Comparison of the SUpera® PERipheral System in the Superficial Femoral Artery

NCT ID: NCT00933270

Last Updated: 2017-05-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

325 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2014-07-31

Brief Summary

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This is a prospective, multicenter, non-randomized, single arm, pivotal trial.

The main objective of this study is to demonstrate the safety and effectiveness of the IDev SUPERA® Nitinol Stent System in treating subjects with obstructive superficial femoral artery (SFA) disease. The primary endpoint will be the primary patency of the SFA evaluated at 12 months. The outcome will be compared to a performance goal based on clinical trials of percutaneous transvenous angioplasty (PTA) alone.

Detailed Description

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Conditions

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Peripheral Vascular Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SUPERA® Nitinol Stent System

Implantation of SUPERA nitinol stent using the SUPERA® Nitinol Stent System

Group Type EXPERIMENTAL

SUPERA® Nitinol Stent System

Intervention Type DEVICE

Percutaneous Angioplasty of the Superior Femoral Artery with placement of a SUPERA® Stent at time of PTA

Interventions

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SUPERA® Nitinol Stent System

Percutaneous Angioplasty of the Superior Femoral Artery with placement of a SUPERA® Stent at time of PTA

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Age greater than or equal to 18 years and of age of legal consent.
2. Women of child bearing potential must have a negative pregnancy test within 7 days prior to the index procedure.
3. Subject has lifestyle limiting claudication or rest pain (Rutherford-Becker scale 2-4) with a resting ankle-brachial index (ABI) less than or equal to 0.9. TBI (toe-brachial index) is performed only unable to assess ABI. TBI must be less than or equal to 0.7.
4. A single superficial femoral artery lesion with greater than 60% stenosis or total occlusion.
5. Stenotic lesion(s) or occluded length within the same vessel (one long or multiple serial lesions) greater than or equal to 40 mm to less than or equal to 140 mm. Reference vessel diameter (RVD) greater than or equal to 4.0 mm and less than or equal to 6.0 mm by visual assessment.
6. All lesions are to be located with the distal point at least 3 cm above the knee joint, defined as the distal end of the femur at the knee joint, and proximal point at least 2 cm below the origin of the profunda artery.
7. Patent infrapopliteal and popliteal artery, i.e., single vessel runoff or better with at least one of three vessels patent (less than 50% stenosis) to the ankle or foot.
8. The target lesion(s) can be successfully crossed with a guide wire and dilated.
9. Poor aortoiliac or common femoral "inflow" (i.e., angiographically defined greater than 50% stenosis of the iliac or common femoral artery) that would be deemed inadequate to support a femoropopliteal bypass graft must be successfully treated prior to treatment of the target lesion. This can be done just prior to treatment of the target lesion. Successful treatment is defined as less than 30% stenosis after either PTA or stenting of the inflow lesion. After treatment of the inflow lesion, the pressure gradient across the target lesion will be obtained and if the pressure gradient is greater than or equal to 20 mmHg, then the subject will be included in the study.
10. A subject with bilateral obstructive SFA disease is eligible for enrollment into the study. If a subject with bilateral disease is enrolled, the target limb will be selected at the Investigator's discretion, who may use the criteria of lesion length, percent stenosis, and/or calcification content. The contra-lateral procedure should not be done until at least 30 days after the index procedure (staged); however, if contralateral treatment is performed prior to treatment of the target lesion, the waiting period will be at least 14 days prior to the index procedure.
11. The subject is eligible for standard surgical repair, if necessary.
12. A subject who requires a coronary intervention should have it performed at least 7 days prior to the treatment of the target lesion.
13. Subject must provide written informed consent.
14. Subject must be willing to comply with the specified follow-up evaluation schedule.

