The Merit WRAPSODY™ Endovascular Stent Graft for Treatment of Iliac Artery Occlusive Disease
Primary Purpose
Stenosis of Artery, Peripheral Arterial Disease, Iliac Artery Disease
Status
Withdrawn
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Placement of WRAPSODY stent graft
Sponsored by
About this trial
This is an interventional treatment trial for Stenosis of Artery focused on measuring PAOD, Peripheral Arterial Occlusive Disease, Iliac Artery Disease, Stent Graft
Eligibility Criteria
Inclusion Criteria:
- Subject has signed informed consent
- Subject is ≥ 21 years of age
- Subject is able and willing to comply with study requirements
- Male, infertile female, or female practicing contraception and a negative pregnancy test within 7 days prior to the study procedure
- Symptomatic claudication or rest pain without tissue loss, Rutherford category 2-4
- Angiographic evidence of de novo or restenotic target lesion(s) in native vessels in the common and/or external iliac artery(ies) (multiple stenoses may exist within the target lesion)
- Total lesion(s) length is ≤ 110mm
- Target lesion(s) is at least 3 cm from an existing stent or stent graft
- At least 1 stenosis in the target vessel has ≥ 50% stenosis
- Target vessel diameter is between 4.6 and 14.4mm at angiographic screening for device placement
- Adequate ipsilateral blood flow, including at least 1 patent (<50% stenotic) superficial femoral or profundal femoral artery
- Full expansion of an appropriately sized (in the investigator's opinion) standard angioplasty balloon has been achieved during primary angioplasty at the target lesion prior to enrollment
Exclusion Criteria:
- Subject has undergone an intervention (surgical or percutaneous) in the target limb(s) <30 days from the date of the index study procedure
- Subject has a surgical or percutaneous procedure in the target limb(s) planned within 30 days following the index study procedure
- Previous or planned bypass surgery in the target limb(s)
- Coronary intervention within 30 days prior to enrollment or planned within 12 months after index study procedure
- Subject has had a stroke within 90 days prior to the index study procedure
- Subject has had a transient ischemic attack within 30 days prior to the index study procedure
- Uncorrectable coagulation disorder
- Subject cannot receive heparin, dual antiplatelet treatment, or anticoagulant(s) appropriate in the opinion of the investigator
- Condition unrelated to study anticipated to require indefinite anticoagulation
- Evidence of blood borne infection
- Hypersensitivity to nickel titanium alloy
- Allergy to radiographic contrast material which cannot be adequately premedicated
- Serum creatinine >2.5mg/dL
- The subject is enrolled in another investigational study
- Life expectancy is ≤ 12 months
- Active malignancy other than non-melanomatous skin cancer
- Stenosis/restenosis is located within a previously placed stent or stent graft
- Angiographic evidence of thrombus within or adjacent to the target lesion(s)
- Aneurysmal dilation proximal or distal to the target lesion(s) that could interfere with placement of the study device
- Abdominal aortic artery stent, if it could interfere with placement of the study device
- Target lesion(s) are located such that the stent graft would prevent blood flow to the internal iliac artery, if patent
- Lesions requiring atherectomy or ablation to facilitate stent graft delivery
- Any other condition deemed exclusionary in the opinion of the investigator for documented reasons relating to the health and/or welfare of the subject
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Group Treated with stent graft
Arm Description
This is a single arm study. All subjects will be treated with the WRAPSODY stent graft.
Outcomes
Primary Outcome Measures
Safety endpoint of subjects free from specified adverse events
The primary study safety endpoint is the proportion of subjects free from a composite of device- or procedure-related death, myocardial infarction, or amputation above the metatarsals in the treated leg resulting from a vascular event, or device- or procedure-related serious adverse events within 4 weeks of the index procedure.
Effectiveness endpoint of subjects with improvement of Rutherford Category
The primary clinical effectiveness endpoint is the proportion of subjects with improvement of at least 1 Rutherford category within 4 weeks of the index procedure. Composite with Outcome 3.
Effectiveness endpoint of subjects with patency
The primary clinical effectiveness endpoint is the proportion of subjects with patency as evaluated by duplex ultrasound at 4 weeks after index procedure. Composite with Outcome 2.
Secondary Outcome Measures
Full Information
NCT ID
NCT03994185
First Posted
June 19, 2019
Last Updated
April 21, 2020
Sponsor
Merit Medical Systems, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT03994185
Brief Title
The Merit WRAPSODY™ Endovascular Stent Graft for Treatment of Iliac Artery Occlusive Disease
Official Title
Prospective Investigation of The Merit WRAPSODY™ Endovascular Stent Graft for Treatment of Iliac Artery Occlusive Disease
Study Type
Interventional
2. Study Status
Record Verification Date
April 2020
Overall Recruitment Status
Withdrawn
Why Stopped
Study was withdrawn by the Sponsor prior to enrollment
Study Start Date
September 2020 (Anticipated)
Primary Completion Date
September 2020 (Anticipated)
Study Completion Date
December 31, 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merit Medical Systems, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a prospective, single-center, non-randomized phase 2, first-in-iliac artery study, to evaluate the safety and effectiveness of the WRAPSODY Stent Graft for the treatment of peripheral arterial occlusive disease in symptomatic subjects with de novo or restenotic lesions in the common iliac artery (CIA) and/or external iliac artery (EIA), including lesions at the aortic bifurcation.
