PacLitaxel Eluting Balloon Application In Sfa In Stent Restenosis
PLAISIR
1 other identifier
observational
53
1 country
1
Brief Summary
Nowadays, stenting is became a standard of care in revascularization for superficial femoral artery (SFA) atherosclerotic lesions. However, the Achilles' heel of this technique remains in-stent restenosis (ISR). While most of local therapies have failed to demonstrate significant benefit, studies for the treatment of SFA ISR are lacking and percutaneous transluminal angioplasty remains the current standard of care for this indication. Recent studies have shown successful results of drug eluting balloon in the treatment of SFA de-novo lesions and of coronary ISR. FREERIDE, a French prospective cohort has been set up to evaluate the safety and the efficacy of drug eluting balloon (DEB) for the treatment of SFA atherosclerotic lesions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Dec 2011
Typical duration for all trials
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
Study Start
First participant enrolled
December 1, 2011
CompletedFirst Submitted
Initial submission to the registry
February 15, 2012
CompletedFirst Posted
Study publicly available on registry
April 30, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2015
CompletedMay 20, 2016
May 1, 2016
1 year
February 15, 2012
May 19, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Target Lesion Revascularization (TLR)
at 1 year
Secondary Outcomes (11)
Major Adverse Events through
at 1 year
Target extremity revascularization (TER)
at 1, 3, 6, 9, 12 and 18 months after surgery
clinical improvement equal or above to a stage according to Rutherford classification without superficial femoral artery revascularization
at 1, 3, 6, 9, 12 and 18 months
peak systolic velocity index without Target Lesion Revascularization
at 1, 3, 6, 9, 12 and 18 months
Quality of life assessment by EQ5D questionnaire
at 1, 3, 6, 9, 12 and 18 mois after surgery
- +6 more secondary outcomes
Study Arms (1)
drug eluting balloon
In this observationnal study, the intervention of interest is the use of drug eluting balloon in stent restenosis. Only the treated patients were included in this cohort.
Interventions
Stenting is a standard of care in revascularization for superficial femoral artery (SFA) atherosclerotic lesions. However, the Achilles' heel of this technique remains in-stent restenosis (ISR). While most of local therapies have failed to demonstrate significant benefit, studies for the treatment of SFA ISR are lacking and percutaneous transluminal angioplasty remains the current standard of care for this indication. Recent studies have shown successful results of drug eluting balloon in the treatment of SFA de-novo lesions and of coronary ISR.
Eligibility Criteria
From December 2011 to December 2012 at 13 hospitals in France, we will include patients with symptomatic atherosclerotic lesions related to superficial femoral artery in-stent restenosis to undergo endovascular repair by paclitaxel drug eluting balloon. 100 patients will be included.
You may qualify if:
- Age ≥18 years old
- Symptomatic patient according to Rutherford Class 1, 2, 3, 4 or 5
- Clinical degradation by at least 1 Rutherford stage or absence of healing of all skin lesions
- Symptoms related to SFA ISR defined by PSVR \> 2.4 within 3 to 24 months after SFA stenting of de novo atherosclerotic lesions. Each patient may have either one or both limbs treated in the study
- The target ISR lesion is fully comprised between the origin of the SFA and distally the femoropopliteal crossover (crossing by SFA of medial rim of femur in the PA projection)
- Adequate SFA inflow and outflow either pre-existing or successfully re-established (outflow defined as patency of at least one infragenicular artery)
- The target lesion must no extend beyond the stent margin
- Successful crossing of the target lesion, inflow and outflow lesions with a guidewire
- Patient belongs to the French health care system
- Written informed consent
You may not qualify if:
- No atheromatous disease
- Asymptomatic lesion
- Known allergies to heparin, aspirin, other anti-coagulant/antiplatelet therapies, and/or paclitaxel
- Acute limb ischemia
- Patient on oral anticoagulation therapy
- Target lesion requires / has been pre-treated with alternative therapy such as: DES, laser, atherectomy, cryoplasty, cutting/scoring balloon, etc.
- Life expectancy \< 1 year
- Patient involved in another trial
- Refusing patient
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Nantes University Hospital
Nantes, 44093, France
Related Publications (1)
Bague N, Julia P, Sauguet A, Pernes JM, Chatelard P, Garbe JF, Penillon S, Cardon JM, Commeau P, Planche O, Guyomarch B, Goueffic Y. Femoropopliteal In-stent Restenosis Repair: Midterm Outcomes After Paclitaxel Eluting Balloon Use (PLAISIR Trial). Eur J Vasc Endovasc Surg. 2017 Jan;53(1):106-113. doi: 10.1016/j.ejvs.2016.10.002. Epub 2016 Nov 24.
PMID: 27890526DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thierry Reix, PU-PH
Amiens's Univeristy Hospital
- PRINCIPAL INVESTIGATOR
Eric Ducasse, PU-PH
Pellegrin's University Hospital
- PRINCIPAL INVESTIGATOR
Patrick Lermusiaux, PU-PH
Lyon's University Hospital
- PRINCIPAL INVESTIGATOR
Jean-Marc Pernes, Practitioner
Antony's private Hospital
- PRINCIPAL INVESTIGATOR
Nicolas Louis, PH
Le Raincy-Montfermeuil Hospital
- PRINCIPAL INVESTIGATOR
Antoine Sauget, Practitioner
Pasteur's private Hospital
- PRINCIPAL INVESTIGATOR
Philippe Commeau, Practitioner
Ollioules private Hospital
- PRINCIPAL INVESTIGATOR
Jean-Noel Albertini, PU-PH
St Etienne University Hospital
- PRINCIPAL INVESTIGATOR
Olivier Planché, PH
Le Plessis-Robinson private hospital (CMC)
- PRINCIPAL INVESTIGATOR
Max Amor, PH
Essey-les-Nancy Private hospital (Polyclinique Pasteur)
- PRINCIPAL INVESTIGATOR
Jean-Marie Cardon, Dr
Nimes private Hospital (clinique des fransiscaines)
- PRINCIPAL INVESTIGATOR
Alain Cardon, PH
Rennes's University Hospital
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 15, 2012
First Posted
April 30, 2012
Study Start
December 1, 2011
Primary Completion
December 1, 2012
Study Completion
January 1, 2015
Last Updated
May 20, 2016
Record last verified: 2016-05