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SuperNOVA Clinical Stenting Trial

Stenting of the Superficial Femoral (SFA) and Proximal Popliteal Arteries (PPA) With the Boston Scientific INNOVA Self-Expanding Bare Metal Stent System

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01292928
Enrollment
299
Registered
2011-02-10
Start date
2011-04-30
Completion date
2016-09-30
Last updated
2017-03-08

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

Conditions

Atherosclerosis of Native Arteries of the Extremities, Unspecified

Keywords

Atherosclerosis, Superficial Femoral Artery (SFA), Proximal Popliteal Artery (PPA), lower extremities, Stenting

Brief summary

The primary objective of this clinical study is to determine whether the Innova Stent System shows acceptable performance in long-term (12-month) safety rates and vessel patency when treating femoropopliteal lesions.

Detailed description

Atherosclerosis is a systemic disease that has become increasingly recognized in the expanding elderly population as a significant cause of morbidity and mortality. Atherosclerosis in the vessels of the lower extremities can cause a variety of symptoms ranging from intermittent claudication to ischemic rest pain and critical ischemia with major tissue loss. Typically, femoropopliteal lesions have been difficult to successfully treat with endovascular therapy because the disease is often diffuse and located in an area of the body subject to significant mobility stresses such as extension, contraction, compression, elongation, flexion and torsion. The SuperNOVA clinical study is a prospective, single arm, controlled, multicenter, global study. Approximately 50 centers located in the United States, Europe, Canada and/or Australia are expected to participate in recruiting patients needing treatment of lesions in their femoropopliteal arteries. A maximum of 300 subjects will be enrolled to ensure that a minimum of 296 stented segments are treated with the Innova Stent System.

Interventions

Stent implantation during the index procedure.

Sponsors

Boston Scientific Corporation
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. Subjects age 18 and older 2. Chronic symptomatic lower limb ischemia defined as Rutherford categories 2, 3 or 4 3. Stenotic, restenotic (from angioplasty only) or occlusive lesion(s) located in the native superficial femoral artery or proximal popliteal artery: 1. Degree of stenosis \>/=70% by visual angiographic assessment 2. Vessel diameter \>/= 4 and \</= 7mm 3. Total lesion length (or series of lesions) \>/=30mm and \</= 190 mm (note: tandem lesions may be treated, provided that the tandem lesion segment can be covered with only one stent) 4. If lesion is restenotic, PTA treatment must be \>3 months prior to stent placement 5. Target lesion located at least three centimeters above the inferior edge of the femur 4. Patent infrapopliteal and popliteal artery, i.e., single vessel runoff or better with at least one of three vessels patent (\<50% stenosis) to the ankle or foot 5. Subject (or Legal Guardian) is willing and able to provide consent before any study-specific tests or procedures are performed and agrees to attend all required follow-up visits

Exclusion criteria

1. Previous stent placement in the target vessel 2. Subjects who have undergone prior surgery of the SFA/PPA in the target limb to treat atherosclerotic disease 3. Subjects who have undergone prior percutaneous transluminal angioplasty (PTA) in the target SFA/PPA in the past 3 months 4. Use of atherectomy devices or other adjunctive treatment in the SFA/PPA during the index procedure 5. History of major amputation in the same limb as the target lesion 6. Life expectancy less than 12 months due to other medical co-morbid condition(s) that could limit the subject's ability to participate in the clinical study, limit the subject's compliance with the follow-up requirements, or impact the scientific integrity of the clinical study 7. Known hypersensitivity or contraindication to contrast dye that, in the opinion of the investigator, cannot be adequately pre-medicated. 8. Intolerance to antiplatelet, anticoagulant, or thrombolytic medications 9. Platelet count \<150,000 mm3 or \>600,000 mm3 10. Concomitant renal failure with a serum creatinine \>2.0 mg/dL 11. Receiving dialysis or immunosuppressant therapy 12. Pregnancy 13. Current participation in another investigational drug or device clinical study 14. Known allergy to Nitinol 15. Septicemia at the time of the index procedure 16. Presence of other hemodynamically significant outflow lesions requiring intervention within 30 days of the index procedure 17. Target lesion is within or near an aneurysm 18. Acute ischemia and/or acute thrombosis of the SFA/PPA 19. Persistent, intraluminal thrombus of the proposed target lesion post- thrombolytic therapy 20. Perforated vessel as evidenced by extravasation of contrast media 21. Heavily calcified lesions

