A Multicenter, Randomized, Controlled, Superiority Clinical Trial to Evaluate the Safety and Efficacy of Drug-eluting Peripheral Arterial Stent System(G-stream) in the Treatment of the Above-the-knee Femoropopliteal Artery Stenosis or Occlusion
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Peripheral Artery Disease
- Sponsor
- Shenzhen Salubris Pharmaceuticals Co., Ltd.
- Enrollment
- 280
- Locations
- 1
- Primary Endpoint
- Percentage of Participants Reaching Primary patency
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
A multicenter, randomized, controlled, superiority clinical trial to evaluate the efficacy and safety of drug-eluting peripheral arterial stent system(G-stream) in the treatment of femoropopliteal artery stenosis or occlusion.
Detailed Description
To evaluate the efficacy and safety of the drug-eluting peripheral arterial stent system(G-stream) in the treatment of superficial femoral artery and/or proximal popliteal artery. Taking the drug eluting balloon catheter (AcoArt-Orchid) as control.
Investigators
Eligibility Criteria
Inclusion Criteria
- •General Inclusion Criteria:
- •Age from 18 to 80 years, male or female;
- •Patients with Lower extremity peripheral artery disease (PAD);
- •With Rutherford classification between 2 and 5;
- •Patients understand the purpose of the study, voluntary participation of the study, signs the consent form, willing and able to comply with all requirements, and agrees to attend all required follow-up visits;
- •Angiographic Inclusion Criteria: 5.Single lesions or tandem lesions located in the SFA and/or PPA:
- •Degree of stenosis ≥ 70% and \<100%, Total lesion length ≥ 20 mm and ≤ 250 mm; or
- •Occlusive lesions, total lesion length ≤ 150 mm; or
- •Series of lesions, total lesion length ≤ 250 mm and length of occlusive lesions ≤ 150 mm; 6.Vessel diameter ≥ 3.5 and ≤ 7.5 mm by visual angiographic assessment; 7.Re-entry device reach and cross a target lesion successfully; 8.Residual stenosis after predilation ≤ 50% without dissection characterized as type D or greater;
- •Patent homolateral iliac inflow (stenosis ≤ 50% ) or homolateral iliac inflow lesion received successfully treated i.e., residual stenosis \< 30% after treatment, without severe flow-limiting dissection characterized as type D or greater, without thrombosis, embolism or other serious adverse events; 10.Patent infrapopliteal and popliteal artery, i.e., single vessel runoff or better with at least one of three vessels patent (stenosis ≤ 50%) to the ankle or foot before procedure or with planned intervention.
Exclusion Criteria
- •General Exclusion Criteria:
- •Wtih vasculitis or Berger disease;
- •With severe coagulation disorders or uncontrolled severe infections, not suitable for intervention procedure;
- •Known hypersensitivity or contraindication to aspirin, clopidogrel, heparin, paclitaxel, rapamycin, contrast dye or others;
- •History of distal amputation (above the metatarsal) in the target limb or contralateral limb;
- •Severe renal insufficiency (creatinine \> 221 umol/L);
- •History of local thrombolysis or systemic thrombolysis within 48 hours prior to procedure;
- •History of acute myocardial infarction within 30 days prior to procedure;
- •History of major surgery(i.e., open cardiac operation, open abdominal surgery or open operation for peripheral artery disease) within 30 days prior to procedure;
- •History of alimentary tract hemorrhage within 3 months prior to procedure;
Outcomes
Primary Outcomes
Percentage of Participants Reaching Primary patency
Time Frame: 12 months
Primary patency defined as freedom from clinically-driven target lesion revascularization and CT angiography diagnosis of freedom from restenosis (ie, stenosis ≤ 50%);
Secondary Outcomes
- Device success rate(During the procedure)
- Distribution of Rutherford classification(30 days, 3 months, 6 months and 12 months)
- Distribution of Ankle Brachial Index(ABI)(6 months and 12 months)
- Percentage of Participants with major and minor amputations of the treated leg(30 days, 3 months, 6 months and 12 months)
- Percentage of Participants With Major Adverse Events (MAEs)(30 days, 3 months, 6 months and 12 months)
- Procedural success rate(During the procedure)
- Clinical success rate(12 months)
- Percentage of Participants With TLR and clinical drived-TLR (CD-TLR)(30 days, 3 months, 6 months and 12 months)
- Percentage of Participants With all-cause Death(30 days, 3 months, 6 months and 12 months)
- Percentage of Participants With Target Vessel Revascularization (TVR) and Clinical Drived-TVR (CD-TVR)(30 days, 3 months, 6 months and 12 months)
- Percentage of Participants With Lower Extremity Arterial Thrombosis(30 days, 3 months, 6 months and 12 months)