NCT Number: NCT02430922
a Physician-inititated Trial Investigating the iVolution Nitinol Stent
The objective of this clinical investigation is to evaluate the short-term (up to 12 months) outcome of treatment by means of the self-expanding iVolution nitinol stent in symptomatic (Rutherford 2-4) femoropopliteal arterial stenotic or occlusive lesions.
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Notify MeKey information
Conditions
Age range
18 year and older
Sex eligibility
All sexes
Study type
Interventional
Phase
Phase 2 / Phase 3
Primary location
Imelda Hospital, Bonheiden, Antwerp, Belgium
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- De novo lesion located in the femoropopliteal arteries suitable for endovascular treatment
- Patient presenting with a score from 2 to 4 according to the Rutherford classification
- Patient is willing and able to comply with specified follow-up evaluations at the predefined time intervals
- Patient is >18 years old
- Patient understands the nature of the procedure and provides written informed consent, prior to enrollment in the study
- Prior to enrollment, the target lesion was crossed with standard guidewire manipulation One target lesion is located within the native SFA: distal point 3 cm above knee joint
- The target lesion has angiographic evidence of stenosis or occlusion
- Length of the target lesion is ≤ 15 cm by visual estimation
- Target vessel diameter visually estimated is ≥4 mm and ≤7 mm
- There is angiographic evidence of at least one vessel-runoff to the foot
Exclusion criteria
- Presence of a stent in the target vessel that was placed during a previous procedure
- Presence of an aortic thrombosis or significant common femoral ipsilateral stenosis
- Previous bypass surgery in the same limb
- Patients contraindicated for antiplatelet therapy, anticoagulants or thrombolytics
- Patients who exhibit persistent acute intraluminal thrombus at the target lesion site
- Perforation at the angioplasty site evidenced by extravasation of contrast medium
- Patients with known hypersensitivity to nickel-titanium or other study device components
- Patients with uncorrected bleeding disorders
- Female patient with child bearing potential not taking adequate contraceptives or currently breastfeeding
- Life expectancy of less than 12 months
- Ipsilateral iliac artery treatment before target lesion treatment with a residual stenosis > 30%
- Use of thrombectomy, atherectomy or laser devices during procedure
- Any patient considered to be hemodynamically unstable at onset of procedure
- Patient is currently participating in another investigational drug or device study that has not reached the primary endpoint
Treatment and study plan
Primary outcomes
-
Primary Patency at 12 months
Time frame: 12 months
freedom from >50% restenosis at 12 months as indicated by an independently verified duplex ultrasound peak systolic velocity ratio (PSVR) <2.5 in the target vessel with no reintervention
Secondary outcomes
-
Technical Success
Time frame: Procedure
-
Primary Patency at 1 & 6 months
Time frame: 1 & 6 months
-
Freedom from Target Lesion Revascularization (TLR) at 1, 6 and 12 months
Time frame: at all follow-up visits
-
Clinical Success at 1, 6 and 12 months
Time frame: at all follow-up visits
Clinical success at follow-up is defined as an improvement of Rutherford classification at 1-, 6- & 12-month follow-up of one class or more as compared to the pre-procedure Rutherford classification.
-
Serious adverse events until follow-up completions
Time frame: 1,6,12 months and interem visits
Any clinical event that is fatal, life-threatening, or judged to be severe by the investigator; resulted in persistent or significant disability; necessitated surgical or percutaneous intervention; or required prolonged hospitalization.
Sponsors and collaborators
Lead sponsor
Flanders Medical Research Program
Network
Registry information
Official study title
EVOLUTION STUDY, a Physician-inititated Trial Investigating the Efficacy of the Self-Expanding iVolution Nitinol Stent for Treatment of Femoropopliteal Lesions
Important dates
- Study start
- 2015
- Primary completion
- 2017
- Study completion
- 2017
- First posted
- Apr 30, 2015
- Registry last updated
- Aug 13, 2018
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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