Prospective, Randomized, Multicentre Clinical Study of the Hemoteq Ranger™ Paclitaxel-Coated PTA Balloon Catheter (Ranger DCB) in Comparison to Uncoated PTA Balloons in Femoropopliteal Lesions
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Peripheral Artery Disease
- Sponsor
- Hemoteq AG
- Enrollment
- 105
- Locations
- 11
- Primary Endpoint
- in-segment late lumen loss
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The primary objective of this study is to prove the superior performance of the Ranger™ paclitaxel-coated PTA balloon catheter for angioplasty for femoropopliteal artery lesions when compared to non-coated balloons at six months post-procedure when comparing Late Lumen Loss (LLL). Study statistical hypothesis: The %-mean loss of luminal diameter as assessed by angiography at six months follow-up after treatment of the femoropopliteal artery with Ranger DCB study devices is lower than the %-mean loss of luminal diameter after treatment with uncoated PTA balloon control devices.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects must be age 18 or older
- •Subject is willing and able to provide informed consent
- •Subject is available to attend all required follow-up visits
- •Subject has a clinically significant symptomatic leg ischemia requiring treatment
- •Subject has a Rutherford clinical category of 2-4
- •If the index lesion is restenotic, the prior PTA must have been \>30 days prior to treatment in the current study
- •Only one lesion per limb can be treated under this protocol.
- •Successful intraluminal wire crossing of the target lesion
- •Index lesion is a clinically and hemodynamically significant stenotic or restenotic lesion located in the native nonstented superficial femoral artery or proximal popliteal artery
- •Degree of stenosis 70% or more, by visual assessment
Exclusion Criteria
- •Subjects who have undergone prior vascular surgery of the femoropopliteal artery in the index limb to treat atherosclerotic disease
- •History of major amputation in the same limb as the target lesion
- •Presence of aneurysm in the target vessel
- •Acute ischemia and/or acute thrombosis in any artery of the lower limbs
- •Acute Myocardial Infarction within 30 days before the index procedure
- •Persistent, intraluminal thrombus of the proposed target lesion post-thrombolytic therapy
- •Known hypersensitivity or contraindication to contrast dye that cannot be adequately pre-medicated
- •Known allergies against Paclitaxel or other components of the used medical devices
- •Intolerance to antiplatelet, anticoagulant, or thrombolytic medications that would be administered during the trial
- •Platelet count \<100,000 mm3 or \>600,000 mm3
Outcomes
Primary Outcomes
in-segment late lumen loss
Time Frame: six months
In-segment late lumen loss (LLL) of the treated segment after PTA using the Ranger™ paclitaxel-coated PTA balloon, in comparison to the LLL after PTA using an uncoated balloon, as observed by angiography at six months post-index procedure.
Secondary Outcomes
- procedural success(within 24 hours of index procedure)
- assisted primary patency(twelve months)
- secondary patency(twelve months)
- primary patency(twelve months)
- clinical success(twelve months)
- hemodynamic success(twelve months)
- technical success(during index procedure, less 1 hour)
- binary restenosis rate(twelve months)
- change in quality of life(36 months)