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Belgian Study to Assess the Efficacy and Safety of the RESTORER Iliac Stent for Treatment of Aorto-iliac Lesions. (BARISTA)

Primary Purpose

Peripheral Arterial Disease

Status
Recruiting
Phase
Not Applicable
Locations
Belgium
Study Type
Interventional
Intervention
Restorer Iliac Stent System
Sponsored by
ID3 Medical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peripheral Arterial Disease

Eligibility Criteria

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

Inclusion Criteria: 1. Males or non-pregnant females ≥ 18 years of age at the time of consent. Females of childbearing potentials have a negative pregnancy test <7 days before the procedure and are willing to use a reliable method of birth control for the duration of study participation. Female participants will be exempted from this requirement in case they are sterile, infertile or have been post-menopausal for at least 12 months.

2. Patient (or their legal representative) understands the nature of the procedure and provides written informed consent, prior to enrolment in the study.

3. Patient presenting with a stenotic or occlusive lesion at the Aorto-iliac arteries suitable for stenting with the Restorer stent (iVascular) (on indication for primary stenting, based on the discretion of the investigator). This lesion is corresponding to the CE-mark indications/contra-indications and according to the current medical guidelines for minimally invasive peripheral interventions.

4. Estimated life expectancy ≥ 2 years. 5. Patient presenting a score from 2 to 4 following Rutherford classification. 6. Patient is willing to comply with specified follow-up evaluations at the specified times for the duration of the study.

7. The target lesion has angiographic evidence of stenosis or restenosis >50% or occlusion which can be passed with standard guidewire manipulation.

8. There is angiographic evidence of a patent Common and Deep Femoral Artery.

-

Exclusion Criteria: 1. Patients with a history of coagulation disorders, 2. Presence of an aneurysm immediately adjacent of the site of stent implantation, 3. Extension of more than 1cm in distal aorta, 4. Extension into CFA, 5. Fresh thrombus formation, 6. Acute limb ischemia, defined as symptom onset during less than 14 days prior to the index procedure, 7. Any systemic infection or immunocompromised state. Patients with an ascending infection/deep foot infection or abscess/white blood count (WBC)≥12.000/or febrile state or CRP>5mg/L, 8. Existing stent implant in the target vessel, 9. Use of alternative therapies: atherectomy, cutting/scoring balloons, laser, … 10. Known coagulopathy, hypercoagulable state, bleeding diathesis, other blood disorder, or a platelet count less than 80.000/µL or greater than 500.000/µL, 11. Any subject in which antiplatelet, anticoagulant or thrombolytic therapy is contraindicated, 12. Known hypersensitivity or contraindication to the stent material (CoCr L605), 13. Has other comorbidities that, in the opinion of the investigator, would preclude them from receiving this treatment and/or participating in study-required follow-up, 14. Known hypersensitivity or allergy to contrast agents that cannot be medically managed, 15. Inadequate inflow lesion treatment (>30% residual stenosis), 16. Subject has IFU listed contraindication(s).

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Sites / Locations

  • JessaRecruiting
  • AZ Maria MiddelaresRecruiting
  • VitazRecruiting
  • AZ Sint Jan BruggeRecruiting
  • O.L.V. HospitalRecruiting
  • GZA ziekenhuizenRecruiting
  • UZARecruiting
  • Imelda HospitalRecruiting
  • A.Z. Sint-BlasiusRecruiting
  • Z.O.L.Recruiting
  • az GroeningeRecruiting
  • CHU LiègeRecruiting
  • R.Z. Heilig HartRecruiting
  • A.Z. Jan PortaelsRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Restorer Iliac Stent System

Arm Description

RESTORER Iliac Stent system for the treatment of Aorto-iliac lesions (TASC A, B, C and D) according to IFU

Outcomes

Primary Outcome Measures

Freedom from TLR
Freedom from any Target Lesion Revascularization (TLR) at 12 months
Freedom from major amputation
Freedom from amputation above the ankle
Freedom from restenosis
No significant stenosis on duplex ultrasound (>50% stenosis or systolic velocity ratio greater than 2.4)

