CClinicalTrials.gg
CompletedNCT01820637MAJESTICUpdated Mar 22, 2019Results posted

Stenting of the Superficial Femoral and/or Proximal Popliteal Artery Project

An interventional study of The Boston Scientific DES SFA Paclitaxel-Eluting Self-Expanding Stent System (DES SFA) in Atherosclerosis of Native Arteries of the Extremities, sponsored by Boston Scientific Corporation. Completed at 13 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-22.

Sponsored by Boston Scientific Corporation · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
57
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To determine whether the Boston Scientific nitinol drug-eluting stent shows acceptable performance at 9 months when treating Superficial Femoral (SFA) and/or Proximal Popliteal Artery (PPA) lesions.

02

Conditions studied

  • Atherosclerosis of Native Arteries of the Extremities

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Keywords

  • atherosclerosis
  • SFA
  • PPA
  • lower extremities
  • stenting
  • paclitaxel
03

In context

Atherosclerosis

1,567 studies on the registry are indexed under Atherosclerosis; 264 are open to participants now.

This study's enrollment of 57 is below the median of 106 across 882 interventional studies indexed under Atherosclerosis.

Browse Atherosclerosis studies →

Lead sponsor

Boston Scientific Corporation is the lead sponsor of 517 studies on the registry; 38 are open to participants now.

Of its 64 completed or terminated interventional studies of FDA-regulated products, 56 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Subjects age 18 and older
  • Subject (or Legal Guardian if applicable) has signed the consent form and 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
  • Chronic, symptomatic lower limb ischemia defined as Rutherford categories 2, 3 or 4
  • Stenotic, restenotic (from angioplasty only, previous treatment with drug coated balloon is not allowed) 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 ≤ 6mm
    3. Total lesion length (or series of lesions) ≥30 mm and ≤110 mm

      • (Note: tandem lesions may be treated, provided that the tandem lesion segment can be covered with only one stent)
    4. Target lesion located at least three centimeters above the inferior edge of the femur
  • 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
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
57 participants (actual)

Study arms

  • Experimental
    Test device arm (DES SFA)

    Patients in this arm will receive the study device: the Boston Scientific DES SFA Paclitaxel-Eluting Self-Expanding Stent System (DES SFA)

    Device: The Boston Scientific DES SFA Paclitaxel-Eluting Self-Expanding Stent System (DES SFA)

Interventions

  • DeviceThe Boston Scientific DES SFA Paclitaxel-Eluting Self-Expanding Stent System (DES SFA)

    Drug-eluting SFA self-expanding stent

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What researchers measure

Primary outcomes

  1. Primary Patency

    Primary patency of target lesion at 9-months assessed by duplex ultrasound (DUS) as adjudicated by an independent core laboratory. Primary Patency: percentage (%) of lesions (target stented segments) that reach endpoint without a hemodynamically significant stenosis on DUS and without target lesion revascularization (TLR) or, bypass of the target lesion.

    Time frame: 9-months

Other outcomes

  1. Percentage of Participants With Composite of Major Adverse Events

    The composite rate of Major Adverse Events (MAEs) is defined as all causes of death through 1 month, target limb major amputation through 9 months and/or target lesion revascularization through 9 months.

    Time frame: 9 months

07

Results

Posted Mar 22, 2019

Participant flow

There were 57 subjects enrolled at 14 investigative centers in Europe, Australia and New Zealand. The first subject was enrolled on 23 August 2013. Enrollment was completed on 03 March 2014, when the last subject was enrolled.

Participant flow — Overall Study
MilestoneTest Device Arm (DES SFA, ELUVIA™)
Started57
Completed54
Not completed3
Withdrew: Death2
Withdrew: Withdrawal by subject1

Outcome measures

PrimaryPrimary Patency

Primary patency of target lesion at 9-months assessed by duplex ultrasound (DUS) as adjudicated by an independent core laboratory. Primary Patency: percentage (%) of lesions (target stented segments) that reach endpoint without a hemodynamically significant stenosis on DUS and without target lesion revascularization (TLR) or, bypass of the target lesion.

Time frame:
9-months
Reported as:
Number · percentage of lesions
Primary Patency
percentage of lesionsTest Device Arm (DES SFA, ELUVIA™)
Primary Patency94.4 (86.3 to 98.5)
Other pre-specifiedPercentage of Participants With Composite of Major Adverse Events

The composite rate of Major Adverse Events (MAEs) is defined as all causes of death through 1 month, target limb major amputation through 9 months and/or target lesion revascularization through 9 months.

