Clinical Trial Investigating the Efficacy of the Supera Peripheral Stent System for the Treatment of the Common Femoral Artery (VMI-CFA)
Primary Purpose
Peripheral Arterial Disease
Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Supera Peripheral Stent System
Sponsored by
About this trial
This is an interventional treatment trial for Peripheral Arterial Disease
Eligibility Criteria
Inclusion Criteria:
- Patient presenting a score from 2 to 4 following Rutherford classification
- 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
- Prior to enrolment, the guidewire has crossed target lesion
- De novo lesions located in the common femoral artery, suitable for endovascular therapy
- The target lesions are located within the native CFA: localized between the origin of the circumflex iliac artery and the proximal (1cm) superficial femoral artery.
- There is angiographic evidence of a patent deep femoral artery
- The target lesion has angiographic evidence of stenosis > 50% or occlusion
- There is angiographic evidence of at least one-vessel-runoff to the foot, irrespective of whether or not outflow was re-established by means of previous endovascular intervention
Exclusion Criteria:
- Presence of another stent in the target vessel that was placed during a previous procedure
- Previous open surgery in the same limb
- Patients contraindicated for antiplatelet therapy, anticoagulants or thrombolytics.
- Patients who exhibit persistent acute intraluminal thrombus at the target lesion site.
- Perforation at the angioplasty site evidenced by extravasation of contrast medium
- Patients with known hypersensitivity to nickel-titanium and heparin, including those patients who have had a previous incidence of heparin-induced thrombocytopenia (HIT) type II
- Patients with uncorrected bleeding disorders
- Female patient with child bearing potential not taking adequate contraceptives or currently breastfeeding
- Ipsilateral inflow (aorto-iliac) artery treatment before target lesion treatment with a residual stenosis>30%
- Use of thrombectomy, atherectomy or laser devices during procedure
- Any planned surgical intervention/procedure 30 days after the study procedure
- Any patient considered to be hemodynamically unstable at onset of procedure
- Patient is currently participating in another investigational drug or device study that has not reached the primary endpoint.
- Severe medical comorbidities (untreated CAD/CHF, severe COPD, metastatic malignancy, dementia, etc.) or other medical condition that would preclude compliance with the study protocol or 1-year life expectancy
- Major distal amputation (above the transmetatarsal) in the study limb or non-study limb
- Septicemia or bacteremia
- Known allergy to contrast media that cannot be adequately pre-medicated prior to the study procedure
Sites / Locations
- ZNA Stuivenberg
- OLV Ziekenhuis Aalst
- AZ Sint-Blasius
- Imelda Hospital
- Clinique Rhone Durance
- CHU de Clermont-Ferrand
- CHU de Nantes
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Supera Peripheral Stent System
Arm Description
Outcomes
Primary Outcome Measures
Primary patency at 12 months
freedom from > 50% restenosis as indicated by an independently verified duplex ultrasound peak systolic velocity ratio (PSVR) <2.5 in the target vessel with no reintervention (TLR) within 12 months.
Periprocedural adverse events
periprocedural adverse events up to 30 days post procedure, as defined per ISO 14155:2011
Secondary Outcome Measures
Technical success
ability to cross and stent the lesion to achieve residual angiographic stenosis no greater than 30% and residual stenosis less than 50% by duplex imaging.
Primary patency rate at 1, 6 and 24 month
freedom from >50% restenosis as indicated by an independently verified duplex ultrasound peak systolic velocity ratio (PSVR) <2.5 in the target vessel with no intervention within 1 and 6 months.
Freedom from TLR until 24 month post procedure
freedom from a repeat intervention to maintain or re-establish patency within the region of the treated arterial vessel plus 5mm proximal and distal to the treated lesion edge at the respective time points
Clinical success
an improvement of Rutherford classification at 1-, 6-, 12- and 24-month follow-up of one class or more as compared to the pre-procedure Rutherford classification.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02804113
Brief Title
Clinical Trial Investigating the Efficacy of the Supera Peripheral Stent System for the Treatment of the Common Femoral Artery
Acronym
VMI-CFA
Official Title
VMI-CFA Study: Physician-initiated Trial Investigating the Efficacy of the Vascular Mimetic Implant Supera Peripheral Stent System for the Treatment of the Common Femoral Artery
Study Type
Interventional
2. Study Status
Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
April 25, 2016 (Actual)
Primary Completion Date
June 30, 2018 (Actual)
Study Completion Date
October 30, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ID3 Medical
4. Oversight
5. Study Description
Brief Summary
The VMI-CFA study investigates the efficacy of the Supera Stent in the treatment of common femoral artery stenosis or occlusion. 100 patients will be included with a RF of 2 to 4. The lesion is located within the native CFA and treated with predillation prior to stenting with the Supera Peripheral Stent System. Patients will be invited for a follow-up visit at 1, 6, 12 and 24 month post procedure. The primary endpoint of the study is the primary patency at 12 months and periprocedural events up to 30 days post procedure. Secondary endpoints include technical success, primary patency rate at 1, 6 and 24 month, freedom from TLR at 1-, 6-, 12 and 24 month follow-up and clinical success at 1-, 6-, 12- and 24-month follow-up.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Arterial Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Supera Peripheral Stent System
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
Supera Peripheral Stent System
Primary Outcome Measure Information:
Title
Primary patency at 12 months
Description
freedom from > 50% restenosis as indicated by an independently verified duplex ultrasound peak systolic velocity ratio (PSVR) <2.5 in the target vessel with no reintervention (TLR) within 12 months.
