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Completed

NCT Number: NCT01901874

The Gore SCAFFOLD Clinical Study

Evaluate the safety and efficacy of the GORE® Carotid Stent for the treatment of carotid artery stenosis in patients at increased risk for adverse events from carotid endarterectomy

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kaiser Permanente Hawaii, Honolulu, Hawaii, United States

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About this study

This is a prospective, multicenter, single-arm clinical study comparing outcomes with the GORE® Carotid Stent to a performance goal derived from carotid endarterectomy outcomes in high-surgical-risk patients.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patient is at least 18 years old at informed consent
  • Patient is willing and capable of complying with all study protocol requirements, including specified follow-up period and can be contacted by telephone.
  • Patient is willing to provide written informed consent prior to enrollment in study.
  • Patient is either:
  • Symptomatic with carotid stenosis ≥50% as determined by angiography using NASCET methodology. Symptomatic is defined as amaurosis fugax ipsilateral to the carotid lesion; Transient Ischemic Attack (TIA) or non-disabling stroke within 180 days of the procedure within the hemisphere supplied by the target vessel; OR
  • Asymptomatic with carotid stenosis ≥80% as determined by angiography using NASCET methodology
  • Patient must be considered high risk for adverse events during carotid endarterectomy

Note: Additional inclusion criteria may apply

Exclusion criteria

  • Patient has life expectancy of less than one year.
  • Patient is experiencing (or has experienced) an evolving, acute, or recent disabling stroke.
  • Patient has anticipated or potential sources of emboli (e.g. atrial fibrillation, known previously symptomatic patent foramen ovale (PFO), mechanical heart valve, or Deep Vein Thrombosis (DVT) treated within 6 months).
  • Patient has had an acute myocardial infarction within 72 hours prior to the index procedure.
  • Patient has a history of major, disabling ipsilateral stroke with residual deficit that may confound the neurological subject assessments.
  • Patient has known severe carotid stenosis contralateral to the target lesion requiring treatment within 30 days following the index procedure.

Note: Additional exclusion criteria may apply

Treatment and study plan

Carotid artery stenting

Device

Carotid Artery Stenting with the GORE® Carotid Stent

Other names: GORE® Carotid Stent

Primary outcomes

  1. Number of Participants Who Experienced Major Adverse Events (MAE) at One Year

    Time frame: 365 days

    MAE defined as any death, stroke, or myocardial infarction through 30 days post-index procedure, or ipsilateral stroke between 31 days and 1 year (365 days).

Secondary outcomes

  1. Number of Participants Who Achieved Stent Technical Success

    Time frame: Procedural

    Stent Technical Success defined as successful implantation of a GORE® Carotid Stent

  2. Number of Participants Who Achieved Embolic Protection Device (EPD) Technical Success

    Time frame: Procedural

    EPD Technical Success defined as GORE® Embolic Filter delivered, placed, and retrieved without requiring assisting interventional methods.

  3. Number of Participants Who Achieved Procedure Success

    Time frame: Procedural

    Procedure Success defined as Stent Technical Success with < 30% residual stenosis and no in-hospital MAE.

  4. Number of Participants Who Experienced MAE at 30 Days

    Time frame: 30 days

    Defined as any death, stroke, or myocardial infarction through 30 days post-index procedure.

  5. 30-Day MAE - Death

    Time frame: 30 days

    Any cause death through 30 days post-index procedure

  6. 30-Day MAE - Myocardial Infarction

    Time frame: 30 days

    Any myocardial infarction through 30 days post-index procedure

  7. 30-Day MAE - Stroke

    Time frame: 30 days

    Any stroke through 30 days post-index procedure

  8. In-Stent Restenosis

    Time frame: 365 days

    ≥80% diameter stenosis within the stented lesion or within 5 mm proximal or distal to the stent at follow-up evaluation by core lab angiographic analysis

  9. Target Lesion Revascularization

    Time frame: 365 days

    Any clinically driven revascularization procedure that is performed to increase the luminal diameter inside or within 5 mm of the previously treated lesion

Sponsors and collaborators

Lead sponsor

W.L.Gore & Associates

Industry

Registry information

Official study title

GORE® Carotid Stent Clinical Study for the Treatment of Carotid Artery Stenosis in Patients at Increased Risk for Adverse Events From Carotid Endarterectomy

Important dates

Study start
2013
Primary completion
2017
Study completion
2020
First posted
Jul 17, 2013
Registry last updated
Oct 29, 2020

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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