Time frame:
9 months
Reported as:
Number · percentage of participants
Percentage of Participants With Composite of Major Adverse Events
percentage of participantsTest Device Arm (DES SFA, ELUVIA™)
9-Month MAE (Composite Endpoint)3.6 (0.4 to 12.5)
All Causes of Death at 1 month0.0 (0.0 to 6.5)
Target Limb Major Amputation0.0 (0.0 to 6.5)
Target Lesion Revascularization (TLR)3.6 (0.4 to 12.5)

Adverse events

Collected over 3 years +/- 30 days visit window from the date of the index procedure.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Test Device Arm (DES SFA, ELUVIA™)2/57 (3.5%)34/57 (59.6%)36/57 (63.2%)
Most frequent serious events
Showing 10 of 60
Most frequent serious events
EventTest Device Arm (DES SFA, ELUVIA™)
Femoral artery stenosisVascular disorders14/57
Peripheral arterial occlusive diseaseVascular disorders4/57
Arterial thrombosis limbVascular disorders3/57
Arterial stenosis limbVascular disorders3/57
Femoral artery occlusionVascular disorders2/57
Intermittent claudicationVascular disorders2/57
Atrial fibrillationCardiac disorders2/57
Carotid artery stenosisNervous system disorders2/57
Peripheral ischaemiaVascular disorders1/57
Arterial occlusive diseaseVascular disorders1/57
Most frequent other events
Showing 10 of 65
Most frequent other events
EventTest Device Arm (DES SFA, ELUVIA™)
Femoral arterial stenosisVascular disorders9/57
Pain in extremityMusculoskeletal and connective tissue disorders5/57
Femoral artery occlusionVascular disorders3/57
Musculoskeletal painMusculoskeletal and connective tissue disorders3/57
Adverse drug reactionGeneral disorders3/57
Catheter site haemorrhageGeneral disorders3/57
Oedema peripheralGeneral disorders3/57
Iliac artery stenosisVascular disorders2/57
Catheter site haematomaGeneral disorders2/57
Dry eyeEye disorders2/57

Baseline characteristics

Age, Continuous
Age, Continuous(years)Test Device Arm (DES SFA, ELUVIA™)
Mean69.3 ± 9.3
Sex: Female, Male
Sex: Female, Male(Participants)Test Device Arm (DES SFA, ELUVIA™)
Female10
Male47
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Test Device Arm (DES SFA, ELUVIA™)
Caucasian54
Asian1
Other2
Region of Enrollment
Region of Enrollment(participants)Test Device Arm (DES SFA, ELUVIA™)
New Zealand10
Austria3
Belgium19
Australia4
Germany21
General Medical History
General Medical History(Participants)Test Device Arm (DES SFA, ELUVIA™)
History of Smoking50
Current Diabetes Mellitus20
History of Hyperlipidemia requiring medication36
History of Hypertension requiring medication42
History of Chronic Obstructive Pulmonary Disease6
History of Coronary Artery Disease (CAD)22
History of Myocardial Infarction (MI)9
History of Congestive Heart Failure (CHF)3
History of Percutaneous Coronary Intervention(PCI)11
History of Coronary Artery Bypass Graft (CABG)8
Stable Angina6
History of Transient Ischemic Attacks (TIA)3
History of Cerebrovascular Accident (CVA)5
History of Renal Insufficiency5
History of Renal Percutaneous Intervention1
History of Peripheral Vascular Surgery3
History of Peripheral Endovascular Intervention14
History of Claudication51
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Study locations

13 sites
  • Royal Prince Alfred Hospital
    Camperdown, Australia
  • Prince of Wales Hospital
    Randwick, Australia
  • Allgemeines Krankenhaus AKH
    Vienna, Austria, Austria
  • AZ Sint-Blasius
    Dendermonde, 9200, Belgium
  • Ziekenhuis Oost Limburg
    Genk, Belgium
  • Regionaal Ziekenhuis Heilig Hart Tienen
    Tienen, 3300, Belgium
  • Universitäts-Herzzentrum Freiburg Bad Krozingen GmbH
    Bad Krozingen, Germany
  • Ev. Luth. Diakonissenanstalt Flensburg
    Flensburg, Germany
  • Universitätsklinikum Heidelberg
    Heidelberg, Germany
  • Universität Leipzig
    Leipzig, Germany
  • Auckland City Hospital
    Auckland, New Zealand
  • Braemar Hospital
    Hamilton, New Zealand
  • Middlemore Hospital
    Otahuhu, New Zealand
09

References and documents

Publications

  • Dake MD, Ansel GM, Jaff MR, Ohki T, Saxon RR, Smouse HB, Zeller T, Roubin GS, Burket MW, Khatib Y, Snyder SA, Ragheb AO, White JK, Machan LS; Zilver PTX Investigators. Paclitaxel-eluting stents show superiority to balloon angioplasty and bare metal stents in femoropopliteal disease: twelve-month Zilver PTX randomized study results. Circ Cardiovasc Interv. 2011 Oct 1;4(5):495-504. doi: 10.1161/CIRCINTERVENTIONS.111.962324. Epub 2011 Sep 27. PubMed 21953370 ↗
  • Muller-Hulsbeck S, Keirse K, Zeller T, Schroe H, Diaz-Cartelle J. Twelve-Month Results From the MAJESTIC Trial of the Eluvia Paclitaxel-Eluting Stent for Treatment of Obstructive Femoropopliteal Disease. J Endovasc Ther. 2016 Oct;23(5):701-7. doi: 10.1177/1526602816650206. Epub 2016 May 18. PubMed 27193308 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 22, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01820637
Lead sponsor
Boston Scientific Corporation
Responsible party
Sponsor
First posted
Mar 29, 2013
Start date
Aug 23, 2013
Primary completion
Dec 2014
Completion
Feb 20, 2017
Results posted
Mar 22, 2019
Last update
Mar 22, 2019

Study contacts

Stefan Müller-Hülsbeck, Prof.
principal investigator · Ev. Luth. Diakonissenanstalt Flensburg

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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