Peripheral Arterial DiseaseDURABILITY PASNCT01680835
EverFlex Post Approval Study
A study testing EverFlex™ Self-Expanding Peripheral Stent System in people with Peripheral Arterial Disease and Lower Extremity Arterial Disease, run by Medtronic Endovascular at 23 sites in United States.
Trial summary
This post-approval study is designed to confirm the long-term safety and effectiveness of the EverFlex™ Self-Expanding Stent System for the treatment of atherosclerotic superficial femoral artery (SFA) and proximal popliteal arteries. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Peripheral Arterial Disease, Lower Extremity Arterial Disease
- What is being tested?
- EverFlex™ Self-Expanding Peripheral Stent System
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 108 participants
- Where
- 23 sitesUnited States
- Study dates
- 14 Jan 2013to 4 Feb 2019
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
General Inclusion Criteria
- Has stenotic, restenotic (from PTA or adjunct therapy, not including stents or stent grafts), or occluded lesion(s) located in the native superficial femoral artery or superficial femoral and proximal popliteal arteries suitable for primary stenting.
- Has a Rutherford Clinical Category Score of 2, 3 or 4.
- Is willing to comply with all follow-up evaluations at the specified times.
- Is ≥ to18 years old.
- Provides written informed consent prior to enrollment in the study.
Angiographic Inclusion Criteria Subjects must meet all of the following angiographic inclusion criteria. The implanting physician bases all angiographic inclusion criteria on visual determination at the time of the procedure.
- Target lesion(s) located within the native SFA/proximal popliteal: distal point at least 3 cm above the cortical margin of the femur and proximal point at least 1 cm below the origin of the profunda femoralis measured by straight posteroanterior (PA) view for distal lesions, ipsilateral oblique view for proximal lesions.
- Evidence of ≥ 50% stenosis or restenosis (from PTA or adjunct therapy, not including stents or stent grafts), or occlusion of target lesion(s).
- Target lesion(s) total length is ≥ 4 cm and ≤ 18 cm.
- Target vessel diameter is ≥ 4.5 mm and ≤ 7.5 mm.
- There is evidence of at least one runoff vessel to the ankle/foot of the limb to be treated that does not also require treatment for significant (> 50% stenosis or occlusion) stenosis during the index procedure.
General Exclusion Criteria
- Has undergone previous implantation of stent(s) or stent graft(s) in the target vessel.
- Has a contraindication or known allergy to antiplatelet therapy, anticoagulants, thrombolytic drugs, contrast media or any other drug used in study according to the protocol.
- Has known hypersensitivity to nickel-titanium.
- Has bleeding diathesis, coagulopathy, known hypercoagulable condition, or refuses blood transfusion.
- Female currently breastfeeding, pregnant, or of childbearing potential not using adequate contraceptive measures.
- Has life expectancy of less than 1 year.
- Has planned use of thrombectomy, atherectomy, brachytherapy or laser devices during procedure.
- Has previously been enrolled in the DURABILITY PAS study.
- Has received endovascular treatment of target lesion by percutaneous transluminal angioplasty or any other means of previous endovascular treatment (e.g. cutting balloon, scoring balloon, cryoplasty, thrombectomy, atherectomy, brachytherapy or laser devices) within six months of the index procedure.
- Has any planned surgical intervention or endovascular procedure 14 days before or 30 days after the index procedure.
- Is currently participating in an investigational drug or another device study that has not completed the primary endpoint or that clinically interferes with the current study endpoints.
- Has any co-morbid condition that precludes endovascular treatment.
Angiographic Exclusion Criteria The subject must not meet any of the following angiographic exclusion criteria. The implanting physician bases all angiographic exclusion criteria on visual determination at the time of the procedure.
- Exchangeable guidewire cannot cross the target lesion and/or re-enter true vessel lumen distal to lesion(s).
- Presence of significant (> 50% stenosis or occlusion) ipsilateral common femoral stenosis.
- Aneurysmal target vessel.
- Presence of an acute intraluminal thrombus at the proposed lesion site.
- Perforation, dissection or other injury of the access or target vessel requiring additional stenting or surgical intervention prior to start of PTA procedure.
- Focal popliteal disease in the absence of femoral disease.
Trial locations and contacts
23 sites in 1 country.
23 sites in 1 country
United States23 sites
Augusta Vascular Center
Augusta, Georgia, 30901
Deborah Heart and Lung Center
Browns Mills, New Jersey, 08015
Lankenau Institute for Medical Research
Bryn Mawr, Pennsylvania, 19010
Mercy Hospital/Metropolitan Cardiology Consultants
Coon Rapids, Minnesota, 55433
Central Iowa Hospital Corporation
Des Moines, Iowa, 50266
DuPage Medical Group
Downers Grove, Illinois, 60515
Bellin Memorial Hospital
Green Bay, Wisconsin, 54301
First Coast Cardiovascular Institute, P.A.
