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Peripheral Arterial DiseaseSUPERSURG-RCTNCT04349657

A Study Evaluating the Endovascular Treatment of Subjects With Stenotic or Restenotic Lesions of the Common Femoral Artery With the Supera Vascular Mimetic Implant Compared to Surgical Common Femoral Artery Endarterectomy

A study testing Supera Peripheral Stent System treatment group and Endarterectomy treatment group in people with Peripheral Arterial Disease, run by KANDO Research at 13 sites in 3 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The SUPERSURG RCT trial investigates the efficacy and safety of the endovascular treatment of stenosis or restenosis in the common femoral artery (CFA) of patients presenting with Rutherford classification 2,3 or 4 with a Supera Vascular Mimetic Implant of Abbott, compared to classic surgical common femoral artery… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peripheral Arterial Disease
What is being tested?
Supera Peripheral Stent System treatment group and Endarterectomy treatment group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
286 participants
Where
13 sitesin 3 countries
Study dates
5 May 2020to Sep 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Patient is ≥18 years old
  • Patient presenting a score from 2 to 4 following Rutherford classification
  • Patient is willing to comply with specified follow-up evaluations at the specified times
  • Patient understands the nature of the procedure and provides written informed consent, prior to enrolment in the study
  • Patient has a life expectancy of at least 12 months
  • Prior to enrolment, the guidewire has crossed the target lesion in the endovascular arm. In the surgical arm, the endarterectomy needs to be performed with primary suture or patch implantation
Show all 10Show fewer
  • De novo stenotic or restenotic (post-PTA) lesions (<100%) located in the common femoral artery, suitable for both endovascular therapy and endarterectomy
  • Target lesion is located within the native CFA: localized between 1cm proximal to the origin of the circumflex iliac artery and the proximal (2cm) superficial femoral artery and deep femoral artery (2cm) (Azéma type 2 and 3 lesions)
  • There is angiographic evidence of a patent deep femoral artery and/or superficial femoral artery
  • The target lesion has angiographic evidence of >50% stenosis. Occlusions are not allowed.

Who cannot join

  • Presence of another stent in the target vessel that was placed during a previous procedure
  • Previous open surgery in the ipsilateral groin
  • Patients contraindicated for antiplatelet therapy, anticoagulants or thrombolytics
  • Patients who exhibit persistent acute intraluminal thrombus at the target lesion site
  • Patients with known hypersensitivity to nickel-titanium and heparin, including those patients who have had a previous incidence of heparin-induced thrombocytopenia (HIT) type II
  • Known allergy to contrast media that cannot be adequately pre-medicated prior to study procedure
Show all 18Show fewer
  • Patients with uncorrected bleeding disorders
  • Female patients with child bearing potential not taking adequate contraceptives or currently breastfeeding
  • Ipsilateral inflow (aorto-iliac) artery treatment before target lesion treatment with a residual stenosis >30%
  • Use of thrombectomy, atherectomy or laser device during procedure
  • Any patient considered to be hemodynamically unstable at onset of procedure
  • Severe medical comorbidities (untreated coronary artery disease/congestive heart failure, severe chronic obstructive pulmonary disease, metastatic malignancy, dementia, etc.) or other medical condition that would prelude compliance with the study protocol or 1-year life expectancy
  • Major distal amputation (above the ankle) in the study limb or non-study limb
  • Target lesion involves an (pseudo-)aneurysm or is adjacent to an (pseudo-)aneurysm (within 5mm)
  • Iliac inflow disease requiring treatment, unless the iliac artery disease is successfully treated first during the index procedure. Success is defined as ≤30% residual diameter stenosis without death or major complications
  • Presence of an aortic, iliac or femoral artificial graft
  • Occlusion in the target lesion
  • Presence of an interposition graft with/without profunda reimplantation

Trial locations and contacts

13 sites in 3 countries.

13 sites in 3 countries

Belgium7 sites
  • O.L.V. Hospital

    Aalst, 9300

  • Imelda Hospital

    Bonheiden, 2820

  • A.Z. Sint-Blasius

    Dendermonde, 9200

  • Z.O.L.

