Randomized Trial of IN.PACT Admiral® Drug Coated Balloon vs Standard PTA for the Treatment of SFA and Proximal Popliteal Arterial Disease
INPACT SFA I
1 other identifier
interventional
331
1 country
1
Brief Summary
The objective of this Study is to evaluate the safety and efficacy of the IN.PACT Admiral® drug coated PTA balloon, utilized for the dilatation of the narrowed sections of the artery, as compared to other standard (non drug coated) PTA balloons. The IN.PACT Admiral, besides the mechanical dilatation effect typical of all PTA balloons, releases a drug (paclitaxel) from the balloon surface into the vessel walls. This drug absorption is intended to limit the chances and the entity of artery re-narrowing over time.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2010
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 3, 2010
CompletedFirst Posted
Study publicly available on registry
August 5, 2010
CompletedStudy Start
First participant enrolled
September 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2014
CompletedResults Posted
Study results publicly available
October 6, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2017
CompletedMay 16, 2017
April 1, 2017
3.4 years
August 3, 2010
February 24, 2015
April 12, 2017
Conditions
Outcome Measures
Primary Outcomes (2)
Primary Patency
Primary patency is defined as freedom from clinically-driven target lesion revascularization (TLR) or restenosis as determined by duplex ultrasound (DUS) Peak Systolic Velocity Ratio (PSVR) ≤ 2.4.
12 Month
Primary Safety Composite
Primary safety composite is defined as freedom from death through 30 days or target limb major amputation or clinically-driven target vessel revascularization (CD-TVR) within 12 months post index procedure.
12 month
Secondary Outcomes (17)
Major Adverse Events (MAE) Composite
12 month
All-cause Death
12 month
Target Vessel Revascularization (TVR)
12 month
Target Lesion Revascularization (TLR)
12 month
Time to First Clinically Driven Target Lesion Revascularization (CD-TLR)
12 month
- +12 more secondary outcomes
Study Arms (2)
Drug-Coated Balloon (DCB)
EXPERIMENTALIN.PACT Admiral: Balloon Angioplasty
Standard PTA
ACTIVE COMPARATORStandard Percutaneous Transluminal Angioplasty (PTA) Balloon: Balloon Angioplasty
Interventions
balloon dilatation and provisional stenting with IN.PACT DCB
balloon dilatation and provisional stenting with standard non-coated PTA balloon
Eligibility Criteria
You may qualify if:
- Age ≥18 years and ≤85 years
- Patient or patient's legal representative is informed of the nature of the study, agrees to participate and has signed an EC approved consent form
- \- Target vessel is the superficial femoral artery and/or proximal popliteal artery (above the knee)
You may not qualify if:
- Patient unwilling or unlikely to comply with follow-up schedule
- Stroke or STEMI within 3 months prior enrolment
- \- Acute or sub-acute thrombus in the target vessel
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Klinikum Rosenheim Institut für Diagnostische und Interventionelle Radiologie
Rosenheim, Pettenkoferstr, 83022, Germany
Related Publications (6)
Krishnan P, Farhan S, Schneider P, Kamran H, Iida O, Brodmann M, Micari A, Sachar R, Urasawa K, Scheinert D, Ando K, Tarricone A, Doros G, Tepe G, Yokoi H, Laird J, Zeller T. Determinants of Drug-Coated Balloon Failure in Patients Undergoing Femoropopliteal Arterial Intervention. J Am Coll Cardiol. 2022 Sep 27;80(13):1241-1250. doi: 10.1016/j.jacc.2022.06.043.
PMID: 36137674DERIVEDShishehbor MH, Schneider PA, Zeller T, Razavi MK, Laird JR, Wang H, Tieche C, Parikh SA, Iida O, Jaff MR. Total IN.PACT drug-coated balloon initiative reporting pooled imaging and propensity-matched cohorts. J Vasc Surg. 2019 Oct;70(4):1177-1191.e9. doi: 10.1016/j.jvs.2019.02.030.
PMID: 31543165DERIVEDLaird JA, Schneider PA, Jaff MR, Brodmann M, Zeller T, Metzger DC, Krishnan P, Scheinert D, Micari A, Wang H, Masters M, Tepe G. Long-Term Clinical Effectiveness of a Drug-Coated Balloon for the Treatment of Femoropopliteal Lesions. Circ Cardiovasc Interv. 2019 Jun;12(6):e007702. doi: 10.1161/CIRCINTERVENTIONS.118.007702. Epub 2019 Jun 14.
PMID: 31195825DERIVEDSchneider PA, Laird JR, Doros G, Gao Q, Ansel G, Brodmann M, Micari A, Shishehbor MH, Tepe G, Zeller T. Mortality Not Correlated With Paclitaxel Exposure: An Independent Patient-Level Meta-Analysis of a Drug-Coated Balloon. J Am Coll Cardiol. 2019 May 28;73(20):2550-2563. doi: 10.1016/j.jacc.2019.01.013. Epub 2019 Jan 25.
PMID: 30690141DERIVEDSchneider PA, Laird JR, Tepe G, Brodmann M, Zeller T, Scheinert D, Metzger C, Micari A, Sachar R, Jaff MR, Wang H, Hasenbank MS, Krishnan P; IN.PACT SFA Trial Investigators. Treatment Effect of Drug-Coated Balloons Is Durable to 3 Years in the Femoropopliteal Arteries: Long-Term Results of the IN.PACT SFA Randomized Trial. Circ Cardiovasc Interv. 2018 Jan;11(1):e005891. doi: 10.1161/CIRCINTERVENTIONS.117.005891.
PMID: 29326153DERIVEDTepe G, Laird J, Schneider P, Brodmann M, Krishnan P, Micari A, Metzger C, Scheinert D, Zeller T, Cohen DJ, Snead DB, Alexander B, Landini M, Jaff MR; IN.PACT SFA Trial Investigators. Drug-coated balloon versus standard percutaneous transluminal angioplasty for the treatment of superficial femoral and popliteal peripheral artery disease: 12-month results from the IN.PACT SFA randomized trial. Circulation. 2015 Feb 3;131(5):495-502. doi: 10.1161/CIRCULATIONAHA.114.011004. Epub 2014 Dec 3.
PMID: 25472980DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Research Director
- Organization
- Medtronic - CardioVascular
Study Officials
- PRINCIPAL INVESTIGATOR
Gunnar Tepe, Prof Dr. Med
Klinikum Rosenheim
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 3, 2010
First Posted
August 5, 2010
Study Start
September 1, 2010
Primary Completion
February 1, 2014
Study Completion
April 1, 2017
Last Updated
May 16, 2017
Results First Posted
October 6, 2015
Record last verified: 2017-04