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Peripheral Arterial DiseaseDETOUR1NCT02471638

DETOUR I Clinical Study for Percutaneous Femoropopliteal Bypass

A study testing PQ Bypass System for Femoropopliteal Bypass in people with Peripheral Arterial Disease, run by Endologix at 8 sites in 6 countries.

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

To assess the safety and performance of the PQ Bypass System to access, deliver guidewires and implant stent grafts for a percutaneous fem-pop bypass. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Peripheral Arterial Disease
What is being tested?
PQ Bypass System for Femoropopliteal Bypass
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
78 participants
Where
8 sitesin 6 countries
Study dates
Jan 2015to Jun 2020
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 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Willing and able to provide informed consent
  • Age 18 or older
  • Rutherford Classification of 3-5
  • Patent iliac and femoral arteries/veins and access vessels, of sufficient size and morphology (including tortuosity), to allow endovascular access with 8 Fr. introducer sheath
  • Femoro-popliteal lesions ≥10 cm in length considered to be:
  • Chronic total occlusion (100% stenosis)
Show all 14Show fewer
  • Diffuse stenosis (>50% stenosis) with moderate to heavy calcification
  • In-stent restenosis (>50% stenosis)
  • Proximal and distal target vessels are 5.4-7.0 mm in diameter
  • Orifice and proximal 1 cm of SFA is patent
  • Patent popliteal artery 3 cm proximal to tibial plateau
  • At least 1 patent tibial artery to the foot
  • Patent femoral vein ≥ 10 mm in diameter or duplicate femoral vein
  • Subject has > one year life expectancy

Who cannot join

  • Bypass length required > 30 cm
  • History of deep vein thrombosis
  • Has a known hypersensitivities, allergies or contraindications to: nitinol, PTFE; aspirin, heparin, antiplatelet, anticoagulant or thrombolytic therapy; or anticoagulation or contrast media that is not amenable to pre-treatment;
  • Has a known history of intracranial bleeding or aneurysm, myocardial infarction or stroke within the last 12 months
  • Pregnant or nursing
  • Untreated flow-limiting aortoiliac occlusive disease
Show all 13Show fewer
  • Has renal failure (eGFR < 30mL/min)
  • Major distal amputation (above the transmetatarsal) in the study or non-study limb
  • Patient has had a revascularization procedure on the target limb within 30 days
  • Patient has a planned amputation of the target limb
  • Previous bypass surgery on the target limb
  • Patient is participating in another clinical study for which follow-up is currently on going.
  • Patient has a condition that in the view of the investigator precludes participation in this study

Trial locations and contacts

8 sites in 6 countries.

8 sites in 6 countries

Poland3 sites
  • Gdansk Medical University

    Gdansk

  • Poznan University of Medical Sciences

    Poznan, 61-848

  • Institute of Haematology Medicine Indira Gandhi

    Warsaw

Other trials in Poland

Chile1 site
  • Universidad Católica de Chile

    Santiago

Other trials in Chile

Germany1 site
  • University of Leipzig Medical Centre

    Leipzig, 04103

Other trials in Germany

Italy1 site
  • Ospedale San Raffaele

    Milan, 20132

Other trials in Italy

Latvia1 site
  • Stradins University Hospital

    Riga, LV-1002

Other trials in Latvia

New Zealand1 site
  • Vascular Service

    Auckland, 1023

Other trials in New Zealand

About this study

Official title: PQ Bypass Systems for Femoropopliteal Bypass II (PQB 4 FP II)

To assess the safety and performance of the PQ Bypass System to access, deliver guidewires and implant stent grafts for a percutaneous fem-pop bypass.

Read the detailed description

Prospective, single-arm, multi-center, international, non-randomized, pre-market, safety and effectiveness clinical investigation evaluating the PQ Bypass Systems to access, deliver guidewires and implant stent grafts for a percutaneous femoropopliteal (fem-pop) bypass.

Being tested
PQ Bypass System for Femoropopliteal Bypass
Medical subject headings
Peripheral Arterial Disease

What participants receive

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

  • PQ Bypass System for Femoropopliteal BypassDevice

    To access, deliver guidewires and implant stent grafts for a percutaneous fem-pop bypass.

