The Ladera Suture-Mediated Large Bore Closure Pivotal Study
FASTEN II
A Prospective, Multi-Center, Single-Arm Pivotal Study to Evaluate the Safety and Efficacy of the Ladera Medical Suture-Mediated Large Bore Closure System When Used to Achieve Hemostasis of Common Femoral Arteriotomies in Patients Undergoing Percutaneous Catheter-Based Interventional Procedures (FASTEN II)
1 other identifier
interventional
214
1 country
1
Brief Summary
The study objective is to demonstrate the safety and efficacy of the investigational device to achieve hemostasis of common femoral artery access sites in participants undergoing percutaneous interventional catheterization procedures utilizing 10 to 24 Fr introducer sheaths.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 14, 2026
CompletedFirst Posted
Study publicly available on registry
April 21, 2026
CompletedStudy Start
First participant enrolled
August 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2027
Study Completion
Last participant's last visit for all outcomes
October 1, 2027
April 21, 2026
April 1, 2026
1 year
April 14, 2026
April 14, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Primary Safety Endpoint
Freedom from Clinical Events Committee (CEC) adjudicated major complications of the target limb access site within 30 days post-procedure
30 days
Primary Performance Endpoint: Time to Hemostasis
The mean Time to Hemostasis (TTH) in the Common Femoral Artery (CFA) of the target limb access site with use of the investigational device.
Post-procedure, usually within 3 hours
Study Arms (1)
The Ladera LBC System will be used in all participants enrolled in the study
EXPERIMENTALInterventions
Use of the Ladera LBC System to close the femoral arteriotomy
Eligibility Criteria
You may qualify if:
- Participant is ≥ 18 years old
- Participant is scheduled for elective or planned (i.e., not emergent or urgent) percutaneous interventional catheterization procedures involving access through the common femoral artery using 10 to 24 Fr introducer sheaths (i.e., BAV, TAVR/TAVI, EVAR, TEVAR)
- Participant is able to undergo emergent vascular surgery if a complication related to the vascular closure necessitates such surgery
- Participant is willing and able to complete follow-up requirements
- Participant has the mental capacity to consent for themselves (i.e., does not require the use of a Legally Authorized Representative), and signs a written Informed Consent Form (ICF) prior participating in the study
You may not qualify if:
- Prior intra-aortic balloon pump at access site within 30 days of baseline evaluation
- Participants with severe inflow disease (iliac artery diameter stenosis \> 50%) and/or severe peripheral arterial disease (Rutherford Classification 5 or 6), as confirmed with prior standard of care Computed Tomography (CT) Imaging, and/or DUS
- Common femoral artery and iliac lumen diameter is \< 6 mm as confirmed with prior standard of care CT Imaging, angiography, and/or DUS
- Common femoral artery calcium at the arteriotomy site (i.e., target access site), which is visible with prior CT Imaging and/or DUS
- Marked tortuosity (at the Investigator's discretion) of the femoral or external iliac artery in the target leg based on prior CT Imaging, angiography, and/or DUS
- In opinion of the Investigator, significant scarring of the target access site which would preclude use of the device in accordance with the IFU
- Prior target artery closure with any closure device \< 90 days, or closure with manual compression ≤ 30 days prior to index procedure
- Prior atherectomy, vascular surgery, vascular graft, or stent in region of access site
- Participants receiving glycoprotein IIb/IIIa inhibitors within 24 hours prior to, during, or within 48 hours after the catheterization procedure
- Participants with significant anemia (Hgb \< 9 g/dL, Hct \< 30%)
- Participant with known bleeding disorder including thrombocytopenia (platelet count \< 100,000), thrombasthenia, hemophilia or Von Willebrand's disease or known Type II heparin-induced thrombocytopenia
- Participant with renal insufficiency (serum creatinine level \> 221 μmol/L or 2.5 mg/dL), on dialysis therapy, or with renal transplant
- Known severe allergy to contrast reagent that cannot be managed with premedication
- Inability to tolerate aspirin and/or other anticoagulation/antiplatelet treatment
- Planned anticoagulation therapy post-procedure such that ACT is expected to be elevated above 250 seconds for more than 24 hours after the procedure
- +31 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ladera Medicallead
Study Sites (1)
Monash Health
Melbourne, Australia
Central Study Contacts
Keri Ng
CONTACT
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
April 14, 2026
First Posted
April 21, 2026
Study Start (Estimated)
August 1, 2026
Primary Completion (Estimated)
August 1, 2027
Study Completion (Estimated)
October 1, 2027
Last Updated
April 21, 2026
Record last verified: 2026-04