    Genk, 3600

  • Az Groeninge

    Kortrijk, 8500

  • AZ Sint-Maarten

    Mechelen, 2800

  • A.Z. Jan Portaels

    Vilvoorde, 1800

Other trials in Belgium

Netherlands4 sites
  • Noordwest ziekenhuisgroep

    Alkmaar, 1815

  • Dijklander hospital

    Hoorn, North Holland, 1624

  • Maastricht UMC+

    Maastricht, Limburg, 6229

  • St Antonius Hospital

    Utrecht, Utrecht, 3543

Other trials in Netherlands

Poland2 sites
  • Bonifraterskie Centrum Medyczne

    Krakow, 31-061

  • Karol Marcinkowski Medical University

    Poznan, 61-848

Other trials in Poland

About this study

Official title: An RCT Evaluating the Safety and Efficacy of the Endovascular Treatment of Subjects With Stenotic or Restenotic Lesions of the Common Femoral Artery With the Supera Vascular Mimetic Implant Compared to Surgical Common Femoral Artery Endarterectomy

The SUPERSURG RCT trial investigates the efficacy and safety of the endovascular treatment of stenosis or restenosis in the common femoral artery (CFA) of patients presenting with Rutherford classification 2,3 or 4 with a Supera Vascular Mimetic Implant of Abbott, compared to classic surgical common femoral artery endarterectomy. The Supera Vascular Mimetic Implant has an interwoven design and has a high crush resistance and is, when correctly implanted, an ideal stent to treat eccentric calcified plaques in the CFA.

An expected total of 143 patients will be treated with the Vascular Mimetic Implant of Abbott and compared to a control group of another 143 patients that will be treated with classic surgical endarterectomy of the common femoral artery. Assignment to the treatment groups will be at random.

Read more

Patients will be invited for a follow-up visit at 1, 6, 12, 24 and 36 months post-procedure.

The primary efficacy endpoint is defined as follows: freedom from clinically-driven target lesion revascularization and binary restenosis at 12 months. The primary safety endpoint is defined as follows: a composite of overall death, cardiac, pulmonary, renal complications, sepsis, target lesion revascularisation and wound related complications through 30 days post-index procedure.

The secondary endpoints are defined as technical success, primary patency in the deep femoral artery, primary patency in the target lesion, target lesion revascularisation, target vessel revascularisation, binary restenosis, duration of initial hospital stay, sustained clinical improvement, change of walking impairment questionnaire score from baseline, change in target limb Rutherford classification, change in target limb ABI/TBI from baseline, all cause death, thrombosis at the target lesion through 6, 12, 24 and 36 months post-procedure.

Read the detailed description

The objective of this clinical investigation is to assess the safety and efficacy of the Supera Vascular Mimetic Implant for the treatment of stenotic or restenotic lesions of the common femoral artery. Furthermore, a non-inferiority hypothesis in terms of efficacy and a superiority in terms of safety will be tested with the endovascular treatment with Supera compared to surgical endarterectomy of the common femoral artery.

The patients will be selected based on the investigator's assessment, evaluation of the underlying disease and the eligibility criteria. The patient's medical condition should be stable, with no underlying medical condition which would prevent them from performing the required testing or from completing the study. Patients should be geographically stable, willing and able to cooperate in this clinical study, and remain available for long term follow-up. The patient is considered enrolled in the study after obtaining the patients informed consent, if there is full compliance with the study eligibility criteria and after successful guidewire passage through the study target lesion.

Prior to the index procedure the following will be collected: an informed consent for data collection, demographics, medical history, medication record, physical examination, clinical category of acute limb ischemia (Rutherford category), the resting ankle-brachial index (ABI) or toe-brachial index (TBI), blood sample test (complete blood count, comprehensive metabolic panel and if applicable pregnancy test) and a walking impairment questionnaire. Randomization will also occur prior to the procedure.

