Comparison of the PrimAry Long Versus Short Coverage With Drug-Eluting Stents for Long FemoRopopliteal Artery DiseasE (PARADE II): Investigator-initiated Clinical Study

NCT ID: NCT02701881

Last Updated: 2019-02-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2021-08-31

Brief Summary

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* Prospective, randomized, controlled, multi-center study
* A total of 220 subjects with long femoropopliteal lesions will be included according to inclusion and exclusion criteria.
* Patients will be randomized in a 1:1 manner into long stenting group versus short stenting group. and treated with Zilver PTX for long femoropopliteal lesions
* Patients will be followed clinically for 1 year after the procedure.
* Image study follow-up (Duplex US or CT angiography) will be performed at 1 year.

Detailed Description

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Conditions

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Femoropopliteal Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Long stenting group

Group Type EXPERIMENTAL

Long stenting using drug-eluting stent (Zilver PTX)

Intervention Type DEVICE

Long stenting by full coverage of long femoropopliteal lesion with Zilver PTX after balloon angioplasty

Short stenting group

Group Type ACTIVE_COMPARATOR

Spot stenting using drug-eluting stent (Zilver PTX)

Intervention Type DEVICE

Spot stenting by coverage of residual stenosis or flow-limiting dissection with Zilver PTX after balloon angioplasty of long femoropopliteal lesion

Interventions

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Long stenting using drug-eluting stent (Zilver PTX)

Long stenting by full coverage of long femoropopliteal lesion with Zilver PTX after balloon angioplasty

Intervention Type DEVICE

Spot stenting using drug-eluting stent (Zilver PTX)

Spot stenting by coverage of residual stenosis or flow-limiting dissection with Zilver PTX after balloon angioplasty of long femoropopliteal lesion

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Clinical criteria:

1. Age 19 years of older
2. Symptomatic peripheral artery disease:

1. Moderate or severe claudication (Rutherford category 2 or 3)
2. Critical limb ischemia (Rutherford category 4 or 5)
3. Patients with signed informed consent
* Anatomical criteria:

1. Target lesion length ≥150 mm by angiographic estimation
2. Stenosis of more than 50% in femoropopliteal artery
3. At least one patent (less than 50 percent stenosed) tibioperoneal runoff vessel.

Exclusion Criteria

* A. Clinical criteria

1. Acute critical limb ischemia
2. Severe critical limb ischemia (Rutherford category 6)
3. Major bleeding history within prior 2 months
4. Known hypersensitivity or contraindication to any of the following medications: heparin, aspirin, clopidogrel or contrast agents
5. Age \> 85 years
6. Severe hepatic dysfunction (\> 3 times normal reference values)
7. Significant renal dysfunction (Serum creatinine \> 2.0 mg/dl
8. Significant leucopenia, neutropenia, thrombocytopenia, anemia, or known bleeding diathesis
9. LVEF(left ventricular ejection fraction) \<40% or clinically overt congestive heart failure
10. Pregnant women or women with potential childbearing
11. Life expectancy \<1 year due to comorbidity
* Angiographic criteria

1. Previous bypass surgery or stenting of the superficial femoral artery
2. Untreated inflow disease of the ipsilateral pelvic arteries (more than 50%stenosis or or occlusion
3. Popliteal artery stenosis \>50% at P2 or P3 segment
Minimum Eligible Age

19 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yonsei University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Division of Cardiology, Department of Internal Medicine, Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Facility Contacts

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Dong-Hoon Choi, MD

Role: primary

82 2 2228 8449

References

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Park JI, Ko YG, Lee YJ, Lee SJ, Hong SJ, Ahn CM, Kim JS, Kim BK, Hong MK, Yu CW, Rha SW, Park JK, Min PK, Yoon CH, Lee SR, Park SH, Choi DH. Long coverage with drug-eluting stents is superior to spot coverage for long femoropopliteal artery disease: PARADE II study. Front Cardiovasc Med. 2022 Oct 19;9:1022071. doi: 10.3389/fcvm.2022.1022071. eCollection 2022.

Reference Type DERIVED
PMID: 36337904 (View on PubMed)

Other Identifiers

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1-2014-0072

Identifier Type: -

Identifier Source: org_study_id

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