Early Completion Of Enrollment In Multicentre Studies Suggests Promise For Peripheral Stents

Covidien's EverFlex peripheral stent

In short

Covidien has completed patient enrollment in its iliac stent clinical study series. The series is composed of two prospective, multinational, multicentre studies – VISIBILITY Iliac and DURABILITY Iliac.

Background

According to the American Heart Association, approximately eight million people in the U.S. suffer from peripheral artery disease (PAD), which affects blood vessels throughout the body. If left untreated in vessels either leading to or located in the legs or feet, this condition can lead to severe pain when walking, gangrene and even amputation.

We’ve covered Covidien’s EverFlex self-expanding stent system before, most recently in January this year, when together with the Entrust delivery system it gained CE mark approval.

The company’s Protégé GPS self-expanding nitinol stent and delivery technology offer a distinctive design that provides a unique combination of flexibility, strength and precision needed to maintain vessel patency while minimising fractures. Covidien says these stents offer a robust size matrix, enabling physicians to treat a broad range of patient anatomies.

The Visi-Pro balloon expandable stent is Covidien’s best-selling balloon expandable stent system. In the U.S., Visi-Pro is the only 0.035” balloon expandable stent that offers radiopaque tantalum GPS markers on the distal and proximal ends of the stent, enhancing visualisation both during and after stent placement.

Each of Covidien’s two studies is designed to evaluate the safety and effectiveness of using either balloon expandable or self-expanding stents to treat PAD in the common iliac and external iliac arteries, the main conduits delivering blood to the arteries in the legs.

VISIBILITY Iliac and DURABILITY Iliac are prospective studies being conducted at 23 centers in the U.S. and Europe. Of the 150 patients enrolled in the studies, 75 were treated with the Visi-Pro™ balloon expandable stent system in VISIBILITY Iliac, and 75 were treated with either the EverFlex™ self-expanding stent system or the Protégé™ GPS™ self-expanding nitinol stent and delivery technology in DURABILITY Iliac. Primary effectiveness of the stents and incidence of major adverse events will be evaluated through nine months, and patients in the study will be followed for a total of three years.

Physician comments

“The completion of enrollment in the VISIBILITY Iliac Study marks a significant milestone in the progress toward completion of this important Phase II trial,” said Peter L. Faries, MD, Chief of Vascular Surgery at Mount Sinai School of Medicine in New York. “Enrollment was completed well ahead of schedule. We believe the rapid enrollment reflects both enthusiasm for the promise of this technology and the unique trial design that allowed treatment of concurrent infrainguinal occlusive disease if needed by the patient.”

“Aortoiliac occlusive disease remains an important cause of vascular disability,” added John H. Rundback, MD, Medical Director of the Interventional Institute at Holy Name Medical Center in Teaneck, New Jersey. “We believe the outcomes from the DURABILITY Iliac study will validate the effectiveness of the self-expanding EverFlex and GPS stents, supporting the role of endovascular treatment in patients with both simple and complex iliac lesions to improve and maintain quality of life. The combined DURABILITY Iliac and VISIBILITY Iliac studies will provide a comprehensive evaluation of two complementary stent systems for the successful resolution of symptomatic aortoiliac obstructions.”

Company comments

“We are very pleased to report the completion of enrollment in these two studies, as the results will add important clinical data around treatment for patients with PAD,” said Mark A. Turco, MD, Chief Medical Officer, Vascular Therapies, Covidien. “The results of the studies will enable physicians to make evidence-based decisions to allow for optimal patient outcomes. Covidien remains committed to bringing clinical data to the forefront, while working toward obtaining important disease and anatomic- specific labeling indications for our products.”

Source: Covidien, Business Wire