Title

A Study Evaluating ClariVein With a Sclerosing Agent for the Treatment of Venous Insufficiency
A Prospective, Randomized, Controlled, Multi-Center, Double Blind Study of ClariVein RES for Treatment of Venous Insufficiency Associated With Incompetent Saphenous Veins Due to Superficial Venous Reflux
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    sodium tetradecyl sulfate ...
  • Study Participants

    19
VICARES is a prospective randomized, controlled, multi-center, double blind study treating venous insufficiency associated with incompetent saphenous veins with 1% and 3% Sodium Tetradecyl Sulfate (STS) solution utilizing the ClariVein system.
Approximately 50 subjects diagnosed with an incompetent saphenous vein will be randomized to either 1% STS or 3% STS solution delivered by the ClariVein system under ultrasound guidance.

Study duration for individual study patients, including follow-up visits, is anticipated to be approximately 16 weeks.
Study Started
Sep 22
2017
Primary Completion
May 15
2018
Study Completion
Mar 27
2020
Results Posted
Mar 02
2022
Last Update
Mar 02
2022

Device ClariVein RES

ClariVein system

Drug Sodium Tetradecyl Sulfate 1% Injection

Sodium Tetradecyl Sulfate STS 1% Injection

  • Other names: STS 1%

Drug Sodium Tetradecyl Sulfate 3% Injection

Sodium Tetradecyl Sulfate 3% Injection

  • Other names: STS 3%

ClariVein RES 1% Injection Active Comparator

Sodium Tetradecyl Sulfate 1% Injection single administration

ClariVein RES 3% Injection Active Comparator

Sodium Tetradecyl Sulfate 3% Injection single administration

Criteria

Inclusion Criteria:

Adult patient with incompetent saphenous vein
Saphenous vein reflux > 500ms (0.5s), as measured by duplex ultrasound
One or more of patient reported symptoms related to the target vein: i.e., heaviness, achiness, swelling, throbbing or itching.
Candidate for endovenous procedure

Exclusion Criteria:

Arterial insufficiency demonstrated by a history of peripheral arterial disease (PAD) that would preclude the wearing of compression stockings
Absence of a palpable pulse at posterior tibial or dorsalis pedis and an Ankle-Brachial Index (ABI) <0.6
Multi-segmental axial deep venous reflux in at least two contiguous venous segments (e.g., femoral and popliteal) in the ipsilateral extremity
Previous surgical or endovenous procedure in the treatment section of the target vein
Previous superficial thrombophlebitis of the target saphenous vein with scarring in the treatment section
Pregnant or breastfeeding
Known sensitivity or allergic response to Sodium Tetradecyl Sulfate (STS)
Known high risk of thrombosis
Known history of deep vein thrombus (DVT) or pulmonary embolism (PE), known history of acute superficial vein thrombus, known hypercoagulable condition, post thrombotic syndrome
Known history of anaphylaxis or presence of multiple severe allergies

Summary

ClariVein RES 1% Injection

ClariVein RES 3% Injection

All Events

Event Type Organ System Event Term ClariVein RES 1% Injection ClariVein RES 3% Injection

Patient-Reported Symptoms 7-Day Symptom Questionnaire (Heaviness, Achiness, Swelling, Throbbing & Itching) to Evaluate Improvement in Subject Reported Symptoms.

The VEINES-QOL (VEnous INsufficiency Epidemiological and Economic Study Quality of Life) comprises 25 items that quantify disease effect on quality-of-life, & a symptom questionnaire (VEINES-Sym) with 10 items that measure physical symptoms. A subset of the reported symptoms to Question 1 of the VEINES QOL/Sym is referred to as the 7-Day Symptom Questionnaire was used in this study. Subject response to each symptom was rated on a common 4-point response scale with lower scores representing better daily health outcomes (4=all day, 3=several times today, 2=once today, 1=not today). Weekly average score was calculated if at least 4 daily scores were present in the previous week. Daily total symptom score derived as sum of the responses across all symptoms (range = 5 to 20) Improvement in patient reported symptoms using the 7-Day Symptom Questionnaire (Heaviness, Achiness, Swelling, Throbbing & Itching) at post-treatment Week 12 compared to Baseline is the primary endpoint of this study.

ClariVein RES 1% Injection

7.2
units on a scale (Mean)
Standard Deviation: 3.00

ClariVein RES 3% Injection

6.2
units on a scale (Mean)
Standard Deviation: 1.87

Elimination of Saphenous Vein Reflux

Evaluated by way of duplex ultrasound and read by Core Lab. Elimination of saphenous vein reflux can be achieved when ultrasound images demonstrate vein closure (no discrete open segment of vein > 5cm in length within the treatment section of the selected saphenous vein), or vein competency (defined as absence of retrograde flow > 0.5 seconds within any open portions of the treatment section of the selected saphenous vein) as assessed by duplex ultrasound. Responder = subjects who satisfies criteria for elimination of saphenous vein reflux

ClariVein RES 1% Injection

Saphenous Vein Reflux: Non-Responder

Saphenous Vein Reflux: Responder

Vein Closure : Missing

Vein Closure : No

Vein Closure : Yes

Vein Competency : Missing

Vein Competency : No

Vein Competency: No open segments > 5cm

Vein Competency : Yes

ClariVein RES 3% Injection

Saphenous Vein Reflux: Non-Responder

Saphenous Vein Reflux: Responder

Vein Closure : Missing

Vein Closure : No

Vein Closure : Yes

Vein Competency : Missing

Vein Competency : No

Vein Competency: No open segments > 5cm

Vein Competency : Yes

Total

19
Participants

Body Mass Index (BMI)

26.3
kg/m2 (Mean)
Standard Deviation: 4.86

Diameter of Vein Section to be Treated

7.15
centimeters (cm) (Mean)
Standard Deviation: 5.369

Length of Vein Section to be Treated

36.3
centimeters (cm) (Mean)
Standard Deviation: 11.29

Patient-Reported Symptoms 7-Day Symptom Questionnaire (Average Daily Total Symptom Score

10.9
units on a scale (Mean)
Standard Deviation: 3.76

Retrograde Flow

19
Participants

Saphenous Vein Reflux

19
Participants

Age, Categorical

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Ultrasound Parameters at Screening: Leg Assessed

Overall Study

ClariVein RES 1% Injection

ClariVein RES 3% Injection