Peripheral Arterial DiseaseREALITY IIINCT03071146
Utility, Safety, and Effectiveness of the Bard LifeStent 5F Vascular Stent System
An observational study of Peripheral Arterial Disease and Intermittent Claudication, run by C. R. Bard at 4 sites in Germany.
Trial summary
The medical device being examined in this study is the Bard® LifeStent® 5F Vascular Stent System. It is intended for use in patients who suffer from peripheral artery disease (PAD). PAD is generally associated with blocked arteries of the legs. Read more about this study
- Who is it for?
- Ages 21 years and older
- Conditions the study is for
- Peripheral Arterial Disease, Intermittent Claudication
- What is being tested?
- Bard® LifeStent® 5F Vascular Stent System
- Type of treatment
- Medical device
- How many people
- 30 participants
- Where
- 4 sitesGermany
- Study dates
- 15 Feb 2017to 31 May 2018
- Phase
- Observational
- 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 21 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: This study will be conducted among patients who are candidates for PTA and stenting with lesion(s) in the infra-inguinal segment (SFA and/or popliteal artery).
Who may be able to join
- The subject or legal representative has been informed of the nature of the evaluation, agrees to its provisions, and has signed the informed consent form (ICF).
- Subject agrees to comply with the protocol-mandated follow-up procedures and visits.
- The subject is ≥ 21 years of age.
- The subject has lifestyle-limiting claudication to mild tissue loss defined as: Rutherford Category 2-5 (moderate claudication to minor tissue loss).
- The target lesion(s) has angiographic evidence of a hemodynamically relevant stenosis or restenosis ≥50% or occlusion of the SFA and/or popliteal artery (by visual estimate) and is amenable to PTA and stenting.
- The target vessel reference diameter will be (by visual estimate) appropriate for treatment with available stent diameters of 5.0, 6.0 and 7.0 mm.
- A total of two stents may be used to treat a target lesion. Overlapping is allowed.
- There is angiographic evidence of at least one vessel runoff to the foot (at the level of the malleolus).
Who cannot join
- The subject is unable or unwilling to provide informed consent or is unable or unwilling to comply with the study follow-up procedure and visits.
- The subject has claudication or critical limb ischemia described as Rutherford Category 0 (asymptomatic), 1 (mild claudication), or 6 (major tissue loss).
- The subject has a known contraindication (including allergic reaction) or sensitivity to nickel, titanium or tantalum.
- The subject has a known allergy of hypersensitivity to contrast media which cannot be adequately pre-medicated.
- The subject has a known uncontrolled blood coagulation/bleeding disorder.
- The subject has concomitant renal failure with a creatinine of >2.5 mg/dL.
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- The subject has concomitant hepatic insufficiency, thrombophlebitis, uremia, systemic lupus erythematosus (SLE), or deep vein thrombosis (DVT) at the time of the study procedure.
- The subject is receiving dialysis or immunosuppressive therapy.
- The subject is diagnosed with septicemia at the time of the study procedure.
- The subject is participating in an investigational drug or another investigational device study.
- The subject has another medical condition, which, in the opinion of the investigator, may cause him/her to be noncompliant with the protocol, confound the data interpretation, or is associated with limited life expectancy not sufficient to complete all study procedures.
- The subject has extensive peripheral vascular disease, which, in the opinion of the investigator, precludes safe insertion of an introducer sheath.
- The target lesion is located within an aneurysm or associated with an aneurysm in the vessel segment either proximal or distal to the target lesion.
- The subject has angiographic evidence of poor inflow, which would be deemed inadequate to support a vascular bypass graft.
- The subject has severe calcification of the target lesion, which prevents inflation of a PTA balloon (pre-dilatation of the target lesion is required).
- The subject has angiographic evidence of large acute thrombus at the target lesion.
- Subjects with a stent previously implanted into the target lesion. A target vessel with a previously placed stent is permitted as long as the subject device(s) will not come into contact with the previously placed stent during treatment of the target lesion.
- Lesion requiring the use of more than two stents.
- Bilateral disease in the native SFA and/or popliteal artery where both limbs meet the inclusion/exclusion criteria and it is planned to treat both limbs within 30 days. Note: One limb may be enrolled in the study, but only if the second limb is planned to be treated after the 30 day follow-up telephone screening has taken place. The limb that may be enrolled has to be the limb with the more severe lesion and the reasons for treating this specific limb will need to be stated in the case report form (CRF).
- The subject had a prior vascular intervention within 30 days before, or has an intervention planned for within 30 days after the index procedure. Note: Additional non-target lesions may be treated during the index procedure.
Trial locations and contacts
4 sites in 1 country.
