NCT04225806

Brief Summary

Prospective, non-randomized, multicenter pre-market early feasibility study (EFS) to evaluate subjects treated with the BlueLeaf System for the treatment of symptomatic chronic venous insufficiency (CVI) of the lower extremity

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
15

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

5 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 7, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

January 13, 2020

Completed
1 month until next milestone

Study Start

First participant enrolled

February 13, 2020

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2023

Completed
1.9 years until next milestone

Results Posted

Study results publicly available

August 19, 2025

Completed
Last Updated

August 19, 2025

Status Verified

August 1, 2025

Enrollment Period

3.6 years

First QC Date

January 7, 2020

Results QC Date

July 31, 2025

Last Update Submit

August 18, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Primary Safety Endpoint: The Number of Subjects Experiencing a Major Adverse Event (MAE), Composed of the Following

    * Symptomatic pulmonary embolism * DVT anywhere in the deep venous system of the treatment limb * Occlusive valve pocket thrombus (VPT) * Non-occlusive stenosis in the target vessel (including due to scarring, inflammation, VPT, etc.) leading to persistent worsening of symptoms attributable to venous flow obstruction, or requiring post-procedural surgical or endovascular re-intervention * Device or procedure-related venous or arterial injury in the treated limb (such as Arteriovenous Fistula (AVF's), bleeding, pseudo aneurysm) leading to worsening of symptoms that require post-procedural surgical or endovascular re-intervention or requiring transfusion of more than 2 units of blood. (Note: Peri-procedural stiches placed to assist with closure of the access site will not be characterized as a primary safety failure.) * Device or procedure-related death

    30-day post-procedure

  • Change in Revised Venous Clinical Severity Score (rVCSS) From Baseline

    Assessment of changes in the rVCSS; the score is a composite based on a rating score of none (0), mild (1), moderate (2) and severe (3) for symptoms and clinical signs, the number of active ulcers (0, 1, 2, \>/=3), duration of ulcers (\<3 months, \>3 months but \<1 year, not healed for \>1 year), active ulcer size (diameter \<2cm, diameter 2-6cm, and diameter \>6cm), and use of compression therapy (not used (0), intermittent use of stockings (1), wears stockings most days (2), and full compliance (3)). A higher VCSS would indicate a worse outcome.

    Baseline, 30-days, 12-weeks, 210-days and 365-days post-procedure

Study Arms (1)

Investigational

EXPERIMENTAL

Subjects will be treated with the investigational device and followed per protocol.

Device: BlueLeaf® Endovenous Valve Formation System (BlueLeaf System)

Interventions

The BlueLeaf System is a single-use, disposable device designed to modify the vein wall to form one or more functional autogenous valves to improve the hemodynamics of the deep venous system treated.

Investigational

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Failed at least 6 months of conservative therapy at some point during the course of their CVI management (symptoms not adequately resolved or patient non-compliant/unable to tolerate)
  • Deep system venous reflux characterized by \>1 second reflux time in two vein segments (vein segments defined as: proximal femoral, distal femoral, and popliteal), as assessed by duplex ultrasound (DUS) with patient in the standing position
  • Presence of at least two potential target sites within a target vessel as assessed preliminarily by DUS, with a target site being defined as a segment within the femoral or popliteal vein that is:
  • mm to 11mm in luminal diameter and at least 3cm long and absent features that, in the Investigator's opinion, would preclude formation of a monocuspid valve (at any orientation).
  • In the Investigator's opinion, the subject is a good candidate for treatment with the BlueLeaf System based on their symptoms, quality of life, anatomy, and the likelihood of benefit from continued conservative therapy

You may not qualify if:

  • Untreated significant superficial venous incompetence which, in the opinion of the Investigator, may be the primary source of existing symptoms
  • Acute deep venous thrombosis (DVT) within 1 year of consent
  • Deep venous intervention (includes stenting) in the target limb or outflow vessels within 3 months of consent
  • Flow-limiting venous outflow obstruction central to the intended target sites, defined by a common femoral vein duplex exam found to have a continuous waveform without respiratory variation
  • Contraindications to all protocol specified anticoagulation options
  • Known and uncontrolled hypercoagulopathy (i.e. hypercoagulopathy that cannot be adequately managed/controlled with medication)
  • Women on long-term oral contraceptives
  • Non-ambulatory patients
  • Significant peripheral arterial disease with an ankle-brachial index of \< 0.70 or with incompressible vessels
  • New York Heart Association Class III or IV heart failure
  • Patients with a history of right heart failure occurring as a consequence of, for example, biventricular failure, intrinsic pulmonary disease, chronic thromboembolic pulmonary hypertension, and other etiologies that result in elevated right-sided pressures.
  • Active systemic infection
  • Invasive surgical procedure within the last 3 months that in the Investigator's opinion would interfere with the study procedure or results
  • Chronic renal insufficiency with creatinine level of ≥ 2mg/dL
  • Hemoglobin level \< 9.0 mg/dL
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

The Vascular Experts

Darien, Connecticut, 06820, United States

Location

NYU Langone Medical Center

New York, New York, 10016, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

Sentara Vascular Specialists

Norfolk, Virginia, 23507, United States

Location

Limitations and Caveats

Trial was terminated early by Sponsor, and therefore, analysis of data is limited to available information.

Results Point of Contact

Title
Clinical Affairs
Organization
InterVene, Inc

Study Officials

  • Jeff Elkins

    Intervene, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 7, 2020

First Posted

January 13, 2020

Study Start

February 13, 2020

Primary Completion

September 30, 2023

Study Completion

September 30, 2023

Last Updated

August 19, 2025

Results First Posted

August 19, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share

Locations