Exclusion Criteria

1. Thrombophlebitis or deep venous thrombus, within the previous 30 days.
2. Receiving dialysis or immunosuppressant therapy within the previous 30 days.
3. Thrombolysis of the target vessel within 72 hours prior to the index procedure, where complete resolution of the thrombus was not achieved.
4. Stroke within the previous 90 days.
5. Ipsilateral femoral aneurysm or aneurysm in the SFA or popliteal artery.
6. Required stent placement via a popliteal approach.
7. Required stent placement across or within 0.5 cm of the SFA/PFA bifurcation.
8. Procedures which are pre-determined to require stent-in-stent placement to obtain patency, such as in-stent restenosis.
9. Significant vessel tortuosity or other parameters prohibiting access to the lesion or 90° tortuosity which would prevent delivery of the stent device.
10. Required stent placement within 1 cm of a previously deployed stent.
11. Subject required a coronary intervention, and the coronary intervention was done less than 7 days prior to or planned within 30 days after the treatment of the target lesion.
12. Known allergies to any of the following: aspirin and all three of the following: clopidogrel bisulfate (Plavix®), ticlopidine (Ticlid®), and prasugrel (Effient®); heparin, nitinol (nickel titanium), or contrast agent, that cannot be medically managed.
13. Presence of thrombus prior to crossing the lesion.
14. Known or suspected active infection at the time of the procedure.
15. Presence of an ipsilateral arterial artificial graft.
16. Use of cryoplasty, laser, or atherectomy devices at the time of index procedure.
17. Restenotic lesion that had previously been treated by atherectomy, laser or cryoplasty within 3 months of the index procedure.
18. Subject has tissue loss, defined as Rutherford-Becker classification category 5 or 6.
19. History of neutropenia, coagulopathy, or thrombocytopenia that was unexplained or is considered to be at risk for reoccurrence.
20. Known bleeding or hypercoagulability disorder or significant anemia (Hb \< 8.0) that cannot be corrected.
21. Subject has the following laboratory values:

1. platelet count less than 80,000/μL,
2. international normalized ratio (INR) greater than 1.5,
3. serum creatinine level greater than 2.0 mg/dL.
22. Subject requires general anesthesia for the procedure.
23. Subject is pregnant or plans to become pregnant during the study.
24. Subject has a co-morbid illness that may result in a life expectancy of less than 1 year.
25. Subject is participating in an investigational study of a new drug, biologic or device at the time of study screening. NOTE: Subjects who are participating in the long term follow-up phase of a previously investigational and now FDA-approved product are not excluded by this criterion.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Baim Institute for Clinical Research

OTHER

Sponsor Role collaborator

Abbott Medical Devices

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carol Base, RN,MS

Role: STUDY_DIRECTOR

Abbott Medical Devices

Kenneth Rosenfield, MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Lawrence Garcia, MD

Role: PRINCIPAL_INVESTIGATOR

Steward St. Elizabeth's Medical Center of Boston, Inc.

Locations

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Cardiology Associates of Mobile, Inc.

Fairhope, Alabama, United States

Site Status

Banner Good Samaritan Medical Center

Phoenix, Arizona, United States

Site Status

Tucson Medical Center

Tucson, Arizona, United States

Site Status

Arkansas Heart Hospital

Little Rock, Arkansas, United States

Site Status

ACT / CVRI & Cedar Sinai Medical Center

Beverly Hills, California, United States

Site Status

Hartford Hospital

Hartford, Connecticut, United States

Site Status

Yale University

New Haven, Connecticut, United States

Site Status

Bradenton Cardiology Center

Bradenton, Florida, United States

Site Status

First Coast Cardiovascular Institute

Jacksonville, Florida, United States

Site Status

Mount Sinai Medical Cente

Miami Beach, Florida, United States

Site Status

Clarian North / Heart Partners

Fishers, Indiana, United States

Site Status

Cardiovascular Research of Northwest Indiana, LLC

Munster, Indiana, United States

Site Status

Hutchinson Hospital Corporation dba Promise Regional Medical Center

Hutchinson, Kansas, United States

Site Status

Willis Knighton Bossier Medical Center

Bossier City, Louisiana, United States

Site Status

Terrebonne General Hospital

Houma, Louisiana, United States

Site Status

Cardiovascular Institute of the South

Lafayette, Louisiana, United States

Site Status

Opelousas General Health System

Opelousas, Louisiana, United States

Site Status

Louisiana Heart Center

Slidell, Louisiana, United States

Site Status

Maine Medical Center

Portland, Maine, United States

Site Status

Montgomery General Hospital

Olney, Maryland, United States

Site Status

Massachussetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Caritas-St. Elizabeth Medical Center

Brighton, Massachusetts, United States

Site Status

Metro Health Hospital

Wyoming, Michigan, United States

Site Status

Hattiesburg Clinic, P.A.