Design outcomes

Primary

MeasureTime frameDescription
Primary Safety Endpoint and Components1 month for death, 12 months for target limb major amputation , and target lesion revascularizationThe safety endpoint assesses the occurrence of Major Adverse Events (MAEs) defined as all causes of death through 1 month, target limb major amputation through 12 months and/or target lesion revascularization through 12 months
Co-Primary Efficacy Endpoints12 monthsThe co-primary efficacy endpoints assess vessel primary patency at 12 months post-procedure. * The co-primary efficacy analysis (1) will assess vessel primary patency in stented segments intended to be treated with core matrix stents (20 to 150 mm). * The co-primary efficacy analysis (2) will assess vessel primary patency in stented segments intended to be treated with the entire stent matrix (20 to 200 mm).

Secondary

MeasureTime frameDescription
Secondary Safety Endpoint and Components1 monthThe secondary safety endpoint assesses the occurrence of Major Adverse Events (MAEs) through 30 days. MAEs will include all causes of death, target limb major amputation and/or target lesion revascularization through 1 month

Other

MeasureTime frameDescription
Assisted Primary Patency12 monthsAssisted primary patency is the percentage of lesions without TLR and those with TLR (not due to complete occlusion or bypass) that reach a time point without restenosis.
Stent Fracture Rate12 monthsVascular InterVentional Advances (VIVA) definitions: Grade 0: No strut fractures Grade I: single strut fracture Grade II: multiple strut fractures Grade III: stent fracture(s) with preserved alignment of the components Grade IV: stent fracture(s) with mal-alignment of the components Grade V: stent fracture(s) in a trans-axial spiral configuration
Rutherford Classification12 monthsClass 0: Asymptomatic Class 1: Mild claudication Class 2: Moderate claudication Class 3: Severe claudication Class 4: Ischemic rest pain Class 5: Minor tissue loss - nonhealing ulcer, focal gangrene with diffuse pedal edema Class 6: Major tissue loss - extending above metatarsal (MT) level Rate of Primary Sustained Clinical Improvement: an improvement in Rutherford classification of one or more categories as compared to pre-procedure without the need for repeat TLR. Rate of Secondary Sustained Clinical Improvement: an improvement in Rutherford classification of one or more categories as compared to pre-procedure including those subjects with repeat TLR. Rate of Clinical Deterioration: downgrade in Rutherford classification of one or more categories as compared to pre-procedure
Walking Improvement (Distance) Assessed by 6 Minute Hall Walk12 monthsAssessment of walking improvement (distance) by the administration of the 6 Minute Walk Test (6MWT). Participants were asked to walk for as long as they could; up to 6 minutes.
Walking Improvement Assessed by the Walking Impairment Questionnaire12 monthsThe Walking Impairment Questionnaire (WIQ) is a validated functional assessment questionnaire that evaluates walking ability with regard to speed, distance and stair climbing ability as well as the reasons that walking ability might be limited. Range of scores is between 0% and 100% with 100% being the best and 0% being the worst score.
Walking Improvement (Time) Assessed by 6 Minute Hall Walk12 monthsAssessment of walking improvement (time) by the administration of the 6 Minute Walk Test (6MWT). Participants were asked to walk for as long as they could; up to 6 minutes.
Quality of Life12 monthsImproved Quality of Life assessed by the SF-36 Health Survey. The validated SF-36 Survey, where scores are calibrated so that 50 is the average score or norm, was utilized (scores ranging from 0, worst possible health to 100, best possible health). The SF-36 is a multipurpose, proprietary health survey with 36 questions that yield eight health component scales that can be further summarized into two summary scores: mental and physical health scores. The eight health component scales that can be computed from the questionnaire are physical function, role-physical, bodily pain, general health, vitality, role-emotional, mental health and social functioning.
Rate of Hemodynamic Improvement12 monthsThe Ankle-Brachial Index (ABI) is the ratio between the systolic pressure measured at the ankle and the systolic pressure measured in the arm. Hemodynamic Improvement: Increases in ABI of ≥ 0.10 or to an ABI ≥ 0.90 as compared to pre-procedure without the need for repeat TLR. Hemodynamic Improvement (Including TLR): Increases in ABI of ≥0.10 or to an ABI ≥0.90 as compared to pre-procedure including TLR.
Technical and Procedural SuccessUp to 24 hours after the procedure* Technical success: ability to cross and dilate the lesion to achieve residual angiographic stenosis no greater than 30% * Procedural success: technical success with no MAEs within 24 hours of the procedure
Primary Patency12 monthsPrimary patency is the percentage of lesions (target stented segments) that reach a time point without a hemodynamically significant stenosis assessed by Duplex Ultrasound (DUS) and without Target Lesion Revascularization (TLR) or bypass of the target lesion.