Study groups in NCT02471638
Study groupRoleWhat they receive
Single arm studyExperimentalPQ Bypass System for Femoropopliteal Bypass to complete percutaneous fem-pop bypass
Receives: Device: PQ Bypass System for Femoropopliteal Bypass

What is being measured

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

  1. Number of Lesions With Primary Patency

    Rate of primary patency. Primary patency defined as: no evidence of clinically significant stenosis (≥50%) within the stent graft or immediately above or below the treated arterial segment based on duplex ultrasound (systolic velocity ratio of >2.5).

    Measured: 6 Months

  2. Number of Lesions With Any Major Adverse Event (MAE) at One Month Post-procedure

    composite endpoint of death, CD-TVR, or major target limb amputation in all patients at One-month post procedure

    Measured: One Month

Secondary outcomes (8)
  1. Number of Lesions With Each Major Adverse Event (MAE) at One Month Post-procedure

    Outcome Measures of death, CD-TVR, or major target limb amputation as independent events one month post-procedure

    Measured: One Month

  2. Percentage of Lesions With Primary Patency at 12 Months Post-Procedure

    Primary patency defined as: no evidence of clinically significant stenosis (≥50%) within the stent graft or immediately above or below the treated arterial segment based on duplex ultrasound (systolic velocity ratio of >2.5).

    Measured: 12 Months

  3. Major Adverse Vascular Event (MAVE) Rate

    Major Adverse Vascular Events-stent graft thrombosis, target limb amputation, clinically apparent distal embolization with tissue loss, procedure-related arterial rupture, acute limb ischemia, and bleeding events requiring any transfusion. Major bleeding required blood transfusion >2 units, and symptomatic deep vein thrombosis on ipsilateral limb

    Measured: One Month

  4. Number of Lesions With Symptomatic Deep Vein Thromboses in Target Limb

    Rate of Symptomatic Deep Vein Thrombosis in target limb at one month time point.

    Measured: One Month

  5. Number of Major Adverse Events at the 12-Month Time Point

    Number of occurrences of all cause death, CD-TVR, or major target limb amputation

    Measured: 12 Months

  6. Number of Major Adverse Events at the 3 Year Time Point

    Number of occurrences of all cause death, CD-TVR, or major target limb amputation

    Measured: 3 Years

  7. Major Adverse Vascular Event (MAVE) Rate at 3 Years

    Major Adverse Vascular Events-stent graft thrombosis, target limb amputation, clinically apparent distal embolization with tissue loss, procedure-related arterial rupture, acute limb ischemia, and bleeding events requiring any transfusion. Major bleeding required blood transfusion >2 units, and symptomatic deep vein thrombosis on ipsilateral limb.

    Measured: 3 Years

  8. Technical Success

    Technical Success defined as successful delivery of the investigational devices to the identified area and removal of delivery system.

    Measured: Index Procedure

Timeline

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

  1. First posted15 Jun 2015 (estimated)
  2. Study startJan 2015
  3. Primary completionSep 2018
  4. Study completionJun 2020

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
78 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02471638
Sponsor's protocol ID
STP 115
Acronym
DETOUR1
Status last verified
Jun 2026
First submitted
11 Jun 2015
Last updated
15 Jun 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Schneider PA, Krievins DK, Halena G, Schmidt A, Lyden S, Lee V, Hu M, Adelman M. Venous outcomes at 1 year after using the femoral vein as a conduit for passage of percutaneous femoropopliteal bypass. J Vasc Surg Venous Lymphat Disord. 2021 Sep;9(5):1266-1272.e3. doi: 10.1016/j.jvsv.2020.12.080. Epub 2021 Jan 8.

    PubMed 33429092
  • Krievins DK, Halena G, Scheinert D, Savlovskis J, Szopinski P, Kramer A, Ouriel K, Nair K, Holden A, Schmidt A. One-year results from the DETOUR I trial of the PQ Bypass DETOUR System for percutaneous femoropopliteal bypass. J Vasc Surg. 2020 Nov;72(5):1648-1658.e2. doi: 10.1016/j.jvs.2020.02.043. Epub 2020 Apr 8.

    PubMed 32276015

Questions about this trial

What is this clinical trial studying?

A study testing PQ Bypass System for Femoropopliteal Bypass in people with Peripheral Arterial Disease, run by Endologix at 8 sites in 6 countries.

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 14 inclusion and 13 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 15 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Poland, Chile, Germany, Italy, Latvia and 1 more country. 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 23 May 2025). 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?

Number of Lesions With Primary Patency (time frame: 6 Months). The study lists 2 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 NCT02471638, 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 15 Jun 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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