The Gore SCAFFOLD Clinical Study
Primary Purpose
Carotid Artery Disease, Carotid Artery Stenosis
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Carotid Artery Stenting
Sponsored by
About this trial
This is an interventional treatment trial for Carotid Artery Disease focused on measuring Stroke, Carotid Artery Stenting (CAS), Embolic Protection Device (EPD), Stent, Carotid Stenosis, Constriction, Pathologic, Carotid Artery Diseases, Cerebrovascular Disorders, Brain Diseases, Central Nervous System Diseases, Nervous System Diseases, Arterial Occlusive Diseases, Vascular Diseases, Cardiovascular Diseases, Pathological Conditions, Anatomical, Angioplasty
Eligibility Criteria
Inclusion Criteria:
- Patient is at least 18 years old at informed consent
- Patient is willing and capable of complying with all study protocol requirements, including specified follow-up period and can be contacted by telephone.
- Patient is willing to provide written informed consent prior to enrollment in study.
Patient is either:
- Symptomatic with carotid stenosis ≥50% as determined by angiography using NASCET methodology. Symptomatic is defined as amaurosis fugax ipsilateral to the carotid lesion; Transient Ischemic Attack (TIA) or non-disabling stroke within 180 days of the procedure within the hemisphere supplied by the target vessel; OR
- Asymptomatic with carotid stenosis ≥80% as determined by angiography using NASCET methodology
- Patient must be considered high risk for adverse events during carotid endarterectomy
Note: Additional inclusion criteria may apply
Exclusion Criteria:
- Patient has life expectancy of less than one year.
- Patient is experiencing (or has experienced) an evolving, acute, or recent disabling stroke.
- Patient has anticipated or potential sources of emboli (e.g. atrial fibrillation, known previously symptomatic patent foramen ovale (PFO), mechanical heart valve, or Deep Vein Thrombosis (DVT) treated within 6 months).
- Patient has had an acute myocardial infarction within 72 hours prior to the index procedure.
- Patient has a history of major, disabling ipsilateral stroke with residual deficit that may confound the neurological subject assessments.
- Patient has known severe carotid stenosis contralateral to the target lesion requiring treatment within 30 days following the index procedure.
Note: Additional exclusion criteria may apply
Sites / Locations
- Kaiser Permanente Hawaii
- Lankenau Heart Institute
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Carotid Artery Stenting
Arm Description
Carotid Artery Stenting with the GORE® Carotid Stent
Outcomes
Primary Outcome Measures
Number of Participants Who Experienced Major Adverse Events (MAE) at One Year
MAE defined as any death, stroke, or myocardial infarction through 30 days post-index procedure, or ipsilateral stroke between 31 days and 1 year (365 days).
Secondary Outcome Measures
Number of Participants Who Achieved Stent Technical Success
Stent Technical Success defined as successful implantation of a GORE® Carotid Stent
Number of Participants Who Achieved Embolic Protection Device (EPD) Technical Success
EPD Technical Success defined as GORE® Embolic Filter delivered, placed, and retrieved without requiring assisting interventional methods.
Number of Participants Who Achieved Procedure Success
Procedure Success defined as Stent Technical Success with < 30% residual stenosis and no in-hospital MAE.
Number of Participants Who Experienced MAE at 30 Days
Defined as any death, stroke, or myocardial infarction through 30 days post-index procedure.
30-Day MAE - Death
Any cause death through 30 days post-index procedure
30-Day MAE - Myocardial Infarction
Any myocardial infarction through 30 days post-index procedure
30-Day MAE - Stroke
Any stroke through 30 days post-index procedure
In-Stent Restenosis
≥80% diameter stenosis within the stented lesion or within 5 mm proximal or distal to the stent at follow-up evaluation by core lab angiographic analysis
Target Lesion Revascularization
Any clinically driven revascularization procedure that is performed to increase the luminal diameter inside or within 5 mm of the previously treated lesion
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01901874
Brief Title
The Gore SCAFFOLD Clinical Study
Official Title
GORE® Carotid Stent Clinical Study for the Treatment of Carotid Artery Stenosis in Patients at Increased Risk for Adverse Events From Carotid Endarterectomy
Study Type
Interventional
2. Study Status
Record Verification Date
October 2020
Overall Recruitment Status
Completed
Study Start Date
July 2013 (Actual)
Primary Completion Date
December 2017 (Actual)
Study Completion Date
September 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
W.L.Gore & Associates
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Evaluate the safety and efficacy of the GORE® Carotid Stent for the treatment of carotid artery stenosis in patients at increased risk for adverse events from carotid endarterectomy
Detailed Description
This is a prospective, multicenter, single-arm clinical study comparing outcomes with the GORE® Carotid Stent to a performance goal derived from carotid endarterectomy outcomes in high-surgical-risk patients.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carotid Artery Disease, Carotid Artery Stenosis
Keywords
Stroke, Carotid Artery Stenting (CAS), Embolic Protection Device (EPD), Stent, Carotid Stenosis, Constriction, Pathologic, Carotid Artery Diseases, Cerebrovascular Disorders, Brain Diseases, Central Nervous System Diseases, Nervous System Diseases, Arterial Occlusive Diseases, Vascular Diseases, Cardiovascular Diseases, Pathological Conditions, Anatomical, Angioplasty
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
312 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Carotid Artery Stenting
Arm Type
Experimental
Arm Description
Carotid Artery Stenting with the GORE® Carotid Stent
Intervention Type
Device
Intervention Name(s)
Carotid Artery Stenting
Other Intervention Name(s)
GORE® Carotid Stent
Intervention Description
Carotid Artery Stenting with the GORE® Carotid Stent
Primary Outcome Measure Information:
Title
Number of Participants Who Experienced Major Adverse Events (MAE) at One Year
Description
MAE defined as any death, stroke, or myocardial infarction through 30 days post-index procedure, or ipsilateral stroke between 31 days and 1 year (365 days).
