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Peripheral Arterial DiseaseVJH11-01NCT01575808

Multi-center Study for Stent Graft System for Peripheral Artery

A study testing GP1101 in people with Peripheral Arterial Disease, run by W.L.Gore & Associates at 15 sites in Japan.

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 utility of GP1101 will be evaluated relative to that of surgical bypass in the treatment of Femoral/Popliteal Arterial Symptomatic Peripheral Arterial Disease. Efficacy will be measured by comparison to a Surgical Bypass Efficacy Goal, and Invasiveness will be measured by comparison to Surgical Bypass data derived… Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Peripheral Arterial Disease
What is being tested?
GP1101
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
133 participants
Where
15 sitesJapan
Study dates
Apr 2012to Feb 2019
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Rutherford 2-5 category
  • Subject has read, understood and signed written informed consent which has been reviewed and approved by the Institutional Review Board (IRB).
  • At least 20 years of age.
  • Ankle-brachial index (ABI) in the study limb in the non-invasive lower extremity arterial studies within 30 days prior to study procedure or at the time of study procedure is less than or equal to 0.9, or toe-brachial index (TBI) is less than or equal to 0.5.
  • Male, infertile female, or female of child-bearing potential practicing an acceptable method of birth control with a negative pregnancy test within 7 days prior to study procedure.
  • Projected life expectancy of greater than 2 years.
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  • The ability to comply with the study protocol, follow-up requirements and required testing.
  • Surgical bypass candidate
  • Qualifying lesions by angiography

Who cannot join

  • Untreated flow-limiting aortoiliac disease.
  • Any previous stenting or surgery in the target vessel(i.e. femoro-popliteal artery).
  • Vascular access/catheterization in the target or contralateral limb within 30 days of study enrollment.
  • Planned surgery or intervention within 30 days after study procedure.
  • Femoral artery or popliteal artery aneurysm > 1.5 X healthy adjacent vessel diameter.
  • Non-atherosclerotic disease resulting in stenosis and/or occlusion (e.g., embolism, Buerger's disease, vasculitis).
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  • Severe medical comorbidities (untreated CAD/CHF (Congestive Heart Failure), severe COPD (Chronic Obstructive Pulmonary Disease), severe dementia, NYHA (New York Heart Association) 3/4, severe hypertension, etc.)
  • Any medical condition that would preclude post-procedural ambulation or completion of study follow-up.
  • Rutherford 5 patients with active infection.
  • Serum creatinine >2.5 mg/dL within 30 days prior to study procedure.
  • Rutherford 6 category in the study or non-study limb or major tissue loss extending above the proximal phalanx level.
  • Rutherford 5 characteristics in non-study limb.
  • Major distal amputation (above the transmetatarsal) in the study or non-study limb.
  • Active infection that could adversely impact patient outcomes in the study, or any patient with septicemia or bacteremia.
  • Any previously known coagulation disorder, including hypercoagulability.
  • Morbid obesity or operative scarring that precludes percutaneous approach
  • Contraindication to anticoagulation or antiplatelet
  • Known allergies to stent/stent-graft components, including heparin sensitivity, allergy, or previous incidence of heparin-induced thrombocytopenia (HIT) type II.
  • Current peritoneal or hemodialysis
  • Participation in another clinical trial (except F/P device clinical trial) up to 3 months prior to study enrollment.
  • Enrollment in a F/P device clinical trial within the last 12 months.
  • Interventional or surgical treatment on arteries distal to the target vessel for this study within the past 12 months.
  • Any other factor identified by the Principal Investigator