Countries

Austria, Belgium, Canada, Germany, Japan, United Kingdom, United States

Participant flow

Recruitment details

A total of 299 subjects were enrolled and treated with the Innova™ Self-Expanding Stent System in this prospective, single-arm, non-randomized clinical study at 49 investigative centers in The Unites States, Canada, Japan and Europe, from 1 April 2011 to 28 June 2013 (with a temporary enrollment suspension from 13 May 2011 to 25 April 2012)

Participants by arm

ArmCount
Innova Stent
Stent implantation into SFA/PPA
299
Total299

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath8
Overall StudyLost to Follow-up6
Overall StudyPhysician Decision2
Overall StudyWithdrawal by Subject8

Baseline characteristics

CharacteristicInnova Stent
Age, Continuous67.4 Years
STANDARD_DEVIATION 9.7
Baseline Lesion Characteristics: Diameter Stenosis91.7 percentage occluded
STANDARD_DEVIATION 9.2
Baseline Lesion Characteristics: Presence of Calcification
Moderate
103 lesions
Baseline Lesion Characteristics: Presence of Calcification
None/Mild
88 lesions
Baseline Lesion Characteristics: Presence of Calcification
Not Available
2 lesions
Baseline Lesion Characteristics: Presence of Calcification
Severe
106 lesions
Baseline Lesion Characteristics: Reference Vessel Diameter5.6 millimeters
STANDARD_DEVIATION 0.7
Baseline Lesion Characteristics: Target Lesion Length90.8 millimeters
STANDARD_DEVIATION 44.4
Baseline Lesion Characteristics: Treated Limb
Left leg
161 lesions
Baseline Lesion Characteristics: Treated Limb
Right leg
138 lesions
Cardiac History
History of Congestive Heart Failure
25 participants
Cardiac History
History of Coronary Artery Bypass Graft Surgery
54 participants
Cardiac History
History of Coronary Artery Disease
130 participants
Cardiac History
History of Myocardial Infarction (MI)
74 participants
Cardiac History
History of Percutaneous Coronary Intervention
85 participants
Cardiac History
No Angina
245 participants
Cardiac History
Stable Angina
44 participants
Cardiac History
Unstable Angina
1 participants
General Medical History
Current Diabetes Mellitus
121 participants
General Medical History
History of Chronic Obstructive Pulmonary Disease
25 participants
General Medical History
History of Hyperlipidemia requiring medication
224 participants
General Medical History
History of Hypertension requiring medication
239 participants
General Medical History
History of Smoking
251 participants
General Medical History
Medically-Treated Diabetes
105 participants
Neurological/Renal History
History of Cerebrovascular Accident
24 participants
Neurological/Renal History
History of Renal Insufficiency
31 participants
Neurological/Renal History
History of Renal Percutaneous Intervention
4 participants
Neurological/Renal History
History of Transient Ischemic Attacks
21 participants
Peripheral Vascular History
History of Claudication
281 participants
Peripheral Vascular History
History of Other Peripheral Interventions
125 participants
Peripheral Vascular History
History of Peripheral Vascular Surgery
27 participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 participants
Race/Ethnicity, Customized
Asian (Japanese)
42 participants
Race/Ethnicity, Customized
Black, or African heritage
13 participants
Race/Ethnicity, Customized
Caucasian
238 participants
Race/Ethnicity, Customized
Hispanic or Latino
4 participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
1 participants
Region of Enrollment
Austria
6 participants
Region of Enrollment
Belgium
52 participants
Region of Enrollment
Canada
31 participants
Region of Enrollment
Germany
44 participants
Region of Enrollment
Japan
42 participants
Region of Enrollment
United Kingdom
7 participants
Region of Enrollment
United States
117 participants
Sex: Female, Male
Female
77 Participants
Sex: Female, Male
Male
222 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
116 / 266
serious
Total, serious adverse events
143 / 266

Outcome results

Primary

Co-Primary Efficacy Endpoints

The co-primary efficacy endpoints assess vessel primary patency at 12 months post-procedure. * The co-primary efficacy analysis (1) will assess vessel primary patency in stented segments intended to be treated with core matrix stents (20 to 150 mm). * The co-primary efficacy analysis (2) will assess vessel primary patency in stented segments intended to be treated with the entire stent matrix (20 to 200 mm).

