ClinicalTrials.gg
Active, not recruitingNCT03477604STANDUpdated Oct 8, 2026Results posted

A Clinical Evaluation of the MicroSTent® PeripherAl Vascular SteNt in Subjects With Arterial Disease Below the Knee (STAND)

An interventional study of MicroStent and Standard PTA and Standard PTA in Peripheral Arterial Disease, sponsored by Micro Medical Solution, Inc.. Active, not recruiting at 21 sites in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by Micro Medical Solution, Inc. · Not applicable, Interventional, and Treatment

Updated Oct 8, 2026Results postedStudy documents posted+3 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
177
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 479 studies in Peripheral Arterial Disease with a site in United States — 82 open to participants now, 101 under way, 10 of them phase 3. Peripheral Arterial Disease · United States.

Enrollment
90th of 373
177 · median 64
Started
2020
with 28 others
No phase
217 of 479
40 open now
Primary completion
2025-06
later than 11 of 100 live
Registered
273rd of 479
by date

Among the 479 studies in Peripheral Arterial Disease with a site in United States, this one is the 90th largest by enrollment of the 373 interventional ones that give a count, is one of 29 that started in 2020, is one of 217 with no phase, reaches primary completion later than 11 of the 100 other live ones, and was the 273rd registered.

Peripheral Arterial Disease

1,377 studies on the registry are indexed under Peripheral Arterial Disease; 275 are open to participants now.

Browse Peripheral Arterial Disease studies →

Open to participants now

82 of the 479 studies in Peripheral Arterial Disease with a site in United States are open now. Recruiting first, the newest first:

77 more — sign in →

All 82 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 192 Peripheral Arterial Disease studies recruiting now, 138 (72%) set no upper age limit and 9 (5%) stop at 75 or younger; 13 take children under 18; 19 take healthy volunteers.

This study: 21 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 479 studies in Peripheral Arterial Disease with a site in United States, or all of them as a file.
02

Study summary

Randomized multicenter clinical trial consisting of two arms; one arm treated with PTA plus the MicroStent® System and one arm treated with PTA alone. Purpose to evaluate the safety and effectiveness of using the MicroStent® Peripheral Vascular Stent System, hereafter referred to as the MicroStent® System, for the treatment of infrapopliteal lesions in subjects with peripheral arterial disease.

03

Conditions studied

  • Peripheral Arterial Disease

Keywords

  • Below the knee
  • Stent
04

Who can participate

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

Eligibility criteria

General Inclusion Criteria:

  1. Subject is a male or a non-pregnant female adult between the age of 21 and 90 years old.
  2. Subject has documented clinical evidence of critical limb ischemia (CLI) in the target limb prior to the index procedure, with a Rutherford Classification score of 4-5.
  3. The subject, or subject's designated legal representative, has been informed of the nature of the study and is willing to provide written .
  4. Subject is willing to comply with all required follow-up visits.
  5. Subject is ≥1 year per the Principal Investigator.

    Angiographic Inclusion Criteria

  6. Target vessel reconstitutes at or above the ankle with inline flow to at least one patent (\<50% stenosis) inframalleolar outflow vessel.
  7. Subject has a lesion, with ≥ 70% stenosis and ≤ 12.0 cm in length located at or distal to the tibial-peroneal trunk and above the tibiotalar joint; including the anterior tibial, posterior tibial or peroneal arteries.
  8. Target lesion has a reference vessel diameter of 2.5 - 4.5 mm
  9. The target lesion is able to be crossed with a guidewire to facilitate treatment with the randomized device.

General Exclusion Criteria:

  1. Subject had a prior or has a planned index limb amputation above the ankle.
  2. Subject has a wound/ulcer on the forefoot with a surface area >4cm² or osteomyelitis involving the calcaneus bone.
  3. Subject is pregnant, plans to become pregnant, or is nursing.
  4. Subject has clinical conditions that severely inhibit X-ray or duplex ultrasound visualization (e.g. body habitus).
  5. Subject has a history of hypercoagulation/clotting disorders or acute thrombosis.
  6. Subject has allergy to iodinated contrast media that cannot be adequately managed with medication.
  7. Subject is in acute renal failure.
  8. Subject has an active systemic infection.
  9. Subject is participating in another research study involving an device, biologic, or drug that has not completed the primary endpoint at the time of randomization/enrollment.
  10. Subject has other comorbidities that - in the opinion of the investigator - preclude them from receiving study treatment and/or from completing the required study follow-up assessments.
  11. Subject presents with acute limb ischemia or acute thrombosis of the target limb.
  12. Subject has experienced myocardial infarction, thrombolysis, or angina less than 30 days prior to the index procedure.
  13. Subject had a stroke within 3 months of index procedure.

