f Post-Approval Studies (PAS) Database
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U.S. Department of Health and Human Services

Post-Approval Studies (PAS) Database

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The FDA has the authority to require sponsors to perform a post-approval study (or studies) at the time of approval of a premarket approval (PMA), humanitarian device exemption (HDE), or product development protocol (PDP) application. Post-approval studies can provide patients, health care professionals, the device industry, the FDA and other stakeholders information on the continued safety and effectiveness (or continued probable benefit, in the case of an HDE) of approved medical devices. This database allows you to search Post-Approval Study information by applicant or device information.

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New Enrollment IN.PACT AV Access PAS


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General
Study Status Delayed
Application Number /
Requirement Number
P190008 / PAS002
Date Original Protocol Accepted 04/10/2020
Date Current Protocol Accepted 09/14/2023
Study Name New Enrollment IN.PACT AV Access PAS
Device Name IN.PACT AV Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon Catheter
General Study Protocol Parameters
Study Design Prospective Cohort Study
Data Source Sponsor Registry
Comparison Group No Control
Analysis Type Descriptive
Study Population Adult: >21
Detailed Study Protocol Parameters
Study Objectives The new enrollment IN.PACT AV Access Post Approval Study is a Condition of Approval for the IN.PACT AV device. It is a prospective, non-randomized, multi-center, single-arm post-approval study in the United States. that is intended to assess the long term safety and performance of the
IN.PACT AV DCB in a U.S. population. There are two cohorts. The objectives of the primary cohort is to demonstrate the 1-year infection and infestation rate and the mortality rate out to 5 years. An extended cohort will also be enrolled to obtain real-world experience regarding the rates of infection/infestation and mortality.
Study Population Subjects with a de novo or non-stented restenotic obstructive lesion up to 100 mm in length, located in the native arteriovenous dialysis fistulae with reference vessel diameters of 4 to 12 mm.
Sample Size 240 subjects will be enrolled at up to 20 clinical sites in the
US, with an expected enrollment period of 18-24 months. In the primary cohort, a sample size of up to 160 patients will be enrolled to ensure 125 patients complete follow-up through 1-year. Up to 80 patients will be evaluated in the extended cohort.

Key Study Endpoints Primary Cohort:
The primary cohort is designed to meet a performance goal of 30% for Serious Adverse Events defined as site reported serious adverse events MedDRA coded to the “infection and infestations” SOC through 1-year post-index procedure. The study will also collect information on the mortality rate out to 5 years. The mortality rate through 1 and 2 years post-index procedure will include and exclude COVID-19 related deaths. The mortality rate through 3, 4, and 5 years post-index procedure will use vital status data.

Extended Cohort:
An extended cohort will also be enrolled to obtain real-world experience regarding the rates of infection/infestation and mortality out to 5 years. The mortality rate through 1 and 2 years post-index procedure will include and exclude COVID-19 related deaths. The mortality rate through 3, 4, and 5 years post-index procedure will use vital status data.
Follow-up Visits and Length of Follow-up Patients will be followed up to 60 months post-index procedure.
Interim or Final Data Summary
Actual Number of Patients Enrolled 118 (65 in primary cohort, 53 in extended cohort)
Actual Number of Sites Enrolled 12
Patient Follow-up Rate In the primary cohort, the 6-month follow-up visit compliance was 93.9%, the 12-month visit compliance was 100%, and the 24-month
visit-compliance was 100%. In the extended cohort, follow-up visit compliance is 100% at 6, 12, and 24 months.
Final Safety Findings Twenty-three patients (36.5%) in the Primary Cohort experienced one or more SAE. Arteriovenous fistula site complication was
experienced by twelve patients in the Primary Cohort (19.0%). Twenty-nine patients (59.2 %) in the Extended Cohort experienced
one or more SAE. A total of ten deaths have been reported as of the data cutoff date (7 in the Primary Cohort, 3 in the Extended Cohort).
Final Effect Findings N/A


New Enrollment IN.PACT AV Access PAS Reporting Schedule

Reporting Schedule
Report
Date Due
FDA Receipt
Date
Applicant's Reporting Status
6 month report 05/21/2020 05/15/2020 On Time
1 year report 11/20/2020 11/18/2020 On Time
2 year report 11/20/2021 11/12/2021 On Time
3 year report 11/20/2022 11/14/2022 On Time
4 year report 11/20/2023 11/13/2023 On Time
5 year report 11/20/2024    
6 year report 11/20/2025    


Contact Us

Mandated Studies Program
Food and Drug Administration
10903 New Hampshire Ave.
Silver Spring, MD 20993-0002
Email: MandatedStudiesPrograms@fda.hhs.gov

Additional Resources

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