Secondary Outcome Measures

Technical success
final residual angiographic stenosis <30%
Primary patency rate
lack of restenosis and no need for reintervention of the target lesion
Stent graft occlusion rate
Presence or absence of occlusion
ABI
comparison of Ankle Brachial Index at follow-up compared to baseline ABI
Freedom from Target Lesion Revascularization
freedom from repeated 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
Clinical improvement of at least one Rutherford classification
Clinical improvement of at least one Rutherford classification (RCC) compared to pre-procedure RCC
Change in Quality of Life
Change in Quality-of-Life Questionnaire (EQ5D) at follow-up, compared to baseline
Limb salvage
Freedom from any above-the-ankle target limb amputation

Full Information

First Posted
January 19, 2022
Last Updated
May 8, 2023
Sponsor
ID3 Medical
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1. Study Identification

Unique Protocol Identification Number
NCT05293002
Brief Title
Belgian Study to Assess the Efficacy and Safety of the RESTORER Iliac Stent for Treatment of Aorto-iliac Lesions.
Acronym
BARISTA
Official Title
Belgian Study to Assess the Efficacy and Safety of the RESTORER Iliac Stent System for the Treatment of Aorto-iliac Lesions (TASC A, B, C and D).
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 13, 2022 (Actual)
Primary Completion Date
July 31, 2025 (Anticipated)
Study Completion Date
December 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ID3 Medical

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The BARISTA study tests the safety and efficacy of the Restorer stent from the company iVascular. This stent is a medical device that is already approved for use in Europe, to treat stenotic (narrowed) iliac arteries. 200 Belgian patients from 13 different hospitals will be included in this study. Patients will be medically monitored for 2 years from the day of the study procedure. The treatment of the stenotic iliac arteries will be according to the standard of care, using the Restorer stent. This endovascular treatment consists of introducing the necessary materials in the blood vessels by a puncture in the groin under general or local anaesthesia, after which a thin plastic tube will be inserted into the femoral artery through the puncture site, until the stenotic iliac artery is reached. Medical imaging is done by angiography. The stenotic/occluded section of the artery will first be dilated by inserting and inflating a balloon. Next, the Restorer stent will be placed and, if necessary, another balloon may be inserted and inflated to allow the stent to fit nicely to the vessel wall and optimise the result. As per standard of care, follow-up will be done in the hospital after 1, 6, 12, and 24 months. During these visits, an ultrasound scan of the treated artery will be taken to evaluate the patency of the blood vessel. Also, two short questionnaires will be completed asking about the quality of life and walking difficulties. The use of medication will be recorded. If adverse events are experienced, they will be reported.
Detailed Description
Prospective, single-arm, multicentre, physician-initiated clinical study to assess the long-term (up to 24 months) safety and efficacy of the RESTORER peripheral stent system (iVascular) for the treatment of iliac lesions in 200 subjects, in a controlled clinical setting post CE-certification when used according to the IFU with focus on the treatment of complex TASC A, B, C and D Aorto-iliac lesions. The primary endpoint of the study is freedom of any TLR, major amputation or restenosis (defined as significant stenosis on duplex ultrasound (>50%, systolic velocity ratio greater than 2.4) within 12 months. Secondary endpoints are: technical success during procedure, and during the follow-up period: primary patency, stent graft occlusion rate, ABI, freedom from target lesion revascularization, clinical success (improvement of Rutherford classification), change in walking impairment questionnaire, change in quality of life questionnaire, freedom from above-the-ankle target limb amputation, and mortality. A subanalysis will be done to compare the results using the TASC classification, lesion location (AIE, AIC, bilateral, kissing configuration), gender, diabetes mellitus and Rutherford in terms of patency, frequency of TLR and clinical outcome at 12 and 24 months.