    Angiographic exclusion criteria

  14. Failure to successfully treat inflow lesions in the ipsilateral iliac, femoral, or popliteal arteries. Successful treatment is defined as obtaining ≤30% residual stenosis with no major procedural complications (e.g embolism).
  15. Failure to successfully treat significant non-target infra-popliteal lesions. Successful treatment is defined as obtaining ≤30% residual stenosis with no major procedural complications (e.g. embolism).
  16. Target lesion is within a previously placed stent.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
177 participants (actual)

Study arms

  • Experimental
    MicroStent and Standard PTA

    Implant of the MicroStent peripheral vascular stent system for treatment of arterial lesions below the knee.

    Device: MicroStent and Standard PTA

  • Active comparator
    Standard PTA

    Device: Standard PTA

Interventions

  • DeviceMicroStent and Standard PTA

    Self-expanding stent and standard PTA balloon

  • DeviceStandard PTA

    Standard PTA balloon

06

What researchers measure

Primary outcomes

  1. Number of Subjects With Patency of the Target Lesion

    Primary patency defined as freedom from target lesion occlusion with no clinically driven target lesion reintervention, or major amputation.

    Time frame: up to 6 months after randomization

  2. Number of Subjects With Freedom From Major Adverse Limb Event

    Freedom from MALE defined as the number of subjects who did not experience a major amputation (above the ankle) or a major reintervention (new or revised graft, thrombectomy, thrombolysis) involving the target lesion.

    Time frame: up to 6 months after randomization

Secondary outcomes

  1. Number of Subjects With Freedom From Major Amputation Above the Ankle

    Freedom from major amputation (above the ankle)

    Time frame: up to 6 months after randomization

  2. Number of Subjects With Freedom From Major Adverse Limb Event

    Freedom from major adverse limb event

    Time frame: From date of randomization up to 12 months

  3. Number of Subjects With Reduction in Size of Ischemic Leg/Foot Ulcers

    Reduction in size of ischemic leg/foot ulcers

    Time frame: up to 6 months after randomization

  4. Frequency and Severity of Serious Adverse Events Related to Device.

    Frequency and severity of serious adverse events related to device.

    Time frame: From date of randomization until the date of death from any cause assessed up to 12 months

  5. Frequency and Severity of Serious Adverse Events Related to Procedure.

    Frequency and severity of serious adverse events related to procedure.

    Time frame: From date of randomization until date of death from any cause assessed up to 12 months.

07

Results

Posted Oct 8, 2026
Limitations and caveats
Limitations of the study include the loss of subjects in follow up associated with the high-risk comorbidities of the population. Follow up of this study population was challenged during COVID as the study was initiated during this time. This limited subjects' ability to be treated and followed in the study. The study had a volume of Duplex Ultrasound imaging noncompliance however; clinical visit compliance was satisfactory to assess the subjects for study outcomes.

Participant flow

STAND is a prospective, multicenter, randomized (2:1) trial conducted at 21 sites in the United States. The trial randomized 177 subjects with chronic limb-threatening ischemia (CLTI) and infrapopliteal disease between March 31, 2020 and December 5, 2023, with 117 subjects enrolled to the MicroStent arm and 60 subjects enrolled to the percutaneous transluminal angioplasty (PTA) arm. 1 PTA subject was prematurely enrolled prior to angiographic exclusion criteria and was withdrawn.

Participant flow — Overall Study
MilestoneMicroStent and Standard PTAStandard PTA
Started11760
Completed4017
Not completed7743

Outcome measures

PrimaryNumber of Subjects With Patency of the Target Lesion

Primary patency defined as freedom from target lesion occlusion with no clinically driven target lesion reintervention, or major amputation.

Time frame:
up to 6 months after randomization
Reported as:
Count of participants · Participants
Number of Subjects With Patency of the Target Lesion
ParticipantsPTA + MicroStent and Standard PTAStandard PTA
Number of Subjects With Patency of the Target Lesion9844
PrimaryNumber of Subjects With Freedom From Major Adverse Limb Event

Freedom from MALE defined as the number of subjects who did not experience a major amputation (above the ankle) or a major reintervention (new or revised graft, thrombectomy, thrombolysis) involving the target lesion.

