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Peripheral Vascular DiseaseDESappearNCT02869087

The DESappear Study: Drug Eluting Scaffold

A study testing Akesys Prava Scaffold in people with Peripheral Vascular Disease, run by Elixir Medical Corporation at 11 sites in 4 countries.

Completed

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

Official record
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Trial summary

The aim of this study is to prospectively collect information to evaluate the safety and performance of the Akesys Prava Sirolimus Eluting Bioresorbable Peripheral scaffold system for the treatment of symptomatic primary atherosclerotic stenoses and occlusions of the superficial femoral artery (SFA). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peripheral Vascular Disease
What is being tested?
Akesys Prava Scaffold
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
21 participants
Where
11 sitesin 4 countries
Study dates
10 Oct 2016to 30 Apr 2021
Phase
Interventional
Are there results?
None posted in the registry

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

Who may be able to join

  • Clinical inclusion criteria:
  • Subject is ≥18 years of age.
  • Subject has been informed of the nature of the study, agrees to its provisions, is able to provide informed consent, and agrees to undergo all protocol-required follow up examinations and requirements.
  • Subject's life expectancy is at least 1 year.
  • Subject is diagnosed as having symptomatic claudication (Rutherford-Becker Clinical Category 2-4).
  • For females of childbearing potential, a negative pregnancy test within 14 days before index procedure is required
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  • Subject is able to take a P2Y12 receptor antagonist (e.g. clopidogrel, ticagrelor, prasugrel or ticagrelor) and acetylsalicylic acid (aspirin).
  • Angiographic inclusion criteria:
  • A single, de novo native disease segment of the SFA
  • Proximal margin of target lesion is ≥1 cm distal to the common femoral artery bifurcation; distal margin of target lesion is within the SFA.
  • Vessel diameter from ≥5.0 mm to ≤6.0 mm evaluated by on-line quantitative vascular angiography (QVA) after pre-dilatation per core laboratory guidelines.
  • Target lesion diameter reduction ≥50%
  • Target lesion length ≤53 mm
  • Patent inflow artery free from significant lesion (≥50% diameter reduction;
  • Patent distal popliteal artery free from significant lesion (≥50%) with angiographic demonstration of at least one fully patent distal outflow artery (anterior tibial, posterior tibial, or peroneal) to its terminus.

Who cannot join

  • Clinical exclusion criteria:
  • Previous bypass surgery or stenting at the TL;
  • Percutaneous or open surgical revascularization of the contralateral iliac or infrainguinal arteries ≤30 days prior to the planned index procedure. Iliac artery lesions may be treated during the index procedure if necessary for approach to the TL;
  • Failure to successfully cross the target lesion with a guide wire;
  • Subject has a known abdominal aortic aneurysm >4 cm in diameter, a known iliac artery aneurysm >3 cm in diameter, or history of open surgical abdominal aortic or iliac revascularization.
  • Lesion within or adjacent to an aneurysm or presence of a popliteal aneurysm;
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  • Subject is receiving immunosuppression therapy and has known immunosuppressive or autoimmune disease (e.g. human immunodeficiency virus, systemic lupus erythematosus);
  • Acute limb ischemia;
  • History of a bleeding diathesis;
  • History of a hypercoagulability syndrome;
  • Platelet count <100,000 cells/mm3 or >700,000 cells/mm3; a WBC <3,000 cells/mm3; or hemoglobin <10.0 g/dL;
  • Acute or chronic renal dysfunction (creatinine >2.5 mg/dl or >176 μmol/L), or on chronic hemodialysis;
  • Severe liver impairment as defined by total bilirubin ≥3 mg/dl or two times increase over the normal level of SGOT/AST or SGPT/ALT;
  • Known allergies to the following: aspirin, clopidogrel, prasugrel, ticagrelor, or heparin, contrast agent (that cannot be adequately premedicated), or drugs similar to sirolimus (i.e. tacrolimus, everolimus, zotarolimus) or other macrolides;
  • Subject requires planned procedure within 30 days that would necessitate the discontinuation of clopidogrel, prasugrel, or ticagrelor;
  • Subject is on chronic Coumadin therapy
  • Subject has had or is planned to have treatment with DES or drug coated balloon (DCB) within 90 days pre- or post-index procedure;
  • Subject is non-ambulatory;
  • Subject has undergone percutaneous intervention of the coronary, carotid, or arterial bed exclusive of the <30 days prior to the planned index procedure.
  • Subject has received, or is on the waiting list for, an organ transplant;
  • Subject had a myocardial infarction (MI) within the previous 30 days prior to the planned index procedure;
  • Subject has had a stroke within the previous 30 days of the planned index procedure and/or has deficits from a prior stroke that limit the subject's ability to walk;
  • Subject has unstable angina defined as rest angina with ECG changes;
  • Subject has a groin infection, or an acute systemic infection that has not been treated successfully or is currently under treatment;
  • Subject has acute thrombophlebitis (superficial or deep) in either extremity;
  • Subject has other medical conditions (e.g., cancer, congestive heart failure or substance abuse) that may cause the subject to be non-compliant with protocol requirements or confound data interpretation;
  • Subject is currently participating or wanting to participate in a clinical trial following 6 months after the index procedure in an investigational drug, biologic, or device study that has not completed the primary endpoint or that clinically interferes with the current study endpoints. (Note: Trials requiring extended follow-up for products that were investigational, but have since become commercially available, are not considered investigational trials);
  • Subject is unable to understand or unwilling to cooperate with study procedures;
  • Subject has prior minor or major amputation of either lower extremity;
  • Subject is part of a vulnerable population who, in the judgment of the investigator, is unable to give informed consent for reasons of incapacity, immaturity, adverse personal circumstances or lack of autonomy;
  • Pre-operative plan for additional treatment of the target lesion at the time of the study procedure with alternative therapy such as drug-eluting stent (DES) and scaffold, laser, atherectomy, cryoplasty, cutting balloon, drug-eluting balloon, or brachytherapy (vessel preparation with uncoated balloon angioplasty is allowed); 31Plan for cardiovascular surgical or interventional procedure ≤30 days after the study procedure including planned treatment of the contralateral lower extremity.
  • Angiographic exclusion criteria:
  • Target extremity has an angiographically significant (>50% diameter reduction) lesion located in the target vessel distal to the target lesion;
  • Thrombus in the target vessel;
  • Stenosis (>50%) or occlusion of an ipsilateral inflow artery;
  • Angiographic evidence of thromboembolism or atheroembolism from treatment of an ipsilateral iliac lesion, or from crossing or pre-dilating the target lesion;
  • Target lesion has calcification with either of the following characteristics:
  • Circumferential orientation, or
  • Thickness >2 mm (radially) within the wall of the target lesion.
  • Failure to achieve less than 30% residual stenosis after balloon predilation.

