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| Name | Class |
|---|---|
| ClinLogix. LLC | INDUSTRY |
| Yale Cardiovascular Research Group | OTHER |
| Massachusetts General Hospital | OTHER |
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To demonstrate that the BioMimics 3D Stent System meets the performance goals defined by VIVA Physicians, Inc. for the safety and effectiveness of Nitinol stents used in the treatment of symptomatic disease of the femoropopliteal artery. It is a prospective, single-arm, multicenter clinical trial.
The BioMimics 3D stent is intended to improve luminal diameter in the treatment of symptomatic de-novo, obstructive or occlusive lesions in native femoropopliteal arteries with reference vessel diameters ranging from 4.0 - 6.0 mm. Subjects with symptomatic atherosclerotic disease of the femoropopliteal artery who comply with all study eligibility criteria may be considered for enrollment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BioMimics 3D Vascular Stent | Experimental | Implantation of BioMimics 3D nitinol stent using the BioMimics 3D Vascular Stent System |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BioMimics 3D Vascular Stent System | Device | Femoropopliteal stenting |
|
| Measure | Description | Time Frame |
|---|---|---|
| Primary Safety Endpoint (Freedom From a Composite of Major Adverse Events (MAE) | Freedom from a composite of major adverse events (MAE) comprising death, any major amputation performed on the target limb or clinically-driven target lesion revascularization (TLR) through 30 days. | 30 days |
| Primary Effectiveness Endpoint (Primary Stent Patency Rate) | The primary effectiveness endpoint of the MIMICS-2 Study was defined as the primary stent patency rate at 12 months. Patency was defined as no significant reduction in luminal diameter (< 50% diameter stenosis) since the index procedure. Loss of patency was determined by an independent core laboratory when the peak systolic velocity ratio (PSVR) exceeds 2.0, or where angiography revealed > 50% diameter stenosis, or where the subject had a CDTLR. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary Safety (Overall MAE Rate at 30 Days) | Contribution of individual MAE rates for death, major amputation performed on the target limb and clinically-driven target lesion revascularization to the overall MAE rate at 30 days. | 30 Days |
| Long Term Safety (Overall MAE Rate at Month 12) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Timothy M. Sullivan, MD | Minneapolis Heart Institute / Abbott Northwestern Hospital | Principal Investigator |
| Thomas Zeller, MD | Herz-Zentrum University Hospital | Principal Investigator |
| Masato Nakamura, MD | Toho University Ohashi Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brookwood Medical Center | Birmingham | Alabama | 35243 | United States | ||
| Cardiology Associates of Mobile |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33331207 | Derived | Sullivan TM, Zeller T, Nakamura M, Gaines PA; MIMICS-2 Trial Investigators. Treatment of Femoropopliteal Lesions With the BioMimics 3D Vascular Stent System: Two-Year Results From the MIMICS-2 Trial. J Endovasc Ther. 2021 Apr;28(2):236-245. doi: 10.1177/1526602820980419. Epub 2020 Dec 17. |
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| ID | Title | Description |
|---|---|---|
| FG000 | BioMimics 3D Stent | Implantation of BioMimics 3D nitinol stent using the BioMimics 3D Stent System |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 20, 2017 | Nov 5, 2018 |
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Overall MAE rate at Month 12 and contribution of individual event rates to the overall MAE. |
| 12 months |
| Number of Participants With Serious Adverse Events | Overall rate and incidence of type of serious adverse events from Day 0 through completion of Study follow-up at Month 36. | 36 Months |
| Technical Success | Percentage of subjects in which a final result of ≤50% residual diameter stenosis (in-stent) was achieved at index procedure | Procedural (at end of index procedure) |
