned catheter-based procedures via the common femoral vein(s) using up 6F to 12F introducer sheaths which meet indications for elective, nonemergent interventions of disease state, without contraindications for emergent vascular surgery or manual compression of the venous access sites
Exclusion Criteria:
- Any use of systemic steroids (IV or oral) within 30 days of procedure
- History of deep vein thrombosis, pulmonary embolism, or thrombophlebitis within 6 months of procedure
- Presence of thrombocytopenia (platelet count < 100,000 cells/mm3) or anemia (hemoglobin < 10 g/dL, hematocrit < 30%)
- History of bleeding disorders such hemophilia or von Willebrand's disease
- Currently involved in any other investigational clinical trial
- Documented history of uncontrolled hypertension (i.e., systolic blood pressure > 180 mm Hg), or critical illness requiring intravenous vasopressors for blood pressure stabilization
- Femoral arteriotomy or venotomy in either limb within 10 days pre procedure
- Use of VCD in either limb within 30 days of procedure
- Any planned procedure involving femoral arterial or venous access in either limb within 30 days or prior to study exit
- Renal insufficiency (i.e., serum creatinine > 2.5 mg/dL)
- Patients who are pregnant, planning to become pregnant during the study period, or lactating
- Body-mass index (BMI) > 45 kg/m2 or <20 kg/m2
- Unable to routinely walk at least 20 feet without assistance
- Known allergy/adverse reaction to polyethylene glycol or contrast medium
- Planned procedures (including staged) or concomitant conditions/comorbidities that per investigator's judgment may extend ambulation attempts beyond 2-3 hours, and/or require extended hospitalization or re-hospitalization
- Previous vascular surgery or repair in the vicinity of the target access site within the previous 90 days of the procedure
- Active systemic infection, or cutaneous infection or inflammation in the vicinity of the target access site
- Current COVID-19 infection (with or without symptoms), positive test for COVID- 19 within 14 days, or recent exposure to a person with COVID-19 infection
- Patients who refuse blood transfusion if it were to be needed
- Patients with expected life of less than 30 days
Intra-Procedural Exclusion Criteria
Patients who meet any of the following criteria during the index procedure will be excluded:
- Any attempt at femoral arterial access or inadvertent arterial puncture with hematoma during the procedure
- Any procedural complications that may interfere with routine recovery, ambulation, or discharge eligibility times
- Physician deems that a different hemostasis approach for venous access sites is necessary
- Physician deems that the subject should not attempt protocol required ambulation (reference ambulation protocol per section 14.2)
- Venous access site location is noted to be above the inguinal ligament (cephalad to lower half of the femoral head or the inferior epigastric vein origin from the external iliac vein)
- Intra-procedural bleeding around sheath, or suspected intraluminal thrombus, hematoma, pseudoaneurysm, or AV fistula
- Difficult insertion of procedural sheath or needle stick problems at the onset of the procedure (e.g., multiple stick attempts, accidental arterial stick with hematoma, "back wall stick", etc.)
- A < 6F or > 12F procedural sheath is present at any time during the procedure or at closure
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Mynx Control Venous Closure
204 (2:1 randomized - 136 VCD:68 manual compression)
|
Mynx Control Venous VCD 6F-12F is indicated for use to seal femoral venous access sites while reducing times to hemostasis and ambulation.
|
|
Active Comparator: Manual Compression
204 (2:1 randomized - 136 VCD:68 manual compression)
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Mynx Control Venous VCD 6F-12F is indicated for use to seal femoral venous access sites while reducing times to hemostasis and ambulation.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Primary Safety Endpoint: Major Complications of the Target Limb Access Site Within 30 Days
Time Frame: 30 days post procedure
|
Defined as the rate of CEC adjudicated combined major venous access site closure-related complications through 30 days post-procedure, attributed directly to VCD or Manual Compression without other likely cause.
|
30 days post procedure
|
|
Primary Effectiveness Endpoint: Time to Ambulation
Time Frame: Post procedure
|
Defined as time (in hours) between removal of the MYNX CONTROL™ Venous Vascular Closure Device 6F-12F device (device group) or of the final sheath (control group) and when subject stands and walks 20 feet without evidence of rebleeding from any femoral venous access site.
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Post procedure
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Primary Effectiveness Endpoint: Time to Hemostasis
Time Frame: Post procedure
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Defined as time (in minutes) between removal of each MYNX CONTROL™ Venous Vascular Closure Device 6F-12F device (device group) or of each sheath (control group) and first observed and confirmed venous hemostasis (per access site analysis).
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Post procedure
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Secondary Safety Endpoints: Minor Complications of the Target Limb Access Site Within 30 Days
Time Frame: 30 days post procedure
|
Defined as the rate of CEC adjudicated combined minor venous access site closure-related complications through 30 days post-procedure, attributed directly to MYNX CONTROL™ Venous VCD or Manual Compression without other likely cause.
|
30 days post procedure
|
|
Time to Discharge Eligibility
Time Frame: Post Procedure
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Defined as elapsed time (in hours) between removal of the final MYNX CONTROL™ Venous VCD or removal of the final sheath and when subject is eligible for discharge from the institution based on the assessment of the attending physician.
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Post Procedure
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Procedural Success
Time Frame: 30 days post procedure
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Defined as attainment of final hemostasis at all venous access sites without major venous access site closure-related complications through 30 days.
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30 days post procedure
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Device Success
Time Frame: During procedure
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Defined as the ability to successfully deploy the MYNX CONTROL™ VENOUS VCD delivery system, deliver the polyethylene glycol hydrogel sealant, and achieve hemostasis.
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During procedure
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- P22-8301
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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