Trial locations and contacts

11 sites in 4 countries.

11 sites in 4 countries

Germany5 sites
  • Klinikum Arnsberg

    Arnsberg, North Rhine-Westphalia, 59759

  • Heart Center Bad Krozingen

    Freiburg im Breisgau

  • Universitätsklinikum Leipzig AöR,

    Leipzig

  • Bonifatius Hospital

    Lingen, Lower Saxony, 49808

  • St Franziskus Hospital

    Münster

Other trials in Germany

Austria2 sites
  • LKH University Hospital Graz

    Graz, Styria, A8036

  • Hanusch Hospital

    Vienna, 1140

Other trials in Austria

Belgium2 sites
  • AZ Sint Blasius, Dendermonde

    Dendermonde, Brussels Capital

  • Heilig Hart Hospital

    Tienen

Other trials in Belgium

New Zealand2 sites
  • Auckland City Hospital

    Auckland

  • Wellington Hospital

    Wellington

Other trials in New Zealand

About this study

Official title: DESappear Study: Drug Eluting Scaffold With an Absorbable Platform for Primary Lower Extremity Arterial Revascularization

The aim of this study is to prospectively collect information to evaluate the safety and performance of the Akesys Prava Sirolimus Eluting Bioresorbable Peripheral scaffold system for the treatment of symptomatic primary atherosclerotic stenoses and occlusions of the superficial femoral artery (SFA).

Read the detailed description

This is a mutli center, prospective ,single arm study enrolling up to 60 patients at up to 12 centers in New Zealand and Europe.

The purpose is to prospectively collect information to evaluate the safety and performance of the Akesys Prava Sirolimus eluting bioresorbable scaffold system in peripheral arterial disease (PAD) Patients will be treated with the investigational device and followed up clinically at 1 month, 6 Months, 12 months, 24 months and 36 months post procedure.

Patients will undergo non-invasive assessments such as Duplex Ultrasound (DUS), Ankle/Brachial Index (ABI) measurements and will complete a Walking Impairment Questionnaire (WIQ) and Quality of Life Questionnaire (VASCUQoL) at each follow up interval.

Data will be collected via electronic data capture (EDC) and reportable Events will be reviewed by a medical monitor and classified using the MedDRA system. The information entered by the research centres will be source data verified (monitored) by an independent Contract Research Organisation (CRO.) A Data Monitoring Committee (DMC) with appropriately qualified members independent of the study will meet to review and adjudicate on events at predetermined intervals, according to the charter.

