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Carotid Stenting vs. Surgery of Severe Carotid Artery Disease and Stroke Prevention in Asymptomatic Patients (ACT I)
This study is currently recruiting participants.
Verified by Abbott Vascular, September 2009
First Received: April 1, 2005   Last Updated: September 15, 2009   History of Changes
Sponsor: Abbott Vascular
Information provided by: Abbott Vascular
ClinicalTrials.gov Identifier: NCT00106938
  Purpose

The study is being conducted to demonstrate the non-inferiority of carotid artery stenting (CAS) using the Emboshield® Embolic Protection System and Emboshield® Pro Embolic Protection System with the Xact® Carotid Stent System to carotid endarterectomy (CEA) for the treatment of asymptomatic extracranial carotid atherosclerotic disease.


Condition Intervention Phase
Carotid Artery Disease
Carotid Stenosis
Stroke
Atherosclerosis
Device: Carotid artery stenting with filter (interventional)
Procedure: Carotid artery endarterectomy (surgical)
Phase III

Study Type: Interventional
Study Design: Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Carotid Angioplasty and Stenting Versus Endarterectomy in Asymptomatic Subjects Who Are at Standard Risk for Carotid Endarterectomy With Significant Extracranial Carotid Stenotic Disease (ACT I)

Resource links provided by NLM:


Further study details as provided by Abbott Vascular:

Primary Outcome Measures:
  • Occurrence of major adverse events 30 days following the procedure [ Time Frame: Acute to 30 days ] [ Designated as safety issue: Yes ]
  • Occurrence of ipsilateral strokes between 31 and 365 days post procedure [ Time Frame: 31 through 365 days post procedure ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Acute device success [ Time Frame: Acute ] [ Designated as safety issue: Yes ]
  • Procedural success [ Time Frame: Acute ] [ Designated as safety issue: No ]
  • Composite morbidity at 0 - 30 days Post-Procedure [ Time Frame: 0 to 30 days post procedure ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 1658
Study Start Date: April 2005
Estimated Study Completion Date: May 2018
Estimated Primary Completion Date: May 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator

CAS group: 3:1 ratio of Carotid Artery Stenting (CAS) versus Carotid Endarterectomy (CEA).

A lead-in phase of up to 400 carotid stent subjects will provide investigators experience with the study devices prior to pivotal enrollment.

Subjects will be followed at 30 days, six (6), and 12 months post-procedure, and annually for four (4) additional years.

Device: Carotid artery stenting with filter (interventional)
Carotid artery stenting with filter (interventional)
2: Active Comparator

CEA group: 3:1 ratio of Carotid Artery Stenting (CAS) versus Carotid Endarterectomy (CEA).

A lead-in phase of up to 400 carotid stent subjects will provide investigators experience with the study devices prior to pivotal enrollment.

Subjects will be followed at 30 days, six (6), and 12 months post-procedure, and annually for four (4) additional years.

Procedure: Carotid artery endarterectomy (surgical)
Carotid artery endarterectomy (surgical)

Detailed Description:

Patients will be randomized to either an interventional treatment using a carotid artery stent and filter or the surgical procedure of carotid endarterectomy, on a 3:1 basis. This means that three interventional procedures will be conducted to each surgical (CEA) one, on average, for every four patients.

  Eligibility

Ages Eligible for Study:   18 Years to 79 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Severe carotid artery disease
  • Patients who have not had symptoms related to their carotid artery disease in the last 180 days
  • Patients who are able to undergo either an interventional stenting or surgical procedure

Exclusion Criteria:

  • Patients who have had symptoms in the last 180 days
  • Patients who are high risk for surgery
  • Patients who have certain conditions that might confound the results of the study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00106938