Jacksonville, Florida, 32216
Premier Surgical Associates
Knoxville, Tennessee, 37909
Sparrow Hospital
Lansing, Michigan, 48912
Memorial Medical Center
Modesto, California, 95355
Christiana Care Health Services
Newark, Delaware, 19713
Thomas Jefferson University
Philadelphia, Pennsylvania, 19147
St. Luke's Medical Center
Phoenix, Arizona, 85006
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Wake Heart Research
Raleigh, North Carolina, 27607
Black Hills Cardiovascular Research
Rapid City, South Dakota, 57701
Rockford Cardiovascular Associates
Rockford, Illinois, 61107
Sutter Memorial Hospital
Sacramento, California, 95819
The University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229
Cardiovascular Solutions, LLC
Shreveport, Louisiana, 71103
Sanford Research
Sioux Falls, South Dakota, 57117
Oklahoma Heart Institute
Tulsa, Oklahoma, 74104
About this study
Official title: The US StuDy for EvalUating EndovasculaR TreAtments of Lesions in the Superficial Femoral Artery and Proximal Popliteal By usIng the EverfLex NitInol STent System Post Approval Study
This post-approval study is designed to confirm the long-term safety and effectiveness of the EverFlex™ Self-Expanding Stent System for the treatment of atherosclerotic superficial femoral artery (SFA) and proximal popliteal arteries.
- Being tested
- EverFlex™ Self-Expanding Peripheral Stent System
- Medical subject headings
- Peripheral Arterial Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EverFlex™ Self-Expanding Peripheral Stent SystemDevice
Using the EverFlex™ Self-Expanding Peripheral Stent System to treat atherosclerotic superficial femoral artery (SFA) and proximal popliteal lesions 4-18 cm long in subjects with Rutherford Clinical Categories 2-4.
| Study group | Role | What they receive |
|---|---|---|
| Study cohort | Experimental | All patients enrolled in this study will be treated with the EverFlex™ Self-Expanding Peripheral Stent System. Receives: Device: EverFlex™ Self-Expanding Peripheral Stent System |
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary Outcome - Freedom From Acute Death, Freedom From 36-month Amputation, and Freedom From 36-month Clinically-driven Target Lesion Revascularization
Composite endpoint defined as freedom from acute death, freedom from 36-month amputation, and freedom from 36-month clinically-driven target lesion revascularization compared to a PTA performance goal.
Measured: 3 Years
Secondary outcomes (10)
Secondary Outcome - Freedom From Stent Fracture
Determined by x-ray at 1, 2 and 3 years using the following classifications:
Class 0 - No strut fractures Class I - Single tine fracture Class II - Multiple tine fractures Class III - Stent fracture(s) with preserved alignment of the components Class IV - Stent fracture(s) with mal-alignment of the components Class V - Stent fracture(s) in a trans-axial spiral configuration
AND the following categories:
Category A - Restenosis ≤ 50% at site of fracture Category B - Restenosis ≥ 50% at site of fracture Category C - Occlusion at site of fracture Category D - Unable to determine
Measured: 1, 2 and 3 years
Secondary Outcome - Freedom From Acute Death, Freedom From Amputation and Freedom From Clinically-driven Target Lesion Revascularization at 1 and 2 Years
Defined as the absence of all-cause mortality occurring within 30-days, absence of any major amputation within 12-/24- months and the absence of any clinically-driven repeat invasive procedure, including angioplasty, stenting, endarterectomy, bypass, or thrombolysis, performed to open or increase the lumen diameter inside or within 10 mm of the previously treated lesion due to the return of clinical symptoms within 12-/24- months of the procedure.
Measured: 1 and 2 years
Secondary Outcome - Freedom From 36-month Amputation
Defined as the absence of any major amputation (removal of the target limb or a part of the target limb above the metatarsal line) within 36 months of the procedure.
Measured: 3 Years
Secondary Outcome - Freedom From 36-month Clinically-driven Target Lesion Revascularization
Defined as the absence of any clinically-driven repeat invasive procedure, including angioplasty, stenting, endarterectomy, bypass, or thrombolysis, performed to open or increase the lumen diameter inside or within 10 mm of the previously treated lesion due to the return of clinical symptoms within 36 months of the procedure.
Measured: 3 Years
Secondary Outcome - Number of Participants Free From Acute Death
Defined as the absence of all-cause mortality occurring within 30 days of the procedure.
Measured: 30 days
Secondary Outcome - Number of Successfully Implanted Stents
Defined as the ability to deploy the stent as intended at the treatment site.
Measured: At procedure
Secondary Outcome - Number of Participants With Improvement in Rutherford Clinical Category at 1 Year
Defined as an improvement in clinical status indicated by a decrease of one or more in Rutherford Clinical Category compared to baseline.
