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Completed

NCT Number: NCT01445613

Carotid Artery Stenting Outcomes in the Standard Risk Population for Carotid Endarterectomy

The objective of the CANOPY trial is to assess the continued safety and effectiveness of the RX Acculink Carotid Stent System under commercial use in subjects at standard risk for adverse events from Carotid Endarterectomy (CEA) enrolled by physicians with a range of carotid stenting experience.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subject must be ≥ 18 years of age.
  • Subject does not have any condition that limits their anticipated survival to less than 3 years.
  • Subject or a legally authorized representative must provide written informed consent prior to any trial related procedure.
  • Subjects with neurological symptoms within 180 days of the procedure and ≥ 70% stenosis of the common or internal carotid artery by ultrasound or ≥ 50% stenosis of the common or internal carotid artery by angiogram - OR-
  • Subjects without neurological symptoms within 180 days of the procedure and ≥ 70% stenosis of the common or internal carotid artery by ultrasound or ≥ 60% stenosis of the common or internal carotid artery by angiogram.
  • Subject with all the following target vessel characteristics:
  • Discrete lesion in internal carotid artery (ICA) with or without involvement of the contiguous common carotid artery (CCA).
  • Vessel diameter ≥ 4.0 mm and ≤ 9.0 mm from reference or contralateral artery.
  • Absence of excessive vessel tortuosity that would impede delivery of devices.
  • Subject must agree not to participate in any other clinical trial for a period of 1 year following the index procedure.

Exclusion criteria

  • Subjects with anatomic or clinical conditions which make them at high risk for adverse events from carotid endarterectomy (CEA).
  • Subject with Hgb <10.g/dl or platelet count < 125,000 µl or has heparin-associated thrombocytopenia. For subjects on Coumadin (Warfarin) and for subjects with a platelet or coagulation disorder: Has an international normalized ratio (INR) > 1.5.
  • Subject has active bleeding diathesis or coagulopathy or subject would refuse blood transfusions.
  • Subject is currently on a list for major organ transplantation (i.e., heart, lung, liver, kidney) or is being evaluated for such.
  • Subject is currently participating in another clinical trial that has not yet completed its primary endpoint.
  • Pregnant or nursing subjects and those who plan pregnancy in the period up to 1 year following index procedure. Female subjects of child-bearing potential must have a negative pregnancy test done within 7 days prior to the index procedure per site standard test.

Treatment and study plan

RX Acculink Carotid Stent System (RX Acculink)

Device

Those patients receiving the RX Acculink used with an Embolic Protection System (EPS) approved for use with RX Acculink.

Primary outcomes

  1. Composite Rate of Peri-procedural (Within 30 Days of the Procedure) Death and Stroke, Plus Ipsilateral Stroke Between Day 31 and 1 Year (365 Days)

    Time frame: 0 to 365 days

  2. Freedom From Death and Stroke Within 30 Days and Ipsilateral Stroke Between 31 and 365 Days

    Time frame: 365 days

Secondary outcomes

  1. Death and All Stroke

    Time frame: 30 Days

  2. Composite of Peri-procedural Death and Stroke by Symptomatic Status

    Time frame: 30 days

  3. Freedom From Death and Stroke Within 30 Days and Ipsilateral Stroke Through 1 Year by Symptomatic Status

    Time frame: 365 days

  4. Composite of Peri-procedural Death and Stroke by Age

    Time frame: 30 days

  5. Freedom From Death and Stroke Within 30 Days and Ipsilateral Stroke Through 1 Year by Age

    Time frame: 365 days

  6. Freedom From Clinically Driven Target Lesion Revascularization

    Time frame: 30 days

    Target Lesion Revascularization (TLR) is designated as clinically driven if the subject has recurring symptoms or has become newly symptomatic and has stenosis >50% in the stented lesion, or is asymptomatic and has a stenosis of >80% in the stented lesion.

  7. Freedom From Clinically Driven Target Lesion Revascularization

    Time frame: 180 days

    Target Lesion Revascularization (TLR) is designated as clinically driven if the subject has recurring symptoms or has become newly symptomatic and has stenosis >50% in the stented lesion, or is asymptomatic and has a stenosis of >80% in the stented lesion.

  8. Freedom From Clinically Driven Target Lesion Revascularization

    Time frame: 365 days

    Target Lesion Revascularization (TLR) is designated as clinically driven if the subject has recurring symptoms or has become newly symptomatic and has stenosis >50% in the stented lesion, or is asymptomatic and has a stenosis of >80% in the stented lesion.

  9. Clinical Success

    Time frame: 30 days

    Clinical success is defined as the attainment of < 50% residual stenosis of the target lesion and absence of a death or stroke 30-day post-procedure.

Sponsors and collaborators

Lead sponsor

Abbott Medical Devices

Industry

Registry information

Official study title

CANOPY: Carotid Artery Stenting Outcomes in the Standard Risk Population for Carotid Endarterectomy

Acronym: CANOPY

Important dates

Study start
2011
Primary completion
2014
Study completion
2016
First posted
Oct 4, 2011
Registry last updated
Aug 12, 2016

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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