Engineered blood vessel could simplify dialysis for kidney patients
NCT ID NCT03183245
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tested a lab-grown blood vessel (Human Acellular Vessel, or HAV) against the standard surgically created fistula in 242 people with end-stage kidney disease on hemodialysis. The goal was to see which option works better for providing reliable access to filter blood. The study measured how well each access type functioned at 6 months and how long it lasted without being abandoned.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Human Acellular Vessel (HAV)
- What this could lead to
- If it works, this could provide a reliable, ready-to-use option for dialysis access, reducing the need for multiple surgeries.
- What could go wrong
- This is a completed phase 3 trial, but the HAV may not work as well as a natural fistula for everyone, and there are risks of infection or blockage.
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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242 people
The number who actually took part.
- Started
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Sep 2017
- Finished
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Jun 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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: 1. Subjects with end-stage renal disease (ESRD), receiving HD via DC and are suitable for the creation of an AVF or implantation of AVG for HD access. 2. Subjects who plan to undergo HD at a dialysis unit of a participating dialysis provider for at least the first 6 months after SA creation. 3. Subjects aged at least 18 years at Screening. 4. Suitable anatomy for creation of a forearm or upper arm AVF and for implantation of straight or looped HAV in either the forearm or upper arm. 5. Hemoglobin ≥8 g/dL and platelet count ≥100,000 /mm3. 6. International Normalized Ratio (INR) ≤ 1.5. 7. Female subjects must be either: 1. Of non-childbearing potential, which is defined as post-menopausal (at least 1 year without menses prior to Screening) or documented surgically sterile or post hysterectomy (at least 1 month prior to Screening). 2. Or, of childbearing potential, in which case: i. Must have a negative urine or serum pregnancy test at Screening, and ii. Must agree to use at least one form of the following birth control methods for the duration of the study: * Established use of oral, injectable or implanted hormonal methods of contraception. * Placement of an intrauterine device or intrauterine system. * Barrier methods of contraception: condom or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/ gel/ film/ cream/ suppository. 8. Subject, or legal representative, able to communicate effectively with investigative staff, competent and willing to give written informed consent, and able to comply with entire study procedures including all scheduled follow-up visits. 9. Life expectancy of at least 2 years. Exclusion Criteria: 1. Subjects who are optimal candidates for radiocephalic AVF as indicated by meeting ALL of the following criteria: 1. No previous failed AVF. 2. Cephalic vein diameter on ultrasound of more than 3.5mm. 3. Radial artery diameter on ultrasound of more than 3mm. 4. Vein depth of less than 0.5cm from the skin. 5. Normal Allen's test indicating that ulnar artery flow to the hand is sufficient. 6. No calcification in the wall of the distal radial artery. 7. Sufficient length of the proposed fistula outflow vein to provide an adequate (at least 6 cm) cannulation segment. 8. No evidence of iatrogenic injury to target artery or vein. 2. Uncontrolled diabetes; a. HbA1c \>10% (at Screening). 3. History or evidence of severe peripheral arterial disease in the extremity selected for implant. 4. Known or suspected central vein stenosis or obstruction on the side of planned SA creation, unless corrected prior to randomization. 5. Planned AVF creation that requires more than one stage to complete. (e.g. basilic vein transposition AVF performed in 2 stages). 6. Planned AVF creation by means other than suture or vascular anastomotic clips (e.g. endovascular surgery or other anastomotic creation devices). 7. Treatment with any investigational drug or device within 60 days prior to study entry (Day 0) or ongoing participation in a clinical trial of an investigational product. 8. Cancer that is actively being treated with a cytotoxic agent. 9. Documented hyper-coagulable state. 10. Bleeding diathesis. 11. Active clinically significant immune-mediated disease, not controlled by maintenance immunosuppression. 1. Low dose glucocorticoid therapy (e.g. 5-10mg prednisone \[Deltason\]) is acceptable. 2. High dose glucocorticoid therapy for treatment of autoimmune flare, or other inflammatory diseases is excluded. 3. Patients using glucocorticoids for immunosuppression post-transplant to prevent against transplanted allograft rejection in the period post allograft failure are excluded. 4. The following examples of immunosuppressive agents (or the like) are exclusionary for enrollment in this clinical trial: * tacrolimus or FK506 \[Prograf\] * mycophenolate mofetil \[Cellcept\], * cyclosporine \[Sandimmune or Gengraf\] * sirolimus \[Rapamune\] (this only includes systemically administered, drug eluting stents are acceptable) 12. Anticipated renal transplant within 6 months. 13. History of heparin-induced thrombocytopenia. 14. Venous outflow from SA cannot be located more centrally than the venous outflow of any previous failed access in that extremity. 15. Active local or systemic infection (white blood cells \[WBC\] \> 15,000 cells/mm3 at Screening). If the infection resolves, the subject must be at least one week post resolution of that infection before SA creation. 16. Known serious allergy or intolerance to aspirin and alternative antiplatelet therapy. 17. Pregnant women, or women intending to become pregnant during the course of the trial. 18. Any other condition which in the judgment of the investigator would preclude adequate evaluation of the safety and efficacy of the SA. 19. Previous enrollment in this study or any other study with HAV. 20. Employees of Humacyte and employees or relatives of an investigator.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Alliance Research
Laguna Hills, California, 92653, United States
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Arizona Kidney Disease and Hypertension Center (AKDHC)
Phoenix, Arizona, 85012, United States
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Balboa Nephrology
San Diego, California, 92123, United States
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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Coastal Vascular & Interventional, PLLC
Pensacola, Florida, 32503, United States
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Decatur Memorial Hospital
Decatur, Illinois, 62526, United States
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Denver Health Medical Center
Denver, Colorado, 80204, United States
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Grady Memorial Hospital
Atlanta, Georgia, 30303, United States
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Huntington Hospital
Pasadena, California, 91105, United States
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Kaiser Permanente Sunnsyide
Portland, Oregon, 97015, United States
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Kidney Care & Transplant Services of New England
West Springfield, Massachusetts, 01089, United States
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Memorial Healthcare System
Pembroke Pines, Florida, 33021, United States
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Mills Peninsula Hospital
San Mateo, California, 94401, United States
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Olive View- UCLA Medical Center
Sylmar, California, 91342, United States
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Overlook Medical Center
Summit, New Jersey, 07901, United States
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Rutgers University
Newark, New Jersey, 07103, United States
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South Plains Surgery Center
Lubbock, Texas, 79416, United States
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Surgical Specialists of Charlotte
Charlotte, North Carolina, 28207, United States
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Tampa General Hospital
Tampa, Florida, 33606, United States
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The Regional Medical Center
Orangeburg, South Carolina, 29118, United States
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The Vascular Experts
Darien, Connecticut, 06820, United States
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UC Davis
Sacramento, California, 95817, United States
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United Surgical Associates
Lexington, Kentucky, 40504, United States
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University of Arizona
Tucson, Arizona, 85724, United States
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University of CA, San Diego - LaJolla VA Hospital
La Jolla, California, 92161, United States
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University of California San Diego, Jacobs Medical Center
La Jolla, California, 92103, United States
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University of California, Irvine
Irvine, California, 92868, United States
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University of Southern California
Los Angeles, California, 90033, United States
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University of Tennessee Knoxville
Knoxville, Tennessee, 37920, United States
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VA Long Beach Healthcare System
Long Beach, California, 90822, United States
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VA Pittsburgh
Pittsburgh, Pennsylvania, 15213, United States
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