Merit Medical announces 24-month outcomes from the WAVE trial, highlighting WRAPSODY CIE's efficacy for hemodialysis vascular access.
Quiver AI Summary
Merit Medical Systems, Inc. has announced promising 24-month efficacy results from the non-randomized AVG cohort of the WAVE trial, aimed at patients with advanced kidney disease who require hemodialysis. The trial evaluated the WRAPSODY® Cell-Impermeable Endoprosthesis (CIE), which is designed to restore vascular access in patients experiencing complications like stenosis or occlusion in their arteriovenous grafts (AVGs). At 24 months, the target lesion primary patency (TLPP) was reported at 41.7% and access circuit primary patency (ACPP) at 25.7%. The results, presented at the VIVA Foundation's VEINS conference, highlight the WRAPSODY CIE's potential to extend vascular access for patients with failing AVGs. The CIE received FDA premarket approval in December 2024 and is undergoing further evaluation in registries across North America and globally.
Potential Positives
- The WRAPSODY® Cell-Impermeable Endoprosthesis (CIE) achieved significant 24-month efficacy results in restoring vascular access for hemodialysis patients, critical for those with advanced kidney disease.
- The positive outcomes of the WAVE trial, presented at a prominent medical conference, validate the effectiveness of the WRAPSODY CIE and may enhance the company's reputation within the medical community.
- The WRAPSODY CIE received multiple approvals, including premarket approval from the FDA and Health Canada, indicating strong regulatory support for the product.
- The ongoing WRAP North America Registry and WRAP Global registry will further support the collection of real-world data, which could strengthen the device's clinical value and market position.
Potential Negatives
- The 24-month target lesion primary patency (TLPP) rate of 41.7% and access circuit primary patency (ACPP) rate of 25.7% may indicate significant long-term efficacy issues with the WRAPSODY CIE device, raising concerns about its effectiveness for patients with advanced kidney disease.
- The results reported in the trial are from a non-randomized cohort, which may lead to questions about the reliability and generalizability of the findings compared to randomized controlled trials.
- The dramatic drop in TLPP from 81.4% at 6 months to 41.7% at 24 months could prompt concerns among healthcare providers regarding the sustainability of the device's benefits over time.
FAQ
What are the 24-month efficacy results of the WRAPSODY CIE?
At 24 months, the target lesion primary patency (TLPP) was 41.7% and access circuit primary patency (ACPP) was 25.7%.
What is the purpose of the WRAPSODY CIE?
The WRAPSODY CIE is intended to restore vascular access in hemodialysis patients experiencing complications like stenosis or occlusion.
Where was the WAVE trial conducted?
The WAVE trial involved 43 centers across the United States, South America, and the United Kingdom.
When did the WRAPSODY CIE receive FDA approval?
The WRAPSODY CIE received premarket approval from the FDA on December 19, 2024.
How can patients participate in the WRAP North America Registry?
Patients can enroll in the WRAP North America Registry, which aims to evaluate real-world clinical outcomes of the WRAPSODY CIE.
Disclaimer: This is an AI-generated summary of a press release distributed by GlobeNewswire. The model used to summarize this release may make mistakes. See the full release here.
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Full Release
- At 24 months, the target lesion primary patency (TLPP) 1 was 41.7%
- At 24 months, the access circuit primary patency (ACPP) 2 was 25.7%
SOUTH JORDAN, Utah, Nov. 03, 2025 (GLOBE NEWSWIRE) -- Merit Medical Systems, Inc. (NASDAQ: MMSI), a global leader of healthcare technology, today announced 24-month efficacy findings from the non-randomized AVG cohort of the WAVE trial. Results of the AVG cohort were presented during the Late-Breaking Clinical Trials session at the annual VIVA Foundation 3 Venous Endovascular Interventional Strategies (VEINS) conference held in Las Vegas, NV.
For the millions of patients diagnosed with advanced kidney disease, hemodialysis is a life-saving treatment that replaces the function of the kidneys. The administration of hemodialysis requires ongoing vascular access (access to blood vessels) that is commonly achieved through the surgical creation of an AVG in a central or peripheral vein. However, complications, such as stenosis (narrowing) or occlusion (blockage), in the patient veins required for vascular access are common. The WRAPSODY® Cell-Impermeable Endoprosthesis (CIE) is intended to help physicians restore vascular access in patients on hemodialysis who experience these complications.
