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Clinical Trials/NCT01630070
NCT01630070
Completed
Phase 2

A Prospective, Multi-center, Single Arm Study With a Nitinol Self-Expanding Paclitaxel-Eluting Stent in the Treatment of Atherosclerotic Tibial-peroneal Arteries

Flanders Medical Research Program5 sites in 1 country70 target enrollmentJanuary 2012

Overview

Phase
Phase 2
Intervention
Not specified
Conditions
Peripheral Arterial Disease
Sponsor
Flanders Medical Research Program
Enrollment
70
Locations
5
Primary Endpoint
Primary patency
Status
Completed
Last Updated
11 years ago

Overview

Brief Summary

The objective of this clinical study is to evaluate the immediate and long-term (up to 12 month) safety and effectiveness of a Nitinol Self-Expanding Paclitaxel-Eluting stent for the treatment of patients with critical limb ischemia (i.e. rest pain or non-healing foot ulcers) due to the presence of arterial lesions in the below-the-knee arteries of maximally 50mm long.

Registry
clinicaltrials.gov
Start Date
January 2012
End Date
October 2014
Last Updated
11 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Patient presenting with rest pain or minor tissue loss (Rutherford Clinical Category 4 or 5)
  • Patient is willing to comply with specified follow-up evaluations at the specified times
  • Patient is \>18 years old
  • Patient understands the nature of the procedure and provides written informed consent, prior to enrolment in the study
  • Patient has a projected life-expectancy of at least 12 months
  • Patient is eligible for treatment with a Self-Expanding Paclitaxel-Eluting stent
  • Male, infertile female, or female of child bearing potential practicing an acceptable method of birth control with a negative pregnancy test within 7 days prior to study procedure
  • Evidence at screening of ≥50% de novo lesion (or restenosis after previous PTA) in the infrapopliteal arteries, confirmed by angiography
  • Reference vessel diameter visually estimated to be ≥3.0mm and ≤4.5mm
  • Identifiable distal target vessel which upon completion of the intervention, is anticipated to provide reconstitution of blood flow to the foot.

Exclusion Criteria

  • Untreated flow-limiting inflow lesions
  • Perioperative unsuccessful ipsilateral percutaneous vascular procedure to treat inflow disease just prior to enrollment
  • Has had a previous peripheral bypass affecting the target limb
  • Major distal amputation (above the transmetatarsal) in the study limb or non-study limb
  • Non-atherosclerothic disease resulting in occlusion (e.g. embolism, Buerger's disease, vasculitis)
  • Patient has a contra-indication or known untreated allergy to anti-platelet therapy, anticoagulants, thrombolytic drugs or any other drug anticipated to be used
  • Patient has hypersensitivity to contrast or device material that cannot be adequately pretreated
  • Patient has known uncontrollable hypercoagulable condition, or refuses blood transfusion
  • Life expectancy of less than 12 months
  • Patient is currently participating in an investigational drug or another device study that may clinically interfere with the study endpoints

Outcomes

Primary Outcomes

Primary patency

Time Frame: 12 months

Primary patency at 12 months, defined as absence of restenosis (≥50% stenosis) or occlusion within the originally treated lesion based on angiography, verified by Core Lab

Secondary Outcomes

  • Improvement of Rutherford classification(12 months)
  • Procedural success(Procedure (day 0))
  • SAE (Serious Adverse Event)(discharge, 1, 6 and 12 months)
  • Limb salvage rate(Procedure, 1, 6 and 12 months)
  • Primary Patency(1 and 12 months)
  • Secondary patency(1, 6 and 12 months)
  • Target Lesion Revascularisation(Procedure (day 0), 1, 6 and 12 months)
  • Improvement in Ankle-Brachial Index(12 months)
  • Technical success(procedure (day 0))
  • MAE (Major Adverse Event)(1, 6 and 12 months)

Study Sites (5)

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