- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT00963690
Evaluation of the CloSys Closure System as an Adjunct to Standard Compression
CloSys Hemostatic Device U.S. Multi-Center Clinical Investigation
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Louisiana
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Lafayette, Louisiana, Estados Unidos, 70506
- Cardiovascular Institute of the South
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North Carolina
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Raleigh, North Carolina, Estados Unidos, 27607
- Rex Healthcare - Rex Heart and Vascular Research
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-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
General Inclusion Criteria
All answers must be YES to be eligible for the study:
- Subject is ≥ 18 years of age;
- Subject is willing and able to provide informed consent;
- Subject is able to ambulate pre-procedure without difficulty;
- Subject is able to remain supine for an extended period of time;
- Subject is willing and able to comply with the requirements of the study protocol, including all follow-up visit evaluations;
General Exclusion Criteria
All answers must be NO to be eligible for the study:
- Subject has a systolic blood pressure (SBP) ≥ 160 mmHg despite medical therapy;
- Subject has a diastolic blood pressure (DBP) ≥ 100 mmHg despite medical therapy;
- Subject has received thrombolytic therapy, such as streptokinase, urokinase, retavase, tenecteplase, or tPA, within 24 hours of the scheduled procedure;
- Subject is lactating;
- Subject has a life expectancy of less than one (1) year;
- The percutaneous intervention was an emergent procedure;
- Subject has a known coagulopathy disorder, including, but not limited to, hemophilia, sickle cell disease, or von Willebrand disease;
- Subject has a known diagnosis of an auto-immune disease;
- Subject has a known or suspected diagnosis of vasculitis;
- Subject currently has an infection of any kind;
- Subject does not have either a posterior Tibialis (PT) or dorsalis pedis (DP) pulse by doppler in ipsilateral extremity;
- Subject has critical limb ischemia and/or severe peripheral vascular disease as identified by rest pain and/or gangrene;
- Rutherford category five (5) or six (6);
- Subject is currently or within the last thirty (30) days participating in another investigational drug or device study;
- Subject is unavailable for follow-up;
- Subject has known allergy or previous intolerance to Protamine Sulfate;
- Subject has known allergy to shellfish;
- Subject has had a previous closure device in the ipsilateral side within the last ninety (90) days;
- Prior intervention or surgical procedure to the access site within the last six (6) months;
- Subject has a planned intervention or surgical procedure prior to completion of the thirty (30) day follow-up visit;
- Subject has received a low molecular weight (LMWH) heparin, such as, Enoxaparin sodium (Lovenox, Xaparin and Clexane) within the past twelve (12) hours;
- Body mass index (BMI) > 45 or < 20;
- The investigator determines the subject is otherwise not an appropriate subject for the study; 5.3.2.1 Laboratory Values Exclusion Criteria
All answers must be NO to be eligible for the study:
Within seven (7) days prior to interventional procedure or according to standard of care for percutaneous interventional procedures requiring contrast and angiography:
- Subject is known to be, or suspected to be, pregnant (verified with a urine/blood pregnancy test);
- Subject's pre-procedural platelet count < 100,000 103/ul;
- Subject's hematocrit < 28%;
- Subject's hemoglobin < 10 g/dL;
- Subject's serum creatinine ≥ 2.5 mg/dL;
- Prothrombin Time (PT) is not within normal limits;
- Partial Thromboplastin Time (PTT) is not within normal limits;
- For subjects taking warfarin (Coumadin): The subject on warfarin within 30 days has an INR ≥ 1.8 at the time of procedure;
post - Interventional Procedure Inclusion Criteria
All answers must be YES to be eligible for the study:
- Subject has undergone a percutaneous interventional procedure utilizing a femoral arterial access;
- Heparin is administered for anti-coagulation during the procedure;
- Subject has an ACT ≥ 225 seconds and < 350 seconds;
- Subject's arterial introducer sheath is 5 Fr, 6 Fr or 7 Fr;
- Subject's arterial introducer sheath has an overall length of ≤ 15.0 cm;
- Subject's SBP < 160 mmHg;
- Subject's DBP < 100mmHg;
- Subject's physical, mental, and clinical status is stable and allows for ambulation assessment four (4) hours following removal of introducer sheath; 5.3.4 Post - Interventional Procedure Exclusion Criteria
All answers must be NO to be eligible for the study:
5.3.4.1 General Exclusion Criteria
- Subject experienced cardiogenic shock before, during, or immediately after the interventional procedure;
- Subject has bleeding around the sheath prior to sheath removal;
- Subject has a pseudoaneurysm before sheath removal;
- Subject has a palpable hematoma before sheath removal;
- Subject has evidence of a retroperitoneal bleed prior to sheath removal;
- Subject experienced double wall punctures during vascular access;
- Subject experienced multiple arterial punctures (> 1) during vascular access;
- Subject has ipsilateral venous sheaths;
- Subject had intraprocedural therapeutic thrombolysis;
- Subject received bivalirudin(Angiomax®) before, during, or after the intervention;
- Subject received Protamine Sulfate IV to reverse heparin received during procedure;
- Subject has a suspected bacterial contamination of the access site;
- Arterial access was obtained in or near a vascular graft;
- Subject's percutaneous intervention was for the treatment of an acute myocardial infarction (MI);
Angiographic Eligibility Criteria Angiographic Inclusion Criteria
All answers must be YES to be eligible for the trial:
- Arterial access was obtained above the femoral bifurcation;
- Arterial access was obtained below the inguinal ligament; Angiographic Exclusion Criteria
All answers must be NO to be eligible for the trial:
- Common femoral artery > 50% narrowing due to calcification or plaque;
- Arteriovenous fistula present;
- Other complication noted on femoral angiogram.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Cuidados de suporte
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
---|---|
Experimental: CloSys HD with standard compression
CloSys Arm
|
Deploy CloSys HD to achieve hemostasis
Use standard compression to achieve hemostasis
|
Comparador Ativo: Standard compression alone
Manual compression arm
|
Use standard compression to achieve hemostasis
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
---|---|
Time to hemostasis
Prazo: 1 Hour
|
1 Hour
|
Time to ambulation
Prazo: 6 Hours
|
6 Hours
|
Medidas de resultados secundários
Medida de resultado |
Prazo |
---|---|
Adverse events
Prazo: Within 30 days after procedure
|
Within 30 days after procedure
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: George Adams, MD, Rex Healthcare
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Estimativa)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- CL-0100-01
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Ensaios clínicos em Sealing the Arteriotomy
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University of California, San FranciscoConcluídoComplicação da ferida | Estado Funcional Após Sartorius Flap of the VirilhaEstados Unidos