Time frame: 12 months

Population: From the 275 subjects that were eligible for the 12-Month Follow-Up, data for the Co-Primary Efficacy Endpoints were available for 268 subjects

ArmMeasureValue (NUMBER)
Innova StentCo-Primary Efficacy Endpoints69.7 percentage of participants
Innova Stent Entire Matrix (20-200 mm)Co-Primary Efficacy Endpoints66.8 percentage of participants
Primary

Primary Safety Endpoint and Components

The safety endpoint assesses the occurrence of Major Adverse Events (MAEs) defined as all causes of death through 1 month, target limb major amputation through 12 months and/or target lesion revascularization through 12 months

Time frame: 1 month for death, 12 months for target limb major amputation , and target lesion revascularization

Population: From the 275 subjects that were eligible for the 12-Month Follow-Up, data for the Primary Safety Endpoint were available for 268 subjects.

ArmMeasureGroupValue (NUMBER)
Innova StentPrimary Safety Endpoint and Components12-Month MAE-Free Rate85.8 percentage of participants
Innova StentPrimary Safety Endpoint and Components12-Month MAE (Composite Endpoint)14.2 percentage of participants
Innova StentPrimary Safety Endpoint and ComponentsAll Causes of Deaths at 1 Month0.0 percentage of participants
Innova StentPrimary Safety Endpoint and ComponentsTarget Limb Major Amputations0.4 percentage of participants
Innova StentPrimary Safety Endpoint and ComponentsTarget Lesion Revascularization14.2 percentage of participants
Secondary

Secondary Safety Endpoint and Components

The secondary safety endpoint assesses the occurrence of Major Adverse Events (MAEs) through 30 days. MAEs will include all causes of death, target limb major amputation and/or target lesion revascularization through 1 month

Time frame: 1 month

Population: From the 299 enrolled subjects, data for the Secondary Safety Endpoint was available for 297 subjects

ArmMeasureGroupValue (NUMBER)
Innova StentSecondary Safety Endpoint and Components1-Month MAE-Free Rate99.7 percentage of participants
Innova StentSecondary Safety Endpoint and Components1-Month MAE (Composite Endpoint)0.3 percentage of participants
Innova StentSecondary Safety Endpoint and ComponentsAll Causes of Deaths0.0 percentage of participants
Innova StentSecondary Safety Endpoint and ComponentsTarget Limb Major Amputation0.0 percentage of participants
Innova StentSecondary Safety Endpoint and ComponentsTarget Lesion Revascularization0.3 percentage of participants
Other Pre-specified

Assisted Primary Patency

Assisted primary patency is the percentage of lesions without TLR and those with TLR (not due to complete occlusion or bypass) that reach a time point without restenosis.

Time frame: 12 months

Population: From the 275 subjects that were eligible for the 12-Month Follow-Up, data for the Assisted Primary Patency Analysis was available for 256 subjects

ArmMeasureValue (NUMBER)
Innova StentAssisted Primary Patency83.6 percentage of lesions
Other Pre-specified

Primary Patency

Primary patency is the percentage of lesions (target stented segments) that reach a time point without a hemodynamically significant stenosis assessed by Duplex Ultrasound (DUS) and without Target Lesion Revascularization (TLR) or bypass of the target lesion.

Time frame: 12 months

Population: From the 275 subjects that were eligible for the 12-Month Follow-Up, data for the Primary Patency Analysis was available for 268 subjects/lesions

ArmMeasureValue (NUMBER)
Innova StentPrimary Patency66.8 percentage of lesions
Other Pre-specified

Quality of Life

Improved Quality of Life assessed by the SF-36 Health Survey. The validated SF-36 Survey, where scores are calibrated so that 50 is the average score or norm, was utilized (scores ranging from 0, worst possible health to 100, best possible health). The SF-36 is a multipurpose, proprietary health survey with 36 questions that yield eight health component scales that can be further summarized into two summary scores: mental and physical health scores. The eight health component scales that can be computed from the questionnaire are physical function, role-physical, bodily pain, general health, vitality, role-emotional, mental health and social functioning.

