Activating a cell protein to prevent early dialysis fistula failure

Integrin Activation to Prevent Early Arteriovenous Fistula Failure in End-stage Renal Disease Patients

['FUNDING_R01'] · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · NIH-11262322

This research tests a drug-like activator of the Mac-1 protein to reduce inflammation and help new dialysis fistulas work better for people with end-stage kidney disease.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorUNIVERSITY OF MIAMI SCHOOL OF MEDICINE (nih funded)
Locations1 site (CORAL GABLES, UNITED STATES)
Trial IDNIH-11262322 on ClinicalTrials.gov

What this research studies

If you are getting or have just received a new arteriovenous (A-V) fistula for hemodialysis, this work aims to reduce the inflammation that causes early narrowing and scarring. Researchers are testing a newly discovered activator of the Mac-1 integrin to control macrophage and myeloid cell activity after fistula surgery. The team will use genetic and drug-based approaches in laboratory and animal models to see whether Mac-1 activation prevents intimal hyperplasia and fibrosis that block fistula blood flow. Successful preclinical results would support future testing of this approach in people.

Who could benefit from this research

Good fit: Ideal candidates are adults with end-stage renal disease who are planning to receive or have recently received a new autogenous A-V fistula for hemodialysis.

Not a fit: Patients who are not on hemodialysis, who already have a mature functioning fistula, or whose fistula problems are due to causes other than post-operative inflammation may not benefit from this work.

Why it matters

Potential benefit: If successful, this approach could lower early fistula failure rates and reduce the need for additional procedures to make dialysis access usable.

How similar studies have performed: Anti-inflammatory strategies for fistula failure have shown mixed clinical results, and Mac-1 activation is a novel, mostly preclinical approach with encouraging early signs but not yet tested in humans.

Where this research is happening

CORAL GABLES, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.