TORUS 2 IDE Clinical Study

NCT ID: NCT04130737

Last Updated: 2024-03-07

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

188 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-31

Study Completion Date

2024-12-24

Brief Summary

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The primary objective of the TORUS 2 IDE Clinical Study is to evaluate the safety and effectiveness of the TORUS Stent Graft System in the treatment of obstructive atherosclerotic lesions of the native SFA or the superficial femoral and/or proximal popliteal arteries.

Detailed Description

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Conditions

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Peripheral Arterial 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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TORUS Stent Graft System

The TORUS Stent Graft System (SGS) is comprised of a Stent Graft (SG) and a Stent Graft Delivery System (SGDS).

Group Type EXPERIMENTAL

TORUS Stent Graft System

Intervention Type DEVICE

The TORUS Stent Graft is an intravascular prosthesis intended to improve blood flow in the area in which it is implanted and the TORUS Stent Graft Delivery System is a standard pin-and-pull delivery system used to implant the SG in the desired area. Use of the TORUS Stent Graft allows for improving blood flow in the peripheral vasculature.

Interventions

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TORUS Stent Graft System

The TORUS Stent Graft is an intravascular prosthesis intended to improve blood flow in the area in which it is implanted and the TORUS Stent Graft Delivery System is a standard pin-and-pull delivery system used to implant the SG in the desired area. Use of the TORUS Stent Graft allows for improving blood flow in the peripheral vasculature.

Intervention Type DEVICE

Other Intervention Names

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TORUS Stent Graft PQ Bypass™ Stent Graft System

Eligibility Criteria

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Inclusion Criteria

1. Patient is male or female, with age \> 18 and ≤ 90 years at date of enrollment.
2. Patient provides written informed consent before any study-specific investigations or procedures.
3. Patient is willing to undergo all follow-up assessments according to the specified schedule over 36 months.
4. Patient is a suitable candidate for angiography and endovascular intervention and, if required, is eligible for standard surgical repair.
5. Patient has symptomatic peripheral arterial disease (PAD) of the lower extremities requiring intervention to relieve de novo obstruction or occlusion or restenosis of the native femoropopliteal artery.
6. Patient has PAD classified as Rutherford classification 2, 3 or 4.
7. Patient has documented PAD by either (i) a resting ankle-brachial index (ABI) of ≤ 0.90 (or ≤ 0.75 after exercise of the target limb). Resting toe brachial index (TBI) is performed only if unable to reliably assess ABI. TBI must be \<0.70; or (ii) Normal ABI with angiographic, ultrasound, MRA, or CT evidence of ≥ 60% diameter stenosis.
8. Patient has single or multiple stenotic, restenotic or occlusive lesions within the native femoropopliteal artery ("target lesions") that can be crossed with a guidewire and fully dilated.
9. Single target lesion must be covered by a single stent. Tandem target lesions are considered a single continuous lesion if the gap between lesions is ≤ 5 cm and \> 30% diameter stenosis between the lesion(s).
10. Target lesion(s) eligible for treatment under the protocol are at least least 3 cm above the bottom of the femur.
11. Target lesion(s) reference vessel diameter is between 5.0 mm and 6.7 mm by operator's visual estimate.
12. Target lesion measures ≥ 80 mm to ≤ 180 mm in overall length, with ≥ 60% diameter stenosis by operator's visual estimate. Tandem target lesions are considered a single continuous lesion if the gap between lesions is ≤ 5 cm and \> 30% diameter stenosis between the lesion(s).
13. Patient has a patent popliteal artery (no stenosis ≥ 50%) distal to the treated segment.
14. Patient has at least one patent infrapopliteal vessel (\< 50% stenosis) with run-off to the ankle.