Time Frame
365 days
Secondary Outcome Measure Information:
Title
Number of Participants Who Achieved Stent Technical Success
Description
Stent Technical Success defined as successful implantation of a GORE® Carotid Stent
Time Frame
Procedural
Title
Number of Participants Who Achieved Embolic Protection Device (EPD) Technical Success
Description
EPD Technical Success defined as GORE® Embolic Filter delivered, placed, and retrieved without requiring assisting interventional methods.
Time Frame
Procedural
Title
Number of Participants Who Achieved Procedure Success
Description
Procedure Success defined as Stent Technical Success with < 30% residual stenosis and no in-hospital MAE.
Time Frame
Procedural
Title
Number of Participants Who Experienced MAE at 30 Days
Description
Defined as any death, stroke, or myocardial infarction through 30 days post-index procedure.
Time Frame
30 days
Title
30-Day MAE - Death
Description
Any cause death through 30 days post-index procedure
Time Frame
30 days
Title
30-Day MAE - Myocardial Infarction
Description
Any myocardial infarction through 30 days post-index procedure
Time Frame
30 days
Title
30-Day MAE - Stroke
Description
Any stroke through 30 days post-index procedure
Time Frame
30 days
Title
In-Stent Restenosis
Description
≥80% diameter stenosis within the stented lesion or within 5 mm proximal or distal to the stent at follow-up evaluation by core lab angiographic analysis
Time Frame
365 days
Title
Target Lesion Revascularization
Description
Any clinically driven revascularization procedure that is performed to increase the luminal diameter inside or within 5 mm of the previously treated lesion
Time Frame
365 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient is at least 18 years old at informed consent
Patient is willing and capable of complying with all study protocol requirements, including specified follow-up period and can be contacted by telephone.
Patient is willing to provide written informed consent prior to enrollment in study.
Patient is either:
Symptomatic with carotid stenosis ≥50% as determined by angiography using NASCET methodology. Symptomatic is defined as amaurosis fugax ipsilateral to the carotid lesion; Transient Ischemic Attack (TIA) or non-disabling stroke within 180 days of the procedure within the hemisphere supplied by the target vessel; OR
Asymptomatic with carotid stenosis ≥80% as determined by angiography using NASCET methodology
Patient must be considered high risk for adverse events during carotid endarterectomy
Note: Additional inclusion criteria may apply
Exclusion Criteria:
Patient has life expectancy of less than one year.
Patient is experiencing (or has experienced) an evolving, acute, or recent disabling stroke.
Patient has anticipated or potential sources of emboli (e.g. atrial fibrillation, known previously symptomatic patent foramen ovale (PFO), mechanical heart valve, or Deep Vein Thrombosis (DVT) treated within 6 months).
Patient has had an acute myocardial infarction within 72 hours prior to the index procedure.
Patient has a history of major, disabling ipsilateral stroke with residual deficit that may confound the neurological subject assessments.
Patient has known severe carotid stenosis contralateral to the target lesion requiring treatment within 30 days following the index procedure.
Note: Additional exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William Gray, MD
Organizational Affiliation
Lankenau Heart Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Peter Schneider, MD
Organizational Affiliation
Kaiser Health System, Honolulu
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kaiser Permanente Hawaii
City
Honolulu
State/Province
Hawaii
ZIP/Postal Code
96819
Country
United States
Facility Name
Lankenau Heart Institute
City
Wynnewood
State/Province
Pennsylvania
ZIP/Postal Code
19096
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
31713310
Citation
Gray WA, Levy E, Bacharach JM, Metzger DC, Randall B, Siddiqui A, Schonholz C, Alani F, Schneider PA. Evaluation of a novel mesh-covered stent for treatment of carotid stenosis in patients at high risk for endarterectomy: 1-year results of the SCAFFOLD trial. Catheter Cardiovasc Interv. 2020 Jul;96(1):121-127. doi: 10.1002/ccd.28586. Epub 2019 Nov 11.
Results Reference
derived
Learn more about this trial
The Gore SCAFFOLD Clinical Study
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