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S.M.A.R.T.™ Nitinol Self-Expandable Stent in the Treatment of Obstructive Superficial Femoral Artery Disease (STROLL)

This study is currently recruiting participants.
Verified by Cordis Corporation, August 2008

Sponsored by: Cordis Corporation
Information provided by: Cordis Corporation
ClinicalTrials.gov Identifier: NCT00739102
  Purpose

A multi-center, non-randomized, single-arm, prospective trial evaluating the safety and effectiveness of the S.M.A.R.T.TM Nitinol Stent System implantation in approximately 250 patients with obstructive superficial femoral artery disease.


Condition Intervention
Femoral Artery Disease
Device: S.M.A.R.T. Stent

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title:   S.M.A.R.T.™ Nitinol Self-Expandable Stent in the Treatment of Obstructive Superficial Femoral Artery Disease (STROLL)

Further study details as provided by Cordis Corporation:

Primary Outcome Measures:
  • Patency, defined as no significant reduction of flow detectable by Duplex ultrasound through the index lesion at 12 months follow-up, and no further clinically driven target vessel revascularization performed in the interim. [ Time Frame: 12 months ] [ Designated as safety issue: No ]
  • 30-day freedom from all causes of death, index limb amputation and TLR. [ Time Frame: 30 days ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • 30 day death [ Time Frame: 30 day ] [ Designated as safety issue: Yes ]
  • 30 day amputation [ Time Frame: 30 day ] [ Designated as safety issue: No ]
  • 30 day TVR [ Time Frame: 30 day ] [ Designated as safety issue: Yes ]
  • 12 month Target Vessel Revascularization (TVR) [ Time Frame: 12 month ] [ Designated as safety issue: Yes ]
  • Rutherford classification change at 12 months [ Time Frame: 12 month ] [ Designated as safety issue: No ]

Estimated Enrollment:   250
Study Start Date:   August 2008
Estimated Study Completion Date:   February 2015
Estimated Primary Completion Date:   January 2010 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
S.M.A.R.T.TM Nitinol Self-Expandable Stent System
Device: S.M.A.R.T. Stent
The Cordis S.M.A.R.T.™ Nitinol Stent System is a self-expandable, crush recoverable stent with a diameter larger than that of the arterial lumen. The stent is indicated for use in a vessel with a diameter 1 to 2 mm smaller than the nominal stent diameter. This stent will open to the diameter of the artery and will continue to apply expandingforce on the artery.

  Eligibility
Ages Eligible for Study:   30 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Age >/= 30 years
  • For women of child bearing potential, a pregnancy test within 7 days prior to index procedure (the test results must be negative to be eligible).
  • Symptomatic leg ischemia by Rutherford/Becker Classification (category 2, 3 or 4) with a resting ABI </= 0.8.
  • A single superficial femoral artery lesion with > 50% stenosis or total occlusion.
  • Stenotic lesion or occluded length within the same vessel (one long or multiple serial lesions) >/= 4.0 cm to </= 15.0 cm. The stenosis must be treatable with no more than two stents, minimizing the stent overlap whose combined length </= 170 mm.
  • Reference vessel diameter (RVD) >/= 4.0 mm and </ 6.0 mm by visual assessment.
  • All lesions are to be located at least three centimeters proximal to the superior edge of the patella.
  • Patent infrapopliteal and popliteal artery, i.e., single vessel runoff or better with at least one of three vessels patent (< 50% stenosis) to the ankle or foot.
  • The guidewire is across the target lesion(s) and located intraluminally within the distal vessel.
  • Poor aortoiliac or common femoral "inflow" (i.e. angiographically defined > 50% stenosis of the iliac or common femoral artery) that would be deemed inadequate to support a femoropopliteal bypass graft must be successfully treated prior to treatment of the target lesion.
  • A patient with bilateral obstructive SFA disease is eligible for enrollment into the study.
  • Eligibility for standard surgical repair, if necessary.
  • A patient who requires a coronary intervention, should have it performed at least 7 days prior to the treatment of the target lesion.
  • Patient or authorized representative must provide written informed consent and written HIPAA authorization prior to initiation of study procedures.
  • Patient must be willing to comply with the specified follow-up evaluation schedule.

Exclusion Criteria:

  • Concomitant hepatic insufficiency [SGOT and / or SGPT > two (2) times ULN] at time of screening visit.
  • Thrombophlebitis, uremia, or deep venous thrombus, within past 1 month.
  • Receiving dialysis or immunosuppressant therapy.
  • Thrombolysis of the target vessel within 72 hours prior to the index procedure where complete resolution of the thrombus was not achieved.
  • Recent stroke within past 3 months.
  • Femoral, iliac or aortic aneurysm or aneurysm in the SFA or popliteal artery.
  • Required stent placement via a popliteal approach.
  • Required stent placement across or within 0.5 cm of the SFA / PFA bifurcation.
  • Procedures which are pre-determined to require stent-in-stent placement to obtain patency, such as severe calcification which is resistant to stenting, or for in-stent restenosis.
  • Significant vessel tortuosity or other parameters prohibiting access to the lesion or 90° tortuosity which would prevent delivery of the stent device.
  • Required stent placement within 1 cm of a previously deployed stent.
  • Known allergies to the following: aspirin, clopidogrel bisulfate (Plavix®) or ticlopidine (Ticlid®), heparin, Nitinol (nickel titanium), contrast agent, that cannot be medically managed.
  • Presence of thrombus prior to crossing the lesion
  • Tissue loss due to ischemic disease (Rutherford/Becker category 5 or 6)
  • Serum creatinine level >/= 2.5 mg/dl at time of screening visit
  • Known or suspected active infection at the time of the procedure
  • Bleeding diathesis
  • Presence of an aortic, iliac or femoral artificial graft
  • Life expectancy less than one year, or any other factors preventing clinical followup.
  • Use of cryoplasty, laser, or atherectomy devices on the target vessel at the time of index procedure
  • In-stent restenotic lesions at time of procedures.
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00739102

Contacts
Contact: H. Wayne Hutman, M.D.     908-412-3871    

Locations
United States, Wisconsin
Columbia Hospital     Recruiting
      Milwaukee, Wisconsin, United States, 53211
      Contact: Andrew Feiring, M.D.     414-961-5000     afeiring@execpc.com    

Sponsors and Collaborators
Cordis Corporation

Investigators
Principal Investigator:     Andrew Feiring, M.D.     Columbia Hospital    
  More Information


Responsible Party:   Cordis ( H. Wayne Hutman, Director Clinical Research )
Study ID Numbers:   P05-6201
First Received:   August 20, 2008
Last Updated:   August 20, 2008
ClinicalTrials.gov Identifier:   NCT00739102
Health Authority:   United States: Food and Drug Administration

Keywords provided by Cordis Corporation:
Superficial Femoral Artery  
Nitinol Self-Expandable Stent System  

ClinicalTrials.gov processed this record on October 15, 2008




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