Time frame: 12 months

Population: From the 275 subjects that were eligible for the 12-Month Follow-Up, data for the Quality of Life Analysis were available for 265 subjects

ArmMeasureGroupValue (MEAN)Dispersion
Innova StentQuality of LifePhysical Functioning41.17 units on a scaleStandard Deviation 11.38
Innova StentQuality of LifePhysical Functioning Change from Baseline6.53 units on a scaleStandard Deviation 10.29
Innova StentQuality of LifeRole Physical43.39 units on a scaleStandard Deviation 11.48
Innova StentQuality of LifeRole Physical Change from Baseline5.14 units on a scaleStandard Deviation 11.9
Innova StentQuality of LifeRole Emotional45.45 units on a scaleStandard Deviation 13.22
Innova StentQuality of LifeRole Emotional Change from Baseline3.49 units on a scaleStandard Deviation 14.61
Innova StentQuality of LifeSocial Functioning48.12 units on a scaleStandard Deviation 10.55
Innova StentQuality of LifeSocial Functioning Change from Baseline2.66 units on a scaleStandard Deviation 13.26
Innova StentQuality of LifeBodily Pain46.52 units on a scaleStandard Deviation 11.33
Innova StentQuality of LifeBodily Pain Change from Baseline7.28 units on a scaleStandard Deviation 12.19
Innova StentQuality of LifeMental Health50.19 units on a scaleStandard Deviation 10.46
Innova StentQuality of LifeMental Health Change from Baseline2.33 units on a scaleStandard Deviation 11.21
Innova StentQuality of LifeVitality50.57 units on a scaleStandard Deviation 10.98
Innova StentQuality of LifeVitality Change from Baseline3.10 units on a scaleStandard Deviation 10.68
Innova StentQuality of LifeGeneral Health Perceptions44.65 units on a scaleStandard Deviation 9.9
Innova StentQuality of LifeGeneral Health Perceptions Change from Baseline1.32 units on a scaleStandard Deviation 9.51
Innova StentQuality of LifeMental Component Score51.14 units on a scaleStandard Deviation 10.71
Innova StentQuality of LifeMental Component Score Change from Baseline0.86 units on a scaleStandard Deviation 11.69
Innova StentQuality of LifePhysical Component Score42.66 units on a scaleStandard Deviation 10.3
Innova StentQuality of LifePhysical Component Score Change from Baseline6.31 units on a scaleStandard Deviation 10.23
Other Pre-specified

Rate of Hemodynamic Improvement

The Ankle-Brachial Index (ABI) is the ratio between the systolic pressure measured at the ankle and the systolic pressure measured in the arm. Hemodynamic Improvement: Increases in ABI of ≥ 0.10 or to an ABI ≥ 0.90 as compared to pre-procedure without the need for repeat TLR. Hemodynamic Improvement (Including TLR): Increases in ABI of ≥0.10 or to an ABI ≥0.90 as compared to pre-procedure including TLR.

Time frame: 12 months

Population: 278 subjects were included in the Rate of Hemodynamic Improvement Analysis (275 subjects eligible for the 12-Month Follow-Up + 3 subjects with TLR)

ArmMeasureGroupValue (NUMBER)
Innova StentRate of Hemodynamic ImprovementHemodynamic Improvement59 percentage of limbs
Innova StentRate of Hemodynamic ImprovementHemodynamic Improvement (Including TLR)68.3 percentage of limbs
Other Pre-specified

Rutherford Classification

Class 0: Asymptomatic Class 1: Mild claudication Class 2: Moderate claudication Class 3: Severe claudication Class 4: Ischemic rest pain Class 5: Minor tissue loss - nonhealing ulcer, focal gangrene with diffuse pedal edema Class 6: Major tissue loss - extending above metatarsal (MT) level Rate of Primary Sustained Clinical Improvement: an improvement in Rutherford classification of one or more categories as compared to pre-procedure without the need for repeat TLR. Rate of Secondary Sustained Clinical Improvement: an improvement in Rutherford classification of one or more categories as compared to pre-procedure including those subjects with repeat TLR. Rate of Clinical Deterioration: downgrade in Rutherford classification of one or more categories as compared to pre-procedure

Time frame: 12 months

Population: From the 275 subjects that were eligible for the 12-Month Follow-Up, data for the Rutherford Classification Analysis was available for 263 subjects