Detailed Description
Approximately 30 subjects will be enrolled. Post study procedure subjects will have planned follow-up visits at 4 weeks, 24, 36 and 52 weeks, and unscheduled visits as medically necessary,
The primary study safety endpoint is the proportion of subjects free from a composite of device- or procedure-related death, myocardial infarction, or amputation above the metatarsals in the treated leg resulting from a vascular event, or device- or procedure-related serious adverse events within 4 weeks of the index procedure. The primary clinical effectiveness endpoint is the proportion of subjects with a composite improvement of at least 1 Rutherford category and patency as evaluated by duplex ultrasound at 4 weeks after index procedure.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stenosis of Artery, Peripheral Arterial Disease, Iliac Artery Disease, Iliac Artery Occlusion
Keywords
PAOD, Peripheral Arterial Occlusive Disease, Iliac Artery Disease, Stent Graft
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Approximately 30 subjects will be enrolled and treated with the study device
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group Treated with stent graft
Arm Type
Experimental
Arm Description
This is a single arm study. All subjects will be treated with the WRAPSODY stent graft.
Intervention Type
Device
Intervention Name(s)
Placement of WRAPSODY stent graft
Intervention Description
Placement of WRAPSODY stent graft into the iliac arteries and/or aortic bifurcation.
Primary Outcome Measure Information:
Title
Safety endpoint of subjects free from specified adverse events
Description
The primary study safety endpoint is the proportion of subjects free from a composite of device- or procedure-related death, myocardial infarction, or amputation above the metatarsals in the treated leg resulting from a vascular event, or device- or procedure-related serious adverse events within 4 weeks of the index procedure.
Time Frame
4 weeks after placement of WRAPSODY stent graft
Title
Effectiveness endpoint of subjects with improvement of Rutherford Category
Description
The primary clinical effectiveness endpoint is the proportion of subjects with improvement of at least 1 Rutherford category within 4 weeks of the index procedure. Composite with Outcome 3.
Time Frame
4 weeks after placement of WRAPSODY stent graft
Title
Effectiveness endpoint of subjects with patency
Description
The primary clinical effectiveness endpoint is the proportion of subjects with patency as evaluated by duplex ultrasound at 4 weeks after index procedure. Composite with Outcome 2.
Time Frame
4 weeks after placement of WRAPSODY stent graft
10. Eligibility
Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject has signed informed consent
Subject is ≥ 21 years of age
Subject is able and willing to comply with study requirements
Male, infertile female, or female practicing contraception and a negative pregnancy test within 7 days prior to the study procedure
Symptomatic claudication or rest pain without tissue loss, Rutherford category 2-4
Angiographic evidence of de novo or restenotic target lesion(s) in native vessels in the common and/or external iliac artery(ies) (multiple stenoses may exist within the target lesion)
Total lesion(s) length is ≤ 110mm
Target lesion(s) is at least 3 cm from an existing stent or stent graft
At least 1 stenosis in the target vessel has ≥ 50% stenosis
Target vessel diameter is between 4.6 and 14.4mm at angiographic screening for device placement
Adequate ipsilateral blood flow, including at least 1 patent (<50% stenotic) superficial femoral or profundal femoral artery
Full expansion of an appropriately sized (in the investigator's opinion) standard angioplasty balloon has been achieved during primary angioplasty at the target lesion prior to enrollment
Exclusion Criteria:
Subject has undergone an intervention (surgical or percutaneous) in the target limb(s) <30 days from the date of the index study procedure
Subject has a surgical or percutaneous procedure in the target limb(s) planned within 30 days following the index study procedure
Previous or planned bypass surgery in the target limb(s)
Coronary intervention within 30 days prior to enrollment or planned within 12 months after index study procedure
Subject has had a stroke within 90 days prior to the index study procedure
Subject has had a transient ischemic attack within 30 days prior to the index study procedure
Uncorrectable coagulation disorder
Subject cannot receive heparin, dual antiplatelet treatment, or anticoagulant(s) appropriate in the opinion of the investigator
Condition unrelated to study anticipated to require indefinite anticoagulation
Evidence of blood borne infection
Hypersensitivity to nickel titanium alloy
Allergy to radiographic contrast material which cannot be adequately premedicated
Serum creatinine >2.5mg/dL
The subject is enrolled in another investigational study
Life expectancy is ≤ 12 months
Active malignancy other than non-melanomatous skin cancer
Stenosis/restenosis is located within a previously placed stent or stent graft
Angiographic evidence of thrombus within or adjacent to the target lesion(s)
Aneurysmal dilation proximal or distal to the target lesion(s) that could interfere with placement of the study device
Abdominal aortic artery stent, if it could interfere with placement of the study device
Target lesion(s) are located such that the stent graft would prevent blood flow to the internal iliac artery, if patent
Lesions requiring atherectomy or ablation to facilitate stent graft delivery
Any other condition deemed exclusionary in the opinion of the investigator for documented reasons relating to the health and/or welfare of the subject
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrew Holden
Organizational Affiliation
Auckland City Hospital
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
The Merit WRAPSODY™ Endovascular Stent Graft for Treatment of Iliac Artery Occlusive Disease
We'll reach out to this number within 24 hrs