During the procedure patients that are randomized within the endarterectomy group will be treated according to the institutions standard of care. For patients that are randomized within the Supera arm, the guidewire will cross the entire study lesion after which the lesion will be assessed through angiography. Pre-dilatation of the target lesion with an uncoated PTA-balloon is mandatory and will be followed by stenting with the Supera stent according to the instructions for use. Postdilatation of the stent is allowed but not mandatory.

The regular follow-up is necessary to monitor the condition of the patient and the results of the procedure. The patients will be invited for the following required follow-up visits at 1, 6, 12, 24 and 36 months. During these visit the following data will be collected: medication record, physical exam, target limb ABI/TBI and Rutherford classification, duplex ultrasound of target vessel, walking impairment questionnaire and possible adverse events.

Being tested
Supera Peripheral Stent System treatment group, Endarterectomy treatment group
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.

  • Supera Peripheral Stent System treatment groupDevice

    Percutaneous endovascular stenting with the Supera Peripheral Stent System

  • Endarterectomy treatment groupProcedure or surgery

    Surgical treatment through endarterectomy

Study groups in NCT04349657
Study groupRoleWhat they receive
Supera Peripheral Stent System treatment groupExperimentalThese patients will be treated endovascularly with the Supera Peripheral Stent System (Abbott).
Receives: Device: Supera Peripheral Stent System treatment group
Endarterectomy treatment groupActive comparatorThese patients will be treated surgically with endarterectomy
Receives: Procedure: Endarterectomy treatment group

What is being measured

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

  1. Primary efficacy endpoint at 12 months: Primary patency

    To demonstrate the non-inferior efficacy in the group treated with the Supera stent compared to the group treated with endarterectomy for the treatment of atherosclerosis in the common femoral artery (CFA). Efficacy is defined as primary patency: freedom from restenosis defined as duplex ultrasound (DUS) peak systolic velocity ratio (PSVR) ≥2.4 or ≥50% stenosis as assessed by an independent DUS core lab in CFA without a previous target lesion revascularization through 12 months post-index procedure.

    Measured: 12 months post-index-procedure

  2. Primary safety endpoint at 30 days post-index procedure

    To demonstrate superior safety in the group treated with the Supera stent compared to the endarterectomy group for the treatment of atherosclerosis in the CFA. Safety is defined as a composite of overall death, cardiac, pulmonary, renal complications, sepsis, target lesion revascularization (TLR) and wound-related complications (haematoma, seroma, lymphocele, lymphatic leaks with lymphatic fistula, surgical site infections (SSIs) (Szilagyi grade I, II and III)).

    Measured: 30 days post-index-procedure

Secondary outcomes (13)
  1. Technical success: post-procedure residual stenosis <30%

    Supera group: Defined as the ability to cross and stent the lesion to achieve residual angiographic stenosis no greater than 30%.

    Endarterectomy group: defined as the ability to remove the atherosclerotic plaque with or without patch (interposition grafts are not allowed). In the imaging subcohort the endarterectomy is considered successful when a residual stenosis no greater than 30% per visual estimation is confirmed.

    Measured: Index procedure

  2. Primary patency in the deep femoral artery (DFA), post-index procedure and at 6-, 12-, 24- and 36-months post-index procedure

    Primary patency in the DFA is defined as freedom from an occlusion in the DFA as assessed by PSV-values. This PSV-value will be assessed pre-procedure, post-procedure, 6 months and 12 months post-index procedure. At 12 months, the PSV-value will be core-lab controlled.

    Measured: 6, 12, 24 and 36 months post-index-procedure

  3. Primary patency at 6, 24 and 36 months

    Primary patency is a composite of freedom from clinically-driven target lesion revascularization (CD-TLR) and binary restenosis (restenosis defined as duplex ultrasound (DUS) peak systolic velocity ratio (PSVR) ≥2.4 or ≥50% stenosis as assessed by DUS in CFA) through 6 months post-index procedure

    Measured: 6, 24 and 36 months post-index-procedure

  4. TLR at 6-, 12-, 24- and 36-months post-index procedure

    TLR is defined as a reintervention to maintain or restore the patency in the target lesion. TLR is clinically-driven (CD) when the TLR was needed due to symptoms or drop of ankle brachial index (ABI) of ≥20% or >0.15 when compared to post-procedure