Time Frame
12 months
Title
Periprocedural adverse events
Description
periprocedural adverse events up to 30 days post procedure, as defined per ISO 14155:2011
Time Frame
30 days post procedure
Secondary Outcome Measure Information:
Title
Technical success
Description
ability to cross and stent the lesion to achieve residual angiographic stenosis no greater than 30% and residual stenosis less than 50% by duplex imaging.
Time Frame
during indexprocedure
Title
Primary patency rate at 1, 6 and 24 month
Description
freedom from >50% restenosis as indicated by an independently verified duplex ultrasound peak systolic velocity ratio (PSVR) <2.5 in the target vessel with no intervention within 1 and 6 months.
Time Frame
1, 6 and 24 month post procedure
Title
Freedom from TLR until 24 month post procedure
Description
freedom from a repeat intervention to maintain or re-establish patency within the region of the treated arterial vessel plus 5mm proximal and distal to the treated lesion edge at the respective time points
Time Frame
until 24 month post procedure
Title
Clinical success
Description
an improvement of Rutherford classification at 1-, 6-, 12- and 24-month follow-up of one class or more as compared to the pre-procedure Rutherford classification.
Time Frame
1, 6, 12 and 24 month follow-up
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient presenting a score from 2 to 4 following Rutherford classification
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
Prior to enrolment, the guidewire has crossed target lesion
De novo lesions located in the common femoral artery, suitable for endovascular therapy
The target lesions are located within the native CFA: localized between the origin of the circumflex iliac artery and the proximal (1cm) superficial femoral artery.
There is angiographic evidence of a patent deep femoral artery
The target lesion has angiographic evidence of stenosis > 50% or occlusion
There is angiographic evidence of at least one-vessel-runoff to the foot, irrespective of whether or not outflow was re-established by means of previous endovascular intervention
Exclusion Criteria:
Presence of another stent in the target vessel that was placed during a previous procedure
Previous open surgery in the same limb
Patients contraindicated for antiplatelet therapy, anticoagulants or thrombolytics.
Patients who exhibit persistent acute intraluminal thrombus at the target lesion site.
Perforation at the angioplasty site evidenced by extravasation of contrast medium
Patients with known hypersensitivity to nickel-titanium and heparin, including those patients who have had a previous incidence of heparin-induced thrombocytopenia (HIT) type II
Patients with uncorrected bleeding disorders
Female patient with child bearing potential not taking adequate contraceptives or currently breastfeeding
Ipsilateral inflow (aorto-iliac) artery treatment before target lesion treatment with a residual stenosis>30%
Use of thrombectomy, atherectomy or laser devices during procedure
Any planned surgical intervention/procedure 30 days after the study procedure
Any patient considered to be hemodynamically unstable at onset of procedure
Patient is currently participating in another investigational drug or device study that has not reached the primary endpoint.
Severe medical comorbidities (untreated CAD/CHF, severe COPD, metastatic malignancy, dementia, etc.) or other medical condition that would preclude compliance with the study protocol or 1-year life expectancy
Major distal amputation (above the transmetatarsal) in the study limb or non-study limb
Septicemia or bacteremia
Known allergy to contrast media that cannot be adequately pre-medicated prior to the study procedure
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Koen Deloose, MD
Organizational Affiliation
ID3 Medical
Official's Role
Study Director
Facility Information:
Facility Name
ZNA Stuivenberg
City
Antwerpen
State/Province
Antwerp
ZIP/Postal Code
2060
Country
Belgium
Facility Name
OLV Ziekenhuis Aalst
City
Aalst
State/Province
Oost-Vlaanderen
ZIP/Postal Code
9300
Country
Belgium
Facility Name
AZ Sint-Blasius
City
Dendermonde
State/Province
Oost-Vlaanderen
ZIP/Postal Code
9200
Country
Belgium
Facility Name
Imelda Hospital
City
Bonheiden
ZIP/Postal Code
2820
Country
Belgium
Facility Name
Clinique Rhone Durance
City
Avignon
ZIP/Postal Code
84000
Country
France
Facility Name
CHU de Clermont-Ferrand
City
Clermont-Ferrand
ZIP/Postal Code
63003
Country
France
Facility Name
CHU de Nantes
City
Nantes
ZIP/Postal Code
44093
Country
France
12. IPD Sharing Statement
Learn more about this trial
Clinical Trial Investigating the Efficacy of the Supera Peripheral Stent System for the Treatment of the Common Femoral Artery
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