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

Japan15 sites
  • Kansai Rousai Hospital

    Amagasaki, Hyōgo, 660-8511

  • National Hospital Organaization Kanazawa Medical Center

    Kanazawa, Ishikawa-ken, 920-8650

  • Kishiwada Tokushukai Hospital

    Kishiwada, Osaka, 596-8522

  • Kokura Memorial Hospital

    Kitakyushu, Fukuoka, 802-8555

  • Kobe University Hospital

    Kobe, Hyōgo, 650-0017

  • Kobe Rosai Hospital

    Kobe, Hyōgo, 651-0053

  • Matsuyama Red Cross Hospital

    Matsuyama, Ehime, 790-8524

  • Shinshu University Hospital

    Nagano, Asahi, Matsumoto

  • Nagoya University Hospital

    Nagoya, Aichi-ken, 466-8560

  • Nara Medical University Hospital

    Nara, 634-8522

  • Hyogo College of Medicine Hospital

    Nishinomiya, Hyōgo, 663-8501

  • Tokeidai Memorial Hospital

    Sapporo, Hokkaido, 060-0031

  • Sendai Kousei Hospital

    Sendai, Miyagi, 980-0873

  • National Cerebral and Cardiovascular Center

    Suita, Osaka, 565-8565

  • Jikei Medical University Hospital

    Tokyo

Other trials in Japan

About this study

Official title: The Utility of GP1101 Relative to Surgical Bypass in the Treatment of Femoral / Popliteal Arterial Symptomatic Peripheral Arterial Disease

The utility of GP1101 will be evaluated relative to that of surgical bypass in the treatment of Femoral/Popliteal Arterial Symptomatic Peripheral Arterial Disease. Efficacy will be measured by comparison to a Surgical Bypass Efficacy Goal, and Invasiveness will be measured by comparison to Surgical Bypass data derived from a retrospective study.

Being tested
GP1101
Keywords
Symptomatic PAD, Stenosis, Occlusion
Medical subject headings
Peripheral Arterial Disease, Constriction, Pathologic, Bites and Stings

What participants receive

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

  • GP1101Device

    Also called Gore VIABAHN Endoprosthesis

    Endovascular stent graft implantation

Study groups in NCT01575808
Study groupRoleWhat they receive
GP1101ExperimentalProspective data collection: Subjects with occlusive disease of the SFA (Superficial Femoral Artery) implanted with GP1101 covered stent graft
Receives: Device: GP1101
Retrospective Surgical Bypass OutcomesNo interventionRetrospective data collection (Apr 2012 - Apr 2014) of 68 surgical procedures (performed after Jan 2002) at six Japanese centers used to treat femoral-popliteal artery symptomatic PAD for purposes of establishing the invasiveness control data for hospital stay duration, avoidance of general anesthesia and avoidance of intra-operative transfusion. Eligibility criteria for inclusion werer established to be consistent with the experimental arm.

What is being measured

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

  1. Primary Assisted Patency

    Primary Efficacy Endpoint >

    > Primary assisted patency at 12 months, defined as hemodynamic evidence by Angiography or ultrasound of flow through a device that had not required a Target Lesion Revascularization (TLR) to restore blood flow after total occlusion

    Measured: 12 months

  2. Duration of Stay

    Duration (in days) of post-procedure hospital stay

    Measured: Up to discharge

  3. Rate of Avoidance of General Anesthesia

    Percentage of study subjects avoiding general anesthesia

    Measured: Day 0

Secondary outcomes (51)
  1. Number of Participants Who Did Not Experience Any Critical Events(Death, Target Vessel Revascularization, Major Amputation of the Target Limb)

    Composite endpoint of all subjects experiencing death, target vessel revascularization and/or a major amputation of the target limb (above transmetatarsals) within one month of the index procedure.

    Measured: 1 month

  2. Percent of Participants Not Experiencing an Adverse Event

    % Avoidance of serious adverse events that are device or procedure-related or for which the relationship is unknown

    Measured: 1 month

  3. Percent of Participants Not Experiencing an Adverse Event

    % Avoidance of serious adverse events that are device or procedure-related or for which the relationship is unknown at 12 months.

    Measured: 3 months

  4. Percent of Participants Not Experiencing an Adverse Event

    % Avoidance of serious adverse events that are device or procedure-related or for which the relationship is unknown

    Measured: 6 months

  5. Percent of Participants Not Experiencing an Adverse Event

    % Avoidance of serious adverse events that are device or procedure-related or for which the relationship is unknown

    Measured: 12 months

  6. Percent of Participants Not Experiencing an Adverse Event

    % Avoidance of serious adverse events that are device or procedure-related or for which the relationship is unknown

    Measured: 24 months

  7. Percent of Participants Not Experiencing an Adverse Event

    % Avoidance of serious adverse events that are device or procedure-related or for which the relationship is unknown