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
Model Description
All patients will receive the Restorer stent of iVascular according to the IFU. Prospective, single-arm, multicentre, physician-initiated clinical study to assess the safety and efficacy of the study device during a two year FU period.
Masking
None (Open Label)
Allocation
N/A
Enrollment
131 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Restorer Iliac Stent System
Arm Type
Experimental
Arm Description
RESTORER Iliac Stent system for the treatment of Aorto-iliac lesions (TASC A, B, C and D) according to IFU
Intervention Type
Device
Intervention Name(s)
Restorer Iliac Stent System
Intervention Description
Not applicable (only one intervention)
Primary Outcome Measure Information:
Title
Freedom from TLR
Description
Freedom from any Target Lesion Revascularization (TLR) at 12 months
Time Frame
12 months
Title
Freedom from major amputation
Description
Freedom from amputation above the ankle
Time Frame
12 months
Title
Freedom from restenosis
Description
No significant stenosis on duplex ultrasound (>50% stenosis or systolic velocity ratio greater than 2.4)
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Technical success
Description
final residual angiographic stenosis <30%
Time Frame
1 month
Title
Primary patency rate
Description
lack of restenosis and no need for reintervention of the target lesion
Time Frame
6, 12, and 24 months
Title
Stent graft occlusion rate
Description
Presence or absence of occlusion
Time Frame
1, 6, 12, and 24 months
Title
ABI
Description
comparison of Ankle Brachial Index at follow-up compared to baseline ABI
Time Frame
6, 12, and 24 months
Title
Freedom from Target Lesion Revascularization
Description
freedom from repeated 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
Time Frame
12 and 24 months
Title
Clinical improvement of at least one Rutherford classification
Description
Clinical improvement of at least one Rutherford classification (RCC) compared to pre-procedure RCC
Time Frame
baseline, 6, 12, 24 months
Title
Change in Quality of Life
Description
Change in Quality-of-Life Questionnaire (EQ5D) at follow-up, compared to baseline
Time Frame
baseline, 6, 12, and 24 months
Title
Limb salvage
Description
Freedom from any above-the-ankle target limb amputation
Time Frame
6, 12, 24 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1. Males or non-pregnant females ≥ 18 years of age at the time of consent. Females of childbearing potentials have a negative pregnancy test <7 days before the procedure and are willing to use a reliable method of birth control for the duration of study participation. Female participants will be exempted from this requirement in case they are sterile, infertile or have been post-menopausal for at least 12 months. 2. Patient (or their legal representative) understands the nature of the procedure and provides written informed consent, prior to enrolment in the study. 3. Patient presenting with a stenotic or occlusive lesion at the Aorto-iliac arteries suitable for stenting with the Restorer stent (iVascular) (on indication for primary stenting, based on the discretion of the investigator). This lesion is corresponding to the CE-mark indications/contra-indications and according to the current medical guidelines for minimally invasive peripheral interventions. 4. Estimated life expectancy ≥ 2 years. 5. Patient presenting a score from 2 to 4 following Rutherford classification. 6. Patient is willing to comply with specified follow-up evaluations at the specified times for the duration of the study. 7. The target lesion has angiographic evidence of stenosis or restenosis >50% or occlusion which can be passed with standard guidewire manipulation. 8. There is angiographic evidence of a patent Common and Deep Femoral Artery. - Exclusion Criteria: 1. Patients with a history of coagulation disorders, 2. Presence of an aneurysm immediately adjacent of the site of stent implantation, 3. Extension of more than 1cm in distal aorta, 4. Extension into CFA, 5. Fresh thrombus formation, 6. Acute limb ischemia, defined as symptom onset during less than 14 days prior to the index procedure, 7. Any systemic infection or immunocompromised state. Patients with an ascending infection/deep foot infection or abscess/white blood count (WBC)≥12.000/or febrile state or CRP>5mg/L, 8. Existing stent implant in the target vessel, 9. Use of alternative therapies: atherectomy, cutting/scoring balloons, laser, … 10. Known coagulopathy, hypercoagulable state, bleeding diathesis, other blood disorder, or a platelet count less than 80.000/µL or greater than 500.000/µL, 11. Any subject in which antiplatelet, anticoagulant or thrombolytic therapy is contraindicated, 12. Known hypersensitivity or contraindication to the stent material (CoCr L605), 13. Has other comorbidities that, in the opinion of the investigator, would preclude them from receiving this treatment and/or participating in study-required follow-up, 14. Known hypersensitivity or allergy to contrast agents that cannot be medically managed, 15. Inadequate inflow lesion treatment (>30% residual stenosis), 16. Subject has IFU listed contraindication(s). -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sofie Vercauteren, MSC