Contacts
Contact: Sandy Lee 408-845-0516 Sandy.Lee@av.abbott.com

  Hide Study Locations
Locations
United States, Arizona
St. Luke's Hospital-Phoenix Recruiting
Phoenix, Arizona, United States, 85006
Contact: Linda Iovanni     602-234-0004     lindaiovanni@rcrsolutions.org    
Principal Investigator: Richard Heuser, MD            
Mayo Clinic Recruiting
Phoenix, Arizona, United States, 85054
Contact: Kerry Brennan     480-342-2131     Brennan.kerry@mayo.edu    
Principal Investigator: Maria Aguilar, MD            
United States, California
Hoag Memorial Hospital Recruiting
Newport Beach, California, United States, 92663
Contact: Carol Moore, RN     949-764-5587     carol.moore@hoaghospital.org    
Principal Investigator: Subbarao Myla, MD            
Kaiser Foundation Hospital-San Diego Recruiting
San Diego, California, United States, 92120
Contact: Sonni Longson, CCRC     619-528-5503     Sonni.X.Longson@kp.org    
Principal Investigator: Robert Hye, MD            
St. Joseph Hospital Recruiting
Orange, California, United States, 92868
Contact: Doreen Robinson     717-560-4450     doreen@visoc.org    
Principal Investigator: Mahmood Razavi, MD            
Cardiovascular Institute / El Camino Hospital Recruiting
Mountain View, California, United States, 94040
Contact: Betty de Bettencourt, RN     650-969-8604     bdebetten@yahoo.com    
Principal Investigator: James Joye, DO, FACC            
United States, District of Columbia
Washington Hospital Center Active, not recruiting
Washington, District of Columbia, United States, 20010
United States, Florida
Baptist Cardiac and Vascular Institute Recruiting
Miami, Florida, United States, 33176
Contact: Sarah Orendorf-Alegre, RN     786-596-5336     saraho@baptisthealth.net    
Principal Investigator: Barry Katzen, MD            
United States, Hawaii
Hawaii Permanente Medical Group - Kaiser Recruiting
Honolulu, Hawaii, United States, 96819
Contact: Cyndee Yonehara     808-432-4759     cyndee.h.yonehara@kp.org    
Principal Investigator: Peter Schneider, MD            
United States, Illinois
St. John's Hospital and Memorial Medical Center/ Prarie Heart Cooperative Recruiting
Springfield, Illinois, United States, 62769
Contact: Shannon Wilson, RN     217-492-9100     swilson@prairieresearch.com    
Principal Investigator: Gregory J Mishkel, M.D.            
Rush University Medical Center Recruiting
Chicago, Illinois, United States, 60612
Contact: Amy Graf     312-942-6000     Amy_M_Graf@rush.edu    
Principal Investigator: Jeffery Snell, MD            
Northwestern Memorial Hospital Recruiting
Chicago, Illinois, United States, 60611
Contact: Anna Busman     312-695-3410     abusman@nmh.org    
Principal Investigator: Mark Eskandari, MD            
United States, Indiana
Parkview Hospital Recruiting
Fort Wayne, Indiana, United States, 46805
Contact: Tammy Morken     260-373-8176     tammy.morken@parkview.com    
Principal Investigator: Hollace Chastain, MD            
St. Vincent's Hospital Withdrawn
Indianapolis, Indiana, United States, 46260
United States, Louisiana
Ochsner Clinic Foundation Recruiting
New Orleans, Louisiana, United States, 70121
Contact: Cheri Abadie, RN     504-842-5071     cabadie@ochsner.org    
Principal Investigator: Stephen Ramee, MD            
Cardiovascular Institute of the South Active, not recruiting
Lafayette, Louisiana, United States, 70506
United States, Maine
Cape Cod Research Institute Withdrawn
Hyannis, Maine, United States, 02601
United States, Massachusetts
Massachusetts General Hospital Recruiting
Boston, Massachusetts, United States, 02114
Contact: Debbie O'Shaughnessy, RN     617-726-3057     doshaughnessy@partners.org    
Principal Investigator: Joseph Garasic, MD            
Sub-Investigator: Kenneth Rosenfield, MD            
United States, Michigan
Detroit Medical Center Active, not recruiting
Detroit, Michigan, United States, 48201
William Beaumont Hospital Recruiting
Royal Oak, Michigan, United States, 48073
Contact: Heidi Carl     248-898-5252     HCarl@beaumont.edu    
Principal Investigator: Robert Safian, MD            
United States, Missouri
