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Bard® LifeStent® Vascular Stent Delivery System Study

Primary Purpose

Peripheral Vascular Disease

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

About this trial

This is an interventional treatment trial for Peripheral Vascular 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 ischemic rest pain defined as: Rutherford Category1 2-4 (moderate claudication to ischemic rest pain).
  6. The target lesion(s) has angiographic evidence of stenosis or restenosis ≥50% or occlusion (by visual estimate) and is amenable to PTA and stenting.
  7. The total treated segment(s) must be ≤ 240 mm.
  8. The target vessel reference diameter is ≥4.0 mm and ≤6.5 mm (by visual estimate) and therefore appropriate for treatment with available stent diameters of 6.0 mm and 7.0 mm.
  9. 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 Category1 1 (mild claudication), 5 (minor tissue loss) or 6 (major tissue loss).
  3. The subject has a known contraindication (including allergic reaction) or sensitivity to antiplatelet/anticoagulant medications, 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 or 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 non-compliant 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(s) is located within an aneurysm or associated with an aneurysm in the vessel segment either proximal or distal to the target lesion(s).
  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. Patients with a stent previously implanted into the target vessel.
  16. 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. Note: One limb may be enrolled in the study, but only if the second limb is planned to be treated after the 30-day follow-up visit has taken place. The limb that may be enrolled has to be the limb with the more severe lesion and the reasons for treating this specific limb will need to be stated in the CRF.

Sites / Locations

  • Univ. Prof. Dr. Johannes Lammer
  • Herzzentrum Bad Krozingen
  • Dr. Henrik Schroeder
  • Dr. Hans Krankenberg
  • Dr. Rainer Schmiedel
  • Prof. Dr. med. Dietrich Pfeiffer
  • Prof. Dr. Holger Reinecke
  • Prof. Dr. Gunnar Tepe

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PTA and study stent

Arm Description

Bard® LifeStent® Vascular Stent System

Outcomes

Primary Outcome Measures

Acute Effectiveness: Percentage of Stents With Successful Delivery
Effectiveness: Acute effectiveness defined as the successful delivery of the stent with the post-deployment stent length being within 10% of the pre-deployment length.
(Safety) Freedom From Occurrence of Death, Amputation and TVR/TLR at 30-days Post-index Procedure.
Safety: Freedom from occurrence of death, amputation and TVR/TLR at 30-days post-index procedure.

Secondary Outcome Measures

Primary Target Lesion Patency
Percentage of participants with Primary Target Lesion Patency (TLP) at 12 months post-index procedure

Full Information

First Posted
May 21, 2010
Last Updated
October 11, 2018
Sponsor
C. R. Bard
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1. Study Identification

Unique Protocol Identification Number
NCT01179984
Brief Title
Bard® LifeStent® Vascular Stent Delivery System Study
Official Title
Bard® LifeStent® Vascular Stent Delivery System Study
Study Type
Interventional

2. Study Status

Record Verification Date
October 2018
Overall Recruitment Status
Completed
Study Start Date
June 2010 (undefined)
Primary Completion Date
October 2010 (Actual)
Study Completion Date
December 2013 (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 evaluate the effectiveness and safety of a new delivery system for the Bard® LifeStent® Vascular Stent System.
Detailed Description
Single-arm, non-randomized, prospective, multi-center study using the Bard® LifeStent® Vascular Stent Delivery System in subjects with lifestyle-limiting claudication or ischemic rest pain that are candidates for percutaneous transluminal angioplasty (PTA) and stenting with lesion(s) in the infra-inguinal segment (superficial femoral artery (SFA) and/or proximal popliteal artery). Subjects will be treated with PTA followed by implantation of the Bard® LifeStent® Vascular Stent. Clinical follow-up for all subjects will be performed prior to hospital discharge, 30-days, and 12-, 24-, and 36-months post-index procedure.

6. Conditions and Keywords

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

8. Arms, Groups, and Interventions

Arm Title
PTA and study stent
Arm Type
Experimental
Arm Description
Bard® LifeStent® Vascular Stent System
Intervention Type
Device
Intervention Name(s)
Bard® LifeStent® Vascular Stent System
Intervention Description
Stent Implantation
Primary Outcome Measure Information:
Title
Acute Effectiveness: Percentage of Stents With Successful Delivery
Description
Effectiveness: Acute effectiveness defined as the successful delivery of the stent with the post-deployment stent length being within 10% of the pre-deployment length.
Time Frame
At implantation (Day 0)
Title
(Safety) Freedom From Occurrence of Death, Amputation and TVR/TLR at 30-days Post-index Procedure.
Description
Safety: Freedom from occurrence of death, amputation and TVR/TLR at 30-days post-index procedure.
Time Frame
30 day follow-up
Secondary Outcome Measure Information:
Title
Primary Target Lesion Patency
Description
Percentage of participants with Primary Target Lesion Patency (TLP) at 12 months post-index procedure
Time Frame
12 months post-index procedure

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 ischemic rest pain defined as: Rutherford Category1 2-4 (moderate claudication to ischemic rest pain). The target lesion(s) has angiographic evidence of stenosis or restenosis ≥50% or occlusion (by visual estimate) and is amenable to PTA and stenting. The total treated segment(s) must be ≤ 240 mm. The target vessel reference diameter is ≥4.0 mm and ≤6.5 mm (by visual estimate) and therefore appropriate for treatment with available stent diameters of 6.0 mm 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 Category1 1 (mild claudication), 5 (minor tissue loss) or 6 (major tissue loss). The subject has a known contraindication (including allergic reaction) or sensitivity to antiplatelet/anticoagulant medications, 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 or 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 non-compliant 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(s) is located within an aneurysm or associated with an aneurysm in the vessel segment either proximal or distal to the target lesion(s). 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. Patients with a stent previously implanted into the target vessel. 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. Note: One limb may be enrolled in the study, but only if the second limb is planned to be treated after the 30-day follow-up visit has taken place. The limb that may be enrolled has to be the limb with the more severe lesion and the reasons for treating this specific limb will need to be stated in the CRF.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thomas Zeller, MD
Organizational Affiliation
Herzzentrum Bad Krozingen, Germany
Official's Role
Principal Investigator
Facility Information:
Facility Name
Univ. Prof. Dr. Johannes Lammer
City
Vienna
ZIP/Postal Code
1090
Country
Austria
Facility Name
Herzzentrum Bad Krozingen
City
Bad Krozingen
State/Province
Baden Württemberg
ZIP/Postal Code
79189
Country
Germany
Facility Name
Dr. Henrik Schroeder
City
Berlin
ZIP/Postal Code
13347
Country
Germany
Facility Name
Dr. Hans Krankenberg
City
Hamburg
ZIP/Postal Code
22527
Country
Germany
Facility Name
Dr. Rainer Schmiedel
City
Kaiserslautern
ZIP/Postal Code
67657
Country
Germany
Facility Name
Prof. Dr. med. Dietrich Pfeiffer
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
Facility Name
Prof. Dr. Holger Reinecke
City
Münster
ZIP/Postal Code
48149
Country
Germany
Facility Name
Prof. Dr. Gunnar Tepe
City
Rosenheim
ZIP/Postal Code
83022
Country
Germany

12. IPD Sharing Statement

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Bard® LifeStent® Vascular Stent Delivery System Study

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