A Clinical Evaluation of the MicroSTent® PeripherAl Vascular SteNt in Subjects With Arterial Disease Below the Knee (STAND)

NCT ID: NCT03477604

Last Updated: 2025-11-14

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

177 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-31

Study Completion Date

2028-03-31

Brief Summary

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Randomized multicenter clinical trial consisting of two arms; one arm treated with PTA plus the MicroStent® System and one arm treated with PTA alone. Purpose to evaluate the safety and effectiveness of using the MicroStent® Peripheral Vascular Stent System, hereafter referred to as the MicroStent® System, for the treatment of infrapopliteal lesions in subjects with peripheral arterial disease.

Detailed Description

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Conditions

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Peripheral Arterial Disease

Keywords

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Below the knee Stent

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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MicroStent and Standard PTA

Implant of the MicroStent peripheral vascular stent system for treatment of arterial lesions below the knee.

Group Type EXPERIMENTAL

MicroStent and Standard PTA

Intervention Type DEVICE

Self-expanding stent and standard PTA balloon

Standard PTA

Group Type ACTIVE_COMPARATOR

Standard PTA

Intervention Type DEVICE

Standard PTA balloon

Interventions

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MicroStent and Standard PTA

Self-expanding stent and standard PTA balloon

Intervention Type DEVICE

Standard PTA

Standard PTA balloon

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subject is a male or a non-pregnant female adult between the age of 21 and 90 years old.
2. Subject has documented clinical evidence of critical limb ischemia (CLI) in the target limb prior to the index procedure, with a Rutherford Classification score of 4-5.
3. The subject, or subject's designated legal representative, has been informed of the nature of the study and is willing to provide written informed consent.
4. Subject is willing to comply with all required follow-up visits.
5. Subject life expectancy is ≥1 year per the Principal Investigator.

6. Target vessel reconstitutes at or above the ankle with inline flow to at least one patent (\<50% stenosis) inframalleolar outflow vessel.
7. Subject has a lesion, with ≥ 70% stenosis and ≤ 12.0 cm in length located at or distal to the tibial-peroneal trunk and above the tibiotalar joint; including the anterior tibial, posterior tibial or peroneal arteries.
8. Target lesion has a reference vessel diameter of 2.5 - 4.5 mm
9. The target lesion is able to be crossed with a guidewire to facilitate treatment with the randomized device.

Exclusion Criteria

1. Subject had a prior or has a planned index limb amputation above the ankle.
2. Subject has a wound/ulcer on the forefoot with a surface area \>4cm² or osteomyelitis involving the calcaneus bone.
3. Subject is pregnant, plans to become pregnant, or is nursing.
4. Subject has clinical conditions that severely inhibit X-ray or duplex ultrasound visualization (e.g. body habitus).
5. Subject has a history of hypercoagulation/clotting disorders or acute thrombosis.
6. Subject has allergy to iodinated contrast media that cannot be adequately managed with medication.
7. Subject is in acute renal failure.
8. Subject has an active systemic infection.
9. Subject is participating in another research study involving an investigational device, biologic, or drug that has not completed the primary endpoint at the time of randomization/enrollment.
10. Subject has other comorbidities that - in the opinion of the investigator - preclude them from receiving study treatment and/or from completing the required study follow-up assessments.
11. Subject presents with acute limb ischemia or acute thrombosis of the target limb.
12. Subject has experienced myocardial infarction, thrombolysis, or angina less than 30 days prior to the index procedure.
13. Subject had a stroke within 3 months of index procedure.

14. Failure to successfully treat clinically significant inflow lesions in the ipsilateral iliac, femoral, or popliteal arteries. Successful treatment is defined as obtaining ≤30% residual stenosis with no major procedural complications (e.g embolism).
15. Failure to successfully treat significant non-target infra-popliteal lesions. Successful treatment is defined as obtaining ≤30% residual stenosis with no major procedural complications (e.g. embolism).
16. Target lesion is within a previously placed stent.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Micro Medical Solution, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cardiovascular Associates of the Southeast

Birmingham, Alabama, United States

Site Status

Copper State Vascular

Mesa, Arizona, United States

Site Status

St. Helena Hospital

St. Helena, California, United States

Site Status

Rocky Mountain Regional VA Medical Center

Aurora, Colorado, United States

Site Status

Palm Vascular

Fort Lauderdale, Florida, United States

Site Status

First Coast Cardiovascular Institute

Jacksonville, Florida, United States

Site Status

FHV Health

Leesburg, Florida, United States

Site Status

Mount Sinai Medical Center

Miami Beach, Florida, United States

Site Status

Advent Health Sebring

Sebring, Florida, United States

Site Status

Vascular Institute of the Midwest

Davenport, Iowa, United States

Site Status

Cardiovascular Institute of the South

Houma, Louisiana, United States

Site Status

University of Maryland - Baltimore

Baltimore, Maryland, United States

Site Status

Advanced Cardiac and Vascular Amputation Prevention Centers

Grand Rapids, Michigan, United States

Site Status

Deborah Heart and Lung Center

Browns Mills, New Jersey, United States

Site Status

North Jersey Vascular Center

Clifton, New Jersey, United States

Site Status

AMI Vascular Institute

Galloway, New Jersey, United States

Site Status

US Cardiovascular

Jefferson Hills, Pennsylvania, United States

Site Status

Brown University

Providence, Rhode Island, United States

Site Status

Cardiology Consultants

Spartanburg, South Carolina, United States

Site Status

Cardiothoracic and Vascular Surgeons

Austin, Texas, United States

Site Status

AZH/WAVE Vascular Center

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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MMS-001

Identifier Type: -

Identifier Source: org_study_id

NCT04025008

Identifier Type: -

Identifier Source: nct_alias