NCT06656364

Brief Summary

The Esprit BTK PAS is a prospective, single-arm, multi-center observational study to assess the continued safety and effectiveness of the Esprit™ BTK Everolimus Eluting Resorbable Scaffold System under commercial use, in patients with diseased infrapopliteal lesions causing CLTI (Chronic Limb-Threatening Ischemia) in a real-world setting. The clinical investigation will be conducted at up to 50 sites in the United States (US) and additional sites may be added outside of the US (OUS). Approximately 200 patients with a minimum of 50% of patients in the US will be registered in the clinical investigation.

Trial Health

78
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
37mo left

Started Oct 2024

Longer than P75 for not_applicable

Geographic Reach
4 countries

39 active sites

Status
active not 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 Progress34%
Oct 2024May 2029

First Submitted

Initial submission to the registry

October 15, 2024

Completed
6 days until next milestone

Study Start

First participant enrolled

October 21, 2024

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 24, 2024

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2027

Expected
2.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

May 30, 2029

Last Updated

March 25, 2026

Status Verified

March 1, 2026

Enrollment Period

2.5 years

First QC Date

October 15, 2024

Last Update Submit

March 23, 2026

Conditions

Keywords

ABT-CIP-10519Esprit BTK SystemInfrapopliteal lesionsPost-approval study

Outcome Measures

Primary Outcomes (2)

  • Primary Effectivenes Endpoint(s): Freedom from clinically-driven target lesion revascularization (CD-TLR)

    This effectiveness endpoint was chosen because it allows to assess whether Esprit BTK is effective at maintaining patency (CD-TLR).

    At 1 year

  • Primary Safety Endpoint(s):MALE at 6 months + POD at 30 days (Major Adverse Limb Event + Peri-Operative Death)

    This safety endpoint was chosen because it is a commonly used endpoint to assess the safety of devices used in lower limb treatment, including treatment of lesions below the knee. Additionally, this endpoint assesses whether the device is associated with acute and sub-acute harm such as death and limb loss.

    6 months + 30 days

Secondary Outcomes (6)

  • All-cause mortality

    Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years

  • Amputation (minor, major)

    Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years

  • Amputation-free survival

    Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years

  • Ankle-Brachial Index (ABI)/Toe-Brachial Index (TBI) progression over time

    Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years

  • Rutherford Becker category evolution over time

    Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years

  • +1 more secondary outcomes

Study Arms (1)

Esprit BTK System

EXPERIMENTAL

This device, manufactured by Abbott Medical, is intended to be used for improving luminal diameter in infrapopliteal lesions in patients with CLTI.

Device: Esprit BTK System

Interventions

The Esprit BTK System is a resorbable polymeric scaffold with the everolimus drug and a resorbable polymeric coating mounted on a balloon dilatation catheter.

Esprit BTK System

Eligibility Criteria

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

You may qualify if:

  • Subject must provide written informed consent prior to any study-specific procedures which are not considered standard of care at the site.
  • Informed consent can be obtained up to 3 days post-procedure or prior to discharge whichever comes first.
  • Subject, or a legally acceptable representative must provide written informed consent per site IRB/EC requirements.
  • Subject must be at least 18 years of age.
  • Subject has evidence of symptomatic Chronic Limb-Threatening Ischemia (CLTI) with infrapopliteal lesions.
  • Subjects who have lesion(s) in an infrapopliteal vessel with reference vessel diameter ≥ 2.5 mm and ≤ 4.0 mm.
  • Target lesion(s) must have ≥ 70% stenosis, per visual assessment at the time of the procedure. If needed, quantitative imaging (angiography and intravascular imaging) can be used to aid accurate sizing of the vessels.