Measured: 1 Year
Secondary Outcome - Number of Participants With Improvement in Ankle-Brachial Index at 1 Year
Defined as an increase in the ankle-brachial index (ABI) compared to baseline in subjects with compressible arteries and baseline ABI < 0.9.
Measured: 1 Year
Secondary Outcome - Change in Score of Walking Impairment Questionnaire at 1 Year
Defined as an increase in Walking Impairment Questionnaire score in subjects who did not have iliac disease treated at the time of the index procedure compared to baseline
Scale Range: Minimum score 0 to maximum score 100 Higher values represent better outcomes
Measured: 1 Year
Secondary Outcome - Number of Adverse Events
Number of Adverse Events in the study through 3 Years.
Measured: 3 Years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Sep 2012 (estimated)
- Study start14 Jan 2013
- Primary completion23 Oct 2018
- Study completion4 Feb 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Peripheral Arterial DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 108 participants (actual)
Sponsor and investigators
- Lead sponsor
- Medtronic Endovascular
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jon S Matsumura, MD, Principal investigator, University of Wisconsin, MadisonKrishna Rocha-Singh, MD, Principal investigator, Prairie Heart Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01680835
- Sponsor's protocol ID
- CP-1001
- Acronym
- DURABILITY PAS
- Status last verified
- Dec 2019
- First submitted
- 4 Sep 2012
- Last updated
- 26 Dec 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Dec 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The US StuDy for EvalUating EndovasculaR TreAtments of Lesions in the Superficial Femoral Artery and Proximal Popliteal By usIng the EverfLex NitInol STent System Post Approval Study
- ClinicalTrials.gov ID
- NCT01680835
- Acronym / sponsor ID
- DURABILITY PAS / CP-1001
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 108 participants (actual)
- Lead sponsor
- Medtronic EndovascularIndustry (pharma, biotech, devices)
- Study start
- 14 Jan 2013 (actual)
- Primary completion
- 23 Oct 2018 (actual)
- Study completion
- 4 Feb 2019 (actual)
- First posted
- 7 Sep 2012 (estimated)
- Results
- Posted 26 Dec 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This post-approval study is designed to confirm the long-term safety and effectiveness of the EverFlex™ Self-Expanding Stent System for the treatment of atherosclerotic superficial femoral artery (SFA) and proximal popliteal arteries.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Study cohort | Experimental | Device: EverFlex™ Self-Expanding Peripheral Stent SystemAll patients enrolled in this study will be treated with the EverFlex™ Self-Expanding Peripheral Stent System. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EverFlex™ Self-Expanding Peripheral Stent SystemUsing the EverFlex™ Self-Expanding Peripheral Stent System to treat atherosclerotic superficial femoral artery (SFA) and proximal popliteal lesions 4-18 cm long in subjects with Rutherford Clinical Categories 2-4. | Device | Study cohort |
Primary outcome
Primary Outcome - Freedom From Acute Death, Freedom From 36-month Amputation, and Freedom From 36-month Clinically-driven Target Lesion Revascularization
Time frame: 3 Years
Composite endpoint defined as freedom from acute death, freedom from 36-month amputation, and freedom from 36-month clinically-driven target lesion revascularization compared to a PTA performance goal.
10 secondary outcomes
Secondary Outcome - Freedom From Stent Fracture
Time frame: 1, 2 and 3 years
Secondary Outcome - Freedom From Acute Death, Freedom From Amputation and Freedom From Clinically-driven Target Lesion Revascularization at 1 and 2 Years
Time frame: 1 and 2 years
Secondary Outcome - Freedom From 36-month Amputation
Time frame: 3 Years
Secondary Outcome - Freedom From 36-month Clinically-driven Target Lesion Revascularization
Time frame: 3 Years
Secondary Outcome - Number of Participants Free From Acute Death
Time frame: 30 days
Secondary Outcome - Number of Successfully Implanted Stents
Time frame: At procedure
Secondary Outcome - Number of Participants With Improvement in Rutherford Clinical Category at 1 Year
Time frame: 1 Year
Secondary Outcome - Number of Participants With Improvement in Ankle-Brachial Index at 1 Year
Time frame: 1 Year
Secondary Outcome - Change in Score of Walking Impairment Questionnaire at 1 Year
Time frame: 1 Year
Secondary Outcome - Number of Adverse Events
Time frame: 3 Years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Dec 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jon S Matsumura, MD principal investigator
University of Wisconsin, Madison
Krishna Rocha-Singh, MD principal investigator
Prairie Heart Institute
23 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing EverFlex™ Self-Expanding Peripheral Stent System in people with Peripheral Arterial Disease and Lower Extremity Arterial Disease, run by Medtronic Endovascular at 23 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 23 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 26 Dec 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Primary Outcome - Freedom From Acute Death, Freedom From 36-month Amputation, and Freedom From 36-month Clinically-driven Target Lesion Revascularization (time frame: 3 Years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Dec 2019.