Rational design of an improved tissue-engineered vascular graft: determining the optimal cell dose and incubation time.
Yong-Ung Lee, Nathan Mahler, Cameron A Best...
https://pubmed.ncbi.nlm.nih.gov/26925512/Actively Recruiting
Led by Nationwide Children's Hospital · Updated on 2025-06-27
24
Participants Needed
1
Research Sites
52 weeks
Total Duration
Researchers are evaluating the safety and effectiveness of second-generation tissue engineered vascular grafts TEVGs used as conduits for extracardiac total cavopulmonary connection EC TCPC in patients with single ventricle heart defects. This open-label, single-arm clinical trial focuses on monitoring adverse events, graft-related complications such as stenosis, aneurysmal dilation, thromboembolic or infectious events, and comparing complication rates with first-generation TEVGs. An interim analysis will assess early complications in the first six patients. Participants will undergo EC TCPC surgery using the second-generation TEVG as a conduit. After surgery, patients will be followed for at least two years with regular visits at Nationwide Childrens Hospital. During this time, researchers will use serial imaging techniques including echocardiography and 4-dimensional MRI to monitor graft performance, growth, and remodeling. Throughout the study, patients will have their clinical status and graft function regularly evaluated through physical exams, imaging, and record keeping. Researchers will assess safety and tolerability over two years and track efficacy outcomes. The study includes careful monitoring for postoperative complications and requires informed consent from patients or their legal guardians before enrollment.
CONDITIONS
Two-Year Study of the Safety and Efficacy of the Second-Generation Tissue Engineered Vascular Grafts
S
Samantha Fichtner, BSN, RN
V
Victoria Shay
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Nationwide Children's Hospital
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Investigational TEVG (trial arm) | Standard Synthetic Extracardiac Conduit |
|---|---|---|
| What it is | A second‑generation tissue engineered vascular graft designed for extracardiac cavopulmonary connection | A synthetic extracardiac conduit used routinely for Fontan completion in single‑ventricle palliation |
| Role in trial | Investigational treatment given to all participants | Not used in this study, but serves as current surgical alternative |
| Primary use | Forming the extracardiac conduit in total cavopulmonary (Fontan) circulation | Creating the extracardiac conduit to complete Fontan palliation |
| How it is used | Surgically implanted as the extracardiac conduit, with serial MRI follow‑up | Surgically implanted using standard extracardiac conduit placement techniques |
| Evidence status | Early‑phase data on safety and efficacy are being collected in a single‑group clinical study | Long‑term clinical experience and published outcomes support its reliability |
| Important risks | Unknown long‑term risks remain under evaluation in this study | Risks include potential conduit failure, thrombosis, or arrhythmia over time |
| Important limitations | Single‑arm design without comparative control; small sample size | Does not grow with patient and may require replacement later |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 day (surgery day)
Participants undergo extracardiac total cavopulmonary connection surgery using a tissue engineered vascular graft.
1 visit (in-person surgery)
Duration - Up to 2 weeks or until discharge
Participants receive post-operative care and monitoring following a standardized clinical algorithm to evaluate graft function and complications.
Approximately 6 post-operative visits
Duration - Up to 2 years
Participants have follow-up visits at Nationwide Children's Hospital for up to 2 years to monitor safety, tolerability, and efficacy of the graft using physical exams, echocardiography, and MRI.
Regular visits over 2 years with serial imaging and clinical assessments
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborating Sponsor