| Primary Stent Patency | Determined at Months-12 and 24 using values of: PSVR >2.0, >2.4; >2.5; and >3.5, each to indicate loss of patency on duplex ultrasound or where angiography reveals >50% diameter stenosis or where the subject undergoes clinically-driven TLR. Further analysis of the patency data purely using a reference PSVR of >2.4, >2.5 and >3.5 was not feasible from the data that was collected. | Months 12 & 24 |
| Number of Participants With Improvement of Rutherford Clinical Category by 1 or More | Comparison of Rutherford Clinical Category measured at Baseline, Day 30, Months 12 and 24. Categories 0 - Asymptomatic
| Baseline, Day 30, Months 12 & 24 |
| Clinical Outcome (Six-Minute Walk Test) | Comparison of measured at Baseline, Day 30, Months 12 and 24 (subgroup of US investigational sites only). | Baseline, Day 30, Months 12 & 24 |
| Functional Outcome (Ankle Brachial Index (ABI) Measurement) | Comparison of the ankle brachial index (ABI) measurement at Baseline, within 30 days after index procedure, then at Months 12 and 24. | Baseline, Day 30, Months 12 & 24 |
| Change of Walking Impairment Questionnaire Score | Comparison of the Walking Impairment Questionnaire at Baseline, within 30 days after index procedure, then at Months 12 and 24. The WIQ consists of 3 primary categories assessing walking distance, stair-climbing, and walking speed, as previously described. Individuals are asked to rate the degree of difficulty of various activities with responses ranging from 0 (unable) to 4 (none). | Baseline, Day 30, Months 12 & 24 |
| Number of Participants With Freedom From Stent Fracture | Stent integrity measured as freedom from fracture, defined as clear interruption of a stent strut observed in a minimum of two projections, determined by core lab examination of X-rays taken with the leg in extension at 12, 24 and 36 Months. | Months 12, 24 & 36 |
| Mobile |
| Alabama |
| 36532 |
| United States |
| Arizona Heart Hospital | Phoenix | Arizona | 85006 | United States |
| Yale New Haven Hospital | New Haven | Connecticut | 06510 | United States |
| Bradenton Cardiology Center | Bradenton | Florida | 34205 | United States |
| MediQuest Research Group/ Munroe Regional Medical Center | Ocala | Florida | 34471 | United States |
| Coastal Vascular | Pensacola | Florida | 32504 | United States |
| OSF St. Francis Medical Center | Peoria | Illinois | 61637 | United States |
| Prairie Education and Research Cooperative | Springfield | Illinois | 62701 | United States |
| Kings Daughters Medical Center | Ashland | Kentucky | 41101 | United States |
| Endovascular Technologies / Grace Research | Bossier City | Louisiana | 71111 | United States |
| Cardiovascular Institute of the South | Houma | Louisiana | 70360 | United States |
| Cardiovascular Institute of the South | Lafayette | Louisiana | 70503 | United States |
| Michigan Outpatient Vascular Institute | Dearborn | Michigan | 48126 | United States |
| St. John Hospital & Medical Center | Detroit | Michigan | 48236 | United States |
| Michigan Vascular Center | Flint | Michigan | 48507 | United States |
| Minneapolis Heart | Minneapolis | Minnesota | 55407 | United States |
| Deborah Heart & Lung Center | Browns Mills | New Jersey | 08015 | United States |
| NC Heart & Vascular Research | Raleigh | North Carolina | 27067 | United States |
| WakeMed Research | Raleigh | North Carolina | 27610 | United States |
| Riverside Methodist Hospital | Columbus | Ohio | 43214 | United States |
| Doylestown Hospital | Doylestown | Pennsylvania | 18901 | United States |
| Pinnacle Health Harrisburg | Harrisburg | Pennsylvania | 17043 | United States |
| Berks Cardiologists | Wyomissing | Pennsylvania | 19610 | United States |
| North Central Heart | Sioux Falls | South Dakota | 57018 | United States |
| Kore Cardiovascular Research | Jackson | Tennessee | 38305 | United States |
| Austin Heart Research | Austin | Texas | 78756 | United States |
| Cardiovascular Specialist of TX / North Austin Medical Center | Austin | Texas | 78758 | United States |
| Grace Research | Huntsville | Texas | 77340 | United States |