    Measured: 36 months

  8. Percent of Participants Not Experiencing an Adverse Event

    % Avoidance of serious adverse events that are device or procedure-related or for which the relationship is unknown

    Measured: 48 months

  9. Rate of Avoidance of Adverse Events

    % Avoidance of serious adverse events that are device or procedure-related or for which the relationship is unknown

    Measured: 60 months

  10. Technical Success

    Placement of GP1101 with residual stenosis of less than 30%

    Measured: Post-procedure

  11. Primary Patency

    Hemodynamic blood flow through GP1101 that had not required a target lesion revascularization

    Measured: 1 month

  12. Primary Patency

    Hemodynamic blood flow through GP1101 that had not required a target lesion revascularization

    Measured: 3 months

  13. Primary Patency

    Hemodynamic blood flow through GP1101 that had not required a target lesion revascularization

    Measured: 6 months

  14. Primary Patency

    Hemodynamic blood flow through GP1101 that had not required a target lesion revascularization

    Measured: 12 months

  15. Primary Patency

    Hemodynamic blood flow through GP1101 that had not required a target lesion revascularization

    Measured: 24 months

  16. Secondary Patency

    No bypass surgery and no occlusion at the target site

    Measured: 1 month

  17. Secondary Patency

    No bypass surgery and no occlusion at the target site

    Measured: 3 months

  18. Secondary Patency

    No bypass surgery and no occlusion at the target site

    Measured: 6 months

  19. Secondary Patency

    No bypass surgery and no occlusion at the target site

    Measured: 12 months

  20. Secondary Patency

    No bypass surgery and no occlusion at the target site

    Measured: 24 months

  21. Rate of Avoidance of Stent Fracture

    X-ray for stent fracture evaluated by Core Lab

    Measured: 1 month

  22. Rate of Avoidance of Stent Fracture

    X-ray for stent fracture evaluated by Core Lab

    Measured: 3 months

  23. Rate of Avoidance of Stent Fracture

    X-ray for stent fracture evaluated by Core Lab

    Measured: 6 months

  24. Rate of Avoidance of Stent Fracture

    X-ray for stent fracture evaluated by Core Lab

    Measured: 12 months

  25. Rate of Avoidance of Stent Fracture

    X-ray for stent fracture evaluated by Core Lab

    Measured: 24 months

  26. Avoidance of Target Lesion Revascularization

    Measured: 1 month

  27. Avoidance of Target Lesion Revascularization

    Measured: 3 months

  28. Avoidance of Target Lesion Revascularization

    Measured: 6 months

  29. Avoidance of Target Lesion Revascularization

    Measured: 12 months

  30. Avoidance of Target Lesion Revascularization

    Measured: 24 months

  31. Clinical Success

    The Rutherford Classification is a system used to score Chronic Limb Ischemia in Peripheral Artery Disease (PAD). The stages follow (higher numbers are worse):

    Stage 0 - Asymptomatic Stage 1 - Mild claudication Stage 2 - Moderate claudication Stage 3 - Severe claudication Stage 4 - Rest pain Stage 5 - Ischemic ulceration not exceeding ulcer of the digits of the foot Stage 6 - Severe ischemic ulcers or frank gangrene

    The percentage of people improving by at least one stage (moving frm higher number to lower number) is listed in the results.

    Measured: 1 month

  32. Clinical Success

    The Rutherford Classification is a system used to score Chronic Limb Ischemia in Peripheral Artery Disease (PAD). The stages follow (higher numbers are worse):

    Stage 0 - Asymptomatic Stage 1 - Mild claudication Stage 2 - Moderate claudication Stage 3 - Severe claudication Stage 4 - Rest pain Stage 5 - Ischemic ulceration not exceeding ulcer of the digits of the foot Stage 6 - Severe ischemic ulcers or frank gangrene

    The percentage of people improving by at least one stage (moving frm higher number to lower number) is listed in the results.

    Measured: 3 months

  33. Clinical Success

    The Rutherford Classification is a system used to score Chronic Limb Ischemia in Peripheral Artery Disease (PAD). The stages follow (higher numbers are worse):

    Stage 0 - Asymptomatic Stage 1 - Mild claudication Stage 2 - Moderate claudication Stage 3 - Severe claudication Stage 4 - Rest pain Stage 5 - Ischemic ulceration not exceeding ulcer of the digits of the foot Stage 6 - Severe ischemic ulcers or frank gangrene

    The percentage of people improving by at least one stage (moving frm higher number to lower number) is listed in the results.

