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CTRI Number  CTRI/2015/11/006374 [Registered on: 20/11/2015] Trial Registered Prospectively
Last Modified On: 10/07/2017
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Other (Specify) [Medical Device]  
Study Design  Single Arm Study 
Public Title of Study   Post-market study of the Zilver PTX Stent in patients with blocked arteries of the leg. 
Scientific Title of Study   A prospective, phase 4, open label, multicenter study to evaluate the Zilver PTX Drug-Eluting Peripheral Stent in patients with lesions of the above-the-knee femoropopliteal artery in India ( Zilver PTX VII,India) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shoaib Mohammad 
Designation  Medical Director 
Affiliation  INC Research CDS Services Pvt. Ltd. 
Address  Building No 14, Tower B, 14th Floor DLF Cyber City, Phase III Gurgaon, India

Gurgaon
HARYANA
122001
India 
Phone  9818587766  
Fax  01244642401  
Email  Shoaib.Mohammad@INCResearch.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shoaib Mohammad 
Designation  Medical Director 
Affiliation  INC Research CDS Services Pvt. Ltd. 
Address  Building No 14, Tower B, 14th Floor DLF Cyber City, Phase III Gurgaon, India

Gurgaon
HARYANA
122001
India 
Phone  9818587766  
Fax  01244642401  
Email  Shoaib.Mohammad@INCResearch.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Abhishek Tyagi  
Designation  Director, Clinical Operations 
Affiliation  Kendle India Pvt. Ltd 
Address  Building No 14, Tower B, 14th Floor DLF Cyber City, Phase III Gurgaon, India

Gurgaon
HARYANA
122001
India 
Phone  01244642400  
Fax  01244642401  
Email  abhishek.tyagi@incresearch.com  
 
Source of Monetary or Material Support  
Cook Incorporated, 750 Daniels Way Bloomington, IN 47404 USA, and Cook India Medical Devices Pvt Ltd, 4/249A, Rasim Enclave, Poonamallee High Road, Goparasanallur, Kattupakkam, Chennai - 600056. Tamil Nadu, India. 
 
Primary Sponsor  
Name  Cook Incorporated 
Address  750 Daniels Way Bloomington, IN 47404 USA 
Type of Sponsor  Other [Medical Devices Company] 
 
Details of Secondary Sponsor  
Name  Address 
Cook India Medical Devices Pvt Ltd  4/249A, Rasim Enclave, Poonamallee High Road, Goparasanallur, Kattupakkam, Chennai - 600056. Tamil Nadu, India. 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr George Joseph  Christian Medical College  Department of Cardiology, Ida Scudder Road, Vellore - 632001
Vellore
TAMIL NADU 
04162282631
04162232935
joseph59@gmail.com 
Dr Vivek Chaturvedi  Govind Ballabh Pant Hospital  Department of Cardiology, Room No. 124 Academic Block, G. B. Pant Hospital, Jawahar Lal Nehru Marg,New Delhi - 110002 India
New Delhi
DELHI 
9718599111
01123239442
dr_vchaturvedi@yahoo.com 
Dr Rajiv Parakh  Medanta - The Medicity  Medanta Division of Peripheral Vascular and Endovascular Sciences, Medanta-The Medicity, Sector 38, Gurgaon
Gurgaon
HARYANA 
9811047390
01244834468
rajiv.parakh@medanta.org 
Dr Dhanesh Ravindra Kamerkar  Ruby Hall Clinic  Department of Vascular and Endovascular Surgery, 40, Sassoon Road, Pune – 411001, Mahrashtra, India
Pune
MAHARASHTRA 
02066455495
02066455628
dhaneshkamerkar@gmail.com 
Dr Varinder Singh Bedi  Sir Ganga Ram Hospital  Department of Cardiology, Sir Ganga Ram Hospital, Old Rajinder Nagar
New Delhi
DELHI 
9968094990
01142437230
bedi.varinder@gmail.com 
Dr Tarun Madan  U. N. Mehta Institute of Cardiology and Research Centre  Department of Cardiology, (Affiliated to B. J. Medical College, Ahmedabad) B. J. Medical College & Civil Hospital Campus, Asarwa
Ahmadabad
GUJARAT 
9824743624

