A Prospective Randomized, Parallel-group, Multicentre, Superiority Trial of the SUPERA Peripheral Stent System in Patients With Femoro-popliteal Artery Disease
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Peripheral Arterial Disease
- Sponsor
- Kantonsspital Winterthur KSW
- Enrollment
- 300
- Locations
- 3
- Primary Endpoint
- Difference in primary patency rate (proportion of patients classed as treatment succsess)
- Status
- Active, not recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this study (superiority trial) is to compare the Supera® Peripheral Stent System with a standard nitinol self-expanding stent for treatment of femoro-popliteal arterial occlusive disease.
Hypothesis:
The Supera® stent is superior to a standard nitinol self-expanding stent, for treatment of femoro-popliteal artery disease in terms of (1) primary patency rate and (2) need for revascularization up to 24 months after stent insertion.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with femoro-popliteal artery disease, who will require a stent femoro-popliteal following failed percutaneous transluminal angioplasty (PTA)
- •Target Lesion length \<200mm
- •Planned follow-up available for at least 24 months
- •Written informed consent to participate in the study and agreement to comply with the study protocol must be obtained from the patient prior to initiation of any study-mandated procedure and randomization
Exclusion Criteria
- •Life expectancy \<24 months
- •Patients who cannot receive dual antiplatelet therapy (aspirin 100mg and clopidogrel 75mg) or anticoagulation therapy
- •Patients with known allergies to: nitinol (nickel titanium); or contrast agent, that cannot be medically managed
- •Participation in another study with investigational drug/device within the 30 days preceding and during the present study
- •Previous enrolment into the current study
- •Prior stenting at the location of intended stenting
- •Patients who are judged to have a lesion that prevents complete inflation of an angioplasty balloon or proper placement of the stent or stent delivery system
- •Enrolment of study investigator, his/her family members, employees and other dependent persons
- •If female and of childbearing potential: known pregnancy or a positive urine pregnancy test (confirmed by a positive serum pregnancy test), or lactating
Outcomes
Primary Outcomes
Difference in primary patency rate (proportion of patients classed as treatment succsess)
Time Frame: 24 months
Peak systolic velocity ratio assessed with Duplex ultrasound (Treatment success is defined as Peak Systolic Velocity (PSV) ratio \< 2.5 at the stented target lesion measured by Duplex ultrasound (DUS) indicating freedom from \>50% restenosis with no clinically driven re-intervention within the stented segment.)
Secondary Outcomes
- Difference in primary patency rate(1 month, 6 months, 12 months)
- Difference in target lesion/vessel revascularization(24 months)
- Difference in amputation(24 months)
- Difference in time to restenosis (and time to target lesion revascularization due to restenosis)(24 months)
- Difference in Fontaine classification(1 month, 6 months, 12 months, 24 months)
- Difference in Anklre Brachial Index(1 month, 6 months, 12 months, 24 months)