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ASSESS Study: Evaluation of ABSOLUTE™ Stent System for Occluded Arteries

Primary Purpose

Peripheral Vascular Diseases

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
ABSOLUTE™: Self-Expandable Peripheral Nitinol Stent
Sponsored by
Abbott Medical Devices
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peripheral Vascular Diseases focused on measuring Peripheral Artery Disease, Restenosis Rate, Patency Rates, Self-Expandable Nitinol Stents, Stent Fractures

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: De novo lesion of the superficial femoral artery (SFA) or proximal popliteal artery within the following parameters: 10 mm distal to the origin of the profunda femoris (= 10 mm from the femoral bifurcation in the SFA) and 20 mm from the proximal margin of the intercondylar fossa. Patients must have symptomatic leg ischemia, requiring treatment of the superficial femoral/proximal popliteal vessel Target vessel reference diameter visually estimated to be > 4.0 mm and < 7.0 mm Target lesion length visually estimated to be > 40 mm and < 200 mm If the patient has a contralateral SFA or contralateral proximal popliteal lesion, this lesion can be treated as a non-target lesion. The time and way of treatment of the non-target lesion will be left up to the discretion of the investigator At least one-vessel run-off to the foot confirmed by baseline angiography Patent common iliac artery, common femoral artery and profunda confirmed by baseline angiography. The patent common iliac artery can be obtained during the index procedure by a successful treatment prior to the treatment of the target lesion. Successful treatment being defined as attainment of final residual diameter stenosis of < 30% without death, stroke, bleeding requiring > 2 units transfusion, or any other complication which was device or procedure related. Patient is acceptable candidate for femoral-popliteal artery bypass surgery Exclusion Criteria: Previous ipsilateral femoro-popliteal or femoro-tibial surgery Presence of a stent in the target vessel Prescheduled staged procedures of multiple lesions within the ipsilateral iliac or ipsilateral popliteal arteries within 30 days after the index procedure Co-existing aneurysmal disease of the abdominal aorta or iliac or popliteal arteries Acute thrombophlebitis or deep vein thrombus Any immunosuppressive disorders, groin infection, or acute systemic infection due to any cause or any viral or bacterial infection Significant gastrointestinal (GI) bleed within the past month that would contraindicate the use of anti-platelet therapy Hemodynamic instability Target lesion is restenotic from previous intervention

Sites / Locations

  • Landeskrankenhaus Klagenfurt
  • Allgemeines Krankenhaus der Stadt Wien (AKH Wien)
  • CHR de Namur
  • Polyclinique Louis Pasteur
  • Hôpital Pontchaillou- CHU
  • Herzzentrum Bad Krozingen
  • Universitäres Herz & Gefässzentrum Hamburg
  • Herzzentrum Leipzig
  • Papageorgiou Hospital
  • Nuovo Ospedale Civile Sant' Agostino
  • Casa di Cura Montevergine
  • Policlinico San Matteo
  • Hospital de Donostia

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

1

Arm Description

The purpose of the ASSESS Registry is to investigate the performance of the ABSOLUTE™ .035 Peripheral Self-Expanding Stent System (ABSOLUTE™ Stent) in preventing restenosis of occluded or stenotic superficial femoral or proximal popliteal arteries.

Outcomes

Primary Outcome Measures

Restenosis rate (diameter stenosis ≥ 50% as determined by Duplex ultrasound).

Secondary Outcome Measures

Clinically driven target lesion revascularization
Target lesion primary, primary assisted and secondary patency rates
Major complications
Angiographic binary restenosis rate in a subset of patients
Device and procedure success
Vascular and bleeding complications (local and puncture site)
Stent fracture determined by biplane X-ray
Restenosis rate at 365 days, and 2 years (diameter stenosis ≥ 50% as determined by Duplex ultrasound)

Full Information

First Posted
September 13, 2005
Last Updated
February 23, 2010
Sponsor
Abbott Medical Devices
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1. Study Identification

Unique Protocol Identification Number
NCT00180505
Brief Title
ASSESS Study: Evaluation of ABSOLUTE™ Stent System for Occluded Arteries
Official Title
Non-Randomized, Prospective, Multi-center Evaluation of the ABSOLUTE™ .035 Peripheral Self-Expanding Stent System for Occluded or Stenotic Superficial Femoral or Proximal Popliteal Arteries
Study Type
Interventional

2. Study Status

Record Verification Date
February 2010
Overall Recruitment Status
Completed
Study Start Date
March 2005 (undefined)
Primary Completion Date
March 2006 (Actual)
Study Completion Date
October 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Abbott Medical Devices

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to investigate the performance of the ABSOLUTE™ .035 peripheral self-expanding stent system in preventing restenosis of occluded or stenotic superficial femoral or proximal popliteal arteries.
Detailed Description
The treatment of stenosis in superficial femoral arteries and/or proximal popliteal arteries with stenting is associated with high restenosis rates, especially with the first generation stents (stainless steel). Currently, self-expandable nitinol stents are commercialized which lead to higher primary patency rates as compared to the first generation stents, even in longer lesions. However, until now most data available are retrospective and uni-center. The ASSESS study is a prospective multi-center study investigating the performance (restenosis rate, patency rates) of the ABSOLUTE™. 035 peripheral self-expandable stent in longer lesions (lesion length from 4.00 mm to 200.00 mm). Moreover, literature shows stent fracture in nitinol stents, with a possible clinical relationship. For this reason, the ASSESS study will analyze the stent fractures of the ABSOLUTE™ stent, and a possible relationship between stent fracture and restenosis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Vascular Diseases
Keywords
Peripheral Artery Disease, Restenosis Rate, Patency Rates, Self-Expandable Nitinol Stents, Stent Fractures

