Chronic Kidney Disease
Conditions
Keywords
arteriovenous fistula, AVF, hemodialysis, vascular access, PRT 201, dose escalation, dialysis, fistula, access, vonapanitase, kidney, renal
Brief summary
PRT-201 is a protein that causes long lasting dilation of blood vessels when applied to the outside surface of the blood vessel. The purpose of this study is to determine if PRT-201, when applied to a limited segment of blood vessel immediately after surgery to create an arteriovenous fistula (AVF), is safe, dilates the blood vessel, and increases blood flow through the AVF.
Interventions
Applied topically to AVF during surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Age of at least 18 years. * Chronic kidney disease with anticipated start of hemodialysis within six months or current hemodialysis dependence. * Planned creation of a new AVF.
Exclusion criteria
* Patients for whom this is the only potential site for an AVF. * By physical examination, absence of radial or ulnar artery flow or non-patent palmer arch. * Treatment with any investigational agent within the previous 30 days or investigational antibody therapy within 90 days of signing informed consent. * Pregnancy, lactation or plans to become pregnant during the course of the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the safety of a single topical dose of PRT-201. To assess the effect on the diameter of and blood flow through the AVF outflow vein. | 2 & 6 weeks after AVF creation |
Secondary
| Measure | Time frame |
|---|---|
| The proportion of patients with AVF patency, AVF maturation, and AVF use for hemodialysis. | 3, 6, 9, and 12 months |
Countries
United States