Clinical trial NCT02215369: SeCure Endovenous Laser Treatment Study
Official title: Prospective Safety and Effectiveness Study: VenaCure Endovenous Laser Treatment (EVLT) 400 µm Fiber Procedure Kit for Treatment of Incompetent Perforator Veins
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Venous Insufficiency
Lead sponsor: Angiodynamics, Inc.
Sponsor class: INDUSTRY
First posted: 2014-08-13
Enrollment: 112
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The VenaCure EVLT 400 µm Fiber Kit is currently marketed for the treatment of varicose veins. AngioDynamics, Inc., the company that manufacturers the VenaCure device, is sponsoring this study to assess the safety and effectiveness of the VenaCure EndoVenous Laser Treatment (EVLT) 400 µm Fiber Kit for treatment of incompetent perforator veins (IPVs). The VenaCure EVLT 400 µm Fiber Kit has not been previously studied by AngioDynamics for the ablation of IPVs.

Detailed description: This is a single-arm, prospective, multicenter, non-blinded clinical trial. Study data will be summarized and submitted to the FDA in a premarket notification once all treated subjects have completed the 3 month visit. Longer term followup is being performed for publication purposes.

Patients diagnosed with incompetent Perforator Veins (IPV's) and meet all inclusion and none of the exclusion criteria will be eligible for this study.

Eligibility criteria: INCLUSION CRITERIA

Patients are required to fulfill all the following criteria to be included in the study:

1. Is ≥ 18 years of age
2. IPV(s) to be treated have an outward flow duration of ≥ 0.5 sec immediately after manual release of manual compression
3. IPV(s) to be treated have a diameter of ≥ 3.5 mm (measured at the level of the fascia) located superior to foot and distal ankle
4. Has been diagnosed with refractory symptomatic disease (CEAP Class 4b to Class 6) attributable to the IPV to be treated
5. Has palpable pedal pulses in the study limb
6. Any pathologic superficial saphenous veins have been previously eliminated and were done so at least more than 30 days prior to the study procedure
7. Is able to ambulate
8. Is able to comprehend and have signed the Informed Consent Form (ICF) to participate in the study
9. Is willing and able to comply with the Clinical Investigation Plan and follow-up schedule

EXCLUSION CRITERIA

Patients will be excluded from participation in the study if they meet any of the following:

1. Has venous insufficiency secondary to venous obstruction proximal to the intended treatment site
2. Has thrombus in the vein segment to be treated
3. Has known peripheral arterial disease
4. Has a BMI calculation (BMI = W / H2 ) ≥40kg/m2
5. Is undergoing active anticoagulant therapy for Deep VeinThrombosis or other conditions (e.g., warfarin, Q10 inhibitors or low molecular weight heparin) or has a history of Deep Vein Thrombosis within the last 6 months or hypercoagulable state.
6. Has had prior venous procedures in the study limb within the last 30 days (including but not limited to, thrombolysis / thrombectomy / stenting / ablation / phlebectomy / sclerotherapy)
7. Has undergone or is expected to undergo any major surgery within 30 days prior to or within 90 days following the study procedure
8. Has a condition, judged by the treating physician, that may jeopardize the patient's well-being and/or confound the results or the soundness of the study
9. Is pregnant or lactating at the time of the study procedure or is intending on becoming pregnant within 90 days following the study procedure
10. Is participating in another clinical study that is contraindicative to the treatment or outcomes of this investigation

Primary outcomes:
measure: Acute Primary Ablation Success
timeFrame: 10 day
Secondary outcomes:
measure: Technical Success
timeFrame: Treatment
Other outcomes:
Locations:
city: Melrose Park
country: United States
facility: Midwest Institute for Minimally Invasive Therapies
state: Illinois
city: Orland Park
country: United States
facility: Vein Clinics of America
state: Illinois
city: Englewood
country: United States
facility: Englewood Hospital and Medical Center
state: New Jersey
city: New York
country: United States
facility: NYU Langone Medical Center
state: New York
city: Pittsburgh
country: United States
facility: UPMC
state: Pennsylvania
city: Norfolk
country: United States
facility: The Vein Center of Virginia
state: Virginia
city: Bellevue
country: United States
facility: Lake Washington Vascular
state: Washington
Study officials:
References:
citation: Gibson K, Elias S, Adelman M, Hager ES, Dexter DJ, Vayuvegula S, Chopra P, Kabnick LS. A prospective safety and effectiveness study using endovenous laser ablation with a 400-mum optical fiber for the treatment of pathologic perforator veins in patients with advanced venous disease (SeCure trial). J Vasc Surg Venous Lymphat Disord. 2020 Sep;8(5):805-813. doi: 10.1016/j.jvsv.2020.01.014. Epub 2020 Mar 21.