    Measured: 6, 12, 24 and 36 months post-index-procedure

  5. TVR at 6-, 12-, 24- and 36-months post-index procedure

    Target vessel revascularization (TVR) is defined as a reintervention to maintain or restore the patency in the target vessel. TVR is clinically-driven (CD) when the TVR was needed due to symptoms or drop of ankle brachial index (ABI) of ≥20% or >0.15 when compared to post-procedure

    Measured: 6, 12, 24 and 36 months post-index-procedure

  6. Binary restenosis at 6, 12, 24 and 36 months

    Binary restenosis is defined as restenosis confirmed by DUS PSVR ≥2.4 or ≥50% stenosis as assessed by angiographic and DUS images. At 12 months, the images will be core lab controlled

    Measured: 6, 12, 24 and 36 months post-index-procedure

  7. Duration of initial hospitalisation stay

    Number of hours/days of the initial hospitalisation stay.

    Measured: Up to 4 weeks

  8. Sustained clinical improvement at 6-, 12-, 24- and 36-months post-index procedure

    Clinical improvement is defined as freedom from major target limb amputation, TVR, worsening target limb Rutherford class (compared to baseline) and decrease in target limb ankle brachial index (ABI) or toe brachial index (TBI) ≥0.15 (compared to baseline)

    Measured: 6, 12, 24 and 36 months post-index-procedure

  9. Change in Walking Impairment Questionnaire (WIQ) score from baseline to 6, 12, 24 and 36 months

    change in walking impairment questionnaire (WIQ) score from baseline to 6 and 12 months.

    The WIQ consists of 6 sections each consisting of multiple questions. Each question is scored from 0 to 4 (0 meaning a lot of problems and 4 no problems at all). The scores per section are summed up and recalculated to percentages (100% meaning very good and 0% meaning very bad). All the sections are averaged to give the final WIQ-score.

    Measured: 6, 12, 24 and 36 months post-index-procedure

  10. Change in target limb Rutherford class from baseline to 6, 12, 24 and 36 months

    Change in target limb Rutherford class from baseline to 6, 12, 24 and 36 months

    Measured: 6, 12, 24 and 36 months post-index-procedure

  11. Change in target limb resting ABI or TBI from baseline to 6, 12, 24 and 36 months

    Change in target limb resting ABI or TBI from baseline to 6, 12, 24 and 36 months

    Measured: 6, 12, 24 and 36 months post-index-procedure

  12. All cause death at 6, 12, 24 and 36 months

    All cause death at 6, 12, 24 and 36 months

    Measured: 6, 12, 24 and 36 months post-index-procedure

  13. Thrombosis at the target lesion at 6, 12, 24 and 36 months

    Thrombosis at the target lesion at 6, 12, 24 and 36 months

    Measured: 6, 12, 24 and 36 months post-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 posted16 Apr 2020
  2. Study start5 May 2020
  3. Primary completionMay 2027 (estimated)
  4. Study completionSep 2028 (estimated)

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
Randomised
Intervention model
Parallel groups
Model description
The subjects will be randomly assigned in a 1:1 manner to treatment with either the Supera stent or endarterectomy.
Masking
None (open label)
Enrolment
286 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04349657
Sponsor's protocol ID
SUPERSURG RCT-v2.0-24MAR2026
Acronym
SUPERSURG-RCT
Status last verified
Oct 2026
First submitted
9 Apr 2020
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Supera Peripheral Stent System treatment group and Endarterectomy treatment group in people with Peripheral Arterial Disease, run by KANDO Research at 13 sites in 3 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 10 inclusion and 18 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: under way, not looking for participants, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in Belgium, Netherlands, Poland. 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?

This study is still under way. Results are not available in the source record yet.

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 efficacy endpoint at 12 months: Primary patency (time frame: 12 months post-index-procedure). 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?
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 13 Oct 2026.

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