    Measured: 6 months

  34. Clinical Success

    The Rutherford Classification is a system used to score Chronic Limb Ischemia in Peripheral Artery Disease (PAD). The stages follow (higher numbers are worse):

    Stage 0 - Asymptomatic Stage 1 - Mild claudication Stage 2 - Moderate claudication Stage 3 - Severe claudication Stage 4 - Rest pain Stage 5 - Ischemic ulceration not exceeding ulcer of the digits of the foot Stage 6 - Severe ischemic ulcers or frank gangrene

    The percentage of people improving by at least one stage (moving frm higher number to lower number) is listed in the results.

    Measured: 12 months

  35. Clinical Success

    The Rutherford Classification is a system used to score Chronic Limb Ischemia in Peripheral Artery Disease (PAD). The stages follow (higher numbers are worse):

    Stage 0 - Asymptomatic Stage 1 - Mild claudication Stage 2 - Moderate claudication Stage 3 - Severe claudication Stage 4 - Rest pain Stage 5 - Ischemic ulceration not exceeding ulcer of the digits of the foot Stage 6 - Severe ischemic ulcers or frank gangrene

    The percentage of people improving by at least one stage (moving frm higher number to lower number) is listed in the results.

    Measured: 24 months

  36. Change in Ankle-Brachial Index From Baseline

    Ankle-Brachial Index of each time frame (1, 3, 6, 12, 24 months) compared to baseline (pre-procedure),

    Measured: Baseline and 1, 3, 6, 12, 24 months, change from baseline at 1 month presented

  37. Change in Ankle-Brachial Index From Baseline

    Ankle-Brachial Index of each time frame (1, 3, 6, 12, 24 months) compared to baseline (pre-procedure)

    Measured: Baseline and 1, 3, 6, 12, 24 months, change from baseline at 3 months presented

  38. Change in Ankle-Brachial Index From Baseline

    Ankle-Brachial Index of each time frame (1, 3, 6, 12, 24 months) compared to baseline (pre-procedure)

    Measured: Baseline and 1, 3, 6, 12, 24 months, change from baseline at 6 months presented

  39. Change in Ankle-Brachial Index From Baseline

    Ankle-Brachial Index of each time frame (1, 3, 6, 12, 24 months) compared to baseline (pre-procedure)

    Measured: Baseline and 1, 3, 6, 12, 24 months, change from baseline at 12 months presented

  40. Change in Ankle-Brachial Index From Baseline

    Ankle-Brachial Index of each time frame (1, 3, 6, 12, 24 months) compared to baseline (pre-procedure)

    Measured: Baseline and 1, 3, 6, 12, 24 months, change from baseline at 24 months presented

  41. Vascular Quality of Life Questionnaire - VascuQOL

    VascuQOL Score - Higher score reflects a better quality of life(Score range: 1 to 7). This score is composed of "Activity", "Symptom", "Pain", "Emotional" and "Social" scores as subscales. The total score is calculated as the average value of all scores.

    Measured: 1 month

  42. Vascular Quality of Life Questionnaire - VascuQOL

    VascuQOL Score - Higher score reflects a better quality of life(Score range: 1 to 7). This score is composed of "Activity", "Symptom", "Pain", "Emotional" and "Social" scores as subscales. The total score is calculated as the average value of all scores.

    Measured: 3 months

  43. Vascular Quality of Life Questionnaire - VascuQOL

    VascuQOL Score - Higher score reflects a better quality of life(Score range: 1 to 7). This score is composed of "Activity", "Symptom", "Pain", "Emotional" and "Social" scores as subscales. The total score is calculated as the average value of all scores.

    Measured: 6 months

  44. Vascular Quality of Life Questionnaire - VascuQOL

    VascuQOL Score - Higher score reflects a better quality of life(Score range: 1 to 7). This score is composed of "Activity", "Symptom", "Pain", "Emotional" and "Social" scores as subscales. The total score is calculated as the average value of all scores.