Exclusion Criteria

1. Patient is unable or is unwilling to comply with the procedural requirements of the study protocol or will have difficulty in complying with the requirements for attending follow-up visits.
2. Patient has a comorbidity that in the investigator's opinion would limit life expectancy to less than 24 months.
3. Patient has any planned major surgical procedure (including any amputation of the target limb) within 30 days after the index procedure for this study.
4. Patient has a target vessel that has been treated with any type of surgical procedure prior to enrollment.
5. Patient has a target vessel that has been treated with bypass surgery.
6. Patient has PAD classified as Rutherford classification 0, 1, 5 or 6.
7. Patient has known or suspected active systemic infection at the time of enrollment.
8. Patient has a known coagulopathy or has bleeding diatheses, thrombocytopenia with platelet count less than 100,000/microliter or INR (international normalized ratio) \>1.8.
9. Patient has a stroke diagnosis within three months prior to enrollment.
10. Patient has a history of unstable angina or myocardial infarction within 60 days prior to enrollment.
11. Patient has a contraindication to antiplatelet, anticoagulant or thrombolytic therapies.
12. Patient has known allergy to contrast agents or medications used to perform endovascular intervention that cannot be adequately pre-medicated.
13. Patient has known allergy to titanium, nickel or tantalum (does not include mild contact dermatitis due to nickel allergy).
14. Patient has received thrombolysis within 72 hours prior to the index procedure.
15. Patient has acute or chronic renal disease (e.g., as measured by a serum creatinine of \> 2.5 mg/dL or \> 220 μmol/L or GFR \< 30 ml/min), or on peritoneal or hemodialysis.
16. Patient requiring coronary intervention within seven days prior to enrollment.
17. Patient is pregnant or breast-feeding.
18. Patient is participating in another research study involving an investigational product (pharmaceutical, biologic or medical device).
19. Patient has other medical, social or psychological problems that, in the opinion of the investigator, preclude them from receiving this treatment, and the procedures and evaluations pre- and post-treatment.
20. Patient has significant disease or obstruction (≥ 50%) of the inflow tract that has not been successfully treated at the time of the index procedure (success measured as ≤ 30% residual stenosis, without complication).
21. Patient has no patent (≥ 50% stenosis) outflow vessel providing run-off to the ankle.
22. There is a lack of full expansion in the predilatation balloon.
23. Evidence of aneurysm or acute thrombus in target vessel.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Syntactx

NETWORK

Sponsor Role collaborator

PQ Bypass, Inc.

INDUSTRY

Sponsor Role collaborator

Endologix

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Southwest CVA

Mesa, Arizona, United States

Site Status

Vascular Heart & Lung Associates

Mesa, Arizona, United States

Site Status

Phoenix Cardiovascular Research Group

Phoenix, Arizona, United States

Site Status

Yuma Cardiology Associates

Yuma, Arizona, United States

Site Status

Arkansas Heart

Little Rock, Arkansas, United States

Site Status

Bay Area Vein & Vascular Institute

Burlingame, California, United States

Site Status

UCSF

San Francisco, California, United States

Site Status

Rocky Mountain Regional VAMC

Aurora, Colorado, United States

Site Status

The Vascular Experts

Darien, Connecticut, United States

Site Status

First Coast Cardiovascular Institute

Jacksonville, Florida, United States

Site Status

Palm Vascular Centers

Miami Beach, Florida, United States

Site Status

Coastal Vascular & Interventional

Pensacola, Florida, United States

Site Status

Florida Cardiology

Winter Park, Florida, United States

Site Status

AMITA Health

Elk Grove, Illinois, United States

Site Status

MedStar Health Research Insitute

Hyattsville, Maryland, United States

Site Status

McLaren Bay Region

Bay City, Michigan, United States

Site Status

Michigan Vascular Center

Flint, Michigan, United States

Site Status

Eastlake Cardiovascular

Roseville, Michigan, United States

Site Status

Northern Mississippi Medical Center

Tupelo, Mississippi, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

Novant Health

Charlotte, North Carolina, United States

Site Status

NC Heart & Vascular Research

Raleigh, North Carolina, United States

Site Status

The Lindner Center for Research & Education

Cincinnati, Ohio, United States

Site Status

Naadi

Oklahoma City, Oklahoma, United States

Site Status

The Miriam Hospital

Providence, Rhode Island, United States

Site Status

Prisma Health

Greenville, South Carolina, United States

Site Status

North Central Heart

Sioux Falls, South Dakota, United States

Site Status

Stern Cardiovascular Foundation

Germantown, Tennessee, United States

Site Status

Texas Tech

Lubbock, Texas, United States

Site Status

North Dallas Research Associates

McKinney, Texas, United States

Site Status

Sentara Vascular Specialists

Norfolk, Virginia, United States

Site Status

Bellin Hospital

Green Bay, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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CLN 227

Identifier Type: -

Identifier Source: org_study_id

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