Primary safety and efficacy endpoints will be evaluated at 6 months There will be no formal hypothesis testing in the study, endpoints will be evaluated with 95% confidence intervals around the observed point estimates. The endpoints will be evaluated with Kaplan-Meier methodology.

Being tested
Akesys Prava Scaffold
Medical subject headings
Peripheral Vascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Akesys Prava ScaffoldDevice

    Implantation of the Akesys Prava Sirolimus Eluting Bioresorbable Peripheral Scaffold System

Study groups in NCT02869087
Study groupRoleWhat they receive
Single GroupExperimentalSingle Arm study, study subjects are assigned to treatment with the Akesys Prava Scaffold
Receives: Device: Akesys Prava Scaffold

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Freedom from composite of perioperative death < 30 days and freedom from major adverse limb events (MALE) defined as the occurrence of major amputation, thrombectomy, thrombolysis or major open surgical revascularization

    Primary Safety Endpoint

    Measured: 6 months

  2. Primary Patency defined as the freedom from restenosis (>50% diameter reduction defined by Duplex Ultrasound) or clinically driven target lesion revascularization through 6 months

    Primary Effectiveness Endpoint

    Measured: 6 months

Secondary outcomes (20)
  1. Freedom from composite of perioperative death within 30 days and freedom from major adverse limb events (MALE) defined as the occurrence of major amputation, thrombectomy, thrombolysis or major open surgical revascularization.

    Secondary Safety endpoint

    Measured: 12 months

  2. Freedom from the composite of target lesion (TL) occlusion, reintervention or restenosis defined as a >50% diameter reduction in the target lesion, as confirmed by Duplex Ultrasound or angiography

    Secondary Effectiveness Endpoint

    Measured: 12 months

  3. All cause mortality

    Measured: 12 months

  4. Technical Success defined as the successful delivery and deployment of the device assessed by angiography at the conclusion of the procedure

    The assessment will be made and evaluated at the conclusion of the index procedure

    Measured: Post Procedure- Procedure may take up to 2 hours

  5. Technical Success defined as no implantation of metallic stent assessed by angiography at the conclusion of the procedure

    the assessment will be made and evaluated at the conclusion of the Index procedure

    Measured: Post Procedure, procedure may take up to 2 hours

  6. Technical Success defined as < 30%residual stenosis after successful implantation of the scaffold assessed by angiography at the conclusion of the procedure

    The assessment will be made and evaluated at the conclusion of the index procedure

    Measured: Post Procedure, procedure may take up to 2 hours

  7. Major target extremity amputation

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  8. Minor target extremity amputation

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  9. Scaffold Thrombosis

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  10. Target Lesion binary restenosis by duplex ultrasound Peak Systolic Velocity ratio (PSVR>2.4)

    Measured: 1 month, 6 months,12 months, 24 months, 36 months

  11. Clinically driven target lesion restenosis defined as any intervention due to worsening symptoms, a fall in ABI or TL restenosis as determined by duplex ultrasound

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  12. Target extremity revascularisation

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  13. Primary patency of the target lesion

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  14. Primary assisted patency of the target lesion

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  15. Secondary patency of the target lesion

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  16. Rutherford Becker clinical category

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  17. Ankle Brachial Index in the target extremity

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  18. Walking Capacity as demonstrated by the Walking Impairment Questionnaire

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  19. Quality of Life measures using VASCUQoL- disease specific

    Measured: 1 month,6 months,12 months, 24 months, 36 months

  20. Duplex ultrasound derived Peak Velocity (PSV) at the target lesion

    Measured: 1 month,6 months,12 months, 24 months, 36 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Aug 2016 (estimated)
  2. Study start10 Oct 2016
  3. Primary completion28 Aug 2018
  4. Study completion30 Apr 2021

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
21 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02869087
Sponsor's protocol ID
ELX CL 1501
Acronym
DESappear
Status last verified
May 2021
First submitted
31 May 2016
Last updated
1 Jun 2021
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Akesys Prava Scaffold in people with Peripheral Vascular Disease, run by Elixir Medical Corporation at 11 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 40 exclusion criteria. 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 1 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Germany, Austria, Belgium, New Zealand. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Freedom from composite of perioperative death < 30 days and freedom from major adverse limb events (MALE) defined as the occurrence of major amputation, thrombectomy, thrombolysis or major open surgical revascularization (time frame: 6 months). The study lists 2 primary outcomes in all. 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 1 Jun 2021; AzTrials last refreshed its copy on 28 Oct 2026.

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