NCT03403426

Brief Summary

To evaluate the safety and effectiveness of the ReFlow Medical Wingman Catheter used to cross de novo or restenotic infrainguinal CTOs that cannot be crossed with a standard guidewire.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
85

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2018

Geographic Reach
1 country

1 active site

Status
completed

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

November 29, 2017

Completed
2 months until next milestone

First Posted

Study publicly available on registry

January 18, 2018

Completed
26 days until next milestone

Study Start

First participant enrolled

February 13, 2018

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 8, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 8, 2019

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

January 7, 2021

Completed
Last Updated

January 7, 2021

Status Verified

January 1, 2021

Enrollment Period

1.5 years

First QC Date

November 29, 2017

Results QC Date

October 3, 2020

Last Update Submit

January 4, 2021

Conditions

Outcome Measures

Primary Outcomes (3)

  • Number of Lesions With Successful CTO Crossing Assessed by Angiography

    While using the Wingman device, successful CTO crossing is identified by successful guidewire placement in the distal true lumen confirmed by angiography with no clinically significant perforations. Assessment by angiography with results reviewed by an independent core lab.

    Intraprocedural

  • Major Adverse Event (MAE) Rate

    Occurrence of significant in-hospital or 30-day MAEs.

    Assessed from the time of the procedure through 30 days

  • Rate of Clinically Significant Perforations

    Occurrence of clinically significant perforation, after Wingman CTO crossing and PTA of lesion, confirmed by angiography, evaluated by angiographic core lab

    Will be assessed from the time of the procedure through 30 days

Secondary Outcomes (7)

  • Lesion Success

    Intraprocedural

  • Procedure Success Rate

    Approximately 24 hours post procedure

  • Incidence of In-hospital AE or MAE

    Intraprocedural

  • Total Procedural Time

    Approximately 24 hours post procedure

  • Device Procedural Time

    Approximately 24 hours post procedure

  • +2 more secondary outcomes

Study Arms (1)

Wingman Crossing Catheter

EXPERIMENTAL

Use of the device to support CTO crossing

Device: Wingman Crossing Catheter

Interventions

Endovascular CTO crossing

Wingman Crossing Catheter

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patient is willing and able to provide informed consent.
  • Patient is willing and able to comply with the study protocol.
  • Patient is \> 18 years old.
  • Patient has peripheral arterial disease requiring revascularization as evidenced by contrast, CT or MR angiography.
  • Patient has at least one but not more than two occluded infrainguinal arteries that are 99-100% stenosed and no flow is observed in the distal lesion except the flow from collateral circulation.
  • Target lesion(s) is ≥ 1 cm and \< 30 cm in length by visual estimate.
  • Target vessel is ≥ 2.0 mm in diameter.
  • Patient has Rutherford Classification of 2-5.
  • Lesion cannot be crossed by concurrent conventional guidewire.
  • Reconstitution of vessel at least 2cm above bifurcation/trifurcation.
  • Occlusion can be within previously implanted stent.

You may not qualify if:

  • Patient has a known sensitivity or allergy to contrast materials that cannot be adequately pre-treated.
  • Patient has a known sensitivity or allergy to all anti-platelet medications.
  • Patient is pregnant or lactating.
  • Patient has a co-existing disease or medical condition contraindicating percutaneous intervention.
  • Target lesion is in a bypass graft.
  • Patient has had a failed crossing attempt without an intervening intervention on the target limb within the past 14 days.
  • Patient has a planned surgical or interventional procedure within 30 days after the study procedure.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Adventist St. Helena Hospital

St. Helena, California, 94574, United States

Location

Results Point of Contact

Title
Isa Rizk
Organization
Reflow Medical

Study Officials

  • John Laird, MD

    Adventist St. Helena Hospital

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 29, 2017

First Posted

January 18, 2018

Study Start

February 13, 2018

Primary Completion

August 8, 2019

Study Completion

August 8, 2019

Last Updated

January 7, 2021

Results First Posted

January 7, 2021

Record last verified: 2021-01

Locations