MedPath

Evaluation of the GORE TIGRIS Vascular Stent

Not Applicable
Completed
Conditions
Peripheral Arterial Disease
Interventions
Device: BARD LifeStent
Device: TIGRIS Vascular Stent
Registration Number
NCT01576055
Lead Sponsor
W.L.Gore & Associates
Brief Summary

The primary objective of the randomized study is to evaluate the safety and effectiveness of the TIGRIS Vascular Stent in the treatment of de novo and restenotic atherosclerotic lesions, ≤ 24cm in length, in the superficial femoral and proximal popliteal arteries (SFA/PPA) of patients with symptomatic peripheral arterial disease (PAD).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
267
Inclusion Criteria
  • Rutherford Class 2 - 4.
  • Abnormal ankle brachial index (ABI ≤0.9).
  • At least 21 years of age.
  • Reasonable expectation of survival of at least 12 months after the procedure.
  • Male, infertile female, or female practicing an effective method of preventing pregnancy.
  • One de novo or restenotic lesion of the SFA/PPA with a cumulative length visually estimated to be ≤24cm
  • Arteries with reference vessel diameter of 4.0 - 6.5 mm within the SFA/PPA, estimated visually.
  • Angiographic evidence of at least one patent tibial artery (<50% stenosis angiographically).
  • Guidewire has successfully traversed the lesion to be treated and is within the true lumen of the distal vessel.
  • Lesion has been pre-dilated before stent deployment.
Exclusion Criteria
  • Prior enrollment in this study.
  • Vascular access/catheterization in the target leg within 30 days of study enrollment.
  • Prior treatment of the SFA/PPA in the target leg with stenting or bypass.
  • Flow-limiting aortoiliac disease.
  • Additional ipsilateral femoropopliteal or tibial disease, outside of the lesion to be stented, requiring intervention.
  • Arterial aneurysm in the target leg.
  • Co-morbid conditions which would preclude compliance with study protocol.
  • Obstructive or occlusive non-atherosclerotic disease.
  • Creatinine greater than 2.5 mg/dl.
  • Amputation above the metatarsals, resulting from vascular disease, in the target leg.
  • Septicemia or uncontrolled infection.
  • Contraindication to anticoagulation or antiplatelet therapy, including allergy to heparin, or history of heparin induced thrombocytopenia (HIT), or a positive platelet factor 4 (PF4) antibody assay.
  • Abnormal platelet levels, i.e., platelet count at Baseline less than 80,000/microliter.
  • History of coagulopathy.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BARD LifeStentBARD LifeStentBARD LifeStent
TIGRIS Vascular StentTIGRIS Vascular StentGORE TIGRIS Vascular Stent
Primary Outcome Measures
NameTimeMethod
Primary Efficacy Endpoint - Number of Participants With Primary Patency at 12 Months12 Months

Primary patency is defined by a Peak Systolic Velocity Ratio (PSVR) ≤2.5 without target lesion revascularization (TLR) at 12 months after implantation.

Primary Safety Endpoint - Number of Participants Free From Major Adverse Events at 30 Days30 Days

Defined as any adverse event (occurring within 30 days of the initial procedure) that causes death, target vessel revascularization (TVR), and amputation above the metatarsals in the treated leg (index limb amputation).

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Procedural SuccessWithin 48 hours of initial device implant

Successful device implantation with a residual stenosis \<30% without acute (within 48 hours) serious adverse events.

Number of Participants With Device SuccessImmediately following initial device implant (usually within a few minutes to an hour).

Successful delivery of stent to the intended site and successful stent deployment.

Trial Locations

Locations (34)

Arkansas Heart

🇺🇸

Little Rock, Arkansas, United States

North County Radiology

🇺🇸

Oceanside, California, United States

UC Davis Vascular Center

🇺🇸

Sacramento, California, United States

Kaiser Permanente San Francisco

🇺🇸

San Francisco, California, United States

First Coast Cardiovascular Institute, P.A

🇺🇸

Jacksonville, Florida, United States

Yale University School of Medicine

🇺🇸

New Haven, Connecticut, United States

Coastal Vascular & Interventional

🇺🇸

Pensacola, Florida, United States

Orlando Regional Healthcare System

🇺🇸

Orlando, Florida, United States

MediQuest Research at Munroe Regional

🇺🇸

Ocala, Florida, United States

Vascular Surgical Associates, PC

🇺🇸

Austell, Georgia, United States

Alexian Brothers Specialty Group

🇺🇸

Elk Grove Village, Illinois, United States

Kaiser Permanente - Honolulu

🇺🇸

Honolulu, Hawaii, United States

Heart Care Research Foundation

🇺🇸

Mokena, Illinois, United States

HeartCare MidWest - Peoria

🇺🇸

Peoria, Illinois, United States

Genesis Medical Center

🇺🇸

Davenport, Iowa, United States

University of Iowa

🇺🇸

Iowa City, Iowa, United States

SSM Health Care

🇺🇸

Saint Charles, Missouri, United States

Vascular Research Institute

🇺🇸

Morristown, New Jersey, United States

Providence Heat & Vascular Institute

🇺🇸

Portland, Oregon, United States

Heritage Valley Health System

🇺🇸

Beaver, Pennsylvania, United States

North Central Heart Institute, Ltd.

🇺🇸

Sioux Falls, South Dakota, United States

Cardiology Associates of Mobile

🇺🇸

Mobile, Alabama, United States

Medical Center of Central Georgia

🇺🇸

Macon, Georgia, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

Advocate Christ Medical Center

🇺🇸

Oak Lawn, Illinois, United States

Indiana University Vascular Surgery

🇺🇸

Indianapolis, Indiana, United States

Ohio Health Research Institute

🇺🇸

Columbus, Ohio, United States

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

University of Pittsburgh Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Presbyterian Hospital, Dallas

🇺🇸

Dallas, Texas, United States

Baylor Research Institute

🇺🇸

Dallas, Texas, United States

CAMC Health Education and Research Institute, Inc.

🇺🇸

Charleston, West Virginia, United States

The Miriam Hospital

🇺🇸

Providence, Rhode Island, United States

Minneapolis Radiology and Vascular

🇺🇸

Minneapolis, Minnesota, United States

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