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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Withdrawn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
Merit Medical Systems, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

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

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

Inclusion Criteria:

  1. Subject has signed informed consent
  2. Subject is ≥ 21 years of age
  3. Subject is able and willing to comply with study requirements
  4. Male, infertile female, or female practicing contraception and a negative pregnancy test within 7 days prior to the study procedure
  5. Symptomatic claudication or rest pain without tissue loss, Rutherford category 2-4
  6. 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)
  7. Total lesion(s) length is ≤ 110mm
  8. Target lesion(s) is at least 3 cm from an existing stent or stent graft
  9. At least 1 stenosis in the target vessel has ≥ 50% stenosis
  10. Target vessel diameter is between 4.6 and 14.4mm at angiographic screening for device placement
  11. Adequate ipsilateral blood flow, including at least 1 patent (<50% stenotic) superficial femoral or profundal femoral artery
  12. 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:

  1. Subject has undergone an intervention (surgical or percutaneous) in the target limb(s) <30 days from the date of the index study procedure
  2. Subject has a surgical or percutaneous procedure in the target limb(s) planned within 30 days following the index study procedure
  3. Previous or planned bypass surgery in the target limb(s)
  4. Coronary intervention within 30 days prior to enrollment or planned within 12 months after index study procedure
  5. Subject has had a stroke within 90 days prior to the index study procedure
  6. Subject has had a transient ischemic attack within 30 days prior to the index study procedure
  7. Uncorrectable coagulation disorder
  8. Subject cannot receive heparin, dual antiplatelet treatment, or anticoagulant(s) appropriate in the opinion of the investigator
  9. Condition unrelated to study anticipated to require indefinite anticoagulation
  10. Evidence of blood borne infection
  11. Hypersensitivity to nickel titanium alloy
  12. Allergy to radiographic contrast material which cannot be adequately premedicated
  13. Serum creatinine >2.5mg/dL
  14. The subject is enrolled in another investigational study
  15. Life expectancy is ≤ 12 months
  16. Active malignancy other than non-melanomatous skin cancer
  17. Stenosis/restenosis is located within a previously placed stent or stent graft
  18. Angiographic evidence of thrombus within or adjacent to the target lesion(s)
  19. Aneurysmal dilation proximal or distal to the target lesion(s) that could interfere with placement of the study device
  20. Abdominal aortic artery stent, if it could interfere with placement of the study device
  21. Target lesion(s) are located such that the stent graft would prevent blood flow to the internal iliac artery, if patent
  22. Lesions requiring atherectomy or ablation to facilitate stent graft delivery
  23. 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

    First Posted
    June 19, 2019
    Last Updated
    April 21, 2020
    Sponsor
    Merit Medical Systems, Inc.
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    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

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    The Merit WRAPSODY™ Endovascular Stent Graft for Treatment of Iliac Artery Occlusive Disease

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