Hattiesburg, Mississippi, United States

Site Status

Deborah Heart

Browns Mills, New Jersey, United States

Site Status

Hunterdon Medical Center

Flemington, New Jersey, United States

Site Status

Robert Wood Johnson UMDNJ-RWJMS

New Brunswick, New Jersey, United States

Site Status

SJH Cardiology Associates

Liverpool, New York, United States

Site Status

NYU Medical Center

New York, New York, United States

Site Status

Lenox Hill Hospital

New York, New York, United States

Site Status

The Lindner Center for Research and Education at The Christ Hospital

Cincinnati, Ohio, United States

Site Status

University Hospital

Cleveland, Ohio, United States

Site Status

Ohio Health Research Institute / Riverside Methodist Hospital

Columbus, Ohio, United States

Site Status

Heritage Valley Health System

Beaver, Pennsylvania, United States

Site Status

Cardiology Consultants or Mainline Health System

Bryn Mawr, Pennsylvania, United States

Site Status

Moffitt Heart & Vascular Group

Wormleysburg, Pennsylvania, United States

Site Status

The Miriam Hospital

Providence, Rhode Island, United States

Site Status

Greenville Hospital Systems

Greenville, South Carolina, United States

Site Status

Forsyth Medical Center - Cardiovascular Research

Winston-Salem, South Carolina, United States

Site Status

Wellmont Holston Valley Medical Center

Kingsport, Tennessee, United States

Site Status

Vanderbilt Medical Center

Nashville, Tennessee, United States

Site Status

Alice Heart Center

Alice, Texas, United States

Site Status

Austin Heart, P.A

Austin, Texas, United States

Site Status

Cardiovascular Specialist of Texas & North Austin Medical Center

Austin, Texas, United States

Site Status

Cardiovascular Research Institute of Dallas

Dallas, Texas, United States

Site Status

Plaza Medical Center of Fort Worth

Fort Worth, Texas, United States

Site Status

North Cascade Cardiology, PLLC

Bellingham, Washington, United States

Site Status

Columbia - St. Mary's

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Palena LM, Isernia G, Parlani G, Veroux P, Ficarelli I, Frascheri A, Pischedda A, Patrone L, Dionisi CP, Cianni R, Airoldi F, Landino P, Kleiban A, Filauri P, Passalacqua G, Antignani PL, De Rose E, Valls A, Biondi-Zoccai G, Manzi M. A multicenter prospective observational study appraising the effectiveness of the Supera stent after subintimal recanalization of femoro-popliteal artery occlusion: The SUPERSUB II study. Catheter Cardiovasc Interv. 2024 May;103(6):963-971. doi: 10.1002/ccd.31028. Epub 2024 Apr 2.

Reference Type DERIVED
PMID: 38566517 (View on PubMed)

Garcia L, Jaff MR, Metzger C, Sedillo G, Pershad A, Zidar F, Patlola R, Wilkins RG, Espinoza A, Iskander A, Khammar GS, Khatib Y, Beasley R, Makam S, Kovach R, Kamat S, Leon LR Jr, Eaves WB, Popma JJ, Mauri L, Donohoe D, Base CC, Rosenfield K; SUPERB Trial Investigators. Wire-Interwoven Nitinol Stent Outcome in the Superficial Femoral and Proximal Popliteal Arteries: Twelve-Month Results of the SUPERB Trial. Circ Cardiovasc Interv. 2015 May;8(5):e000937. doi: 10.1161/CIRCINTERVENTIONS.113.000937.

Reference Type DERIVED
PMID: 25969545 (View on PubMed)

Other Identifiers

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SFA-1 US/EU

Identifier Type: -

Identifier Source: org_study_id

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