Study of the SilverHawk™ /TurboHawk™ Plaque Excision Systems Used With SpiderFX to Treat Calcified Peripheral Arterial Disease (DEFINITIVE Ca++)
Determination of Safety and Effectiveness of the SilverHawk™ Peripheral Plaque Excision System for Calcium (SilverHawk LS-C) and the SpiderFX™ Embolic Protection Device for the Treatment of Calcified Peripheral Arterial Disease in the Superficial Femoral and/or the Popliteal Arteries (DEFINITIVE Ca++)
1 other identifier
interventional
133
0 countries
N/A
Brief Summary
This is a multi-center, non-randomized, single arm study of the SilverHawk™ /TurboHawk™ plaque excision systems when used in conjunction with SpiderFX™ embolic protection device in treatment of moderate to severely calcified peripheral arterial disease in the superficial femoral and/or popliteal arteries.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Oct 2008
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 8, 2008
CompletedFirst Posted
Study publicly available on registry
August 12, 2008
CompletedStudy Start
First participant enrolled
October 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2010
CompletedResults Posted
Study results publicly available
July 4, 2014
CompletedAugust 26, 2015
August 1, 2015
2.1 years
August 8, 2008
June 5, 2014
August 14, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Successful Revascularization
Less than or equal to 50% residual diameter stenosis following plaque excision remaining at the target lesion(s), as adjudicated by the angiographic core laboratory
at the end of the procedure
Major Adverse Event Free Rate 30 Days
MAE was defined as a serious adverse event that results in death, acute myocardial infarction, dissection (grade C or greater), clinical perforation, pseudo-aneurysm, thrombosis, distal embolism (clinically relevant), amputation, or clinically-driven target vessel revascularization (TVR), through 30 days post-procedure, as adjudicated by the Clinical Events Committee (CEC).
30 Days
Secondary Outcomes (4)
Technical Procedural Success
at the end of the procedure
Residual Diameter Stenosis
at the end of the procedure
Presence of Debris in Deployed SpiderFx™ Embolic Protection Device
at the end of the procedure
Preservation of Run-off Distal to the Filter
at the end of the procedure
Study Arms (1)
Atherectomy with embolic protection
OTHERAll subjects were treated with atherectomy (with SilverHawk or TurboHawk device) in conjunction with embolic protection (SpiderFX device).
Interventions
Catheter-based excision of moderate to severely calcified plaque located in the SFA and/or popliteal artery.
Eligibility Criteria
You may qualify if:
- Provides written informed consent
- Willing to comply with follow-up evaluations at specified times
- Has leg pain due to peripheral arterial disease
- Disease located within the femoropopliteal artery
- Moderate to severe calcification
You may not qualify if:
- Previously implanted stent(s) or stent graft(s) in target leg
- Life expectancy less than 12 months
- Has any planned surgical or endovascular intervention of target vessel 30 days before or after index procedure
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Roberts D, Niazi K, Miller W, Krishnan P, Gammon R, Schreiber T, Shammas NW, Clair D; DEFINITIVE Ca(+)(+) Investigators. Effective endovascular treatment of calcified femoropopliteal disease with directional atherectomy and distal embolic protection: final results of the DEFINITIVE Ca(+)(+) trial. Catheter Cardiovasc Interv. 2014 Aug 1;84(2):236-44. doi: 10.1002/ccd.25384. Epub 2014 Feb 5.
PMID: 24402764RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Director of Medical Communications
- Organization
- Covidien
Study Officials
- PRINCIPAL INVESTIGATOR
Daniel Clair, MD
The Cleveland Clinic
- PRINCIPAL INVESTIGATOR
David Roberts, MD
Sutter Medical Center
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 8, 2008
First Posted
August 12, 2008
Study Start
October 1, 2008
Primary Completion
November 1, 2010
Study Completion
November 1, 2010
Last Updated
August 26, 2015
Results First Posted
July 4, 2014
Record last verified: 2015-08