| Mission Research Institute/Guadalupe Regional Medical Center | New Braunfels | Texas | 78130 | United States |
| Cardiovascular Associates of East Texas | Tyler | Texas | 75701 | United States |
| Karolinen-Hospital | Arnsberg | Germany |
| Universitaets-Herzzentrum Freiburg-Bad Krozingen | Bad Krozingen | Germany |
| Diakonissenkrankenhaus Flensburg | Flensburg | Germany |
| Westküstenklinikum Heide | Heide | Germany |
| Universitätsklinikum Leipzig AoR Leipzig | Leipzig | Germany |
| St. Bonifatius Hospital | Lingen | Germany |
| Kansai Rosai Hospital | Hyōgo | Japan |
| Kasukabe Chuo General Hospital | Kasukabe | Japan |
| Kokura Memorial Hospital | Kitakyushu-shi | Japan |
| Morinomiya Hospital | Osaka | Japan |
| Omihachiman Community Medical Center | Shiga | Japan |
| Toho University Ohashi Medical Center | Tokyo | Japan |
| 30-Days Follow-up |
|
| 12-Months Follow-up |
|
| 24-Months Follow-up |
|
| 36 Months-Follow-up |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | BioMimics 3D Stent | Implantation of BioMimics 3D nitinol stent using the BioMimics 3D Stent System |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Primary Safety Endpoint (Freedom From a Composite of Major Adverse Events (MAE) | Freedom from a composite of major adverse events (MAE) comprising death, any major amputation performed on the target limb or clinically-driven target lesion revascularization (TLR) through 30 days. | Subjects with available 30 day follow-up | Posted | Count of Participants | Participants | 30 days |
|
|
| ||||||||||||||||||||||||||
| Primary | Primary Effectiveness Endpoint (Primary Stent Patency Rate) | The primary effectiveness endpoint of the MIMICS-2 Study was defined as the primary stent patency rate at 12 months. Patency was defined as no significant reduction in luminal diameter (< 50% diameter stenosis) since the index procedure. Loss of patency was determined by an independent core laboratory when the peak systolic velocity ratio (PSVR) exceeds 2.0, or where angiography revealed > 50% diameter stenosis, or where the subject had a CDTLR. | Subjects were included in analysis population if they had imaging data qualifying as a 12m visit and/or subjects without imaging data who experienced a CDTLR through 12 months. Additionally, if a subject is missing stent patency status at the 12m window but found to be patent at a later out-of-window date, subject was considered patent at 12 months | Posted | Count of Participants | Participants | 12 months |
|
| |||||||||||||||||||||||||||
| Secondary | Secondary Safety (Overall MAE Rate at 30 Days) | Contribution of individual MAE rates for death, major amputation performed on the target limb and clinically-driven target lesion revascularization to the overall MAE rate at 30 days. | Subjects with available 30 day follow-up | Posted | Count of Participants | Participants | 30 Days |
|
| |||||||||||||||||||||||||||
| Secondary | Long Term Safety (Overall MAE Rate at Month 12) | Overall MAE rate at Month 12 and contribution of individual event rates to the overall MAE. | Subjects are included in the analysis population if (i) they have sufficient follow-up (at least 12 months less 30 days), or (ii) they have had the event of interest (each event is considered separately). | Posted | Count of Participants | Participants | 12 months |
|
| |||||||||||||||||||||||||||
| Secondary | Number of Participants With Serious Adverse Events | Overall rate and incidence of type of serious adverse events from Day 0 through completion of Study follow-up at Month 36. | Posted | Count of Participants | Participants | 36 Months |
|
|
| |||||||||||||||||||||||||||
| Secondary | Technical Success | Percentage of subjects in which a final result of ≤50% residual diameter stenosis (in-stent) was achieved at index procedure | Subjects with available baseline angiography | Posted | Count of Participants | Participants | Procedural (at end of index procedure) |
|
| |||||||||||||||||||||||||||
