AzTrials
AzTrials

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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

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
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

  1. 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.
  2. Has a Rutherford Clinical Category Score of 2, 3 or 4.
  3. Is willing to comply with all follow-up evaluations at the specified times.
  4. Is ≥ to18 years old.
  5. 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.

  1. 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.
  2. Evidence of ≥ 50% stenosis or restenosis (from PTA or adjunct therapy, not including stents or stent grafts), or occlusion of target lesion(s).
  3. Target lesion(s) total length is ≥ 4 cm and ≤ 18 cm.
  4. Target vessel diameter is ≥ 4.5 mm and ≤ 7.5 mm.
  5. 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

  1. Has undergone previous implantation of stent(s) or stent graft(s) in the target vessel.
  2. 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.
  3. Has known hypersensitivity to nickel-titanium.
  4. Has bleeding diathesis, coagulopathy, known hypercoagulable condition, or refuses blood transfusion.
  5. Female currently breastfeeding, pregnant, or of childbearing potential not using adequate contraceptive measures.
  6. Has life expectancy of less than 1 year.
  7. Has planned use of thrombectomy, atherectomy, brachytherapy or laser devices during procedure.
  8. Has previously been enrolled in the DURABILITY PAS study.
  9. 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.
  10. Has any planned surgical intervention or endovascular procedure 14 days before or 30 days after the index procedure.
  11. 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.
  12. 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.

  1. Exchangeable guidewire cannot cross the target lesion and/or re-enter true vessel lumen distal to lesion(s).
  2. Presence of significant (> 50% stenosis or occlusion) ipsilateral common femoral stenosis.
  3. Aneurysmal target vessel.
  4. Presence of an acute intraluminal thrombus at the proposed lesion site.
  5. Perforation, dissection or other injury of the access or target vessel requiring additional stenting or surgical intervention prior to start of PTA procedure.
  6. 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

Other trials in United States

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 groups in NCT01680835
Study groupRoleWhat they receive
Study cohortExperimentalAll 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.

  1. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. Secondary Outcome - Number of Successfully Implanted Stents

    Defined as the ability to deploy the stent as intended at the treatment site.

    Measured: At procedure

  7. 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

  8. 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

  9. 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

  10. 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.

  1. First posted7 Sep 2012 (estimated)
  2. Study start14 Jan 2013
  3. Primary completion23 Oct 2018
  4. Study completion4 Feb 2019

Resources

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)
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
Data monitoring committee
No
Individual data sharing
No

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.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in
EverFlex Post Approval Study (NCT01680835) | AzTrials