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A Prospective Study of the Bard® LifeStent® Solo Vascular Stent System (REALITY2)

Primary Purpose

Peripheral Artery Disease

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
LifeStent Vascular Stent
Sponsored by
C. R. Bard
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peripheral Artery Disease

Eligibility Criteria

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

Inclusion Criteria:

  1. The subject or legal representative has been informed of the nature of the evaluation, agrees to its provisions, and has signed the informed consent form (ICF).
  2. Subject agrees to comply with the protocol-mandated follow-up procedures and visits.
  3. The subject is ≥ 21 years old.
  4. Female subjects of childbearing potential must have a negative urine or serum pregnancy test within seven days prior to index procedure. Female subjects who are surgically sterile or post-menopausal are exempt from having a pregnancy test.
  5. The subject has lifestyle-limiting claudication or mild tissue loss defined as: Rutherford Category1 2-5 (moderate claudication to minor tissue loss).
  6. The target lesion has angiographic evidence of stenosis or restenosis ≥50% or occlusion in the SFA and/or popliteal artery (by visual estimate) and is amenable to PTA and stenting.
  7. The target vessel reference diameter is (by visual estimate) appropriate for treatment with available stent diameters of 6.0 and 7.0 mm.
  8. There is angiographic evidence of at least one vessel runoff to the foot (at the level of the malleolus).

Exclusion Criteria:

  1. The subject is unable or unwilling to provide informed consent or is unable or unwilling to comply with the study follow-up procedure and visits.
  2. The subject has claudication or critical limb ischemia described as Rutherford Category 0 (asymptomatic), 1 (mild claudication), or 6 (major tissue loss).
  3. The subject has a known contraindication (including allergic reaction) or sensitivity to antiplatelet/anticoagulant medication, nickel, titanium or tantalum.
  4. The subject has a known sensitivity to contrast media that is not amenable to pretreatment with steroids or/and antihistamines.
  5. The subject has a history of bleeding diatheses of coagulopathy.
  6. The subject has concomitant renal failure with a creatinine of >2.5 mg/dL.
  7. The subject has concomitant hepatic insufficiency,thrombophlebitis, uremia, systemic lupus erythematosus (SLE), or deep vein thrombosis (DVT) at the time of the study procedure.
  8. The subject is receiving dialysis or immunosuppressive therapy.
  9. The subject is participating in an investigational drug or another investigational device study.
  10. The subject has another medical condition, which, in the opinion of the investigator, may cause him/her to be noncompliant with the protocol, confound the data interpretation, or is associated with limited life expectancy of less than two years.
  11. The subject has extensive peripheral vascular disease, which,in the opinion of the investigator, precludes safe insertion of an introducer sheath.
  12. The target lesion is located within an aneurysm or associated with an aneurysm in the vessel segment either proximal or distal to the target lesion.
  13. The subject has angiographic evidence of poor inflow, which would be deemed inadequate to support a vascular bypass graft.
  14. The subject is diagnosed with septicemia at the time of the study procedure.
  15. Subjects with a stent previously implanted into the target lesion. A target vessel with a previously placed stent is permitted as long as the subject device will not come into contact with the previously placed stent during treatment of the target lesion.
  16. Lesions requiring the use of more than one investigational stent.
  17. Bilateral disease in the native SFA and/or proximal popliteal artery where both limbs meet the inclusion/exclusion criteria and it is planned to treat both limbs within 30 days.

Sites / Locations

  • University Heart Centre Freiburg
  • Gemeinschaftspraxis für Radiologie
  • Fürst Stirum Klinik Bruchsal
  • RoMed Klinikum Rosenheim

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

LifeStent Vascular Stent

Arm Description

This is a single arm study and all subjects receive PTA and implantation of one Life Stent Vascular Stent.

Outcomes

Primary Outcome Measures

Major Adverse Events (MAEs)
Occurence of death or target limb amputation or any target lesion revascularization/target vessel revascularization through 30 days post-index procedure. These events will be assessed by clinical evaluations.
Stent performance
Stent deployment success; defined as a post-deployment stent length deviating <10% from pre-deployment stent length (determined by an independent core lab). Placement accuracy based upon a rating scale completed by the investigator at time of index procedure.

Secondary Outcome Measures

Major Adverse Events (MAEs)
Occurence of death, stroke, MI, emergent surgical revascularization of the target limb, significant distal embolization in target limb, target limb major amputation, and thrombosis of target vessel at 12 months post-index procedure. These events will be assessed by clinical evaluations.
Target lesion/vessel revascularization
TLR/TVR rate after 12 months post-index procedure. TLR/TVR will be assessed by clinical evaluations.
Target lesion patency
Primary patency (PSVR<2.4) rate at 12 month post-index procedure (measured by DUS). Patency will be assessed by clinical evaluations.

