Study Comparing Lutonix AV Drug Coated Balloon vs Standard Balloon for Treatment of Dysfunctional AV Fistulae
Condition: Arteriovenous Fistula
MeSH terms: Arteriovenous Fistula; Fistula
Intervention: Lutonix DCB; Standard Balloon Angioplasty Catheter; Percutaneous Transluminal Angiography
Intervention description: Percutaneous transluminal angioplasty (PTA) is a procedure that can open up a blocked blood vessel using a small, flexible plastic tube, or catheter, with a "balloon" at the end of it. When the tube is in place, it inflates to open the blood vessel, or artery, so that normal blood flow is restored.
Phase: Phase 3
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Enrollment: 285.0
Sex: All
Minimum age: 21 Years
Healthy volunteers: No

Summary:

      This prospective, global, multicenter, randomized, controlled study is designed to evaluate
      the safety and effectiveness of the Lutonix 035 AV Drug Coated Balloon PTA Catheter compared
      to a standard PTA Catheter in treating subjects presenting with clinical and hemodynamic
      abnormalities in native arteriovenous (AV) fistulae located in the upper extremity.
    

Eligibility criteria:

        Inclusion Criteria:

          1. Age ≥21 years;

          2. The subject is legally competent, has been informed of the nature, the scope and the
             relevance of the study, voluntarily agrees to participation and the study's
             provisions, and has duly signed the informed consent form (ICF);

          3. Arteriovenous fistula located in the arm;

          4. Native AV fistula was created ≥30 days prior to the index procedure and has undergone
             one or more hemodialysis sessions;

          5. Venous stenosis of an AV fistula with the target lesion located from the anastomosis
             to the axillosubclavian junction and an abnormality attributable to the stenosis as
             defined by K/DOQI guidelines.;

          6. Successful pre-dilation of the target lesion with a percutaneous transluminal
             angioplasty (PTA) balloon;

          7. Intended target lesion.

        Exclusion Criteria:

          1. Women who are pregnant, lactating, or planning on becoming pregnant during the study;

          2. Hemodialysis access is located in the leg;

          3. Subject has more than two lesions in the access circuit;

          4. Subject has a secondary non-target lesion that cannot be successfully treated;

          5. Target lesion is located central to the axillosubclavian junction;

          6. The subject has a secondary lesion located in the central venous system (central to
             the axillosubclavian junction);

          7. A thrombosed access;

          8. Surgical revision of the access site planned;

          9. Recent prior surgical interventions of the access site;

         10. Other planned treatment during the index procedure;

         11. Known contraindication (including allergic reaction) or sensitivity to iodinated
             contrast media, that cannot be adequately managed with pre-and post-procedure
             medication;

         12. Known contraindication (including allergic reaction) or sensitivity to paclitaxel.

         13. Subjects who are taking immunosuppressive therapy or are routinely taking

             ≥10mg of prednisone per day;

         14. Subject has another medical condition, which, in the opinion of the Investigator, may
             cause him/her to be noncompliant with the protocol or confound the data
             interpretation;

         15. Subject has a life expectancy <12 months;

         16. Anticipated for a kidney transplant;

         17. Anticipated conversion to peritoneal dialysis;

         18. Subject has a stent located in the target or secondary non target lesion;

         19. Subject has an infected AV access or systemic infection;

         20. Currently participating in an investigational drug, biologic, or device study, or
             previous enrollment in this study.