Phone
003252252745
Email
office@id3medical.com
First Name & Middle Initial & Last Name or Official Title & Degree
Elien Vernez, MSC
Phone
003252252745
Email
elienvernez@id3medical.com
Facility Information:
Facility Name
Jessa
City
Hasselt
State/Province
Limburg
ZIP/Postal Code
3500
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bert Du Pont, MD
Phone
011 33 71 15
Ext
0032
Email
Bert.dupont@jessazh.be
First Name & Middle Initial & Last Name & Degree
Ann Mercken
Phone
011 33 71 15
Ext
0032
Email
Ann.Mercken@jessazh.be
Facility Name
AZ Maria Middelares
City
Ghent
State/Province
Oost-Vlaanderen
ZIP/Postal Code
9000
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Willem Willaert, MD
Phone
09 246 74 00
Ext
0032
Email
willem.willaert@azmmsj.be
Facility Name
Vitaz
City
Sint-Niklaas
State/Province
Oost-Vlaanderen
ZIP/Postal Code
9100
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Vincent Ceuterick, MD
Phone
03 760 60 60
Ext
0032
Email
Vincent.Ceuterick@aznikolaas.be
First Name & Middle Initial & Last Name & Degree
Stephen Verbeke, MD
Phone
03 760 60 60
Ext
0032
Email
Stephen.Verbeke@aznikolaas.be
Facility Name
AZ Sint Jan Brugge
City
Brugge
State/Province
West-Vlaanderen
ZIP/Postal Code
8000
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Eva-Line Decoster, MD
Phone
050 45 25 60
Ext
0032
Email
Eva-Line.Decoster@azsintjan.be
First Name & Middle Initial & Last Name & Degree
Paul De Letter, MD
Phone
050 45 25 60
Ext
0032
Email
jan.deletter@azsintjan.be
Facility Name
O.L.V. Hospital
City
Aalst
ZIP/Postal Code
9300
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lieven Maene, MD
First Name & Middle Initial & Last Name & Degree
Lieven Maene, MD
First Name & Middle Initial & Last Name & Degree
Roel Beelen, MD
Facility Name
GZA ziekenhuizen
City
Antwerp
ZIP/Postal Code
2610
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Roderik Deleersnijder, MD
Phone
034434630
Ext
0032
Email
Roderik.Deleersnijder@gza.be
First Name & Middle Initial & Last Name & Degree
Benoit Thomas, MD
Phone
034434630
Ext
0032
Email
benoit.thomas@gza.be
Facility Name
UZA
City
Antwerp
ZIP/Postal Code
2650
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jeroen Hendriks, Pr.
First Name & Middle Initial & Last Name & Degree
Jeroen Hendriks, Pr.
Facility Name
Imelda Hospital
City
Bonheiden
ZIP/Postal Code
2820
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jürgen Verbist, MD
First Name & Middle Initial & Last Name & Degree
Jürgen Verbist, MD
First Name & Middle Initial & Last Name & Degree
Wouter Van den Eynde, MD
Facility Name
A.Z. Sint-Blasius
City
Dendermonde
ZIP/Postal Code
9200
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Koen Deloose, MD
First Name & Middle Initial & Last Name & Degree
Koen Deloose, MD
First Name & Middle Initial & Last Name & Degree
Joren Callaert, MD
Facility Name
Z.O.L.
City
Genk
ZIP/Postal Code
3600
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wouter Lansink, MD
First Name & Middle Initial & Last Name & Degree
Wouter Lansink, MD
Facility Name
az Groeninge
City
Kortrijk
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Annelies Grimonprez, PhD
First Name & Middle Initial & Last Name & Degree
Philip Lerut, MD
Facility Name
CHU Liège
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Arnaud Kerzmann, MD
Phone
043667183
Ext
0032
Email
akerzmann@chuliege.be
First Name & Middle Initial & Last Name & Degree
Margot Gonda
Phone
043667183
Ext
0032
Email
Margot.Gonda@chuliege.be
Facility Name
R.Z. Heilig Hart
City
Tienen
ZIP/Postal Code
3300
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Koen Keirse, MD
First Name & Middle Initial & Last Name & Degree
Koen Keirse, MD
Facility Name
A.Z. Jan Portaels
City
Vilvoorde
ZIP/Postal Code
1800
Country
Belgium
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jorn Robijn, MD
First Name & Middle Initial & Last Name & Degree
Jorn Robijn, MD
First Name & Middle Initial & Last Name & Degree
Kim Taeymans, MD

12. IPD Sharing Statement

Plan to Share IPD
No

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Belgian Study to Assess the Efficacy and Safety of the RESTORER Iliac Stent for Treatment of Aorto-iliac Lesions.

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