Comparison of a new endoprosthesis to traditional stenting for iliac artery disease
The GORE VBX FORWARD Clinical Study: A Comparison of the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis to Bare Metal Stenting for Patients With Complex Iliac Occlusive Disease
NA · W.L.Gore & Associates · NCT05811364
This study is testing a new type of stent for people with iliac artery disease to see if it works better than the traditional metal stents in improving blood flow and relieving symptoms.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 244 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | W.L.Gore & Associates (industry) |
| Locations | 43 sites (Little Rock, Arkansas and 42 other locations) |
| Trial ID | NCT05811364 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to compare the effectiveness of the GORE® VIABAHN® VBX Balloon Expandable Endoprosthesis against traditional bare metal stenting in patients suffering from complex iliac occlusive disease. It is a multicenter, randomized, controlled trial designed to demonstrate the superiority of the VBX device in achieving primary patency. Eligible participants will include those with symptomatic claudication or other related conditions and specific lesion characteristics in their iliac arteries. The study will assess outcomes related to blood flow restoration and symptom relief.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18 and older with symptomatic claudication or related conditions and specific lesions in their iliac arteries.
Not a fit: Patients with a life expectancy of less than one year or those who are pregnant will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a more effective treatment option for patients with complex iliac occlusive disease, potentially improving their quality of life.
How similar studies have performed: Other studies have shown promising results with similar endoprosthesis approaches, indicating potential for success in this trial.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years at time of informed consent signature * Informed Consent Form (ICF) is signed by the subject * Subject can comply with protocol requirements, including follow-up * Patient has symptomatic claudication, rest pain, or minor tissue loss (Rutherford Category 2-5) * Patient has de novo or restenotic lesion(s) found in the common and/or external iliac artery(ies) * Patient has: Unilateral or bilateral single or multiple lesions (\>50% stenosis or chronic total occlusion) each between 4 and 11 cm in length * Patient has a target vessel diameter visually estimated to be approximately between 5 mm and 13 mm * Patient has a sufficient (\<50% stenotic) common femoral artery and at least one sufficient (\<50% stenotic) femoral artery (deep or superficial). * Patient has at least one sufficient (\<50% stenotic) infrapopliteal run-off vessel. Exclusion Criteria: * Life expectancy \<1 year * Patient is pregnant at time of informed consent. * Patient has a known allergy to stent or stent graft components (including nitinol, stainless steel, or heparin). * Patient has severe chronic renal insufficiency (serum creatinine level \> 2.5mg/dL) and not undergoing hemodialysis. * Patient has evidence of a systemic infection. * Patient has a known intolerance to antithrombotic medications that prevent compliance with study or control device Instructions for Use. * Patient has had vascular catheterization of the lower extremities within 30 days of randomization (excluding diagnostic angiograms for the study procedure). * Patient has previous stenting in the iliac arteries. * Patient has previous surgical bypass in the target limb. * Patient is currently participating in another investigative clinical study unless received written approval by the sponsor. * Patient has a lesion requiring drug-coated balloon angioplasty, atherectomy, lithotripsy, or any ablative device to facilitate stent delivery. * Patient has an abdominal aortic artery lesion or aneurysm. * Patient has a lesion that requires stent placement within 2 cm of the inguinal ligament. * Patient has isolated common iliac artery stenosis that can be treated with a single device (i.e., common iliac artery stenosis that does not require kissing stents or extend into the external iliac artery). * Patient has outflow disease that requires concomitant interventions (i.e. common femoral endarterectomy or femoral / tibial revascularization).