You may not qualify if:

  • Subjects who have contraindications to the Esprit BTK System per the instruction for use (IFU).
  • Subject is currently participating in another clinical investigation that has not yet completed its primary endpoint.
  • Subject or Legally Acceptable Representative (LAR) is unable or unwilling to provide written consent prior to enrollment.
  • Subject with life expectancy ≤ 1 year.
  • Subject with an unsalvageable limb (as per physician assessment at the time of the index procedure), who is likely to get a below-the-knee amputation.
  • Subject has in-stent restenosis in the target vessel or requires a metallic stent as part of a planned treatment or a bailout in the target vessel during the index procedure.
  • Subject had been previously treated with Esprit BTK Scaffold(s) within the past 30 days in the same vessel.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (39)

HonorHealth

Scottsdale, Arizona, 85258, United States

Location

Pima Heart and Vascular Clinical Research

Tucson, Arizona, 85718, United States

Location

UCSF Fresno

Fresno, California, 93720, United States

Location

Good Samaritan Hospital

Los Angeles, California, 90017, United States

Location

ClinRé 001-100 - Denver

Denver, Colorado, 80220, United States

Location

Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

First Coast Cardiovascular Institute

Jacksonville, Florida, 32256, United States

Location

Ansaarie Cardiac and Endovascular Center of Excellence

Saint Augustine, Florida, 32080, United States

Location

Tallahassee Research Institute

Tallahassee, Florida, 32308, United States

Location

Grady Clinical Research Center

Atlanta, Georgia, 30303, United States

Location

Cardiovascular Consultants of South Georgia, LLC

Thomasville, Georgia, 31792, United States

Location

SIU School of Medicine

Springfield, Illinois, 62794, United States

Location

St. Vincent Hospital

Indianapolis, Indiana, 46260, United States

Location

Charlton Memorial Hospital

Fall River, Massachusetts, 02720, United States

Location

Jackson Heart Clinic

Jackson, Mississippi, 39216, United States

Location

North Mississippi Medical Center

Tupelo, Mississippi, 38801, United States

Location

Sorin Medical

New York, New York, 10005, United States

Location

New York University Hospital

New York, New York, 10016, United States

Location

NYU Langone Health

New York, New York, 10016, United States

Location

Mount Sinai Hospital

New York, New York, 10019, United States

Location

New York Presbyterian Hospital-Cornell University

New York, New York, 10021, United States

Location

New York-Presbyterian/Columbia University Medical Center

New York, New York, 10032, United States

Location

St. Francis Hospital

Roslyn, New York, 11576, United States

Location

Staten Island University Hospital - North

Staten Island, New York, 10305, United States

Location

Carolinas Medical Center

Charlotte, North Carolina, 28203, United States

Location

Christ Hospital

Cincinnati, Ohio, 45255, United States

Location

Ascension St. John Jane Phillips

Bartlesville, Oklahoma, 74006, United States

Location

Hightower Clinical

Oklahoma City, Oklahoma, 73102, United States

Location

Oklahoma Heart Hospital

Oklahoma City, Oklahoma, 73120, United States

Location

Erlanger Medical Center

Chattanooga, Tennessee, 37403, United States

Location

Johnson City Medical Center Hospital

Johnson City, Tennessee, 37604, United States

Location

Hendrick Medical Center

Abilene, Texas, 79601, United States

Location

Medical City Arlington

Arlington, Texas, 76014, United States

Location

University of Texas Southwestern Medical Center at Dallas

Dallas, Texas, 75390, United States

Location

Baylor All Saints Medical Center at Fort Worth

Fort Worth, Texas, 76104, United States

Location

HCA Houston Healthcare Medical Center

Houston, Texas, 77004, United States

Location

Queen Mary Hospital

Hong Kong, HK SAR, 999077, Hong Kong

Location

Auckland City Hospital

Auckland, 1003, New Zealand

Location

Al Qassimi Hospital

Sharjah city, Emirate of Sharjah, 3500, United Arab Emirates

Location

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

Study Officials

  • Ramon L Varcoe, MBBS, MS, FRACS, PHD

    Prince of Wales Private Hospital, Randwick, NSW, Australia

    PRINCIPAL INVESTIGATOR
  • Sahil Parikh, MD

    New York Presbyterian Hospital, New York, NY

    PRINCIPAL INVESTIGATOR
  • Brian G Derubertis, MD

    New York Presbyterian/Cornell, New York, NY

    PRINCIPAL INVESTIGATOR

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

October 15, 2024

First Posted

October 24, 2024

Study Start

October 21, 2024

Primary Completion (Estimated)

April 30, 2027

Study Completion (Estimated)

May 30, 2029

Last Updated

March 25, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations