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Comparison of the SUpera® PERipheral System in the Superficial Femoral Artery

Comparison of the SUpera® PERipheral System to a Performance Goal Derived From Balloon Angioplasty Clinical Trials in the Superficial Femoral Artery

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00933270
Acronym
SUPERB
Enrollment
325
Registered
2009-07-07
Start date
2009-07-31
Completion date
2014-07-31
Last updated
2017-05-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Peripheral Vascular Disease

Keywords

Superficial Femoral Artery or SFA

Brief summary

This is a prospective, multicenter, non-randomized, single arm, pivotal trial. The main objective of this study is to demonstrate the safety and effectiveness of the IDev SUPERA® Nitinol Stent System in treating subjects with obstructive superficial femoral artery (SFA) disease. The primary endpoint will be the primary patency of the SFA evaluated at 12 months. The outcome will be compared to a performance goal based on clinical trials of percutaneous transvenous angioplasty (PTA) alone.

Interventions

DEVICESUPERA® Nitinol Stent System

Percutaneous Angioplasty of the Superior Femoral Artery with placement of a SUPERA® Stent at time of PTA

Sponsors

Baim Institute for Clinical Research
CollaboratorOTHER
Abbott Medical Devices
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Age greater than or equal to 18 years and of age of legal consent. 2. Women of child bearing potential must have a negative pregnancy test within 7 days prior to the index procedure. 3. Subject has lifestyle limiting claudication or rest pain (Rutherford-Becker scale 2-4) with a resting ankle-brachial index (ABI) less than or equal to 0.9. TBI (toe-brachial index) is performed only unable to assess ABI. TBI must be less than or equal to 0.7. 4. A single superficial femoral artery lesion with greater than 60% stenosis or total occlusion. 5. Stenotic lesion(s) or occluded length within the same vessel (one long or multiple serial lesions) greater than or equal to 40 mm to less than or equal to 140 mm. Reference vessel diameter (RVD) greater than or equal to 4.0 mm and less than or equal to 6.0 mm by visual assessment. 6. All lesions are to be located with the distal point at least 3 cm above the knee joint, defined as the distal end of the femur at the knee joint, and proximal point at least 2 cm below the origin of the profunda artery. 7. Patent infrapopliteal and popliteal artery, i.e., single vessel runoff or better with at least one of three vessels patent (less than 50% stenosis) to the ankle or foot. 8. The target lesion(s) can be successfully crossed with a guide wire and dilated. 9. Poor aortoiliac or common femoral inflow (i.e., angiographically defined greater than 50% stenosis of the iliac or common femoral artery) that would be deemed inadequate to support a femoropopliteal bypass graft must be successfully treated prior to treatment of the target lesion. This can be done just prior to treatment of the target lesion. Successful treatment is defined as less than 30% stenosis after either PTA or stenting of the inflow lesion. After treatment of the inflow lesion, the pressure gradient across the target lesion will be obtained and if the pressure gradient is greater than or equal to 20 mmHg, then the subject will be included in the study. 10. A subject with bilateral obstructive SFA disease is eligible for enrollment into the study. If a subject with bilateral disease is enrolled, the target limb will be selected at the Investigator's discretion, who may use the criteria of lesion length, percent stenosis, and/or calcification content. The contra-lateral procedure should not be done until at least 30 days after the index procedure (staged); however, if contralateral treatment is performed prior to treatment of the target lesion, the waiting period will be at least 14 days prior to the index procedure. 11. The subject is eligible for standard surgical repair, if necessary. 12. A subject who requires a coronary intervention should have it performed at least 7 days prior to the treatment of the target lesion. 13. Subject must provide written informed consent. 14. Subject must be willing to comply with the specified follow-up evaluation schedule.

Exclusion criteria

1. Thrombophlebitis or deep venous thrombus, within the previous 30 days. 2. Receiving dialysis or immunosuppressant therapy within the previous 30 days. 3. Thrombolysis of the target vessel within 72 hours prior to the index procedure, where complete resolution of the thrombus was not achieved. 4. Stroke within the previous 90 days. 5. Ipsilateral femoral aneurysm or aneurysm in the SFA or popliteal artery. 6. Required stent placement via a popliteal approach. 7. Required stent placement across or within 0.5 cm of the SFA/PFA bifurcation. 8. Procedures which are pre-determined to require stent-in-stent placement to obtain patency, such as in-stent restenosis. 9. Significant vessel tortuosity or other parameters prohibiting access to the lesion or 90° tortuosity which would prevent delivery of the stent device. 10. Required stent placement within 1 cm of a previously deployed stent. 11. Subject required a coronary intervention, and the coronary intervention was done less than 7 days prior to or planned within 30 days after the treatment of the target lesion. 12. Known allergies to any of the following: aspirin and all three of the following: clopidogrel bisulfate (Plavix®), ticlopidine (Ticlid®), and prasugrel (Effient®); heparin, nitinol (nickel titanium), or contrast agent, that cannot be medically managed. 13. Presence of thrombus prior to crossing the lesion. 14. Known or suspected active infection at the time of the procedure. 15. Presence of an ipsilateral arterial artificial graft. 16. Use of cryoplasty, laser, or atherectomy devices at the time of index procedure. 17. Restenotic lesion that had previously been treated by atherectomy, laser or cryoplasty within 3 months of the index procedure. 18. Subject has tissue loss, defined as Rutherford-Becker classification category 5 or 6. 19. History of neutropenia, coagulopathy, or thrombocytopenia that was unexplained or is considered to be at risk for reoccurrence. 20. Known bleeding or hypercoagulability disorder or significant anemia (Hb \< 8.0) that cannot be corrected. 21. Subject has the following laboratory values: 1. platelet count less than 80,000/μL, 2. international normalized ratio (INR) greater than 1.5, 3. serum creatinine level greater than 2.0 mg/dL. 22. Subject requires general anesthesia for the procedure. 23. Subject is pregnant or plans to become pregnant during the study. 24. Subject has a co-morbid illness that may result in a life expectancy of less than 1 year. 25. Subject is participating in an investigational study of a new drug, biologic or device at the time of study screening. NOTE: Subjects who are participating in the long term follow-up phase of a previously investigational and now FDA-approved product are not excluded by this criterion.

Design outcomes

Primary

MeasureTime frameDescription
Primary Safety Endpoint: Freedom From Death, Target Lesion Revascularization (TLR), or Any Amputation of the Index Limb to 30 (±7) Days.30 days
Primary Efficacy Endpoint: SFA Patency at 12 Months (± 30 Days), Defined as Freedom From Restenosis (PSVR ≥ 2.0) and TLR.12 monthsPatency of the target lesion was defined as no evidence of restenosis or occlusion within the originally treated lesion based on a centrally-read Color Flow Doppler ultrasound in the absence of target lesion revascularization (TLR). Occlusion and restenosis were defined as no color flow or an increase in peak systolic velocity of \> 2.0 when compared to the proximal normal segment.

Secondary

MeasureTime frameDescription
Device SuccessintraoperativeDevice success, defined as achievement of a final residual diameter stenosis of \<50% (by QA), using the assigned treatment only.
Technical (Lesion) SuccessintraoperativeTechnical (lesion) success, defined as the attainment of \<50% residual stenosis by Quantitative Angiography (QA) by any percutaneous method as determined by the Angiographic core laboratory.
Secondary Safety Endpoint24 months (± 30 Days)Secondary safety endpoint was a combined rate of death at 30 (± 7) days, or TLR, index limb amputation, and an increase in Rutherford-Becker Classification by 2 classes (comparing pre- to post-procedural assessments).
Long-Term Safety Endpoint (Clinically Driven TLR, Index Limb Amputation)12 months (± 30 Days)
Stent Fracture Rate12 months (± 30 Days)Stent fractures were analyzed by X-ray evaluation by a designated core laboratory and defined as type I, II, III, IV or V. Stent fracture classification * Type I - a single strut fracture only. * Type II - multiple single nitinol stent fractures that can occur at different sites. * Type III - multiple nitinol stent fractures resulting in complete transverse linear fracture but without stent displacement. * Type IV - a complete transverse linear type III fracture with stent displacement. * Type V - a spiral dissection of a stent.
Ankle-brachial Index (ABI) Measurements on Target LimbBaselineA ratio of the highest ankle systolic blood pressure in one leg, usually measured with a 10 cm cuff at the ankle and using a continuous wave Doppler to detect return of blood flow in the anterior tibial and posterior tibial arteries, to the highest of either arm systolic blood pressure. Performed at rest with subject in supine position.
Ankle-brachial Index (ABI) on Target Limb6 Months (± 14 Days)A ratio of the highest ankle systolic blood pressure in one leg, usually measured with a 10 cm cuff at the ankle and using a continuous wave Doppler to detect return of blood flow in the anterior tibial and posterior tibial arteries, to the highest of either arm systolic blood pressure. Performed at rest with subject in supine position.
Target Lesion Revascularization (TLR)6 months (± 14 Days)Defined as any repeat percutaneous intervention with or without evidence of stenosis ≥ 50%, to improve blood flow inside or within 5 mm proximally and/or distally of the treated target lesion.
SFA Patency: PSV Ratio ≥ 2.06 Months (± 14 days)Patency of the target lesion was defined as no evidence of restenosis or occlusion within the originally treated lesion based on a centrally-read Color Flow Doppler ultrasound in the absence of target lesion revascularization (TLR). Occlusion and restenosis were defined as no color flow or an increase in peak systolic velocity of \> 2.0 when compared to the proximal normal segment.
SFA Patency: PSV Ratio > 2.46 Months (± 14 days)Patency of the target lesion was defined as no evidence of restenosis or occlusion within the originally treated lesion based on a centrally-read Color Flow Doppler ultrasound in the absence of target lesion revascularization (TLR). Occlusion and restenosis were defined as no color flow or an increase in peak systolic velocity of \> 2.0 when compared to the proximal normal segment.
Target Vessel Revascularization6 months (± 14 days)Defined as any repeat percutaneous intervention or bypass surgery performed in the target vessel at 6 months post-procedure.
Limb Ischemia Improvement: Rutherford Becker Scale1 month (± 7 days)Defined as an improvement in the Rutherford-Becker Clinical Improvement Scale of greater than or equal to one. Grade +3 = Markedly improved. Symptoms are gone or markedly improved. ABI increased to \>0.90. Grade +2 = Moderately improved. Still symptomatic but with improvement in lesion category. ABI increased by 0.10 but not normalized. Grade +1 = Minimally improved. Categorical improvement in symptoms without significant ABI increase (0.10 or less) or vice versa (but not both). Grade 0 = No change. No categorical shift and less than 0.10 change in ABI. Grade -1 = Mildly worse. Either worsening of symptoms or decrease in ABI of 0.10. Grade -2 = Moderate worsening. Deterioration of the subject's condition by one category or unexpected minor amputation. Grade -3 = Marked worsening. Deterioration of the subject's condition by more than one category or major amputation.
Major Adverse Events (MAVE)30 days (±7 days)Defined as a composite rate of 1. stent thrombosis, 2. clinically apparent distal embolization (defined as causing end-organ damage, e.g. lower extremity ulceration, tissue necrosis, or gangrene), 3. procedure-related arterial rupture, 4. acute limb ischemia, 5. target limb amputation, 6. procedure related bleeding event requiring transfusion.
Index Limb Amputations6 months (±14 days)Amputation was defined as the surgical removal of tissue anywhere from the toe to hip in the ipsilateral limb of the target site.
Secondary Safety Composite Endpoint12 months (± 30 Days)Secondary safety endpoint was a combined rate of death at 30 (± 7) days, or TLR, index limb amputation, and an increase in Rutherford-Becker Classification by 2 classes at 12 months (± 30 Days) (comparing pre- to post-procedural assessments).
Quality of Life Assessed by SF-12 Questionnaire6 Months (± 14 Days)The Medical Outcomes Study 12-Item Short form survey (SF-12) was used to assess generic QoL.SF-12 Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible. Physical and mental summary scores from the SF-12 are scaled to a U.S. population mean of 50 and standard deviation of 10 (higher scores are better). Multiple groups have suggested minimum clinically important changes in SF-12 summary scores to be greater than 2-2.5 points, and moderate changes to be greater than 5 points.
Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Physical LimitationBaselineThe PAQ assesses Peripheral arterial disease (PAD)-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.
Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): SymptomsBaselineThe PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.
Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptom StabilityBaselineThe PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.
Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Social LimitationBaselineThe PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.
Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Treatment SatisfactionBaselineThe PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.
Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Quality of LifeBaselineThe PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.
Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Summary ScoreBaselineThe PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.
Clinical Category: Rutherford BeckerBaselineCategory and Clinical Description 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = Minor tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable. Claudication is defined as a pain, cramps, fatigue, or equivalent in leg muscles occurring during walking that results from inadequate blood supply, usually due to atherosclerotic arterial obstruction.
Clinical Improvement Compared With Baseline: Rutherford Becker Scale1 month (± 7 Days)Clinical Improvement Compared With Baseline Grade +3 = Markedly Improved, Grade +2 = Moderately Improved, Grade +1 = Minimally Improved, Grade 0 = No Change, Grade -1 = Mildly Worse, Grade -2 = Moderately Worsening, Grade -3 = Markedly Worsening
Exercise Tolerance Test: Claudication Pain DistanceBaselineAbsolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.
Exercise Tolerance Test: Claudication Pain Time (CPT)BaselineAbsolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.
Exercise Tolerance Test: Maximal Walking DistanceBaselineAbsolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.
Exercise Tolerance Test: Maximal Walking TimeBaselineAbsolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.
Quality of Life Assessed (QoL) by SF-12 QuestionnaireBaselineThe Medical Outcomes Study 12-Item Short form survey (SF-12) was used to assess generic QoL. SF-12 Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible. Physical and mental summary scores from the SF-12 are scaled to a U.S. population mean of 50 and standard deviation of 10 (higher scores are better). Multiple groups have suggested minimum clinically important changes in SF-12 summary scores to be greater than 2-2.5 points, and moderate changes to be greater than 5 points.
Procedural SuccessintraoperativeDefined as device success with \< 50% residual stenosis immediately after stent placement, mean trans-stenotic pressure gradient less than 5 mmHg, and without the occurrence of death, amputation or repeat revascularization of the target lesion during the hospital stay.

Countries

United States

Participant flow

Recruitment details

A total of 46 sites in the US enrolled 325 subjects into this study. The first patient was enrolled on July 30, 2009 and the last patient was enrolled on May 20, 2011. Intention-To-Treat (ITT) population included 264 subjects and Per-Protocol (PP) population included 257 subjects. In addition, 61 roll-in subjects were enrolled.

Participants by arm

ArmCount
Supera® Peripheral Stent System
Implantation of Supera stent using the Supera® Peripheral Stent System Supera® Peripheral Stent System: Percutaneous Angioplasty of the Superficial Femoral or Proximal Popliteal Artery with placement of a Supera® Stent
264
Total264

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event1
Overall StudyDeath24
Overall StudyInsufficient Follow-up10
Overall StudyLost to Follow-up14
Overall StudyMissed Visit2
Overall StudyMoved or would not return10
Overall StudyWithdrawal by Subject26

Baseline characteristics

CharacteristicSupera® Peripheral Stent System
Age, Continuous
ITT population
68.7 years
STANDARD_DEVIATION 10
Ethnicity (NIH/OMB)
Hispanic or Latino
20 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
244 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
2 Participants
Race (NIH/OMB)
Black or African American
35 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
Race (NIH/OMB)
White
221 Participants
Region of Enrollment
United States
264 participants
Sex: Female, Male
Female
96 Participants
Sex: Female, Male
Male
168 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
211 / 26451 / 61
serious
Total, serious adverse events
151 / 26436 / 61

Outcome results

Primary

Primary Efficacy Endpoint: SFA Patency at 12 Months (± 30 Days), Defined as Freedom From Restenosis (PSVR ≥ 2.0) and TLR.

Patency of the target lesion was defined as no evidence of restenosis or occlusion within the originally treated lesion based on a centrally-read Color Flow Doppler ultrasound in the absence of target lesion revascularization (TLR). Occlusion and restenosis were defined as no color flow or an increase in peak systolic velocity of \> 2.0 when compared to the proximal normal segment.

Time frame: 12 months

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemPrimary Efficacy Endpoint: SFA Patency at 12 Months (± 30 Days), Defined as Freedom From Restenosis (PSVR ≥ 2.0) and TLR.Patency rate at 12 months78.9 percentage of participants
Supera® Peripheral Stent SystemPrimary Efficacy Endpoint: SFA Patency at 12 Months (± 30 Days), Defined as Freedom From Restenosis (PSVR ≥ 2.0) and TLR.No restenosis at 12 months86.7 percentage of participants
Supera® Peripheral Stent SystemPrimary Efficacy Endpoint: SFA Patency at 12 Months (± 30 Days), Defined as Freedom From Restenosis (PSVR ≥ 2.0) and TLR.Freedom from TLR at 12 months88.9 percentage of participants
Primary

Primary Safety Endpoint: Freedom From Death, Target Lesion Revascularization (TLR), or Any Amputation of the Index Limb to 30 (±7) Days.

Time frame: 30 days

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemPrimary Safety Endpoint: Freedom From Death, Target Lesion Revascularization (TLR), or Any Amputation of the Index Limb to 30 (±7) Days.Freedom from Death,TLR or amputation (30 days)99.2 percentage of participants
Supera® Peripheral Stent SystemPrimary Safety Endpoint: Freedom From Death, Target Lesion Revascularization (TLR), or Any Amputation of the Index Limb to 30 (±7) Days.Freedom from All Cause Death to 30 days99.6 percentage of participants
Supera® Peripheral Stent SystemPrimary Safety Endpoint: Freedom From Death, Target Lesion Revascularization (TLR), or Any Amputation of the Index Limb to 30 (±7) Days.Freedom from TLR to 30 days99.6 percentage of participants
Supera® Peripheral Stent SystemPrimary Safety Endpoint: Freedom From Death, Target Lesion Revascularization (TLR), or Any Amputation of the Index Limb to 30 (±7) Days.Freedom from Amputation of the index limb(30 days)100.0 percentage of participants
Secondary

Ankle-brachial Index (ABI) Measurements on Target Limb

A ratio of the highest ankle systolic blood pressure in one leg, usually measured with a 10 cm cuff at the ankle and using a continuous wave Doppler to detect return of blood flow in the anterior tibial and posterior tibial arteries, to the highest of either arm systolic blood pressure. Performed at rest with subject in supine position.

Time frame: 1 month (± 7 Days)

Population: Per ITT set: Patient returned for visit and had ABI measured

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemAnkle-brachial Index (ABI) Measurements on Target Limb0.99 ratioStandard Deviation 0.17
Secondary

Ankle-brachial Index (ABI) Measurements on Target Limb

A ratio of the highest ankle systolic blood pressure in one leg, usually measured with a 10 cm cuff at the ankle and using a continuous wave Doppler to detect return of blood flow in the anterior tibial and posterior tibial arteries, to the highest of either arm systolic blood pressure. Performed at rest with subject in supine position.

Time frame: Baseline

Population: Per ITT set: Baseline ABI measured prior to study procedure

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemAnkle-brachial Index (ABI) Measurements on Target Limb0.73 ratioStandard Deviation 0.18
Secondary

Ankle-brachial Index (ABI) on Target Limb

A ratio of the highest ankle systolic blood pressure in one leg, usually measured with a 10 cm cuff at the ankle and using a continuous wave Doppler to detect return of blood flow in the anterior tibial and posterior tibial arteries, to the highest of either arm systolic blood pressure. Performed at rest with subject in supine position.

Time frame: 12 Months (± 30 Days)

Population: Per ITT set: Patient returned for visit and had ABI measured

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemAnkle-brachial Index (ABI) on Target Limb0.92 ratioStandard Deviation 0.22
Secondary

Ankle-brachial Index (ABI) on Target Limb

A ratio of the highest ankle systolic blood pressure in one leg, usually measured with a 10 cm cuff at the ankle and using a continuous wave Doppler to detect return of blood flow in the anterior tibial and posterior tibial arteries, to the highest of either arm systolic blood pressure. Performed at rest with subject in supine position.

Time frame: 6 Months (± 14 Days)

Population: Per ITT set: Patient returned for visit and had ABI measured

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemAnkle-brachial Index (ABI) on Target Limb0.92 ratioStandard Deviation 0.22
Secondary

Clinical Category: Rutherford Becker

Category and Clinical Description 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = Minor tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable. Claudication is defined as a pain, cramps, fatigue, or equivalent in leg muscles occurring during walking that results from inadequate blood supply, usually due to atherosclerotic arterial obstruction.

Time frame: 12 Months (± 30 Days)

Population: Per ITT Set. Patients are included in the Rutherford Becker Score if they completed their visit and Rutherford Becker Classification was performed

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerAsymptomatic64.3 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMild Claudication18.7 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerModerate Claudication13.9 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerSevere Claudication2.2 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerIschemic Rest Pain0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMinor Tissue Loss0.9 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMajor Tissue Loss0 percentage of limbs
Secondary

Clinical Category: Rutherford Becker

Category and Clinical Description 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = Minor tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable. Claudication is defined as a pain, cramps, fatigue, or equivalent in leg muscles occurring during walking that results from inadequate blood supply, usually due to atherosclerotic arterial obstruction.

Time frame: Baseline

Population: Per ITT Set. Patients are included in the Rutherford Becker Score if the Rutherford Becker Classification was performed prior to the Study procedure.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerAsymptomatic0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMild Claudication0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerModerate Claudication37.5 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerSevere Claudication57.2 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerIschemic Rest Pain5.3 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMinor Tissue Loss0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMajor Tissue Loss0 percentage of limbs
Secondary

Clinical Category: Rutherford Becker

Category and Clinical Description 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = Minor tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable. Claudication is defined as a pain, cramps, fatigue, or equivalent in leg muscles occurring during walking that results from inadequate blood supply, usually due to atherosclerotic arterial obstruction.

Time frame: 1 Month (± 7 Days)

Population: Per ITT Set. Patients are included in the Rutherford Becker Score if they completed their visit and Rutherford Becker Classification was performed

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMinor Tissue Loss0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMajor Tissue Loss0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerAsymptomatic69.9 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMild Claudication23.9 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerModerate Claudication5.0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerSevere Claudication1.2 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerIschemic Rest Pain0 percentage of limbs
Secondary

Clinical Category: Rutherford Becker

Category and Clinical Description 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = Minor tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable. Claudication is defined as a pain, cramps, fatigue, or equivalent in leg muscles occurring during walking that results from inadequate blood supply, usually due to atherosclerotic arterial obstruction.

Time frame: 36 Months (± 30 Days)

Population: Per ITT Set. Patients are included in the Rutherford Becker Score if they completed their visit and Rutherford Becker Classification was performed

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerAsymptomatic72.2 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMild Claudication16.0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerModerate Claudication8.3 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerSevere Claudication2.4 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerIschemic Rest Pain0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMinor Tissue Loss1.2 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMajor Tissue Loss0 percentage of limbs
Secondary

Clinical Category: Rutherford Becker

Category and Clinical Description 0 = Asymptomatic, no hemodynamically significant occlusive disease, 1 = Mild claudication, 2 = Moderate claudication, 3 = Severe claudication, 4 = Ischemic rest pain, 5 = Minor tissue loss, non-healing ulcer, or focal gangrene with diffuse pedal ischemia, 6 = Major tissue loss, extending above transmetatarsal level, functional foot no longer salvageable. Claudication is defined as a pain, cramps, fatigue, or equivalent in leg muscles occurring during walking that results from inadequate blood supply, usually due to atherosclerotic arterial obstruction.

Time frame: 24 Months (± 30 Days)

Population: Per ITT Set. Patients are included in the Rutherford Becker Score if they completed their visit and Rutherford Becker Classification was performed

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerAsymptomatic68.0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMild Claudication17.7 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerModerate Claudication10.3 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerSevere Claudication2.0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerIschemic Rest Pain0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMinor Tissue Loss2.0 percentage of limbs
Supera® Peripheral Stent SystemClinical Category: Rutherford BeckerMajor Tissue Loss0 percentage of limbs
Secondary

Clinical Improvement Compared With Baseline: Rutherford Becker Scale

Clinical Improvement Compared With Baseline Grade +3 = Markedly Improved, Grade +2 = Moderately Improved, Grade +1 = Minimally Improved, Grade 0 = No Change, Grade -1 = Mildly Worse, Grade -2 = Moderately Worsening, Grade -3 = Markedly Worsening

Time frame: 36 Months (± 30 Days)

Population: Per ITT Set. Patients are included in the Rutherford Becker Score if :They had a baseline Rutherford Becker Classification performed prior to the study procedure.They completed their visit and Rutherford Becker Classification was performed.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +3 Markedly Improved65.9 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +2 Moderately Improved19.8 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +1 Minimally Improved6.6 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade 0 No Change6.0 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -1 Mildly Worse0.6 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -2 Moderately Worsening0.0 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -3 Markedly Worsening1.2 percentage of limbs
Secondary

Clinical Improvement Compared With Baseline: Rutherford Becker Scale

Clinical Improvement Compared With Baseline Grade +3 = Markedly Improved, Grade +2 = Moderately Improved, Grade +1 = Minimally Improved, Grade 0 = No Change, Grade -1 = Mildly Worse, Grade -2 = Moderately Worsening, Grade -3 = Markedly Worsening

Time frame: 1 month (± 7 Days)

Population: Per ITT Set. Patients are included in the Rutherford Becker Score if :They had a baseline Rutherford Becker Classification performed prior to the study procedure.They completed their visit and Rutherford Becker Classification was performed.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +3 Markedly Improved68.0 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +2 Moderately Improved23.2 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +1 Minimally Improved6.2 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade 0 No Change2.7 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -1 Mildly Worse0 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -2 Moderately Worsening0 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -3 Markedly Worsening0 percentage of limbs
Secondary

Clinical Improvement Compared With Baseline: Rutherford Becker Scale

Clinical Improvement Compared With Baseline Grade +3 = Markedly Improved, Grade +2 = Moderately Improved, Grade +1 = Minimally Improved, Grade 0 = No Change, Grade -1 = Mildly Worse, Grade -2 = Moderately Worsening, Grade -3 = Markedly Worsening

Time frame: 12 Months (± 30 Days)

Population: Per ITT Set. Patients are included in the Rutherford Becker Score if :They had a baseline Rutherford Becker Classification performed prior to the study procedure.They completed their visit and Rutherford Becker Classification was performed.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -3 Markedly Worsening0.4 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +3 Markedly Improved53.5 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +2 Moderately Improved24.3 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +1 Minimally Improved11.3 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade 0 No Change8.3 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -1 Mildly Worse1.3 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -2 Moderately Worsening0.9 percentage of limbs
Secondary

Clinical Improvement Compared With Baseline: Rutherford Becker Scale

Clinical Improvement Compared With Baseline Grade +3 = Markedly Improved, Grade +2 = Moderately Improved, Grade +1 = Minimally Improved, Grade 0 = No Change, Grade -1 = Mildly Worse, Grade -2 = Moderately Worsening, Grade -3 = Markedly Worsening

Time frame: 24 Months (± 30 Days)

Population: Per ITT Set. Patients are included in the Rutherford Becker Score if :They had a baseline Rutherford Becker Classification performed prior to the study procedure.They completed their visit and Rutherford Becker Classification was performed.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +3 Markedly Improved56.7 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +2 Moderately Improved25.1 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade +1 Minimally Improved7.4 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade 0 No Change4.4 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -1 Mildly Worse1.5 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -2 Moderately Worsening3.4 percentage of limbs
Supera® Peripheral Stent SystemClinical Improvement Compared With Baseline: Rutherford Becker ScaleGrade -3 Markedly Worsening1.5 percentage of limbs
Secondary

Device Success

Device success, defined as achievement of a final residual diameter stenosis of \<50% (by QA), using the assigned treatment only.

Time frame: intraoperative

Population: Per ITT set: Supera implanted. Post-procedure angiogram analyzed by core lab

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemDevice Success98.5 percentage of participants
Secondary

Exercise Tolerance Test: Claudication Pain Distance

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: 1 month (± 7 Days)

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Claudication Pain Distance158.87 metersStandard Deviation 140.07
Secondary

Exercise Tolerance Test: Claudication Pain Distance

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: Baseline

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Claudication Pain Distance82.32 metersStandard Deviation 62.09
Secondary

Exercise Tolerance Test: Claudication Pain Distance

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: 12 months

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Claudication Pain Distance158.53 metersStandard Deviation 134.95
Secondary

Exercise Tolerance Test: Claudication Pain Time (CPT)

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: 12 months (± 30 Days)

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Claudication Pain Time (CPT)195.58 secondsStandard Deviation 158.57
Secondary

Exercise Tolerance Test: Claudication Pain Time (CPT)

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: 1 month (± 7 Days)

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Claudication Pain Time (CPT)188.12 secondsStandard Deviation 151.58
Secondary

Exercise Tolerance Test: Claudication Pain Time (CPT)

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: Baseline

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Claudication Pain Time (CPT)117.59 secondsStandard Deviation 88.41
Secondary

Exercise Tolerance Test: Maximal Walking Distance

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: 1 month (± 7 Days)

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Maximal Walking Distance294.18 metersStandard Deviation 244.24
Secondary

Exercise Tolerance Test: Maximal Walking Distance

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: Baseline

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Maximal Walking Distance195.38 metersStandard Deviation 107.67
Secondary

Exercise Tolerance Test: Maximal Walking Distance

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: 12 months (± 30 Days)

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Maximal Walking Distance262.61 metersStandard Deviation 141.58
Secondary

Exercise Tolerance Test: Maximal Walking Time

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: 1 month (± 7 Days)

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Maximal Walking Time345.22 secondsStandard Deviation 255.76
Secondary

Exercise Tolerance Test: Maximal Walking Time

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: Baseline

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Maximal Walking Time245.71 secondsStandard Deviation 136
Secondary

Exercise Tolerance Test: Maximal Walking Time

Absolute Claudication Distance (ACD) for this study was determined by the point of termination or maximum distance walked on the treadmill due to claudication.

Time frame: 12 months (± 30 Days)

Population: Per ITT set. The denominator for exercise testing considers factors such as: patient flow to the physician performing the procedure making it difficult to get a baseline treadmill test; patients with bilateral, multilevel peripheral disease and other underlying diseases and other factors such as age could impact their ability to exercise.

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemExercise Tolerance Test: Maximal Walking Time317.53 secondsStandard Deviation 159.38
Secondary

Index Limb Amputations

Amputation was defined as the surgical removal of tissue anywhere from the toe to hip in the ipsilateral limb of the target site.

Time frame: 36 months (±30 days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemIndex Limb Amputations1.2 percentage of participants
Secondary

Index Limb Amputations

Amputation was defined as the surgical removal of tissue anywhere from the toe to hip in the ipsilateral limb of the target site.

Time frame: 12 months (±30 days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemIndex Limb Amputations0.4 percentage of participants
Secondary

Index Limb Amputations

Amputation was defined as the surgical removal of tissue anywhere from the toe to hip in the ipsilateral limb of the target site.

Time frame: 6 months (±14 days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemIndex Limb Amputations0 percentage of participants
Secondary

Index Limb Amputations

Amputation was defined as the surgical removal of tissue anywhere from the toe to hip in the ipsilateral limb of the target site.

Time frame: 24 months (±30 days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemIndex Limb Amputations1.0 percentage of participants
Secondary

Limb Ischemia Improvement: Rutherford Becker Scale

Defined as an improvement in the Rutherford-Becker Clinical Improvement Scale of greater than or equal to one. Grade +3 = Markedly improved. Symptoms are gone or markedly improved. ABI increased to \>0.90. Grade +2 = Moderately improved. Still symptomatic but with improvement in lesion category. ABI increased by 0.10 but not normalized. Grade +1 = Minimally improved. Categorical improvement in symptoms without significant ABI increase (0.10 or less) or vice versa (but not both). Grade 0 = No change. No categorical shift and less than 0.10 change in ABI. Grade -1 = Mildly worse. Either worsening of symptoms or decrease in ABI of 0.10. Grade -2 = Moderate worsening. Deterioration of the subject's condition by one category or unexpected minor amputation. Grade -3 = Marked worsening. Deterioration of the subject's condition by more than one category or major amputation.

Time frame: 36 Months (±30 days)

Population: Per ITT set.~Patients are included in the Limb ischemia improvement if:~They had a baseline Rutherford Becker Clinical Classification done. They return for their visit and Rutherford Becker Clinical Classification was done.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemLimb Ischemia Improvement: Rutherford Becker Scale92.2 percentage of limbs
Secondary

Limb Ischemia Improvement: Rutherford Becker Scale

Defined as an improvement in the Rutherford-Becker Clinical Improvement Scale of greater than or equal to one. Grade +3 = Markedly improved. Symptoms are gone or markedly improved. ABI increased to \>0.90. Grade +2 = Moderately improved. Still symptomatic but with improvement in lesion category. ABI increased by 0.10 but not normalized. Grade +1 = Minimally improved. Categorical improvement in symptoms without significant ABI increase (0.10 or less) or vice versa (but not both). Grade 0 = No change. No categorical shift and less than 0.10 change in ABI. Grade -1 = Mildly worse. Either worsening of symptoms or decrease in ABI of 0.10. Grade -2 = Moderate worsening. Deterioration of the subject's condition by one category or unexpected minor amputation. Grade -3 = Marked worsening. Deterioration of the subject's condition by more than one category or major amputation.

Time frame: 12 Months (±30 days)

Population: Per ITT set.~Patients are included in the Limb ischemia improvement if:~They had a baseline Rutherford Becker Clinical Classification done. They return for their visit and Rutherford Becker Clinical Classification was done.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemLimb Ischemia Improvement: Rutherford Becker Scale89.1 percentage of limbs
Secondary

Limb Ischemia Improvement: Rutherford Becker Scale

Defined as an improvement in the Rutherford-Becker Clinical Improvement Scale of greater than or equal to one. Grade +3 = Markedly improved. Symptoms are gone or markedly improved. ABI increased to \>0.90. Grade +2 = Moderately improved. Still symptomatic but with improvement in lesion category. ABI increased by 0.10 but not normalized. Grade +1 = Minimally improved. Categorical improvement in symptoms without significant ABI increase (0.10 or less) or vice versa (but not both). Grade 0 = No change. No categorical shift and less than 0.10 change in ABI. Grade -1 = Mildly worse. Either worsening of symptoms or decrease in ABI of 0.10. Grade -2 = Moderate worsening. Deterioration of the subject's condition by one category or unexpected minor amputation. Grade -3 = Marked worsening. Deterioration of the subject's condition by more than one category or major amputation.

Time frame: 1 month (± 7 days)

Population: Per ITT set.~Patients are included in the Limb ischemia improvement if:~They had a baseline Rutherford Becker Clinical Classification done. They return for their visit and Rutherford Becker Clinical Classification was done.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemLimb Ischemia Improvement: Rutherford Becker Scale97.3 percentage of limbs
Secondary

Limb Ischemia Improvement: Rutherford Becker Scale

Defined as an improvement in the Rutherford-Becker Clinical Improvement Scale of greater than or equal to one. Grade +3 = Markedly improved. Symptoms are gone or markedly improved. ABI increased to \>0.90. Grade +2 = Moderately improved. Still symptomatic but with improvement in lesion category. ABI increased by 0.10 but not normalized. Grade +1 = Minimally improved. Categorical improvement in symptoms without significant ABI increase (0.10 or less) or vice versa (but not both). Grade 0 = No change. No categorical shift and less than 0.10 change in ABI. Grade -1 = Mildly worse. Either worsening of symptoms or decrease in ABI of 0.10. Grade -2 = Moderate worsening. Deterioration of the subject's condition by one category or unexpected minor amputation. Grade -3 = Marked worsening. Deterioration of the subject's condition by more than one category or major amputation.

Time frame: 24 Months (±30 days)

Population: Per ITT set.~Patients are included in the Limb ischemia improvement if:~They had a baseline Rutherford Becker Clinical Classification done. They return for their visit and Rutherford Becker Clinical Classification was done.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemLimb Ischemia Improvement: Rutherford Becker Scale89.2 percentage of limbs
Secondary

Long-Term Safety Endpoint (Clinically Driven TLR, Index Limb Amputation)

Time frame: 12 months (± 30 Days)

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemLong-Term Safety Endpoint (Clinically Driven TLR, Index Limb Amputation)11.5 percentage of participants
Secondary

Long-Term Safety Endpoint (Clinically Driven TLR, Index Limb Amputation)

Time frame: 24 months (± 30 Days)

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemLong-Term Safety Endpoint (Clinically Driven TLR, Index Limb Amputation)17.7 percentage of participants
Secondary

Long-Term Safety Endpoint (Clinically Driven TLR, Index Limb Amputation)

Time frame: 36 months (± 30 Days)

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemLong-Term Safety Endpoint (Clinically Driven TLR, Index Limb Amputation)22.3 percentage of participants
Secondary

Major Adverse Events (MAVE)

Defined as a composite rate of 1. stent thrombosis, 2. clinically apparent distal embolization (defined as causing end-organ damage, e.g. lower extremity ulceration, tissue necrosis, or gangrene), 3. procedure-related arterial rupture, 4. acute limb ischemia, 5. target limb amputation, 6. procedure related bleeding event requiring transfusion.

Time frame: 36 months (±30 days)

Population: Per ITT set. Patients are included if: they had a procedure related MAVE event, return for their visit within the window, returned for a later visit and the sponsor has information about their clinical status within the endpoint time frame, last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Stent Thrombosis1.7 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Clinically Apparent Distal Embolization1.1 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure-Related Arterial Rupture0 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Acute Limb Ischemia2.3 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Target Limb Amputation1.1 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure Related Bleeding Requiring Transfusion1.7 percentage of participants
Secondary

Major Adverse Events (MAVE)

Defined as a composite rate of 1. stent thrombosis, 2. clinically apparent distal embolization (defined as causing end-organ damage, e.g. lower extremity ulceration, tissue necrosis, or gangrene), 3. procedure-related arterial rupture, 4. acute limb ischemia, 5. target limb amputation, 6. procedure related bleeding event requiring transfusion.

Time frame: 12 months (±30 days)

Population: Per ITT set. Patients are included if: they had a procedure related MAVE event, return for their visit within the window, returned for a later visit and the sponsor has information about their clinical status within the endpoint time frame, last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Stent Thrombosis0.9 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Clinically Apparent Distal Embolization0.9 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure-Related Arterial Rupture0 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Acute Limb Ischemia1.7 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Target Limb Amputation0.4 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure Related Bleeding Requiring Transfusion1.3 percentage of participants
Secondary

Major Adverse Events (MAVE)

Defined as a composite rate of 1. stent thrombosis, 2. clinically apparent distal embolization (defined as causing end-organ damage, e.g. lower extremity ulceration, tissue necrosis, or gangrene), 3. procedure-related arterial rupture, 4. acute limb ischemia, 5. target limb amputation, 6. procedure related bleeding event requiring transfusion.

Time frame: 24 months (±30 days)

Population: Per ITT set. Patients are included if: they had a procedure related MAVE event, return for their visit within the window, returned for a later visit and the sponsor has information about their clinical status within the endpoint time frame, last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Stent Thrombosis1.4 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Clinically Apparent Distal Embolization1.0 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure-Related Arterial Rupture0 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Acute Limb Ischemia1.9 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Target Limb Amputation1.0 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure Related Bleeding Requiring Transfusion1.4 percentage of participants
Secondary

Major Adverse Events (MAVE)

Defined as a composite rate of 1. stent thrombosis, 2. clinically apparent distal embolization (defined as causing end-organ damage, e.g. lower extremity ulceration, tissue necrosis, or gangrene), 3. procedure-related arterial rupture, 4. acute limb ischemia, 5. target limb amputation, 6. procedure related bleeding event requiring transfusion.

Time frame: 30 days (±7 days)

Population: Per ITT set. Patients are included if: they had a procedure related MAVE event, return for their visit within the window, returned for a later visit and the sponsor has information about their clinical status within the endpoint time frame, last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Stent Thrombosis0.4 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Clinically Apparent Distal Embolization0.4 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure-Related Arterial Rupture0 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Acute Limb Ischemia0.4 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Target Limb Amputation0 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure Related Bleeding Requiring Transfusion0.4 percentage of participants
Secondary

Major Adverse Events (MAVE)

Defined as a composite rate of 1. stent thrombosis, 2. clinically apparent distal embolization (defined as causing end-organ damage, e.g. lower extremity ulceration, tissue necrosis, or gangrene), 3. procedure-related arterial rupture, 4. acute limb ischemia, 5. target limb amputation, 6. procedure related bleeding event requiring transfusion.

Time frame: 6 Months (±14 days)

Population: Per ITT set. Patients are included if: they had a procedure related MAVE event, return for their visit within the window, returned for a later visit and the sponsor has information about their clinical status within the endpoint time frame, last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Stent Thrombosis0.4 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Clinically Apparent Distal Embolization0.4 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure-Related Arterial Rupture0 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Acute Limb Ischemia0.8 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Target Limb Amputation0 percentage of participants
Supera® Peripheral Stent SystemMajor Adverse Events (MAVE)Procedure Related Bleeding Requiring Transfusion1.2 percentage of participants
Secondary

Procedural Success

Defined as device success with \< 50% residual stenosis immediately after stent placement, mean trans-stenotic pressure gradient less than 5 mmHg, and without the occurrence of death, amputation or repeat revascularization of the target lesion during the hospital stay.

Time frame: intraoperative

Population: Per ITT set. Supera implanted. Post-procedure angiogram analyzed by core lab Occurrence of death, amputation or TLR during the hospital stay

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemProcedural Success100.0 percentage of participants
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Physical Limitation

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 6 months (± 14 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Physical Limitation52.85 units on a scaleStandard Deviation 31.72
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Physical Limitation

The PAQ assesses Peripheral arterial disease (PAD)-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: Baseline

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the PAQ Questionnaire prior to the study procedure

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Physical Limitation26.16 units on a scaleStandard Deviation 23.06
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Physical Limitation

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 12 months (± 30 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Physical Limitation56.47 units on a scaleStandard Deviation 28.82
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Quality of Life

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 12 months (± 30 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Quality of Life70.27 units on a scaleStandard Deviation 27
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Quality of Life

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 6 months (± 14 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Quality of Life68.70 units on a scaleStandard Deviation 29.15
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Quality of Life

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: Baseline

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the PAQ Questionnaire prior to the study procedure

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Quality of Life35.23 units on a scaleStandard Deviation 23.87
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Social Limitation

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: Baseline

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the PAQ Questionnaire prior to the study procedure

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Social Limitation48.02 units on a scaleStandard Deviation 28.13
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Social Limitation

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 12 months (± 30 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Social Limitation76.01 units on a scaleStandard Deviation 25.6
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Social Limitation

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 6 months (± 14 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Social Limitation73.16 units on a scaleStandard Deviation 29.3
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Summary Score

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: Baseline

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the PAQ Questionnaire prior to the study procedure

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Summary Score36.91 units on a scaleStandard Deviation 20.94
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Summary Score

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 6 months (± 14 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Summary Score66.89 units on a scaleStandard Deviation 25.95
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Summary Score

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 12 months (± 30 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Summary Score69.09 units on a scaleStandard Deviation 23.19
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptoms

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 12 months (± 30 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptoms72.00 units on a scaleStandard Deviation 27.71
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptoms

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 6 months (± 14 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptoms69.99 units on a scaleStandard Deviation 29.25
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptoms

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: Baseline

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the PAQ Questionnaire prior to the study procedure

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptoms37.10 units on a scaleStandard Deviation 24.4
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptom Stability

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 12 months (± 30 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptom Stability52.62 units on a scaleStandard Deviation 20.65
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptom Stability

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 6 months (± 14 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptom Stability55.17 units on a scaleStandard Deviation 23.38
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptom Stability

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: Baseline

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the PAQ Questionnaire prior to the study procedure

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Symptom Stability39.02 units on a scaleStandard Deviation 21.53
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Treatment Satisfaction

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: Baseline

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the PAQ Questionnaire prior to the study procedure

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Treatment Satisfaction86.46 units on a scaleStandard Deviation 18.77
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Treatment Satisfaction

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 6 months (± 14 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Treatment Satisfaction87.41 units on a scaleStandard Deviation 19.22
Secondary

Quality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Treatment Satisfaction

The PAQ assesses PAD-related physical limitation, symptoms, quality of life, social function and treatment satisfaction on 0-100 scales; higher scores are better. A threshold of 8 points has been proposed as a minimum clinically important difference for the PAQ summary scale.

Time frame: 12 months (± 30 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the PAQ Questionnaire at the visit

ArmMeasureValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by Peripheral Artery Questionnaire (PAQ): Treatment Satisfaction88.48 units on a scaleStandard Deviation 18.07
Secondary

Quality of Life Assessed by SF-12 Questionnaire

The Medical Outcomes Study 12-Item Short form survey (SF-12) was used to assess generic QoL.SF-12 Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible. Physical and mental summary scores from the SF-12 are scaled to a U.S. population mean of 50 and standard deviation of 10 (higher scores are better). Multiple groups have suggested minimum clinically important changes in SF-12 summary scores to be greater than 2-2.5 points, and moderate changes to be greater than 5 points.

Time frame: 6 Months (± 14 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the SF-12 Questionnaire at the visit.

ArmMeasureGroupValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by SF-12 QuestionnairePhysical Summary Scale38.90 units on a scaleStandard Deviation 11.59
Supera® Peripheral Stent SystemQuality of Life Assessed by SF-12 QuestionnaireMental Summary Scale51.51 units on a scaleStandard Deviation 11.06
Secondary

Quality of Life Assessed by SF-12 Questionnaire

The Medical Outcomes Study 12-Item Short form survey (SF-12) was used to assess generic QoL.SF-12 Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible. Physical and mental summary scores from the SF-12 are scaled to a U.S. population mean of 50 and standard deviation of 10 (higher scores are better). Multiple groups have suggested minimum clinically important changes in SF-12 summary scores to be greater than 2-2.5 points, and moderate changes to be greater than 5 points.

Time frame: 12 Months (± 30 Days)

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the follow-up visit and the SF-12 Questionnaire at the visit

ArmMeasureGroupValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed by SF-12 QuestionnairePhysical Summary Scale39.62 units on a scaleStandard Deviation 11.03
Supera® Peripheral Stent SystemQuality of Life Assessed by SF-12 QuestionnaireMental Summary Scale51.20 units on a scaleStandard Deviation 10.37
Secondary

Quality of Life Assessed (QoL) by SF-12 Questionnaire

The Medical Outcomes Study 12-Item Short form survey (SF-12) was used to assess generic QoL. SF-12 Health Survey is validated measure using 12 questions to measure functional health and well-being from the patient's point of view. Scores on the scale are 0% (indicating poor perceived health status) to 100% (indicating excellent perceived health status) possible. Physical and mental summary scores from the SF-12 are scaled to a U.S. population mean of 50 and standard deviation of 10 (higher scores are better). Multiple groups have suggested minimum clinically important changes in SF-12 summary scores to be greater than 2-2.5 points, and moderate changes to be greater than 5 points.

Time frame: Baseline

Population: Per ITT set.~Patients are included in the QoL endpoint if:~They completed the SF-12 Questionnaire prior to the study procedure

ArmMeasureGroupValue (MEAN)Dispersion
Supera® Peripheral Stent SystemQuality of Life Assessed (QoL) by SF-12 QuestionnairePhysical Summary Scale31.83 units on a scaleStandard Deviation 10.11
Supera® Peripheral Stent SystemQuality of Life Assessed (QoL) by SF-12 QuestionnaireMental Summary Scale49.25 units on a scaleStandard Deviation 11.86
Secondary

Secondary Safety Composite Endpoint

Secondary safety endpoint was a combined rate of death at 30 (± 7) days, or TLR, index limb amputation, and an increase in Rutherford-Becker Classification by 2 classes at 12 months (± 30 Days) (comparing pre- to post-procedural assessments).

Time frame: 12 months (± 30 Days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemSecondary Safety Composite Endpoint12.45 percentage of participants
Secondary

Secondary Safety Endpoint

Secondary safety endpoint was a combined rate of death at 30 (± 7) days, or TLR, index limb amputation, and an increase in Rutherford-Becker Classification by 2 classes (comparing pre- to post-procedural assessments).

Time frame: 24 months (± 30 Days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemSecondary Safety Endpoint19.25 percentage of participants
Secondary

Secondary Safety Endpoint

Secondary safety endpoint was a combined rate of death at 30 (± 7) days, or TLR, index limb amputation, and an increase in Rutherford-Becker Classification by 2 classes at 36 months (± 30 Days)(comparing pre- to post-procedural assessments).

Time frame: 36 months (± 30 Days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemSecondary Safety Endpoint24.16 percentage of participants
Secondary

SFA Patency: PSV Ratio ≥ 2.0

Patency of the target lesion was defined as no evidence of restenosis or occlusion within the originally treated lesion based on a centrally-read Color Flow Doppler ultrasound in the absence of target lesion revascularization (TLR). Occlusion and restenosis were defined as no color flow or an increase in peak systolic velocity of \> 2.0 when compared to the proximal normal segment.