Where this trial is running
Little Rock, Arkansas and 42 other locations
- Central Arkansas Veterans Healthcare System — Little Rock, Arkansas, United States (WITHDRAWN)
- VA Long Beach Healthcare System — Long Beach, California, United States (RECRUITING)
- Denver Health and Hospital Authority — Denver, Colorado, United States (RECRUITING)
- North Suburban Medical Center — Denver, Colorado, United States (WITHDRAWN)
- University of Florida - Gainesville — Gainesville, Florida, United States (RECRUITING)
- Radiology and Imaging Specialists of Lakeland — Lakeland, Florida, United States (RECRUITING)
- University of South Florida — Tampa, Florida, United States (RECRUITING)
- Atlanta VA Medical Center — Decatur, Georgia, United States (RECRUITING)
- Louisiana State University Health Sciences Center — New Orleans, Louisiana, United States (RECRUITING)
- Beth Israel Deaconess Medical Center, Inc. — Boston, Massachusetts, United States (RECRUITING)
- Corewell Health System — Grand Rapids, Michigan, United States (RECRUITING)
- The Curators of the University of Missouri — Columbia, Missouri, United States (RECRUITING)
- Research Foundation SUNY Buffalo — Amherst, New York, United States (WITHDRAWN)
- Trinity Medical Center — Buffalo, New York, United States (RECRUITING)
- VA Western New York Healthcare System — Buffalo, New York, United States (RECRUITING)
- New York University School of Medicine — New York, New York, United States (RECRUITING)
- Mt. Sinai Medical Center — New York, New York, United States (RECRUITING)
- Atrium Health — Charlotte, North Carolina, United States (RECRUITING)
- University Hospitals - Cleveland Medical Center — Ashland, Ohio, United States (RECRUITING)
- Cleveland Clinic Foundation — Cleveland, Ohio, United States (RECRUITING)
- Portland Health Care System VA — Portland, Oregon, United States (RECRUITING)
- Providence Heart & Vascular Institute — Wilsonville, Oregon, United States (RECRUITING)
- University of Pennsylvania — Philadelphia, Pennsylvania, United States (RECRUITING)
- Wellmont Holston Valley Medical Center — Kingsport, Tennessee, United States (RECRUITING)
- The University of Texas Southwestern Medical Center — Dallas, Texas, United States (RECRUITING)
- Sentara Medical Group — Norfolk, Virginia, United States (RECRUITING)
- Central Adelaide Local Health Network Incorporated — Adelaide, Australia (RECRUITING)
- Royal Perth Hospital — Nedlands, Australia (RECRUITING)
- Prince of Wales Hospital — Randwick, Australia (RECRUITING)
- Universitats-Herzzentrum Freiburg Bad Krozingen GmbH — Bad Krozingen, Germany (RECRUITING)
- St. Franziskus Hospital — Münster, Germany (RECRUITING)
- Krankenhaus der Barmherzigen Brüder — Regensburg, Germany (RECRUITING)
- Klinikum Stuttgart — Stuttgart, Germany (RECRUITING)
- Ospedale Niguarda Ca'Granda — Milan, MI, Italy (RECRUITING)
- Ospedale Santa Maria della Misericordia — Perugia, Italy (RECRUITING)
- Azienda Complesso Ospedaliero San Filippo Neri — Roma, Italy (RECRUITING)
- Ospedale San Giovanni Molinette — Turin, Italy (RECRUITING)
- Rijnstate Hospital — Arnhem, Netherlands (RECRUITING)
- Stichting Elisabeth-TweeSteden Ziekenhuis — Tilburg, Netherlands (RECRUITING)
- Auckland City Hospital — Auckland, New Zealand (RECRUITING)
- East Kent Hospitals University NHS Foundation Trust — Canterbury, United Kingdom (RECRUITING)
- Guy's and St Thomas', NHS Foundation Trust — London, United Kingdom (RECRUITING)
- University Hospital Southampton NHS Foundation Trust — Southampton, United Kingdom (RECRUITING)
Study contacts
- Study coordinator: Alexander Ambrocik
- Email: aambroc@wlgore.com
- Phone: 337-387-4954
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Aortoiliac Occlusive Disease, Peripheral Arterial Disease