| Secondary | Primary Stent Patency | Determined at Months-12 and 24 using values of: PSVR >2.0, >2.4; >2.5; and >3.5, each to indicate loss of patency on duplex ultrasound or where angiography reveals >50% diameter stenosis or where the subject undergoes clinically-driven TLR. Further analysis of the patency data purely using a reference PSVR of >2.4, >2.5 and >3.5 was not feasible from the data that was collected. | Relevant data was not collected to provide the outcome analysis | Posted | Months 12 & 24 |
|
| |||||||||||||||||||||||||||||
| Secondary | Number of Participants With Improvement of Rutherford Clinical Category by 1 or More | Comparison of Rutherford Clinical Category measured at Baseline, Day 30, Months 12 and 24. Categories 0 - Asymptomatic
| Number of participants participating in the study changed at 30 Days, 12 Months and 24 Months | Posted | Count of Participants | Participants | Baseline, Day 30, Months 12 & 24 |
|
| |||||||||||||||||||||||||||
| Secondary | Clinical Outcome (Six-Minute Walk Test) | Comparison of measured at Baseline, Day 30, Months 12 and 24 (subgroup of US investigational sites only). | Number of participants analysed changed over the time period | Posted | Mean | Standard Deviation | yards | Baseline, Day 30, Months 12 & 24 |
|
| ||||||||||||||||||||||||||
| Secondary | Functional Outcome (Ankle Brachial Index (ABI) Measurement) | Comparison of the ankle brachial index (ABI) measurement at Baseline, within 30 days after index procedure, then at Months 12 and 24. | Number of participants assessed for ABI index measurement at Baseline, within 30 days after index procedure, then at Months 12 and 24. | Posted | Mean | Standard Deviation | ABI | Baseline, Day 30, Months 12 & 24 |
|
| ||||||||||||||||||||||||||
| Secondary | Change of Walking Impairment Questionnaire Score | Comparison of the Walking Impairment Questionnaire at Baseline, within 30 days after index procedure, then at Months 12 and 24. The WIQ consists of 3 primary categories assessing walking distance, stair-climbing, and walking speed, as previously described. Individuals are asked to rate the degree of difficulty of various activities with responses ranging from 0 (unable) to 4 (none). | Walking Impairment Questionnaire score at Baseline, within 30 days after index procedure, then at Months 12 and 24. | Posted | Mean | Standard Deviation | scores on a scale | Baseline, Day 30, Months 12 & 24 |
|
| ||||||||||||||||||||||||||
| Secondary | Number of Participants With Freedom From Stent Fracture | Stent integrity measured as freedom from fracture, defined as clear interruption of a stent strut observed in a minimum of two projections, determined by core lab examination of X-rays taken with the leg in extension at 12, 24 and 36 Months. | Number of participants with no fracture in study stent at 12, 24 and 36 Months assessment. | Posted | Count of Participants | Participants | Months 12, 24 & 36 |
|
|
36 months
Site reported serious adverse events.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | BioMimics 3D Stent | Implantation of BioMimics 3D nitinol stent using the BioMimics 3D Stent System | 24 | 271 | 164 | 271 | 177 | 271 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Restenosis of treated segment | Vascular disorders | Systematic Assessment |
| ||
| Arterial stenosis (non-target) | Vascular disorders | Systematic Assessment |
| ||
| Restenosis | Vascular disorders | Systematic Assessment |
| ||
| Restenosis of treated vessel | Vascular disorders | Systematic Assessment |
| ||
| Thrombosis | Vascular disorders | Systematic Assessment |
| ||
| Limb ischemia | Vascular disorders | Systematic Assessment |
| ||
| Dissection | Vascular disorders | Systematic Assessment |
| ||
| Hypotension | Vascular disorders | Systematic Assessment |
| ||
| Pseudoaneurysm | Vascular disorders | Systematic Assessment |
| ||
| Abrupt occlusion | Vascular disorders | Systematic Assessment |
| ||
| Amputation (unplanned, spontaneous) | Vascular disorders | Systematic Assessment |
| ||
| Aneurysm | Vascular disorders | Systematic Assessment |
| ||
| Dissection (≥ Grade C) in target vessel requiring intervention | Vascular disorders | Systematic Assessment |
| ||
| Embolization, distal | Vascular disorders | Systematic Assessment |
| ||