Time frame: 6 Months (± 14 days)

Population: Per ITT set. Patients are included if: they return for visit within the window, returned for a later visit \& sponsor has information on their clinical status within the endpoint time frame, the last contact date predated the endpoint time frame but had an event within the endpoint time frame, had a duplex ultrasound performed \& analyzed by core lab

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemSFA Patency: PSV Ratio ≥ 2.084.9 percentage of participants
Secondary

SFA Patency: PSV Ratio > 2.4

Patency of the target lesion was defined as no evidence of restenosis or occlusion within the originally treated lesion based on a centrally-read Color Flow Doppler ultrasound in the absence of target lesion revascularization (TLR). Occlusion and restenosis were defined as no color flow or an increase in peak systolic velocity of \> 2.0 when compared to the proximal normal segment.

Time frame: 6 Months (± 14 days)

Population: Per ITT set. Patients are included if: they return for visit within the window, returned for a later visit \& sponsor has information on their clinical status within the endpoint time frame, the last contact date predated the endpoint time frame but had an event within the endpoint time frame, had a duplex ultrasound performed \& analyzed by core lab

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemSFA Patency: PSV Ratio > 2.486.2 percentage of participants
Secondary

SFA Patency: PSV Ratio > 2.4

Patency of the target lesion was defined as no evidence of restenosis or occlusion within the originally treated lesion based on a centrally-read Color Flow Doppler ultrasound in the absence of target lesion revascularization (TLR). Occlusion and restenosis were defined as no color flow or an increase in peak systolic velocity of \> 2.0 when compared to the proximal normal segment.

Time frame: 12 Months (±30 days)

Population: Per ITT set. Patients are included if they return for visit within the window, returned for a later visit \& sponsor has information on their clinical status within the endpoint time frame, the last contact date predated the endpoint time frame but had an event within the endpoint time frame, had a duplex ultrasound performed \& analyzed by core lab

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemSFA Patency: PSV Ratio > 2.480.3 percentage of participants
Secondary

Stent Fracture Rate

Stent fractures were analyzed by X-ray evaluation by a designated core laboratory and defined as type I, II, III, IV or V. Stent fracture classification * Type I - a single strut fracture only. * Type II - multiple single nitinol stent fractures that can occur at different sites. * Type III - multiple nitinol stent fractures resulting in complete transverse linear fracture but without stent displacement. * Type IV - a complete transverse linear type III fracture with stent displacement. * Type V - a spiral dissection of a stent.

Time frame: 12 months (± 30 Days)

Population: Per ITT set: Supera implanted. Patient returned for visit and had x-ray of stent. X-ray analyzed by core lab

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemStent Fracture RateSingle Strut0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateMultiple Strut0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateFragments Aligned0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateFragments Malaligned0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateSpiral Fracture0 percentage of participants
Secondary

Stent Fracture Rate

Stent fractures were analyzed by X-ray evaluation by a designated core laboratory and defined as type I, II, III, IV or V.

Time frame: 24 months (± 30 Days)

Population: Per ITT set: Supera implanted. Patient returned for visit and had x-ray of stent. X-ray analyzed by core lab

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemStent Fracture RateFragments Malaligned0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateSingle Strut0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateMultiple Strut0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateFragments Aligned0.5 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateSpiral Fracture0 percentage of participants
Secondary

Stent Fracture Rate

Stent fractures were analyzed by X-ray evaluation by a designated core laboratory and defined as type I, II, III, IV or V.

Time frame: 36 months (± 30 Days)

Population: Per ITT set: Supera implanted. Patient returned for visit and had x-ray of stent. X-ray analyzed by core lab

ArmMeasureGroupValue (NUMBER)
Supera® Peripheral Stent SystemStent Fracture RateSingle Strut0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateMultiple Strut0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateFragments Aligned0.6 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateFragments Malaligned0 percentage of participants
Supera® Peripheral Stent SystemStent Fracture RateSpiral Fracture0 percentage of participants
Secondary

Target Lesion Revascularization (TLR)

Defined as any repeat percutaneous intervention with or without evidence of stenosis ≥ 50%, to improve blood flow inside or within 5 mm proximally and/or distally of the treated target lesion.

Time frame: 24 months (± 30 Days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemTarget Lesion Revascularization (TLR)16.7 percentage of participants
Secondary

Target Lesion Revascularization (TLR)

Defined as any repeat percutaneous intervention with or without evidence of stenosis ≥ 50%, to improve blood flow inside or within 5 mm proximally and/or distally of the treated target lesion.

Time frame: 36 months (± 30 Days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemTarget Lesion Revascularization (TLR)21.3 percentage of participants
Secondary

Target Lesion Revascularization (TLR)

Defined as any repeat percutaneous intervention with or without evidence of stenosis ≥ 50%, to improve blood flow inside or within 5 mm proximally and/or distally of the treated target lesion.

Time frame: 12 months (± 30 Days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemTarget Lesion Revascularization (TLR)11.1 percentage of participants
Secondary

Target Lesion Revascularization (TLR)

Defined as any repeat percutaneous intervention with or without evidence of stenosis ≥ 50%, to improve blood flow inside or within 5 mm proximally and/or distally of the treated target lesion.

Time frame: 6 months (± 14 Days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemTarget Lesion Revascularization (TLR)1.7 percentage of participants
Secondary

Target Vessel Revascularization

Defined as any repeat percutaneous intervention or bypass surgery performed in the target vessel at 6 months post-procedure.

Time frame: 6 months (± 14 days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemTarget Vessel Revascularization2.5 percentage of participants
Secondary

Target Vessel Revascularization

Defined as any repeat percutaneous intervention or bypass surgery performed in the target vessel at 12 months post-procedure.

Time frame: 12 months (±30 days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemTarget Vessel Revascularization13.2 percentage of participants
Secondary

Target Vessel Revascularization

Defined as any repeat percutaneous intervention or bypass surgery performed in the target vessel at 24 months post-procedure.

Time frame: 24 months (±30 days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemTarget Vessel Revascularization20.5 percentage of participants
Secondary

Target Vessel Revascularization

Defined as any repeat percutaneous intervention or bypass surgery performed in the target vessel at 36 months post-procedure.

Time frame: 36 months (±30 days)

Population: Per ITT set.~Patients are included in the clinical endpoint if:~* They return for their visit within the window~* They came back for a later visit and the sponsor has information about their clinical status within the endpoint time frame~* The last contact date predated the endpoint time frame but had an event within the endpoint time frame.

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemTarget Vessel Revascularization25.8 percentage of participants
Secondary

Technical (Lesion) Success

Technical (lesion) success, defined as the attainment of \<50% residual stenosis by Quantitative Angiography (QA) by any percutaneous method as determined by the Angiographic core laboratory.

Time frame: intraoperative

Population: Per ITT set: Post-procedure angiogram analyzed by core lab

ArmMeasureValue (NUMBER)
Supera® Peripheral Stent SystemTechnical (Lesion) Success100.0 percentage of treated segments

Source: ClinicalTrials.gov · Data processed: Mar 4, 2026