Time frame:
up to 6 months after randomization
Reported as:
Count of participants · Participants
Number of Subjects With Freedom From Major Adverse Limb Event
ParticipantsMicroStent and Standard PTAStandard PTA
Number of Subjects With Freedom From Major Adverse Limb Event11459
SecondaryNumber of Subjects With Freedom From Major Amputation Above the Ankle

Freedom from major amputation (above the ankle)

Time frame:
up to 6 months after randomization
Reported as:
Count of participants · Participants
Number of Subjects With Freedom From Major Amputation Above the Ankle
ParticipantsMicroStent and Standard PTAStandard PTA
Number of Subjects With Freedom From Major Amputation Above the Ankle9850
SecondaryNumber of Subjects With Freedom From Major Adverse Limb Event

Freedom from major adverse limb event

Time frame:
From date of randomization up to 12 months
Reported as:
Count of participants · Participants
Number of Subjects With Freedom From Major Adverse Limb Event
ParticipantsMicroStent and Standard PTAStandard PTA
Number of Subjects With Freedom From Major Adverse Limb Event11359
SecondaryNumber of Subjects With Reduction in Size of Ischemic Leg/Foot Ulcers

Reduction in size of ischemic leg/foot ulcers

Time frame:
up to 6 months after randomization
Reported as:
Count of participants · Participants
Number of Subjects With Reduction in Size of Ischemic Leg/Foot Ulcers
ParticipantsMicroStent and Standard PTAStandard PTA
Number of Subjects With Reduction in Size of Ischemic Leg/Foot Ulcers154
SecondaryFrequency and Severity of Serious Adverse Events Related to Device.

Frequency and severity of serious adverse events related to device.

Time frame:
From date of randomization until the date of death from any cause assessed up to 12 months
Reported as:
Count of participants · Participants
Frequency and Severity of Serious Adverse Events Related to Device.
ParticipantsMicroStent and Standard PTAStandard PTA
Frequency and Severity of Serious Adverse Events Related to Device.20
SecondaryFrequency and Severity of Serious Adverse Events Related to Procedure.

Frequency and severity of serious adverse events related to procedure.

Time frame:
From date of randomization until date of death from any cause assessed up to 12 months.
Reported as:
Count of participants · Participants
Frequency and Severity of Serious Adverse Events Related to Procedure.
ParticipantsMicroStent and Standard PTAStandard PTA
Frequency and Severity of Serious Adverse Events Related to Procedure.9751

Adverse events

Collected over From enrollment through 12 months of follow up. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
MicroStent and Standard PTA86/116 (74.1%)86/116 (74.1%)74/116 (63.8%)
Standard PTA43/60 (71.7%)43/60 (71.7%)31/60 (51.7%)
Most frequent serious events
Showing 10 of 19
Most frequent serious events
EventMicroStent and Standard PTAStandard PTA
Vascular disordersVascular disorders54/11631/60
Cardiac DisordersCardiac disorders27/1169/60
Infections and infestationsInfections and infestations22/11612/60
Nervous system disordersNervous system disorders13/1169/60
Musculoskeletal and connective tissue disordersMusculoskeletal and connective tissue disorders16/1167/60
Injury, poisoning and procedural complicationsInjury, poisoning and procedural complications15/1163/60
Surgical and medical proceduresSurgical and medical procedures11/1165/60
Skin and subcutaneous tissue disordersSkin and subcutaneous tissue disorders10/1165/60
Respiratory, thoracic and mediastinal disordersRespiratory, thoracic and mediastinal disorders4/1165/60
Gastrointestinal disordersGastrointestinal disorders7/1162/60
Most frequent other events
Showing 10 of 21
Most frequent other events
EventMicroStent and Standard PTAStandard PTA
Vascular disordersVascular disorders41/11614/60
Musculoskeletal and connective tissue disordersMusculoskeletal and connective tissue disorders22/11611/60
Injury, poisoning and procedural complicationsInjury, poisoning and procedural complications21/1169/60
Infections and infestationsInfections and infestations12/1164/60
Skin and subcutaneous tissue disordersSkin and subcutaneous tissue disorders11/1164/60
General disorders and administration site conditionsGeneral disorders9/1164/60
Nervous system disordersNervous system disorders8/1164/60
Renal and urinary disordersRenal and urinary disorders7/1162/60
Cardiac DisordersCardiac disorders5/1163/60
Respiratory, thoracic and mediastinal disordersRespiratory, thoracic and mediastinal disorders5/1163/60

Baseline characteristics

Intent to treat population

Age, Continuous
Age, Continuous(Years)MicroStent and Standard PTAStandard PTATotal
Mean70.9 ± 10.573.9 ± 9.072.4 ± 9.75
Sex: Female, Male
Sex: Female, Male(Participants)MicroStent and Standard PTAStandard PTATotal
Female332659
Male8433117
Race (NIH/OMB)
Race (NIH/OMB)(Participants)MicroStent and Standard PTAStandard PTATotal
American Indian or Alaska Native112
Asian202
Native Hawaiian or Other Pacific Islander000
Black or African American11819
White9345138
More than one race101
Unknown or Not Reported9514
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)MicroStent and Standard PTAStandard PTATotal
Hispanic or Latino23932
Not Hispanic or Latino8246128
Unknown or Not Reported12416
08

Study locations

21 sites
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2020 to primary completion in Jun 2025, 62 months.