Germany4 sites
Universitaets-Herzzentrum Freiburg, Klinik fuer Kardiologie und Angiologie II
Bad Krozingen, Suedring 15, 79189
Gemeinschaftspraxis fuer Radiologie
Berlin, Heinz-Galinski-Str. 1, 13347
Fuerst-Stirum-Klinik Bruchsal
Bruchsal, Gutleutstr. 1-14, 76646
Praxis fuer Interventionelle Angiologie
Kaiserslautern, Strassburger Allee 4, 67657
About this study
Official title: A Prospective Study of the Performance of the Bard LifeStent 5F Vascular Stent System
The medical device being examined in this study is the Bard® LifeStent® 5F Vascular Stent System. It is intended for use in patients who suffer from peripheral artery disease (PAD). PAD is generally associated with blocked arteries of the legs. The superficial femoral artery (SFA) and popliteal artery are common locations for this problem to develop. The patient may experience pain or discomfort in the leg that occurs when walking or have other complications associated with wound healing. The purpose of this study is to collect information to assess the deliverability, clinical utility, safety and effectiveness of the Bard® LifeStent® 5F Vascular Stent System.
- Being tested
- Bard® LifeStent® 5F Vascular Stent System
- Medical subject headings
- Peripheral Arterial Disease, Intermittent Claudication
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Bard® LifeStent® 5F Vascular Stent SystemDevice
The LifeStent® Vascular Stent is a peripheral stent intended to improve luminal diameter in the treatment of symptomatic de-novo or restenotic lesions up to 240 mm in length in the native superficial femoral artery (SFA) and popliteal artery with reference vessel diameters ranging from 4.0 - 6.5 mm.
| Study group | Role | What they receive |
|---|---|---|
| Bard® LifeStent® 5F Vascular Stent System | Patients with lesion(s) in the infra-inguinal segment (SFA and/or popliteal artery) will be treated with percutaneous transluminal angioplasty (PTA) and the Bard® LifeStent® 5F Vascular Stent System. Receives: Device: Bard® LifeStent® 5F Vascular Stent System |
What is being measured
The primary outcome is the main question the study is designed to answer.
Freedom from occurrence of death
Measured: 30 days post-index procedure
Freedom from occurrence of amputation
Measured: 30 days post-index procedure
Freedom from TLR (Target Lesion Revascularization)
TLR is defined as a revascularization procedure (e.g. PTA, cryoplasty, etc.) of the target lesion.
Measured: 30 days post-index procedure
Freedom from TVR (Target Vessel Revascularization)
TVR is defined as a revascularization procedure (e.g. PTA, stenting, surgical bypass, etc.) of the target vessel outside the target lesion.
Measured: 30 days post-index procedure
Technical success
Technical success is defined as successful deployment and placement accuracy based upon a rating scale completed by the investigators. bookend sizes will be evaluated for clinical utility of size range.
Measured: At the time of index procedure (usually within 10 minutes)
Secondary outcomes (10)
Freedom from TLR (Target Lesion Revascularization)
TLR is defined as a revascularization procedure (e.g. PTA, cryoplasty, etc.) of the target lesion.
Measured: Up to 12 months post-index procedure
Freedom from TVR (Target Vessel Revascularization)
TVR is defined as a revascularization procedure (e.g. PTA, stenting, surgical bypass, etc.) of the target vessel outside the target lesion.
Measured: Up to 12 months post-index procedure
Primary patency rates
Patency is defined as a reduction in luminal diameter (stenosis) of <=50% and of <=70% measured by Duplex ultrasound (DUS) (peak systolic velocity ratio or PSVR <= 2.4 and <=3.4). Failure of primary patency is defined as a restenosis (reduction in luminal diameter of >50%) as measured by DUS (PSVR >2.4).
Measured: Up to 12 months post-index procedure
Freedom from death
TLR is defined as a revascularization procedure (e.g. PTA, cryoplasty, etc.) of the target lesion. TVR is defined as a revascularization procedure (e.g. PTA, stenting, surgical bypass, etc.) of the target vessel outside the target lesion.
Measured: 12 months post-index procedure
Freedom from occurrence of stroke
Measured: 12 months post-index procedure
Freedom from occurrence of MI (myocardial infarction)
Measured: 12 months post-index procedure
Occurrence of emergent surgical revascularization of the target limb
Measured: 12 months post-index procedure
Occurrence of significant distal embolization in target limb
Measured: 12 months post-index procedure
Occurrence of target limb major amputation
Measured: 12 months post-index procedure
Occurrence of thrombosis of target vessel
Measured: 12 months post-index procedure.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2017
- Study start15 Feb 2017
- Primary completion4 May 2017
- Study completion31 May 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Peripheral Arterial DiseaseStudies of the same condition, open and under way.
- More trials run by C. R. BardThe sponsor's other registered studies.
