Unique ID issued by UMIN | UMIN000010071 |
---|---|
Receipt number | R000011789 |
Scientific Title | Drug Eluting stent implantation vs BAre metal sTEnt implantation in treatment of SFA |
Date of disclosure of the study information | 2013/02/18 |
Last modified on | 2019/02/25 08:37:56 |
Drug Eluting stent implantation vs BAre metal sTEnt implantation in treatment of SFA
DEBATE in SFA
Drug Eluting stent implantation vs BAre metal sTEnt implantation in treatment of SFA
DEBATE in SFA
Japan |
Patient with Peripheral Artery Disease
Medicine in general | Cardiology |
Others
NO
To evaluate the safety and efficacy of treatment of Drug eluting stent or Bare metal stent with cilostazol for femoropopliteal artery lesions
Safety,Efficacy
Major adverse Lower limb events
(major or minor amputation, progression to bypass surgery, repeated revascularization, stent thrombosis,death related Limb events,bleeding)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
NO
Central registration
3
Treatment
Medicine |
1.Drug eluting stent group: Treatment with ticlopidine hydrochloride 200 mg/day BID (morning and evening) or clopidgrel 75mg/day and aspirin at 100 mg/day will be started 3 to 7 days prior to EVT and continued until the end of the 2-year follow-up period.
2.Nitinol stent and Non-cilostazol group: Treatment with aspirin 100 mg/day will be started 3 to 7 days prior to EVT and continued until the end of the 2-year follow-up period.
And oral treatment with ticlopidine hydrochloride 200 mg/day BID (morning and evening) will be started 3 to 7 days prior to EVT and continued until 4 weeks after EVT (only stenting).
3.Nitinol stent and Cilostazol group: Treatment with cilostazol 200 mg/day BID (morning and evening) and aspirin at 100 mg/day will be started 3 to 7 days prior to EVT and continued until the end of the 2-year follow-up period.
If dose reduction of cilostazol is required due to adverse drug reactions such as headache, the dosage may be reduced to 100 mg/day BID.
20 | years-old | <= |
99 | years-old | >= |
Male and Female
Inclusion criteria
Patient criteria
Patients who meet all of the following criteria will be included in the study:
1. Chronic arteriosclerosis obliterans afflicting the femoropopliteal artery area*
(Rutherford classification 2-4) (see Appendix 1)
*Except for patients with acute (within 1 week after onset)/subacute (2 weeks to 1 month after onset) lower limb ischemia
2. Age: 20 years or older at the time of consent
3. Gender: Male or female
4. Patients who can be monitored for at least 2 years after surgery
(Patients who can undergo follow-up angiography 2 years after surgery)
Lesion criteria
1. Angiographically-confirmed new significant superficial femoral artery stenosis or occlusive lesions. The inferior and superior poles of the superficial femoral artery are defined as the overlap with the bone in the adductor canal in the upper part of the femur, and the origin of the bifurcation, respectively.
2. At least 1 arterial runoff below the knee; stenosis lesions not limiting flow may be included.
Exclusion criteria
Patient criteria
Patients who meet any of the following criteria should be excluded from the study:
1.Patients with or at risk of hemorrhagic complications or patients with bleeding* tendency
*Bleeding such as hemophilia, capillary fragility, intracranial hemorrhage, gastrointestinal hemorrhage, urinary tract hemorrhage, hemoptysis, or vitreous hemorrhage may be aggravated.
2.Patients with congestive cardiac failure (NYHA III or IV or EF<30%)
3.Patients implanted a drug-eluting stent (DES) within 3months
4.patients with a history of serious adverse reaction such as leukopenia, hepatic dysfunction, or renal dysfunction, or hypersensitivity to any component of the study drug.
5.Pregnant or potentially pregnant women
6.Patients with acute lower limb ischemia
7.Patients who are not eligible for the study in the opinion of the attending physician.
Lesion criteria
Lesions that meet any of the following criteria should be excluded from the study:
1.Remnant inflow (aorta-iliac artery lesion)
2.Severe calcification (lesions not expected to be appropriately expanded)
360
1st name | |
Middle name | |
Last name | Yusuke Miyashita |
Shinshu university hospital
department of cardiology
3-1-1 Asahi Matsumoto-shi
0263-37-3486
ybm1965@yahoo.co.jp
1st name | |
Middle name | |
Last name | Takashi Miura |
Shinshu university hospital
cardiology
3-1-1 Asahi Matsumoto-shi
0263-37-3486
miuramen10miuramen@yahoo.co.jp
Shinshu university hospital
Shinshu university hospital
NO
2013 | Year | 02 | Month | 18 | Day |
Published
Completed
2013 | Year | 01 | Month | 20 | Day |
2013 | Year | 02 | Month | 20 | Day |
2017 | Year | 09 | Month | 01 | Day |
2013 | Year | 02 | Month | 18 | Day |
2019 | Year | 02 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011789