Results were first posted in Oct 2026, 1 year 4 months after primary completion.

Of 125 industry-sponsored interventional studies with no phase under Peripheral Arterial Disease, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 45. This study's 62 months is above that.

Counting every sponsor, half of 385 studies reached it within 31 months; a quarter within 17 and three quarters within 55.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 8, 2018
First posted
Mar 26, 2018
StartActual
Mar 31, 2020
Primary completionActual
Jun 5, 2025
CompletionEst.
Mar 2028
Results first posted
Oct 8, 2026
Last update
Oct 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Results
Results posted
posted Oct 8, 2026
Sites
1 site added, 1 site removed
Show site
  • Third Coast Vascular · Sheboygan, United States
Show 1 removed
  • AZH/WAVE Vascular Center · Milwaukee, United States
Oct 8, 2026
Primary outcomes
2 edited, 1 removed
What changed in the outcomes
  • EditedNumber of Subjects With Patency of the target lesionTarget LesionTime frame: up to 6 months after randomization
  • EditedNumber of Subjects With Freedom from major adverse limb eventFrom Major Adverse Limb EventTime frame: up to 6 months after randomization
  • RemovedFreedom from perioperative deathTime frame: up to 30 days after randomization
Oct 8, 2026
Documents
Secondary outcomes
4 edited, 1 added
What changed in the outcomes
  • EditedNumber of Subjects With Freedom from major amputation aboveFrom Major Amputation Above the ankleAnkleTime frame: up to 6 months after randomization
  • EditedNumber of Subjects With Reduction in sizeSize of ischemic legIschemic Leg/foot ulcersFoot UlcersTime frame: up to 6 months after randomization
  • EditedNumber of Subjects With Freedom from major adverse limb eventFrom Major Adverse Limb EventTime frame: From date of randomization until the date of death from any cause assessed up to 36 months → From date of randomization up to 12 months
  • EditedFrequency and severitySeverity of serious adverse events and device and procedure related adverse eventsSerious Adverse Events Related to Device.Time frame: From date of randomization until the date of death from any cause assessed up to 36 months → From date of randomization until the date of death from any cause assessed up to 12 months
  • AddedFrequency and Severity of Serious Adverse Events Related to Procedure.Time frame: From date of randomization until date of death from any cause assessed up to 12 months.
Oct 8, 2026
Show all 1 update
  1. Oct 8, 2026
    Results posted
    1 site added, 1 site removed
    Show site
    • Third Coast Vascular · Sheboygan, United States
    Show 1 removed
    • AZH/WAVE Vascular Center · Milwaukee, United States
    Primary outcomes 2 edited, 1 removed
    What changed in the outcomes
    • EditedNumber of Subjects With Patency of the target lesionTarget LesionTime frame: up to 6 months after randomization
    • EditedNumber of Subjects With Freedom from major adverse limb eventFrom Major Adverse Limb EventTime frame: up to 6 months after randomization
    • RemovedFreedom from perioperative deathTime frame: up to 30 days after randomization
    Secondary outcomes 4 edited, 1 added
    What changed in the outcomes
    • EditedNumber of Subjects With Freedom from major amputation aboveFrom Major Amputation Above the ankleAnkleTime frame: up to 6 months after randomization
    • EditedNumber of Subjects With Reduction in sizeSize of ischemic legIschemic Leg/foot ulcersFoot UlcersTime frame: up to 6 months after randomization
    • EditedNumber of Subjects With Freedom from major adverse limb eventFrom Major Adverse Limb EventTime frame: From date of randomization until the date of death from any cause assessed up to 36 months → From date of randomization up to 12 months
    • EditedFrequency and severitySeverity of serious adverse events and device and procedure related adverse eventsSerious Adverse Events Related to Device.Time frame: From date of randomization until the date of death from any cause assessed up to 36 months → From date of randomization until the date of death from any cause assessed up to 12 months
    • AddedFrequency and Severity of Serious Adverse Events Related to Procedure.Time frame: From date of randomization until date of death from any cause assessed up to 12 months.
    + 3 other changes: identifiers, verification date and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT03477604
Lead sponsor
Micro Medical Solution, Inc.
Responsible party
Sponsor
First posted
Mar 26, 2018
Start date
Mar 31, 2020
Primary completion
Jun 5, 2025
Completion
Mar 2028 (estimated)
Results posted
Oct 8, 2026
Last update
Oct 8, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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