St. John's Mercy Medical Center Recruiting
St. Louis, Missouri, United States, 63141
Contact: Mary Lesko, RN     314-308-0997     mary.lesko@mercy.net    
Principal Investigator: Vito Mantese, MD            
United States, New Hampshire
Dartmouth Recruiting
Lebanon, New Hampshire, United States, 03756
Contact: Sharon Segel, RN     603-650-4763     sharon.m.segel@hitchcock.org    
Principal Investigator: Richard Powell, MD            
United States, New Jersey
Our Lady of Lourdes Medical Center Recruiting
Camden, New Jersey, United States, 08103
Contact: Julie Bettelli, RN     856-757-0502     jbettelli@cadvhearthouse.com    
Principal Investigator: Ronald Cohen, DO            
United States, New York
Millard Fillmore Hospital Recruiting
Buffalo, New York, United States, 14209
Contact: Maureen Donovan, RN     716-887-5200     mdonovan@buffns.org    
Principal Investigator: L. Nelson Hopkins, MD            
Albany Medical Center Recruiting
Albany, New York, United States, 12208
Contact: Debbie Hill     518-452-2198     hilld@mail.amc.edu    
Principal Investigator: Manish Mehta, MD            
Columbia Presbyterian Hospital Recruiting
New York, New York, United States, 10021
Contact: Ariel Hidalgo     212-342-3485     ah2575@columbia.edu    
Principal Investigator: William Gray, MD            
Lenox Hill Hospital Recruiting
New York, New York, United States, 10021
Contact: Ian Dalangin     212-434-2404     idalangin@lenoxhill.net    
Principal Investigator: Gary Roubin, MD            
St. Francis Hospital Recruiting
Roslyn, New York, United States, 11576
Contact: Carol O'Brien, RN     516-562-6754     carol.o'brien@chsli.org    
Principal Investigator: George Petrossian, MD            
University of Rochester-Strong Memorial Hospital Recruiting
Rochester, New York, United States, 14618
Contact: Mary Dowling     585-279-5195     mary_dowling@urmc.rochester.edu    
Principal Investigator: Karl Illig, MD            
NYU Medical Center Recruiting
New York, New York, United States, 10016
Contact: Jacqueline Bott     212-263-2268     jacqueline.bott@nyumc.org    
Principal Investigator: Neal Cayne, MD            
United States, North Carolina
Forsyth Medical Center Recruiting
Winston-Salem, North Carolina, United States, 27103
Contact: Deborah Wilson Norwood, RN     336-718-6045     dwnorwood@novanthealth.org    
Principal Investigator: Donald V Heck, MD            
Duke University Medical Center Recruiting
Durham, North Carolina, United States, 27710
Contact: Sophie Wang, RN     919-681-4680     sophie.wang@duke.edu    
Principal Investigator: James Zidar, MD            
Wake Medical Hospital Recruiting
Raleigh, North Carolina, United States, 27610
Contact: Elizabeth Saylors     919-212-3875     eksaylors@wakeheartresearch.com    
Principal Investigator: Tift Mann, MD            
United States, Ohio
Cleveland Clinic Foundation Recruiting
Cleveland, Ohio, United States, 44195
Contact: Jennifer Seaber     216-445-8063     seaberj@ccf.org    
Principal Investigator: Samir Kapadia, MD            
Riverside Methodist Hospital Recruiting
Columbus, Ohio, United States, 43214
Contact: Amanda Bailey, RN     614-566-1257     abailey2@ohiohealth.com    
Principal Investigator: Gary Ansel, MD            
United States, Oregon
Oregon Health and Science University Recruiting
Portland, Oregon, United States, 97239
Contact: Sarah Ross     503-494-7222     rosssar@ohsu.edu    
Principal Investigator: Wayne Clark, MD            
United States, Pennsylvania
Harrisburg Hospital / Pinnacle Health Recruiting
Harrisburg, Pennsylvania, United States, 17110
Contact: Roxanne Yost, RN     717-231-8815     ryost@ac-pc.com    
Principal Investigator: Rajesh Dave, M.D.            
Allegheny General Hospital Active, not recruiting
Pittsburg, Pennsylvania, United States, 15212
Heritage Valley Health System Recruiting
Beaver, Pennsylvania, United States, 15009
Contact: John Blanarik, MD     724-728-3302     jblanarik@hvhs.org    
Principal Investigator: Richard Begg, MD            
Hospital of the University of Pennsylvania Withdrawn
Philadelphia, Pennsylvania, United States, 19104