drtarunmadan@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Institutional Ethics Committee,B. J. Medical College and Civil Hospital Ahmedabad  Not Applicable 
Institutional Ethics Committee- Poona Medical Research Foundation  Approved 
Institutional Ethics Committee-MAMC  Approved 
Institutional Review Board-CMC vellore  Approved 
Medanta Institutional Ethics Committee  Approved 
Sir Ganga Ram Hospital Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Paitent with lesions of the above-the-knee femoropopliteal artery due to peripheral artery disease,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  None  None 
Intervention  Zilver PTX Drug-Eluting Peripheral Stent  The Zilver PTX stent is intended for use in the treatment of symptomatic vascular disease of the above-the-knee femoropopliteal arteries having reference vessel diameter from 4 mm to 9 mm.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Symptoms of peripheral arterial disease corresponding to Rutherford
Classification 2-4
2. Stenotic (>50% diameter stenosis) or occluded lesion of the above-the knee
femoropopliteal artery
3. Reference vessel diameter of 4-7 mm 
 
ExclusionCriteria 
Details  1. Less than 18 years old
2. Unwilling or unable to sign and date the informed consent
3. Pregnant, lactating, or planning to become pregnant in the next 5 years
4. Unwilling or unable to comply with follow-up schedule
5. Simultaneously participating in another investigational drug or device study in which the follow-up phase for that study’s primary endpoint has not been completed 30 days or more prior to being enrolled in this study.
6. Presence of study limb wound (Rutherford Classification 5-6)
7. Any interventional treatment within 30 days prior to the study procedure
8. Planned surgical or interventional procedure within 30 days after the study procedure
9. Planned procedure involving arterial interventional treatment of the study leg
within 6 months after the clinical study procedure
10. Medical condition or disorder that would limit life expectancy to less than 12
months, or that may cause noncompliance with the study plan or confound the data analysis
11. Known hypersensitivity or contraindication to study products that, in the opinion of the investigator, cannot be adequately pre-medicated; study products include nitinol, paclitaxel, dual antiplatelet therapy, and contrast agent
12. Current systemic or local infection that could affect the study outcomes
13. Previous stent in the target vessel
14. Bypass graft with an anastomosis in the target vessel
15. Myocardial infarction within the last 90 days
16. Is in chronic renal failure, or is on hemodialysis or chronic peritoneal dialysis
17. Uncontrolled or poorly controlled diabetes
18. History of bleeding diathesis or coagulopathy or will refuse blood transfusions
19. History of aortic aneurysm 5 cm (treated or untreated)
20. History of iliac aneurysm 2 cm (treated or untreated).
21. Lesion length 140 mm
22. Untreated stenosis ( 50%) or occlusion of inflow tract (i.e., proximal ipsilateral,
iliofemoral, or aortic lesions). Inflow tract may be treated during the study procedure.
23. Untreated stenosis ( 50%) or occlusion of all runoff vessels (i.e., anterior tibial,
posterior tibial and peroneal). Runoff vessel(s) may be treated during the study
procedure; treatment must be performed prior to treating the target lesion and
result in less than eqal to 30% residual stenosis of at least one runoff vessel.
24. Angiographically-evident thrombus in the target lesion
25. Lesions requiring atherectomy (or ablative devices), cutting balloons, or any
other advanced device to facilitate stent delivery. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The 6-month event-free survival (EFS), where EFS means freedom from procedure- or device- related
major adverse events (death, amputation of the study limb due to target lesion restenosis,
clinically driven target lesion revascularization, target limb ischemia requiring surgical
intervention due to target lesion restenosis, or surgical repair of the target vessel due to
target lesion restenosis). 
6 months follow up 
 
Secondary Outcome  
Outcome  TimePoints 
N/A  N/A 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)
Modification(s)  
Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Other (Terminated) 
Recruitment Status of Trial (India)  Other (Terminated) 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  
This multicenter, prospective, single-arm clinical study will evaluate the Zilver PTX Drug-Eluting Peripheral Stent for treatment of lesions of the above-the-knee femoropopliteal artery in an Indian patient population. The above-the-knee femoropopliteal artery is defined as the superficial femoral artery and the popliteal artery above the plane of the femoral epicondyles. The primary endpoint will be 6-month event-free survival (EFS), where EFS means freedom from procedure- or device- related major adverse events (death, amputation of the study limb due to target lesion restenosis, clinically driven target lesion revascularization, target limb ischemia requiring surgical intervention due to target lesion restenosis, or surgical repair of the target vessel due to target lesion restenosis).
 
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