    Measured: 12 months

  45. Vascular Quality of Life Questionnaire - VascuQOL

    VascuQOL Score - Higher score reflects a better quality of life(Score range: 1 to 7). This score is composed of "Activity", "Symptom", "Pain", "Emotional" and "Social" scores as subscales. The total score is calculated as the average value of all scores.

    Measured: 24 months

  46. Walking Impairment Questionnaire-WIQ

    WIQ Distance Score - Higher score reflects a better quality of life(Scores range: 0 to 100.)The difficulty of walking with each specific distance(from walking indoor to 450 meter) is ranked on 0 to 4 and these rank value are converted to score according to the difficulty of walking. The distance score is determained by dividing the total score by greatest score and multiplying by 100.

    Measured: 1 month

  47. Walking Impairment Questionnaire-WIQ

    WIQ Distance Score - Higher score reflects a better quality of life(Scores range: 0 to 100.)The difficulty of walking with each specific distance(from walking indoor to 450 meter) is ranked on 0 to 4 and these rank value are converted to score according to the difficulty of walking. The distance score is determained by dividing the total score by greatest score and multiplying by 100.

    Measured: 3 months

  48. Walking Impairment Questionnaire-WIQ

    WIQ Distance Score - Higher score reflects a better quality of life(Scores range: 0 to 100.)The difficulty of walking with each specific distance(from walking indoor to 450 meter) is ranked on 0 to 4 and these rank value are converted to score according to the difficulty of walking. The distance score is determained by dividing the total score by greatest score and multiplying by 100.

    Measured: 6 months

  49. Walking Impairment Questionnaire-WIQ

    WIQ Distance Score - Higher score reflects a better quality of life(Scores range: 0 to 100.)The difficulty of walking with each specific distance(from walking indoor to 450 meter) is ranked on 0 to 4 and these rank value are converted to score according to the difficulty of walking. The distance score is determained by dividing the total score by greatest score and multiplying by 100.

    Measured: 12 months

  50. Walking Impairment Questionnaire-WIQ

    WIQ Distance Score - Higher score reflects a better quality of life(Scores range: 0 to 100.)The difficulty of walking with each specific distance(from walking indoor to 450 meter) is ranked on 0 to 4 and these rank value are converted to score according to the difficulty of walking. The distance score is determained by dividing the total score by greatest score and multiplying by 100.

    Measured: 24 months

  51. Rate of Avoidance of Blood Transfusion

    Measured: Post-Procedure

Timeline

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

  1. First posted11 Apr 2012 (estimated)
  2. Study startApr 2012
  3. Primary completionAug 2014
  4. Study completionFeb 2019

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
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
133 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01575808
Sponsor's protocol ID
JPS 16-02 / VJH11-01
Acronym
VJH11-01
Status last verified
May 2023
First submitted
9 Apr 2012
Last updated
12 May 2023
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Ohki T, Kichikawa K, Yokoi H, Iida O, Yamaoka T, Maeda K, Kanaoka Y. Long-term results of the Japanese multicenter Viabahn trial of heparin bonded endovascular stent grafts for long and complex lesions in the superficial femoral artery. J Vasc Surg. 2021 Dec;74(6):1958-1967.e2. doi: 10.1016/j.jvs.2021.05.056. Epub 2021 Jun 26.

    PubMed 34182032
  • Ohki T, Kichikawa K, Yokoi H, Uematsu M, Yamaoka T, Maeda K, Kanaoka Y. Outcomes of the Japanese multicenter Viabahn trial of endovascular stent grafting for superficial femoral artery lesions. J Vasc Surg. 2017 Jul;66(1):130-142.e1. doi: 10.1016/j.jvs.2017.01.065. Epub 2017 Apr 8.

    PubMed 28400218

Questions about this trial

What is this clinical trial studying?

A study testing GP1101 in people with Peripheral Arterial Disease, run by W.L.Gore & Associates at 15 sites in Japan.

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 9 inclusion and 23 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 12 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in Japan. 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?

Yes. Results are posted in the registry (first posted 8 Feb 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Primary Assisted Patency (time frame: 12 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01575808, which also lists 2 linked publications.

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 12 May 2023.

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