NCT05971394

Brief Summary

The goal of this prospective, multicentre, single arm clinical trial is to assess the safety and effectiveness of Sirolimus-eluting Iron Bioresorbable Peripheral Scaffold System (IBS Titan™) in treating patients with infrapopliteal arterial stenosis or occlusive disease. 100 participants will be implanted with IBS Titan™, and be followed up for 1-month, 6-month and 12-month after discharge.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
2mo left

Started Jul 2023

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress95%
Jul 2023Jul 2026

First Submitted

Initial submission to the registry

July 15, 2023

Completed
2 days until next milestone

Study Start

First participant enrolled

July 17, 2023

Completed
16 days until next milestone

First Posted

Study publicly available on registry

August 2, 2023

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2026

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2026

Expected
Last Updated

August 2, 2023

Status Verified

July 1, 2023

Enrollment Period

2.5 years

First QC Date

July 15, 2023

Last Update Submit

July 31, 2023

Conditions

Keywords

BTKbelow-the-kneeInfrapopliteal lesions

Outcome Measures

Primary Outcomes (1)

  • Freedom from Primary Efficacy Failure

    Defined as freedom from the composite of total occlusion of target lesion and clinically driven target lesion revascularization (CD-TLR), and freedom from major amputation.

    6 months

Secondary Outcomes (7)

  • Major adverse event (MAE)

    1 month, 6 months, 12 months

  • Rate of Device success

    Immediately post-procedure

  • Rate of Technical success

    Immediately post-procedure

  • Rate of Procedural success

    Immediately post-procedure

  • Incidence of Target lesion restenosis

    1 month, 6 months, 12 months

  • +2 more secondary outcomes

Study Arms (1)

IBS Titan

EXPERIMENTAL

Subjects treated with IBS Titan™.Participants will be included in this arm.

Device: Sirolimus-eluting Iron Bioresorbable Peripheral Scaffold System (IBS Titan™)

Interventions

Subjects in this arm will be treated with Sirolimus-eluting Iron Bioresorbable Peripheral Scaffold System (IBS Titan™)

IBS Titan

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • General criteria
  • Subject between 18 and 85 years old.
  • Subject who can understand the purpose of the trial, voluntarily participate in, and sign the informed consent form, and who are willing to participate until the 12 months follow-up.
  • Subject has symptomatic Critical Limb Ischemia, Rutherford category 3-5.
  • Subject requires primary treatment of de novo infrapopliteal lesions.
  • Angiographic criteria
  • Target lesion stenosis ≥ 70% or occlusion in no more than two infrapopliteal arteries.
  • The distal margin of the target lesion must be located ≥ 10 cm proximal to the proximal margin of the ankle mortise.
  • The target lesion must be located in the proximal 2/3 of native infrapopliteal vessels, length is ≤ 200mm, with vessel diameter of 2.5-4 mm.
  • Only two infrapopliteal vessels are allowed to be treated at the same time.
  • A maximum of two stents can be deployed at one target vessel.
  • There must be at least one unimpaired artery (\< 30% stenosis) to the ankle.

You may not qualify if:

  • General criteria:
  • Severe renal insufficiency, hepatic dysfunction (Cr \> 2 times normal limit or renal dialysis, ALT or AST \> 5 times normal limit).
  • Major amputation before index procedure or plan for major amputation.
  • Any coagulation disorder.
  • Lower extremity arteries surgery or thrombolytic therapy in the ipsilateral extremity in the past 6 weeks.
  • Thromboangiitis obliterans (Buerger's disease).
  • Any surgery in target vessel before index procedure.
  • Subject known to be allergic to aspirin, heparin, clopidogrel, Polylactic acid, iron, zinc and its degradation products, contrast agents, sirolimus, etc., and those who cannot tolerate postoperative dual anti-platelet therapy.
  • Subject with a history of iron overload or iron disorders related diseases, such as hereditary hemochromatosis, etc.
  • Subject is currently participating in another clinical trial that has not yet completed its primary endpoint.
  • Women of child-bearing potential not using an effective contraception; pregnant or lactating women.
  • Subject is not suitable to participate in the trial as per investigators discretion.
  • Life expectancy ≤ 12 months as per investigators judgement.
  • Angiographic criteria
  • The inflow tract (including ipsilateral iliac artery, femoral artery, popliteal artery) has lumen stenosis \>30% with or without intervention.
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Azienda Ospedaliero Universitaria Careggi

Florence, Italy

RECRUITING

MeSH Terms

Conditions

Chronic Limb-Threatening Ischemia

Condition Hierarchy (Ancestors)

Peripheral Arterial DiseaseAtherosclerosisArteriosclerosisArterial Occlusive DiseasesVascular DiseasesCardiovascular DiseasesPeripheral Vascular DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsIschemia

Central Study Contacts

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

July 15, 2023

First Posted

August 2, 2023

Study Start

July 17, 2023

Primary Completion

January 1, 2026

Study Completion (Estimated)

July 1, 2026

Last Updated

August 2, 2023

Record last verified: 2023-07

Locations