- 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- C. R. Bard
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Thomas Zeller, MD, Principal investigator, Universitaets-Herzzentrum Freiburg, Bad Krozingen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03071146
- Sponsor's protocol ID
- BPV-16-004
- Acronym
- REALITY III
- Status last verified
- Aug 2018
- First submitted
- 21 Feb 2017
- Last updated
- 21 Aug 2018
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective Study of the Performance of the Bard LifeStent 5F Vascular Stent System
- ClinicalTrials.gov ID
- NCT03071146
- Acronym / sponsor ID
- REALITY III / BPV-16-004
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- C. R. BardIndustry (pharma, biotech, devices)
- Study start
- 15 Feb 2017 (actual)
- Primary completion
- 4 May 2017 (actual)
- Study completion
- 31 May 2018 (actual)
- First posted
- 6 Mar 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The medical device being examined in this study is the Bard® LifeStent® 5F Vascular Stent System. It is intended for use in patients who suffer from peripheral artery disease (PAD). PAD is generally associated with blocked arteries of the legs. The superficial femoral artery (SFA) and popliteal artery are common locations for this problem to develop. The patient may experience pain or discomfort in the leg that occurs when walking or have other complications associated with wound healing. The purpose of this study is to collect information to assess the deliverability, clinical utility, safety and effectiveness of the Bard® LifeStent® 5F Vascular Stent System.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Bard® LifeStent® 5F Vascular Stent System | – | Device: Bard® LifeStent® 5F Vascular Stent SystemPatients with lesion(s) in the infra-inguinal segment (SFA and/or popliteal artery) will be treated with percutaneous transluminal angioplasty (PTA) and the Bard® LifeStent® 5F Vascular Stent System. |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- This study will be conducted among patients who are candidates for PTA and stenting with lesion(s) in the infra-inguinal segment (SFA and/or popliteal artery).
Key inclusion criteria (8 listed)
- The subject or legal representative has been informed of the nature of the evaluation, agrees to its provisions, and has signed the informed consent form (ICF).
- Subject agrees to comply with the protocol-mandated follow-up procedures and visits.
- The subject is ≥ 21 years of age.
- The subject has lifestyle-limiting claudication to mild tissue loss defined as: Rutherford Category 2-5 (moderate claudication to minor tissue loss).
- The target lesion(s) has angiographic evidence of a hemodynamically relevant stenosis or restenosis ≥50% or occlusion of the SFA and/or popliteal artery (by visual estimate) and is amenable to PTA and stenting.
Key exclusion criteria (20 listed)
- The subject is unable or unwilling to provide informed consent or is unable or unwilling to comply with the study follow-up procedure and visits.
- The subject has claudication or critical limb ischemia described as Rutherford Category 0 (asymptomatic), 1 (mild claudication), or 6 (major tissue loss).
- The subject has a known contraindication (including allergic reaction) or sensitivity to nickel, titanium or tantalum.
- The subject has a known allergy of hypersensitivity to contrast media which cannot be adequately pre-medicated.
- The subject has a known uncontrolled blood coagulation/bleeding disorder.
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 |
|---|---|---|
| Bard® LifeStent® 5F Vascular Stent SystemThe LifeStent® Vascular Stent is a peripheral stent intended to improve luminal diameter in the treatment of symptomatic de-novo or restenotic lesions up to 240 mm in length in the native superficial femoral artery (SFA) and popliteal artery with reference vessel diameters ranging from 4.0 - 6.5 mm. | Device | Bard® LifeStent® 5F Vascular Stent System |
Primary outcome
Freedom from occurrence of death
Time frame: 30 days post-index procedure
Freedom from occurrence of amputation
Time frame: 30 days post-index procedure
Freedom from TLR (Target Lesion Revascularization)
Time frame: 30 days post-index procedure
TLR is defined as a revascularization procedure (e.g. PTA, cryoplasty, etc.) of the target lesion.
Freedom from TVR (Target Vessel Revascularization)
Time frame: 30 days post-index procedure
TVR is defined as a revascularization procedure (e.g. PTA, stenting, surgical bypass, etc.) of the target vessel outside the target lesion.
Technical success
Time frame: At the time of index procedure (usually within 10 minutes)
Technical success is defined as successful deployment and placement accuracy based upon a rating scale completed by the investigators. bookend sizes will be evaluated for clinical utility of size range.
10 secondary outcomes
Freedom from TLR (Target Lesion Revascularization)
Time frame: Up to 12 months post-index procedure
Freedom from TVR (Target Vessel Revascularization)
Time frame: Up to 12 months post-index procedure
Primary patency rates
Time frame: Up to 12 months post-index procedure
Freedom from death
Time frame: 12 months post-index procedure
Freedom from occurrence of stroke
Time frame: 12 months post-index procedure
Freedom from occurrence of MI (myocardial infarction)
Time frame: 12 months post-index procedure
Occurrence of emergent surgical revascularization of the target limb
Time frame: 12 months post-index procedure
Occurrence of significant distal embolization in target limb
Time frame: 12 months post-index procedure
Occurrence of target limb major amputation
Time frame: 12 months post-index procedure
Occurrence of thrombosis of target vessel
Time frame: 12 months post-index procedure.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Aug 2018.
- 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.
Thomas Zeller, MD principal investigator
Universitaets-Herzzentrum Freiburg, Bad Krozingen
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Peripheral Arterial Disease and Intermittent Claudication, run by C. R. Bard at 4 sites in Germany.
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 8 inclusion and 20 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 21 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Germany. 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 occurrence of death (time frame: 30 days post-index procedure). The study lists 5 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 21 Aug 2018.