- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03737162
Bare-metal Stent vs Covered Stent in Chinese Patients With Subclavian Occlusive Lesions (BASELINE)
November 8, 2018 updated by: Yong-Quan Gu, Xuanwu Hospital, Beijing
Bare-metal Stent vs Covered Stent in Chinese Patients With Subclavian Occlusive Lesions: Prospective, Multiple Center, Randomized, Open, Positive Controlled Trail
Bare-metal stent vs Covered stent with subclavian occlusive lesions to verify the efficacy and safety.Study Design are prospective, multiple center, randomized, open, positive controlled, non-inferiority trail.Case total numbers enrollment predict 408 cases,each group 204 cases.Follow up period for 1 years.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
408
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: YongQuan Gu YQ Gu, Prof.
- Phone Number: +8615901598209
- Email: guyongquan@xwhosp.org
Study Contact Backup
- Name: JianMing Guo JM Guo
- Phone Number: +8613146369562
- Email: guojianming@aliyun.com
Study Locations
-
-
-
Beijing, China, 100000
- Not yet recruiting
- Peking hospital first University
-
Contact:
- YingHua Zou YH Zou, Prof.
- Phone Number: +8613801105222
-
Dalian, China, 116000
- Not yet recruiting
- The First Affiliated Hospital of Dalian Medical University
-
Contact:
- Feng Wang F Wang, Prof.
- Phone Number: +8613998642840
-
Shanghai, China, 200000
- Not yet recruiting
- Shanghai Changhai Hospital
-
Contact:
- ZhiQing Zhao ZQ Zhao, Prof.
- Phone Number: +8613301617866
-
Shanghai, China, 200000
- Recruiting
- Shanghai Changzheng Hospital
-
Contact:
- LeFeng Qu LF Qu, Prof.
- Phone Number: +8618616505267
-
Shanghai, China, 200000
- Recruiting
- Zhongshan Hospital affiliated to Fudan University
-
Contact:
- DaQiao Guo DQ Guo, Prof.
- Phone Number: +8613801785258
-
Xi'an, China, 710000
- Recruiting
- The first affiliated Hospital of Xi ' an Jiaotong University
-
Contact:
- JianLin Liu JL Liu, Prof.
- Phone Number: +8613709250539
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
48 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age≥50 years,sex unlimited;
- Left subclavian artery disease;
- The cause of clinical considerations is arteriosclerosis ;
- The presence of target organ ischemic symptoms, ie dizziness, headache, transient ischemic attack (TIA), stroke, or other related neurological symptoms caused by ischemia of the vertebral artery in the past 6 months, or the presence of arterial stenosis beyond the upper extremity limb ischemia symptoms subclavian;
The patient understands the trial objective, understands and accepts the duration of the study,is able and willing to comply with all requirements,including follow-up and evaluation of it, voluntarily participates in the study and signs Informed Consent Form.
Anatomy Criteria
- Subclavian artery independent disease(Do not merge carotid or vertebral artery disease );
Subclavian artery satisfies one of the following criteria:
- a) Ultrasonography suggests stenosis ≥ 70%,or CT ANGIOGRAM / angiography showed stenosis ≥ 70%;
- Iconography examination confirmed vertebral artery steals;
- Length of lesion is not involved in vertebral artery opening;
- Lesions in subclavian artery the beginning portion;
- The stent can reach the site of lesion smoothly as expected.