Berks Cardiologists / St. Joseph Medical Center Recruiting
Wyomissing, Pennsylvania, United States, 19610
Contact: Kim Petersheim, RN     610-685-4843     kpetersheim@berkscardiologists.com    
Principal Investigator: Guy Piegari, MD            
United States, South Carolina
Providence Hospital-SC Active, not recruiting
Columbia, South Carolina, United States, 29204
United States, South Dakota
North Central Heart Institute Recruiting
Sioux Falls, South Dakota, United States, 57108
Contact: Patty Eisenbraun, RN     605-977-5336     research@ncheart.com    
Principal Investigator: Michael Bacharach, MD            
United States, Tennessee
Baptist Hospital West Recruiting
Knoxville, Tennessee, United States, 37920
Contact: Carla Staruk     865-218-7540     cfstaruk@mercy.com    
Principal Investigator: Malcolm Foster, MD            
Holston Valley Medical Center Recruiting
Kingsport, Tennessee, United States, 37660
Contact: Josh Lester     423-230-5642     jlester@theheartcenter.net    
Principal Investigator: D. Christopher Metzger, MD            
The Stern Cardiovascular Center Recruiting
Germantown,, Tennessee, United States, 38138
Contact: Janye Wilson, RN     (901) 271-4165     jayne.wilson@sterncardio.com    
Principal Investigator: James E. Klemis, MD,FACC, FSCAI            
United States, Texas
Presbyterian Heart Institute Recruiting
Dallas, Texas, United States, 75237
Contact: Sylvia Moore     214-360-0869     SMoore@CIVADALLAS.COM    
Principal Investigator: Tony Das, MD            
St. Luke's Episcopal Hospital Recruiting
Houston, Texas, United States, 77030
Contact: Aline Barzilla, RN     832-355-7734     abarzilla@sleh.com    
Principal Investigator: Neil Strickman, MD            
Austin Heart, P.A. Recruiting
Austin, Texas, United States, 78756
Contact: Mary Robison, RN     512-421-3481     mrobison@austinheart.com    
Principal Investigator: Frank Zidar, MD            
Westlake Medical Center / Capital Cardiovascular Consultants Research Institute Active, not recruiting
Austin, Texas, United States, 78746
United States, Virginia
St. Mary's Hospital / Virginia Cardiovascular Specilists Recruiting
Richmond, Virginia, United States, 23226
Contact: Kathleen Turner     804-282-2685     kturner@vacardio.com    
Principal Investigator: Charles Zacharias, MD            
Chesapeake General Hospital/Sentara Norfolk General Hospital Recruiting
Norfolk, Virginia, United States, 23507
Contact: Ellesia Wright, RN     757-622-2649     elwright2@sentara.com    
Principal Investigator: Rasesh Shah, MD            
United States, Washington
Deaconess Medical Center Recruiting
Spokane, Washington, United States, 99204
Contact: Jason Krauss, RN     509-455-8820     Jkrauss@spokanecardiology.com    
Principal Investigator: Pierre Leimgruber, MD            
United States, Wisconsin
St. Luke's Medical Center - Milwaukee Recruiting
Milwaukee, Wisconsin, United States, 53215
Contact: Wendy Schmidt, RN     414-649-3512     wschmidt@hrtcare.com    
Principal Investigator: Tanvir Bajwa, MD            
Sponsors and Collaborators
Abbott Vascular
Investigators
Principal Investigator: Jon Matsumura, MD Northwestern Memorial Hospital
Principal Investigator: Kenneth Rosenfield, MD Massachusetts General Hospital
  More Information

Additional Information:
No publications provided

Responsible Party: Abbott Vascular ( Matt Kiely )
Study ID Numbers: AVD-640-0052
Study First Received: April 1, 2005
Last Updated: September 15, 2009
ClinicalTrials.gov Identifier: NCT00106938     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Abbott Vascular:
Carotid stenting
Carotid endarterectomy
Carotid artery disease with severe narrowing of the artery
Stroke prevention

Additional relevant MeSH terms:
Atherosclerosis
Arterial Occlusive Diseases
Cerebral Infarction
Stroke
Nervous System Diseases
Vascular Diseases
Central Nervous System Diseases
Arteriosclerosis
Brain Diseases
Cerebrovascular Disorders
Carotid Stenosis
Brain Ischemia
Cardiovascular Diseases
Brain Infarction
Carotid Artery Diseases

ClinicalTrials.gov processed this record on November 27, 2009