Polytetrafluoroethylen (PTFE) Vascular Prostheses With Heparin Bonded Luminal Surfaces vs Crude ePTFE

NCT ID: NCT03430076

Last Updated: 2024-04-05

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

COMPLETED

Clinical Phase

NA

Total Enrollment

228 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-13

Study Completion Date

2024-01-29

Brief Summary

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Open repair could be recommended in a first line of treatment to revascularize critical limb ischemia patients or performed in a second line of treatment in case of failure of endovascular repair. A good quality vein is one of the main factors that influence the clinical success of open revascularization for below-knee popliteal. In the absence of an suitable autologous vein, prosthesis such as polytetrafluoroethylen (PTFE) graft could be an option but demonstrated worse clinical and morphological results compared to autologous greater saphenous vein. Consequently, there is still a room for improvement in CLI patients in the absence of an suitable autologous vein in whom endovascular repair failed.

Recently, PTFE with heparin-bound to the luminal surface (Hb-PTFE) significantly reduced the overall risk of primary graft failure by 37%, in particular, risk reduction was 50% in femoropopliteal bypass cases in cases with critical ischemia (58% Primary patency for crude ePTFE versus 80% primary patency for PROPATEN at 1 year follow-up) (Lindholt, et. al. 2011).

Additionally, a weighted average from the literature suggests a 76% primary patency for below knee bypasses performed with PROPATEN at one year follow-up, whereas a published meta-analysis suggests a 59% primary patency for below knee crude ePTFE at one year follow-up. At two year follow-up using the same approach, the average primary patency for PROPATEN was 67% versus 43% for standard ePTFE.

The aim of this study is to assess PTFE with heparin-bound to the luminal surface as an alternative to crude PTFE in absence of good venous conduit in patients with CLI.

Detailed Description

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Patient inclusion in this study will be proposed 60 to 1-days period preceding the surgical procedure. The patient will be randomized in the crude PTFE or in the Propaten groups. Regarding the intervention, the technique used during the therapeutic procedure shall be left to the operator's discretion, except the type of the graft. Demographic, intraoperative and postoperative data will be collected prospectively. Patient will be assessed and followed up according a current care. The cost difference between both groups will be identified.

Conditions

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Ischemia Lesions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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Revascularization by (Propaten)®

Revascularization by PTFE with heparin bonded luminal surface (Propaten)®

Group Type EXPERIMENTAL

revascularization

Intervention Type PROCEDURE

open revascularization for below-knee popliteal in the absence of an suitable autologous vein with PTFE.

Propaten®

Intervention Type DEVICE

Propaten®

Revascularization by Crude PTFE

Group Type ACTIVE_COMPARATOR

revascularization

Intervention Type PROCEDURE

open revascularization for below-knee popliteal in the absence of an suitable autologous vein with PTFE.

Crude PTFE

Intervention Type DEVICE

Crude PTFE

Interventions

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revascularization

open revascularization for below-knee popliteal in the absence of an suitable autologous vein with PTFE.

Intervention Type PROCEDURE

Propaten®

Propaten®

Intervention Type DEVICE

Crude PTFE

Crude PTFE

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient ≥18 years
* Patient presented critical limb ischemia (Rutherford classification: 4-6)
* Indication of below the knee bypass with an artificial graft
* Absence of an suitable autologous vein
* Patient is affiliated to the Social Security or equivalent system
* Patient has been informed of the nature of the study, agrees to its provisions and has signed the informed consent form prior to any study related procedure
* Patient agrees to undergo all protocol required follow-up examinations and requirements at the investigational site

Exclusion Criteria

* No atheromatous disease
* Female of child bearing potential
* Patient has a history of coagulopathy or will refuse blood transfusions
* Patient is receiving or scheduled to receive anticancer therapy for malignancy within 1 year prior to or after the procedure
* Severe concomitant disease with life expectation \< one year
* Known allergy to heparin
* Indication for ipsilateral major amputation
* Patient is not able to give informed consent
* Patient is currently participating in an investigational drug or device study that has not completed the primary endpoint or that clinically interferes with the current study endpoints Note: Trials requiring extended follow-up for products that were investigational, but have become commercially suitable since then, are not considered investigational trials
* In the Investigator's opinion patient has (a) co-morbid condition(s) that could limit the patient's ability to participate in the study, compliance with follow-up requirements or impact the scientific integrity of the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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W.L.Gore & Associates

INDUSTRY

Sponsor Role collaborator

Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yann Gouëffic, Pr

Role: PRINCIPAL_INVESTIGATOR

Saint Joseph Hospital Paris

Locations

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Angers University Hospital

Angers, , France

Site Status

Besançon University Hospital

Besançon, , France

Site Status

Bordeaux University Hospital - Hôpital Pellegrin

Bordeaux, , France

Site Status

Ambroise Paré university Hospital

Boulogne-Billancourt, , France

Site Status

Brest University Hospital

Brest, , France

Site Status

Clermont-Ferrand University Hospital

Clermont-Ferrand, , France

Site Status

Dijon University Hospital

Dijon, , France

Site Status

Lille University Hospital

Lille, , France

Site Status

Lyon University Hospital - Hopital Edouard Herriot

Lyon, , France

Site Status

Timone hospital

Marseille, , France

Site Status

Nancy University Hospital

Nancy, , France

Site Status

Nantes University Hospital

Nantes, , France

Site Status

Hopital Pasteur

Nice, , France

Site Status

Saint Joseph Hospital

Paris, , France

Site Status

Hôpital Européen Georges Pompidou

Paris, , France

Site Status

Bichat Hospital

Paris, , France

Site Status

Poitiers University Hospital

Poitiers, , France

Site Status

Reims university Hospital

Reims, , France

Site Status

Saint Etienne University Hospital

Saint-Etienne, , France

Site Status

Nouvel Hopital Civil

Strasbourg, , France

Site Status

Valenciennes University Hospital

Valenciennes, , France

Site Status

Countries

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France

Other Identifiers

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RC17_0205

Identifier Type: -

Identifier Source: org_study_id

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