Exclusion Criteria:
- Patients with anesthesia contraindications;
- Serious ipsilateral stroke occurred in the past and may confuse the judgment of the study endpoint ;
- Patients with severe dementia ;
- Patients with spontaneous intracerebral hemorrhage in the past 12 months ;
- Patients stroke episodes recently, CT or MRI suggested that the lesion is large,and may be with the risk of hemorrhagic transformation ;
- Large size of cerebral infarction or myocardial infarction occurred within 30 days ;
- Patients with large intracranial aneurysms (diameter> 5mm),and cannot be treated in advance or contemporaneous ;
- Chronic total occlusion without obvious cerebral ischemia symptoms ;
- Patients with hemorrhagic transformation of cerebral arterial thrombosis within 60 days before surgery ;
- Hemoglobin <100 g/l, Platelet count <125×109/L, INR>1.5, Bleeding time > 1 min,patients with exceeding the upper limits of normal,or heparin-related thrombocytopenia ;
- Patients unable to perform normal angiographic evaluation or unsafe percutaneous puncture poin;
- Patients with neurologic disorder that caused transient or permanent neurological deficits within 2 years before the surgery and can not be identified with TIA or stroke ;
- Patients with other cardiac emboli sources, such as left ventricular aneurysm, intraluminal filling defect, cardiomyopathy, aortic or mitral prosthetic heart valve, calcific aortic stenosis, infective endocarditis, mitral stenosis, atrial septal defect, atrial septal aneurysm, or left atrial myxoma;
- Surgical contraindications or patients with high risk of surgery defined as having any of the following;It is known that two or more proximal or main coronary artery stenosis ≥70%, untreated or unable to pass;Ejection fraction <30% or New York Heart Association (NYHA) functional class III or higher;Unstable angina,ie angina at resting state and electrocardiogram changes;Currently waiting main organ transplants (ie heart, lung, liver, kidney), or are doing relevant evaluate;Malignant tumor or respiratory insufficiency, life expectancy < 5 years or FORCED EXPIRATORY VOLUME AT ONE SECOND < 30% (predicted);Dialysis-dependent renal failure; Need to perform other general anesthesia during the same period ;
- There may be one or more anatomical conditions affecting the normal operative approach in patients; there may be one or more anatomic situations to increase the risk of adverse events in patients with high operative risk;including: Neck radiation therapy history; Radical neck surgery history;Subclavian artery dissection;Lesions series;Severe long segment calcification of the subclavian artery and severe stenosis or occlusion of the basilar artery;Inaccessible lesions by endoluminal methods (Severe distortion of the aortic arch branch, no suitable introduction of arteries, aortic arch anatomy special);
- Investigators consider the patient inappropriate to participate in this clinical trial;
- Those who participated in clinical trials of other drugs or medical devices before the inclusion did not reach the end of the time limit.
- Rheumatic immune diseases, such as Takayasu arteritis.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Covered stent group
Covered stent
|
Stent implantation of subclavian artery
|
Active Comparator: Bare-metal stent group
Bare-metal stent
|
Stent implantation of subclavian artery
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
target lesion patency rate(%)
Time Frame: 1 years
|
12-month target lesion patency rate(%)
|
1 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Surgery success rate
Time Frame: 1 day
|
Surgery success rate
|
1 day
|
Rate of complications
Time Frame: 30 days
|
Rate of complications within 30 days;
|
30 days
|
Incidence of myocardial infarction
Time Frame: 30 days
|
Incidence of myocardial infarction at 30 days follow up;
|
30 days
|
Ipsilateral stroke and death rates
Time Frame: 30 days
|
Ipsilateral stroke and death rates at 30 days follow up;
|
30 days
|
Bilateral stroke and death rates
Time Frame: 30 days
|
Bilateral stroke and death rates at 30 days follow up;
|
30 days
|
Subclavian artery restenosis rate
Time Frame: 6、12 months
|
Subclavian artery restenosis rate at 6、12 months follow up;
|
6、12 months
|
Incidence of composite endpoints of myocardial infarction, stroke, and any death
Time Frame: 30days
|
Incidence of composite endpoints of myocardial infarction, stroke, and any death at 30 days
|
30days
|
Incidence of composite endpoints of myocardial infarction, stroke, and any death
Time Frame: 6 months
|
Incidence of composite endpoints of myocardial infarction, stroke, and any death at 6 months
|
6 months
|
Incidence of composite endpoints of myocardial infarction, stroke, and any death
Time Frame: 12 months
|
Incidence of composite endpoints of myocardial infarction, stroke, and any death at 12 months
|
12 months
|
Surgical time
Time Frame: Through hospital stay,an average of 10 days
|
Surgical time
|
Through hospital stay,an average of 10 days
|
Hospitalization days
Time Frame: Through hospital stay,an average of 10 days
|
Hospitalization days
|
Through hospital stay,an average of 10 days
|
Hospitalization fees
Time Frame: Through hospital stay,an average of 10 days
|
Hospitalization fees
|
Through hospital stay,an average of 10 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: YongQuan Gu YQ Gu, Prof., Xuanwu Hospital, Beijing
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 2, 2018
Primary Completion (Anticipated)
April 3, 2020
Study Completion (Anticipated)
July 3, 2020
Study Registration Dates
First Submitted
November 6, 2018
First Submitted That Met QC Criteria
November 8, 2018
First Posted (Actual)
November 9, 2018
Study Record Updates
Last Update Posted (Actual)
November 9, 2018
Last Update Submitted That Met QC Criteria
November 8, 2018
Last Verified
November 1, 2018
More Information
Terms related to this study
Other Study ID Numbers
- china subclavian
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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