A Clinical Evaluation of the MicroSTent® PeripherAl Vascular SteNt in Subjects With Arterial Disease Below the Knee (STAND)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Kate Mandall
- Phone Number: 949-292-5466
- Email: kmandall@micromedicalsolutions.net
Study Locations
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-
Alabama
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Birmingham, Alabama, United States, 35243
- Cardiovascular Associates of the Southeast
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-
Arizona
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Mesa, Arizona, United States, 85203
- Copper State Vascular
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-
California
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St. Helena, California, United States, 94574
- St. Helena Hospital
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-
Colorado
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Aurora, Colorado, United States, 80045
- Rocky Mountain Regional VA Medical Center
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-
Florida
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Fort Lauderdale, Florida, United States, 33312
- Palm Vascular
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Jacksonville, Florida, United States, 32256
- First Coast Cardiovascular Institute
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Leesburg, Florida, United States, 34748
- FHV Health
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Miami Beach, Florida, United States, 33140
- Mount Sinai Medical Center
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Sebring, Florida, United States, 33872
- Advent Health Sebring
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Iowa
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Davenport, Iowa, United States, 52807
- Vascular Institute of the Midwest
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Louisiana
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Houma, Louisiana, United States, 70360
- Cardiovascular Institute of the South
-
-
Maryland
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Baltimore, Maryland, United States, 21201
- University of Maryland - Baltimore
-
-
Michigan
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Grand Rapids, Michigan, United States, 49525
- Advanced Cardiac and Vascular Amputation Prevention Centers
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New Jersey
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Browns Mills, New Jersey, United States, 08015
- Deborah Heart and Lung Center
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Clifton, New Jersey, United States, 07013
- North Jersey Vascular Center
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Galloway, New Jersey, United States, 08205
- AMI Vascular Institute
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Pennsylvania
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Jefferson Hills, Pennsylvania, United States, 15025
- US Cardiovascular
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Rhode Island
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Providence, Rhode Island, United States, 02904
- Brown University
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-
South Carolina
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Spartanburg, South Carolina, United States, 29303
- Cardiology Consultants
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Texas
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Austin, Texas, United States, 78756
- Cardiothoracic and Vascular Surgeons
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Wisconsin
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Milwaukee, Wisconsin, United States, 53221
- AZH/WAVE Vascular Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
General Inclusion Criteria:
- Subject is a male or a non-pregnant female adult between the age of 21 and 90 years old.
- Subject has documented clinical evidence of critical limb ischemia (CLI) in the target limb prior to the index procedure, with a Rutherford Classification score of 4-5.
- The subject, or subject's designated legal representative, has been informed of the nature of the study and is willing to provide written informed consent.
- Subject is willing to comply with all required follow-up visits.
Subject life expectancy is ≥1 year per the Principal Investigator.
Angiographic Inclusion Criteria
- Target vessel reconstitutes at or above the ankle with inline flow to at least one patent (<50% stenosis) inframalleolar outflow vessel.
- Subject has a lesion, with ≥ 70% stenosis and ≤ 12.0 cm in length located at or distal to the tibial-peroneal trunk and above the tibiotalar joint; including the anterior tibial, posterior tibial or peroneal arteries.
- Target lesion has a reference vessel diameter of 2.5 - 4.5 mm
- The target lesion is able to be crossed with a guidewire to facilitate treatment with the randomized device.
General Exclusion Criteria:
- Subject had a prior or has a planned index limb amputation above the ankle.
- Subject has a wound/ulcer on the forefoot with a surface area >4cm² or osteomyelitis involving the calcaneus bone.
- Subject is pregnant, plans to become pregnant, or is nursing.
- Subject has clinical conditions that severely inhibit X-ray or duplex ultrasound visualization (e.g. body habitus).
- Subject has a history of hypercoagulation/clotting disorders or acute thrombosis.
- Subject has allergy to iodinated contrast media that cannot be adequately managed with medication.
- Subject is in acute renal failure.
- Subject has an active systemic infection.
- Subject is participating in another research study involving an investigational device, biologic, or drug that has not completed the primary endpoint at the time of randomization/enrollment.
- Subject has other comorbidities that - in the opinion of the investigator - preclude them from receiving study treatment and/or from completing the required study follow-up assessments.
- Subject presents with acute limb ischemia or acute thrombosis of the target limb.
- Subject has experienced myocardial infarction, thrombolysis, or angina less than 30 days prior to the index procedure.
Subject had a stroke within 3 months of index procedure.
Angiographic exclusion criteria
- Failure to successfully treat clinically significant inflow lesions in the ipsilateral iliac, femoral, or popliteal arteries. Successful treatment is defined as obtaining ≤30% residual stenosis with no major procedural complications (e.g embolism).
- Failure to successfully treat significant non-target infra-popliteal lesions. Successful treatment is defined as obtaining ≤30% residual stenosis with no major procedural complications (e.g. embolism).
- Target lesion is within a previously placed stent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: MicroStent and Standard PTA
Implant of the MicroStent peripheral vascular stent system for treatment of arterial lesions below the knee.
|
Self-expanding stent and standard PTA balloon
|
|
Active Comparator: Standard PTA
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Standard PTA balloon
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patency of the target lesion
Time Frame: up to 6 months after randomization
|
Primary patency defined as freedom from target lesion occlusion with no clinically driven target lesion reintervention, or major amputation.
|
up to 6 months after randomization
|
|
Freedom from perioperative death
Time Frame: up to 30 days after randomization
|
Freedom from perioperative death
|
up to 30 days after randomization
|
|
Freedom from major adverse limb event
Time Frame: up to 6 months after randomization
|
Freedom from major adverse limb event
|
up to 6 months after randomization
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Freedom from major amputation above the ankle
Time Frame: up to 6 months after randomization
|
Freedom from major amputation (above the ankle)
|
up to 6 months after randomization
|
|
Reduction in size of ischemic leg/foot ulcers
Time Frame: up to 6 months after randomization
|
Reduction in size of ischemic leg/foot ulcers
|
up to 6 months after randomization
|
|
Freedom from major adverse limb event
Time Frame: From date of randomization until the date of death from any cause assessed up to 36 months
|
Freedom from major adverse limb event
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From date of randomization until the date of death from any cause assessed up to 36 months
|
|
Frequency and severity of serious adverse events and device and procedure related adverse events
Time Frame: From date of randomization until the date of death from any cause assessed up to 36 months
|
Frequency and severity of serious adverse events and device and procedure-related adverse events at any time during the study.
|
From date of randomization until the date of death from any cause assessed up to 36 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- MMS-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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