Can a biological graft improve dialysis access?
NCT ID NCT07773051
First seen Aug 19, 2026 · Last updated Aug 20, 2026 · Updated 1 time
Summary
This trial is testing whether a new biological vascular graft, called LineMatrix, is as safe and effective as a standard graft for creating dialysis access in people with end-stage kidney disease. Participants will be randomly assigned to receive either the new graft or the standard one. The study will track how well the grafts stay open and function over 12 months, aiming to see if the new option can offer a reliable alternative for those who cannot use their own blood vessels.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- LineMatrix® Biological Vascular Graft
- What this could lead to
- If successful, this could provide a safer, more effective option for creating dialysis access in people with kidney failure who cannot use their own blood vessels.
- What could go wrong
- This is an early-stage trial, and the new graft may not perform as well as the standard one. There are also risks of clotting or infection, as with any vascular access procedure.
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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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
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About 326 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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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
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18 to 80 years
- 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) Age ≥18 years and ≤80 years, male or female; * (2) Diagnosed with end-stage renal disease (ESRD) requiring maintenance hemodialysis; * (3) Requiring establishment of a long-term hemodialysis vascular access but unable to have a autologous arteriovenous fistula (AVF) created; * (4) Assessed by the investigator as suitable for implantation of an arteriovenous graft (AVG) in the upper extremity; * (5) Able to understand the purpose of the study, voluntarily participating and providing signed informed consent(ICF), and willing to comply with all scheduled follow-up assessments. Exclusion Criteria: * (1) Known or suspected history of allergy to heparin, alcohol, or bovine-derived products; * (2) Planned to undergo renal transplantation or transition to peritoneal dialysis within 1 year; * (3) Hemoglobin concentration \<60 g/L, or platelet count \<60 × 10⁹/L; * (4) Left ventricular ejection fraction (LVEF) \<30%; * (5) Severe cardiac disease, including New York Heart Association (NYHA) Class III-IV severe heart failure, or history of myocardial infarction, unstable angina, or sustained ventricular tachyarrhythmia requiring continuous treatment within 6 months prior to enrollment; * (6) History of stroke within 1 month prior to enrollment; * (7) Uncontrolled or poorly controlled diabetes mellitus (preoperative glycated hemoglobin \>10%); * (8) Immunodeficiency disorders, or current treatment with corticosteroids (prednisone-equivalent dose ≥10 mg) or immunosuppressive agents (e.g., sirolimus, mycophenolate mofetil, cyclosporine, cyclophosphamide, tacrolimus); * (9) Malignancy or other severe systemic disease with a life expectancy of \<12 months; * (10) Heparin-induced thrombocytopenia type II (HIT-2) or other contraindications to heparin use; * (11) Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>2 × upper limit of normal (ULN); * (12) Coagulation disorders (activated partial thromboplastin time \[APTT\] or prothrombin time \[PT\] \>1.5 × ULN); * (13) Systemic or surgical site infection (white blood cell \[WBC\] count \>15 × 10⁹/L); * (14) Baseline hypotension, or frequent hypotensive episodes within the past month (frequency ≥5 episodes/month, with hypotension defined as systolic blood pressure \<90 mmHg or diastolic blood pressure \<60 mmHg); * (15) Hypercoagulable state, or history of ≥2 episodes of deep vein thrombosis or peripheral vascular thrombosis not related to dialysis access; * (16) Known ipsilateral central venous stenosis, or clinical symptoms/signs suggestive of central venous stenosis confirmed by imaging; * (17) Severe mental disorders that preclude cooperation with the study protocol; * (18) Pregnant or lactating women, or women of childbearing potential who plan to conceive during the trial and are unwilling to use effective contraception; * (19) Currently enrolled in another drug or medical device clinical trial and not yet completed the study; * (20) Any other conditions that, in the investigator's opinion, make the patient unsuitable for participation in this clinical trial.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
12 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Beijing Haidian Hospital
RECRUITINGBeijing, Beijing Municipality, China
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Longhua Hospital Shanghai University of Traditional Chinese Medicine
RECRUITINGShanghai, Shanghai Municipality, China
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Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
RECRUITINGHangzhou, Zhejiang, China
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South China Hospital of Shenzhen University
RECRUITINGShenzhen, Guangdong, China
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The FIrst Affiliated Hospital, College of Medicine, Zhejiang University
RECRUITINGHangzhou, Zhejiang, China
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The First Affiliated Hospital of Chongqing Medical University
RECRUITINGChongqing, Chongqing Municipality, China
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The First Affiliated Hospital of Nanchang University
RECRUITINGNanchang, Jiangxi, China
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The First Affiliated Hospital of Xi'an Jiaotong University
RECRUITINGXi’an, Shanxi, China
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The First Affiliated Hospital of Zhengzhou University
RECRUITINGZhengzhou, Henan, China
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The First Hospital of Hebei Medical University
RECRUITINGShijiazhuang, Hebei, China
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The Second Affiliated Hospital of Nanjing Medical University
RECRUITINGNanjing, Jiangsu, China
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Tongji Hospital Affiliated to Tongji Medical Collage of Huazhong University of Science and Technology
RECRUITINGWuhan, Hubei, China
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