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Can a longer IV catheter spare patients with difficult veins from repeated needle sticks?

NCT ID NCT07779317

Disease control Sponsor: Albany Medical College Source: ClinicalTrials.gov ↗

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 21, 2026 · Last updated Aug 26, 2026 · Updated 2 times

Summary

This trial asks whether a longer, longer-lasting midline catheter can be placed as successfully and safely as a standard long peripheral IV when both are inserted by specially trained emergency department nurses using ultrasound. Adults with difficult vein access who need an IV will be randomly assigned to receive one of the two devices. Researchers will compare how often insertion succeeds, complication rates, how long the device stays in place, and patient satisfaction. The goal is to see if giving bedside nurses the option to place midline catheters could reduce repeat needle sticks and improve care for patients with hard-to-find veins.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Ultrasound-guided single-lumen midline catheter compared with ultrasound-guided long peripheral intravenous catheter
What this could lead to
If midline catheters prove as safe and effective as standard long IVs when placed by ER nurses, patients with difficult veins could need fewer repeat needle sticks and enjoy longer-lasting access during hospital stays.
What could go wrong
This is a single-center trial, and results may not apply to all hospitals. Midline catheters carry risks like infection or clotting, and success depends on nurse training and patient factors.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 292 people

The number the study aims to enrol. It can still change while the study runs.

Started

Aug 2026

Expected to finish

Mar 2027

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Adults 18 years of age or older * Presenting to the Albany Medical Center Emergency Department * Require intravenous access * Have difficult intravenous access (DIVA) defined by at least one of the following: * Two failed attempts at landmark-based or ultrasound-guided peripheral vascular access performed by qualified emergency department staff * A history of or active comorbid condition associated with difficult intravenous access, including: * Implanted vascular access port (current or previous) * End-stage renal disease with dialysis fistula * Sickle cell disease * Current or previous intravenous drug use * Self-reported difficult intravenous access plus one of the following: * A history of requiring two or more IV attempts during a previous healthcare encounter (self-reported or documented in the medical record) * A previous requirement for a rescue vascular access device after failed IV access, including: * Ultrasound-guided peripheral IV * Midline catheter * Peripherally inserted central catheter (PICC) * Central venous catheter (CVC) * Intraosseous catheter Exclusion Criteria: * Younger than 18 years of age * Prisoners * Non-English-proficient patients * Patients in whom the device cannot be adequately stabilized because of tissue injury or treatment involving the available extremities (including burns, complex humeral fractures, or dialysis fistulas) * Patients who lack the capacity to provide informed consent and do not have an authorized legal representative available * Patients without an identifiable target vein on ultrasonography * Patients known to be pregnant * Previous enrollment in the study * Previous withdrawal from the study * Presentation during a period when no study proceduralists are available * Patients for whom the informed consent and enrollment process could delay time-sensitive medical care

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Conditions

The condition(s) this trial relates to.

Emergencies

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Catheterization Catheterization, peripheral Difficult intravenous access Difficult vein access Emergency department patients Emergency service, hospital Midline catheter Nurses role Ultrasound assistance

How to take part

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  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • Albany Medical Center Hospital

    RECRUITING

    Albany, New York, 12208, United States

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