| Hypertension | Vascular disorders | Systematic Assessment |
| ||
| Total occlusion of the peripheral artery | Vascular disorders | Systematic Assessment |
| ||
| Angina | Cardiac disorders | Systematic Assessment |
| ||
| Congestive heart failure (CHF) | Cardiac disorders | Systematic Assessment |
| ||
| Atrial fibrillation | Cardiac disorders | Systematic Assessment |
| ||
| Myocardial infarction | Cardiac disorders | Systematic Assessment |
| ||
| Myocardial ischemia | Cardiac disorders | Systematic Assessment |
| ||
| Cardiac arrhythmia | Cardiac disorders | Systematic Assessment |
| ||
| Ventricular tachycardia | Cardiac disorders | Systematic Assessment |
| ||
| Anemia | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Gastro-intestinal bleeding | Gastrointestinal disorders | Systematic Assessment |
| ||
| Sepsis | Infections and infestations | Systematic Assessment |
| ||
| Infected peripheral wound | Infections and infestations | Systematic Assessment |
| ||
| Urinary tract infection (UTI) | Infections and infestations | Systematic Assessment |
| ||
| Arterial occlusion/thrombus at puncture site | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Vascular access complications | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Groin hematoma ≥ 5 cm, with or without surgical repair | Injury, poisoning and procedural complications | Systematic Assessment |
| ||
| Seizure | Nervous system disorders | Systematic Assessment |
| ||
| Stroke or other neurological complications | Nervous system disorders | Systematic Assessment |
| ||
| Renal failure/renal insufficiency | Renal and urinary disorders | Systematic Assessment |
| ||
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Pneumonia | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Allergic reaction (medication, contrast media, device, etc.) | Immune system disorders | Systematic Assessment |
| ||
| Amputation (planned) | Vascular disorders | Systematic Assessment |
| ||
| Bleeding from anticoagulant or antiplatelet medications s | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Haemorrhage, with or without transfusion | Blood and lymphatic system disorders | Systematic Assessment |
| ||
| Death (MAE if cardiovascular-related) | Cardiac disorders | Systematic Assessment |
| ||
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
| ||
| Transient ischemic attack (TIA) | Nervous system disorders | Systematic Assessment |
| ||
| Other | Investigations | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina | Cardiac disorders | Systematic Assessment |
| ||
| Arterial stenosis (non-target) | Vascular disorders | Systematic Assessment |
| ||
| Restenosis | Vascular disorders | Systematic Assessment |
| ||
| Restenosis of treated segment | Vascular disorders | Systematic Assessment |
| ||
| Restenosis of treated vessel | Vascular disorders | Systematic Assessment |
| ||
| Vascular access complications | Injury, poisoning and procedural complications | Systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Nick Yeo | Veryan Medical | +44 1403 258984 | nick.yeo@veryanmed.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 25, 2018 | Nov 5, 2018 | SAP_001.pdf |
| ID | Term |
|---|---|
| D058729 | Peripheral Arterial Disease |
| ID | Term |
|---|---|
| D050197 | Atherosclerosis |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016491 | Peripheral Vascular Diseases |
Not provided
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| Unknown or Not Reported |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Freedom from Death |
| |||||
| Freedom from Major Amputation |
| |||||
| Freedom from CD-TLR |
|
|
| Denominators |
|---|
| Categories |
|---|
| total number of participants |
| |||||
| All SAE (In-hospital) |
| |||||
| All SAE (30 Days) |
| |||||
| All SAE (12 Months) |
| |||||
| All SAE (24 Months) |
| |||||
| All SAE (36 Months) |
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
|
|
| Title | Denominators | Categories | ||||
|---|---|---|---|---|---|---|
| Baseline |
|
| ||||
| 30 Days |
|
| ||||
| 12 Months |
|
| ||||
| 24 Months |
|
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|