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STREAMER : STent Restenosis And MEdicaments Release (STREAMER)

Primary Purpose

Critical Ischemia

Status
Completed
Phase
Phase 3
Locations
France
Study Type
Interventional
Intervention
Paclitaxel
Sponsored by
Hospices Civils de Lyon
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Critical Ischemia focused on measuring paclitaxel, critical ischemia, restenosis, femoropopliteal artery lesions TASC C and D

Eligibility Criteria

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

Inclusion Criteria:

  • patients with critical ischemia of a lower limb with ankle pressure < 50 mmHg
  • lesions TASC C and D of the superficial femoral or popliteal artery

Exclusion Criteria:

  • patient allergic to paclitaxel
  • patient with a cancer, a neutropenia, with immunosuppressor medicament or chemotherapy
  • patient with contraindication to take 2 anti-aggregants platelets

Sites / Locations

  • department of vascular surgery, Edouard Herriot Hospital, 5 Place d'Arsonval

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

paclitaxel delivery in femoropopliteal artery

Arm Description

Outcomes

Primary Outcome Measures

Percentage of patients with femoropopliteal artery restenosis
defined as restenosis > 50 % with a velocity pick > 2,5 on duplex ultrasound

Secondary Outcome Measures

Occurence of adverse events due to paclitaxel
biological adverse events (thrombopenia, neutropenia)
Number of patients with target lesion revascularization
number of subjects who need a new revascularization on the same artery (femoropopliteal)
Occurence of amputation free-survival
cumulated rate of morbi-mortality (TCMM)
myocardial infarction, death, vascular ischemic accident, cardiac angina, major amputation, new hospitalization or new surgery for hematoma, thrombosis or false aneurysm

Full Information

First Posted
July 11, 2016
Last Updated
July 13, 2016
Sponsor
Hospices Civils de Lyon
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1. Study Identification

Unique Protocol Identification Number
NCT02835586
Brief Title
STREAMER : STent Restenosis And MEdicaments Release
Acronym
STREAMER
Official Title
STREAMER : Stent Restenosis and Medicaments Release : Does Local Delivery of Paclitaxel be Safe and Efficient in Stenting of TransAtlantic InterSociety Consensus (TASC) Class C and D Femoropopliteal Artery Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
July 2016
Overall Recruitment Status
Completed
Study Start Date
May 2013 (undefined)
Primary Completion Date
November 2015 (Actual)
Study Completion Date
November 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hospices Civils de Lyon

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
It is a pilot study to evaluate the feasibility and the efficiency of local delivery of paclitaxel after stenting of long femoropopliteal arterial lesions TASC C and D before the realization of a large randomized multicentric study. Patients concerned are in critical ischemia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Critical Ischemia
Keywords
paclitaxel, critical ischemia, restenosis, femoropopliteal artery lesions TASC C and D

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
paclitaxel delivery in femoropopliteal artery
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Paclitaxel
Intervention Description
Paclitaxel will be administered intra-arterially through an irrigating catheter to treat a diseased segment of superficial femoral artery and/or popliteal artery after stenting. Dosing will be based on the lesion surface area and will be calculated using the following formula : 22/7 x diameter (mm) x length (mm) x 3 µg/mm3
Primary Outcome Measure Information:
Title
Percentage of patients with femoropopliteal artery restenosis
Description
defined as restenosis > 50 % with a velocity pick > 2,5 on duplex ultrasound
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Occurence of adverse events due to paclitaxel
Description
biological adverse events (thrombopenia, neutropenia)
Time Frame
From1 day to 12 months
Title
Number of patients with target lesion revascularization
Description
number of subjects who need a new revascularization on the same artery (femoropopliteal)
Time Frame
12 months
Title
Occurence of amputation free-survival
Time Frame
12 months
Title
cumulated rate of morbi-mortality (TCMM)
Description
myocardial infarction, death, vascular ischemic accident, cardiac angina, major amputation, new hospitalization or new surgery for hematoma, thrombosis or false aneurysm
Time Frame
up to 30 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: patients with critical ischemia of a lower limb with ankle pressure < 50 mmHg lesions TASC C and D of the superficial femoral or popliteal artery Exclusion Criteria: patient allergic to paclitaxel patient with a cancer, a neutropenia, with immunosuppressor medicament or chemotherapy patient with contraindication to take 2 anti-aggregants platelets
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nellie DELLA SCHIAVA, MD
Organizational Affiliation
department of vascular surgery, Edouard Herriot Hospital, LYON
Official's Role
Principal Investigator
Facility Information:
Facility Name
department of vascular surgery, Edouard Herriot Hospital, 5 Place d'Arsonval
City
Lyon
ZIP/Postal Code
69003
Country
France

12. IPD Sharing Statement

Learn more about this trial

STREAMER : STent Restenosis And MEdicaments Release

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