Atherectomy Followed With a Drug Coated Balloon in the Treatment of Long Femoropopliteal Lesions
Determination Of Effectiveness Of Directional Atherectomy Followed By A Paclitaxel- Coated Balloon For The Treatment Of Infrainguinal Vessels With Long Occlusive Femoropopliteal Lesions
1 other identifier
interventional
100
1 country
1
Brief Summary
The study is a prospective, multicenter, randomized pilot study to evaluate the clinical outcome of the plaque atherectomy system followed by the UltrafreeTM drug coated balloon catheter versus the drug coated balloon in patients with chronic long femoropopliteal lesions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2023
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
March 7, 2023
CompletedFirst Posted
Study publicly available on registry
May 22, 2023
CompletedStudy Start
First participant enrolled
July 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 31, 2027
May 22, 2023
May 1, 2023
4.1 years
March 7, 2023
May 19, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Peak Systolic Velocity Ratio (PSVR)
Peak Systolic Velocity Ratio (PSVR) of target lesion measured by ultrasound (PSVR ≤2.4 means primary patent of target lesion)
12-month
Freedom from major adverse limb events(MALEs)
Freedom from flow-limiting dissections (D-F), clinically-driven target vessel revascularization, major amputation, and all-cause of death
12-month
Secondary Outcomes (5)
Technical success
Immediately after endovascular treatment
Procedural success
During the hospital stay
Primary sustained clinical improvement
24-month
Quality of life score
24-month
EuroQol five dimensions questionnaire (EQ 5D-5L) score
24-month
Study Arms (2)
Atherectomy+Drug-coated balloon
EXPERIMENTALThe lesion treated by atherectomy + UltrafreeTM drug-coated balloon.
Drug-coated balloon
ACTIVE COMPARATORThe lesion treated by UltrafreeTM drug-coated balloon only.
Interventions
Patients in experimental group will undergo endovascular treatment for femoropopliteal lesions. The lesion will be treated by atherectomy+drug-coated balloon in the experimental group
drug-coated balloon only in the active comparator group.
Eligibility Criteria
You may qualify if:
- Subject must be between 18 and 85 years old;
- Chronic, symptomatic lower limb ischemia defined as Rutherford categories 3-5;
- Stenotic, restenosis, or occlusive lesions in the native femoropopliteal artery which meets all of the following criteria: Stenotic lesion(\>70% diameter stenosis) \>15cm or Chronic total occlusion between 6-15cm; Target vessel is 3.0 to 7.0 mm in diameter (visual estimate); Guidewire must be across the target lesion within the true lumen before study randomization;
- Patent distal popliteal artery and at least one patent distal runoff;
- Willing to comply with the follow-up evaluation;
- Written informed consent prior to any study procedures.
You may not qualify if:
- Women during pregnancy and lactation, or patients with baby planning;
- Life expectancy\<2 years;
- Target lesion/vessel with in-stent restenosis
- Target restenosis/vessel lesion previously treated with drug coated balloon or atherectomy \<12 months
- Subjects s who are currently participating in other interventional drug or device trials;
- Angiographic evidence of thrombus within the target vessel
- Subjects have a history of stroke within 3 months;
- Subjects have a history of myocardial infarction, thrombolytic therapy, or angina pectoris within 2 weeks;
- Concomitant Renal failure with a serum creatinine\>2.0mg/dl; Subjects with known allergy to heparin, low molecular weight heparin, and contrast agents.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- RenJi Hospitallead
- Xuanwu Hospital, Beijingcollaborator
- Second Affiliated Hospital of Soochow Universitycollaborator
- Affiliated Hospital of Nantong Universitycollaborator
- First Affiliated Hospital of Zhejiang Universitycollaborator
- Zhejiang Universitycollaborator
- Qingdao Hiser Medical Groupcollaborator
- Liyuan Hospital of Tongji Medical College, Huazhong University of Science and Technologycollaborator
- Huashan Hospitalcollaborator
Study Sites (1)
Renji Hospital
Shanghai, Shanghai Municipality, 200127, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Meng Ye, M.D.
Department of Vascular Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 7, 2023
First Posted
May 22, 2023
Study Start
July 1, 2023
Primary Completion (Estimated)
July 31, 2027
Study Completion (Estimated)
July 31, 2027
Last Updated
May 22, 2023
Record last verified: 2023-05