UMIN-CTR Clinical Trial

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

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Basic information

Public title

Drug Eluting stent implantation vs BAre metal sTEnt implantation in treatment of SFA

Acronym

DEBATE in SFA

Scientific Title

Drug Eluting stent implantation vs BAre metal sTEnt implantation in treatment of SFA

Scientific Title:Acronym

DEBATE in SFA

Region

Japan


Condition

Condition

Patient with Peripheral Artery Disease

Classification by specialty

Medicine in general Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety and efficacy of treatment of Drug eluting stent or Bare metal stent with cilostazol for femoropopliteal artery lesions

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Major adverse Lower limb events
(major or minor amputation, progression to bypass surgery, repeated revascularization, stent thrombosis,death related Limb events,bleeding)

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

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.

Interventions/Control_2

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).

Interventions/Control_3

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.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

99 years-old >=

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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)

Target sample size

360


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yusuke Miyashita

Organization

Shinshu university hospital

Division name

department of cardiology

Zip code


Address

3-1-1 Asahi Matsumoto-shi

TEL

0263-37-3486

Email

ybm1965@yahoo.co.jp


Public contact

Name of contact person

1st name
Middle name
Last name Takashi Miura

Organization

Shinshu university hospital

Division name

cardiology

Zip code


Address

3-1-1 Asahi Matsumoto-shi

TEL

0263-37-3486

Homepage URL


Email

miuramen10miuramen@yahoo.co.jp


Sponsor or person

Institute

Shinshu university hospital

Institute

Department

Personal name



Funding Source

Organization

Shinshu university hospital

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2013 Year 02 Month 18 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 01 Month 20 Day

Date of IRB


Anticipated trial start date

2013 Year 02 Month 20 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2017 Year 09 Month 01 Day


Other

Other related information



Management information

Registered date

2013 Year 02 Month 18 Day

Last modified on

2019 Year 02 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011789


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name