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Other
Arm Description
The purpose of the ASSESS Registry is to investigate the performance of the ABSOLUTE™ .035 Peripheral Self-Expanding Stent System (ABSOLUTE™ Stent) in preventing restenosis of occluded or stenotic superficial femoral or proximal popliteal arteries.
Intervention Type
Device
Intervention Name(s)
ABSOLUTE™: Self-Expandable Peripheral Nitinol Stent
Intervention Description
A prospective, non-randomized, multi-center study to investigate the performance of the ABSOLUTE™ .035 Peripheral Self-Expanding Stent System (ABSOLUTE™ Stent) in preventing restenosis of occluded or stenotic superficial femoral or proximal popliteal arteries. Follow up at 30, 180, 270, 365 days and 2 years.
Primary Outcome Measure Information:
Title
Restenosis rate (diameter stenosis ≥ 50% as determined by Duplex ultrasound).
Time Frame
At 180 days
Secondary Outcome Measure Information:
Title
Clinically driven target lesion revascularization
Time Frame
at 12 and 24 month follow-up
Title
Target lesion primary, primary assisted and secondary patency rates
Time Frame
at 6, 12 and 24 month follow-up
Title
Major complications
Time Frame
at 1, 6, 12 and 24 month follow-up
Title
Angiographic binary restenosis rate in a subset of patients
Time Frame
at 9 month follow-up
Title
Device and procedure success
Time Frame
Acute
Title
Vascular and bleeding complications (local and puncture site)
Time Frame
1, 6, 12, 24 months
Title
Stent fracture determined by biplane X-ray
Time Frame
at 12 month follow-up
Title
Restenosis rate at 365 days, and 2 years (diameter stenosis ≥ 50% as determined by Duplex ultrasound)
Time Frame
365 days and 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: De novo lesion of the superficial femoral artery (SFA) or proximal popliteal artery within the following parameters: 10 mm distal to the origin of the profunda femoris (= 10 mm from the femoral bifurcation in the SFA) and 20 mm from the proximal margin of the intercondylar fossa. Patients must have symptomatic leg ischemia, requiring treatment of the superficial femoral/proximal popliteal vessel Target vessel reference diameter visually estimated to be > 4.0 mm and < 7.0 mm Target lesion length visually estimated to be > 40 mm and < 200 mm If the patient has a contralateral SFA or contralateral proximal popliteal lesion, this lesion can be treated as a non-target lesion. The time and way of treatment of the non-target lesion will be left up to the discretion of the investigator At least one-vessel run-off to the foot confirmed by baseline angiography Patent common iliac artery, common femoral artery and profunda confirmed by baseline angiography. The patent common iliac artery can be obtained during the index procedure by a successful treatment prior to the treatment of the target lesion. Successful treatment being defined as attainment of final residual diameter stenosis of < 30% without death, stroke, bleeding requiring > 2 units transfusion, or any other complication which was device or procedure related. Patient is acceptable candidate for femoral-popliteal artery bypass surgery Exclusion Criteria: Previous ipsilateral femoro-popliteal or femoro-tibial surgery Presence of a stent in the target vessel Prescheduled staged procedures of multiple lesions within the ipsilateral iliac or ipsilateral popliteal arteries within 30 days after the index procedure Co-existing aneurysmal disease of the abdominal aorta or iliac or popliteal arteries Acute thrombophlebitis or deep vein thrombus Any immunosuppressive disorders, groin infection, or acute systemic infection due to any cause or any viral or bacterial infection Significant gastrointestinal (GI) bleed within the past month that would contraindicate the use of anti-platelet therapy Hemodynamic instability Target lesion is restenotic from previous intervention
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thomas Zeller, M.D.
Organizational Affiliation
Herzzentrum Bad Krozingen, Germany
Official's Role
Principal Investigator
Facility Information:
Facility Name
Landeskrankenhaus Klagenfurt
City
Klagenfurt
ZIP/Postal Code
9026
Country
Austria
Facility Name
Allgemeines Krankenhaus der Stadt Wien (AKH Wien)
City
Wien
ZIP/Postal Code
1090
Country
Austria
Facility Name
CHR de Namur
City
Namur
ZIP/Postal Code
5000
Country
Belgium
Facility Name
Polyclinique Louis Pasteur
City
Essey les Nancy
ZIP/Postal Code
54270
Country
France
Facility Name
Hôpital Pontchaillou- CHU
City
Rennes Cedex
ZIP/Postal Code
35033
Country
France
Facility Name
Herzzentrum Bad Krozingen
City
Bad Krozingen
ZIP/Postal Code
79189
Country
Germany
Facility Name
Universitäres Herz & Gefässzentrum Hamburg
City
Hamburg
ZIP/Postal Code
22527
Country
Germany
Facility Name
Herzzentrum Leipzig
City
Leipzig
ZIP/Postal Code
04289
Country
Germany
Facility Name
Papageorgiou Hospital
City
Thessaloniki
ZIP/Postal Code
57001
Country
Greece
Facility Name
Nuovo Ospedale Civile Sant' Agostino
City
Baggiovara (Modena)
ZIP/Postal Code
41100
Country
Italy
Facility Name
Casa di Cura Montevergine
City
Mercogliano
ZIP/Postal Code
83013
Country
Italy
Facility Name
Policlinico San Matteo
City
Pavia
ZIP/Postal Code
27100
Country
Italy
Facility Name
Hospital de Donostia
City
Donostia-San Sebastian
ZIP/Postal Code
20014
Country
Spain

12. IPD Sharing Statement

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ASSESS Study: Evaluation of ABSOLUTE™ Stent System for Occluded Arteries

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