Full Information

First Posted
September 25, 2014
Last Updated
December 6, 2016
Sponsor
C. R. Bard
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1. Study Identification

Unique Protocol Identification Number
NCT02262949
Brief Title
A Prospective Study of the Bard® LifeStent® Solo Vascular Stent System
Acronym
REALITY2
Official Title
A Prospective Study of the Bard® LifeStent® Solo Vascular Stent System (REALITY2)
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Completed
Study Start Date
September 2014 (undefined)
Primary Completion Date
July 2015 (Actual)
Study Completion Date
July 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
C. R. Bard

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the deliverability, clinical utility, safety and effectiveness of the 250 mm length size offering of the LifeStent® Vascular Stent.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Artery 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
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LifeStent Vascular Stent
Arm Type
Experimental
Arm Description
This is a single arm study and all subjects receive PTA and implantation of one Life Stent Vascular Stent.
Intervention Type
Device
Intervention Name(s)
LifeStent Vascular Stent
Intervention Description
PTA followed by implantation of the LifeStent Vascular Stent (stent length 250 mm) in the SFA or popliteal artery.
Primary Outcome Measure Information:
Title
Major Adverse Events (MAEs)
Description
Occurence of death or target limb amputation or any target lesion revascularization/target vessel revascularization through 30 days post-index procedure. These events will be assessed by clinical evaluations.
Time Frame
30 days
Title
Stent performance
Description
Stent deployment success; defined as a post-deployment stent length deviating <10% from pre-deployment stent length (determined by an independent core lab). Placement accuracy based upon a rating scale completed by the investigator at time of index procedure.
Time Frame
intra operative
Secondary Outcome Measure Information:
Title
Major Adverse Events (MAEs)
Description
Occurence of death, stroke, MI, emergent surgical revascularization of the target limb, significant distal embolization in target limb, target limb major amputation, and thrombosis of target vessel at 12 months post-index procedure. These events will be assessed by clinical evaluations.
Time Frame
1 year
Title
Target lesion/vessel revascularization
Description
TLR/TVR rate after 12 months post-index procedure. TLR/TVR will be assessed by clinical evaluations.
Time Frame
1 year
Title
Target lesion patency
Description
Primary patency (PSVR<2.4) rate at 12 month post-index procedure (measured by DUS). Patency will be assessed by clinical evaluations.
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject or legal representative has been informed of the nature of the evaluation, agrees to its provisions, and has signed the informed consent form (ICF). Subject agrees to comply with the protocol-mandated follow-up procedures and visits. The subject is ≥ 21 years old. Female subjects of childbearing potential must have a negative urine or serum pregnancy test within seven days prior to index procedure. Female subjects who are surgically sterile or post-menopausal are exempt from having a pregnancy test. The subject has lifestyle-limiting claudication or mild tissue loss defined as: Rutherford Category1 2-5 (moderate claudication to minor tissue loss). The target lesion has angiographic evidence of stenosis or restenosis ≥50% or occlusion in the SFA and/or popliteal artery (by visual estimate) and is amenable to PTA and stenting. The target vessel reference diameter is (by visual estimate) appropriate for treatment with available stent diameters of 6.0 and 7.0 mm. There is angiographic evidence of at least one vessel runoff to the foot (at the level of the malleolus). Exclusion Criteria: The subject is unable or unwilling to provide informed consent or is unable or unwilling to comply with the study follow-up procedure and visits. The subject has claudication or critical limb ischemia described as Rutherford Category 0 (asymptomatic), 1 (mild claudication), or 6 (major tissue loss). The subject has a known contraindication (including allergic reaction) or sensitivity to antiplatelet/anticoagulant medication, nickel, titanium or tantalum. The subject has a known sensitivity to contrast media that is not amenable to pretreatment with steroids or/and antihistamines. The subject has a history of bleeding diatheses of coagulopathy. The subject has concomitant renal failure with a creatinine of >2.5 mg/dL. The subject has concomitant hepatic insufficiency,thrombophlebitis, uremia, systemic lupus erythematosus (SLE), or deep vein thrombosis (DVT) at the time of the study procedure. The subject is receiving dialysis or immunosuppressive therapy. The subject is participating in an investigational drug or another investigational device study. The subject has another medical condition, which, in the opinion of the investigator, may cause him/her to be noncompliant with the protocol, confound the data interpretation, or is associated with limited life expectancy of less than two years. The subject has extensive peripheral vascular disease, which,in the opinion of the investigator, precludes safe insertion of an introducer sheath. The target lesion is located within an aneurysm or associated with an aneurysm in the vessel segment either proximal or distal to the target lesion. The subject has angiographic evidence of poor inflow, which would be deemed inadequate to support a vascular bypass graft. The subject is diagnosed with septicemia at the time of the study procedure. Subjects with a stent previously implanted into the target lesion. A target vessel with a previously placed stent is permitted as long as the subject device will not come into contact with the previously placed stent during treatment of the target lesion. Lesions requiring the use of more than one investigational stent. Bilateral disease in the native SFA and/or proximal popliteal artery where both limbs meet the inclusion/exclusion criteria and it is planned to treat both limbs within 30 days.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thomas Zeller, Prof. Dr.
Organizational Affiliation
University Heart Centre Freiburg, Bad Krozingen
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Heart Centre Freiburg
City
Bad Krozingen
ZIP/Postal Code
79189
Country
Germany
Facility Name
Gemeinschaftspraxis für Radiologie
City
Berlin
ZIP/Postal Code
13347
Country
Germany
Facility Name
Fürst Stirum Klinik Bruchsal
City
Bruchsal
ZIP/Postal Code
76646
Country
Germany
Facility Name
RoMed Klinikum Rosenheim
City
Rosenheim
ZIP/Postal Code
83022
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

A Prospective Study of the Bard® LifeStent® Solo Vascular Stent System

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