The WAVE trial was designed to capture the performance of the WRAPSODY CIE. TLPP and ACPP outcomes were used to evaluate the ability of the device to restore functional vascular access in trial patients. Forty-three centers across the United States, South America, and the United Kingdom participated in the trial.
In the non-randomized arm of the WAVE trial, 112 patients with a stenosis or occlusion in their AVG were treated with the WRAPSODY CIE. The TLPP at 6 months was compared to historical outcomes (i.e., performance goals) and then documented over 24 months. The TLPP at 6 months exceeded the established performance goal (81.4% vs. 60%; p<0.0001). At 12 and 24 months, the TLPP for patients treated with the WRAPSODY CIE were 60.2% and 41.7%, respectively. At 12 and 24 months, the ACPP for patients treated with the WRAPSODY CIE were 36.2% and 25.7%, respectively.
“The ability of the WRAPSODY CIE to offer patients with a failing AVG the opportunity to extend vascular access is promising; the 24-month efficacy results will be of the utmost importance to physicians,” said Mahmood K. Razavi, MD, FSIR, FSVM, Interventional Radiologist and Medical Director of Clinical Research at St. Joseph Heart and Vascular Center in Orange, CA, and Co-Global Principal Investigator of the WAVE trial. Dr. Razavi presented results from the non-randomized arm of the trial at the VEINS conference.
“The opportunity to provide physicians with the evidence they need to inform patient care is a key priority at Merit,” said Martha G. Aronson, Merit’s President and Chief Executive Officer. “The long-term data from the non-randomized arm of the WAVE trial have helped us to appreciate the value that the WRAPSODY CIE can provide patients and physicians.”
On December 19, 2024, the WRAPSODY CIE received premarket approval from the US Food and Drug Administration (FDA) . On April 30, 2025, the device was approved by Health Canada . The WRAPSODY CIE previously received the Conformité Européenne (CE) Mark for commercial use in the European Union and is available in Brazil.
For more information on the WRAPSODY CIE within the United States, please visit: https://www.merit.com/product/wrapsody-cie/ . For information on the device outside of the United States, please visit: https://www.merit.com/product/merit-wrapsody/ .
In the United States and Canada, real-world clinical outcomes of the WRAPSODY CIE are being evaluated in the WRAP North America Registry, which is designed to enroll up to 250 patients. For additional information on Merit’s WRAP North America Registry, please visit: https://clinicaltrials.gov/study/NCT06807099 .
Outside of North America, real-world outcomes of the WRAPSODY CIE are being evaluated in the WRAP Global registry .
1 TLPP was defined as the proportion of patients who did not require an intervention due to clinically driven target lesion revascularization or target lesion thrombosis.
2 ACPP was defined as the proportion of patients without loss of vascular access anywhere within the circuit from the time of their initial treatment to the need for reintervention or abandonment of vascular access.
3 The VIVA Foundation is a not-for-profit organization dedicated to advancing the field of vascular medicine and intervention through education, advocacy, research, and philanthropy. To learn more about The VIVA Foundation, please visit www.viva-foundation.org .
CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
Any forward-looking statements set forth in this release are subject to risks and uncertainties such as those described in Merit's filings with the U. S. Securities and Exchange Commission (“SEC”). For discussion of the risks and uncertainties which may affect Merit’s business, operations and financial condition, see Part I, Item 1A, “Risk Factors” in Merit’s Annual Report on Form 10-K for the year ended December 31, 2024 filed with the SEC, which Merit updated in Part II, Item 1A, “Risk Factors” in Merit’s Quarterly Reports on Form 10-Q for the quarters ended March 31, 2025, June 30, 2025 and September 30, 2025, which Merit filed with the SEC. Actual results will likely differ, and may differ materially, from anticipated results.
ABOUT MERIT
Founded in 1987, Merit Medical Systems, Inc. is engaged in the development, manufacture, and distribution of proprietary medical devices used in interventional, diagnostic, and therapeutic procedures, particularly in cardiology, radiology, oncology, critical care, and endoscopy. Merit serves client hospitals worldwide with a domestic and international sales force and clinical support team totaling more than 800 individuals. Merit employs approximately 7,400 people worldwide.
TRADEMARKS
Unless noted otherwise, trademarks and registered trademarks used in this release are the property of Merit Medical Systems, Inc., its subsidiaries, or its licensors.
CONTACTS
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