ArmMeasureGroupValue (NUMBER)
Innova StentRutherford ClassificationRutherford Class 065.8 percentage of participants
Innova StentRutherford ClassificationRutherford Class 119.0 percentage of participants
Innova StentRutherford ClassificationRutherford Class 28.0 percentage of participants
Innova StentRutherford ClassificationRutherford Class 36.8 percentage of participants
Innova StentRutherford ClassificationRutherford Class 40.0 percentage of participants
Innova StentRutherford ClassificationRutherford Class 50.4 percentage of participants
Innova StentRutherford ClassificationRutherford Class 60.0 percentage of participants
Innova StentRutherford ClassificationPrimary Sustained Clinical Improvement79.5 percentage of participants
Innova StentRutherford ClassificationSecondary Sustained Clinical Improvement90.1 percentage of participants
Innova StentRutherford ClassificationClinical Deterioration2.7 percentage of participants
Innova StentRutherford ClassificationNo Change from Baseline7.2 percentage of participants
Other Pre-specified

Stent Fracture Rate

Vascular InterVentional Advances (VIVA) definitions: Grade 0: No strut fractures Grade I: single strut fracture Grade II: multiple strut fractures Grade III: stent fracture(s) with preserved alignment of the components Grade IV: stent fracture(s) with mal-alignment of the components Grade V: stent fracture(s) in a trans-axial spiral configuration

Time frame: 12 months

Population: From the 276 subjects that were eligible for the 12-Month Follow-Up, data for the Stent Fracture Analysis were available for 250 subjects

ArmMeasureGroupValue (NUMBER)
Innova StentStent Fracture RateGrade II0.76 percentage of stents
Innova StentStent Fracture RateGrade III1.14 percentage of stents
Innova StentStent Fracture RateGrade IV0.38 percentage of stents
Innova StentStent Fracture RateTotal2.27 percentage of stents
Other Pre-specified

Technical and Procedural Success

* Technical success: ability to cross and dilate the lesion to achieve residual angiographic stenosis no greater than 30% * Procedural success: technical success with no MAEs within 24 hours of the procedure

Time frame: Up to 24 hours after the procedure

ArmMeasureGroupValue (NUMBER)
Innova StentTechnical and Procedural SuccessTechnical Success99 percentage of participants
Innova StentTechnical and Procedural SuccessProcedure Success99 percentage of participants
Other Pre-specified

Walking Improvement Assessed by the Walking Impairment Questionnaire

The Walking Impairment Questionnaire (WIQ) is a validated functional assessment questionnaire that evaluates walking ability with regard to speed, distance and stair climbing ability as well as the reasons that walking ability might be limited. Range of scores is between 0% and 100% with 100% being the best and 0% being the worst score.

Time frame: 12 months

Population: From the 275 subjects that were eligible for the 12-Month Follow-Up, data for the Walking Improvement assessed by the Walking Impairment Questionnaire were available for 265 subjects

ArmMeasureGroupValue (MEAN)Dispersion
Innova StentWalking Improvement Assessed by the Walking Impairment QuestionnaireWalking Impairment73.87 units on a scaleStandard Deviation 30.98
Innova StentWalking Improvement Assessed by the Walking Impairment QuestionnaireChange from Baseline34.03 units on a scaleStandard Deviation 37.22
Other Pre-specified

Walking Improvement (Distance) Assessed by 6 Minute Hall Walk

Assessment of walking improvement (distance) by the administration of the 6 Minute Walk Test (6MWT). Participants were asked to walk for as long as they could; up to 6 minutes.

Time frame: 12 months

Population: From the 275 subjects that were eligible for the 12-Month Follow-Up, data for the Walking Improvement Assessed by 6 minute Hall Walk Analysis were available for 246 subjects

ArmMeasureGroupValue (MEAN)Dispersion
Innova StentWalking Improvement (Distance) Assessed by 6 Minute Hall WalkBaseline278.6 metersStandard Deviation 119.1
Innova StentWalking Improvement (Distance) Assessed by 6 Minute Hall Walk12-Months358.9 metersStandard Deviation 147.2
Other Pre-specified

Walking Improvement (Time) Assessed by 6 Minute Hall Walk

Assessment of walking improvement (time) by the administration of the 6 Minute Walk Test (6MWT). Participants were asked to walk for as long as they could; up to 6 minutes.

Time frame: 12 months

Population: From the 275 subjects that were eligible for the 12-Month Follow-Up, data for the Walking Improvement Assessed by 6 minute Hall Walk Analysis were available for 246 subjects

ArmMeasureGroupValue (MEAN)Dispersion
Innova StentWalking Improvement (Time) Assessed by 6 Minute Hall WalkBaseline5.5 minutesStandard Deviation 1.3
Innova StentWalking Improvement (Time) Assessed by 6 Minute Hall Walk12-Months5.7 minutesStandard Deviation 0.9

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