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临床试验/NL-OMON56385
NL-OMON56385尚未招募不适用

A Prospective Randomized Multicenter Single Blinded Study to Assess the Safety and Effectiveness of the SELUTION SLR* 014 Drug Eluting Balloon in the Treatment of Below-the-Knee (BTK) Atherosclerotic Disease in Patients with Chronic Limb Threatening Ischemia (CLTI) - SELUTION SLR 014 BTK study

M.A. Med Alliance SA0 个研究点目标入组 25 人开始时间: 待定最近更新:

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
25

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • CLINICAL INCLUSION CRITERIA
  • 1. Subject age is >= 18 years or older depending on local regulations.
  • 2. Subject life expectancy is >= 1 year.
  • 3. Subject has documented chronic limb-threatening ischemia in the target limb
  • with Rutherford classification category 4, 5 or 6 and symptoms of > 2 weeks
  • 4. Subject is willing and able to provide written informed consent and comply
  • with study procedures and required follow-up evaluations.
  • 5. Female subjects only: If female, then subjects of childbearing potential
  • must be non-breastfeeding and have a negative pregnancy test <= 7 days before
  • the procedure and be prepared to use effective contraception for 24 months
  • after treatment.
  • ANGIOGRAPHIC INCLUSION CRITERIA
  • 1. Target lesion(s) must lie distal to the tibial plateau and above the
  • tibiotalar joint line within the BTK arteries. There is no limitation on total
  • target lesion length. Two in-line areas of stenosis are considered multiple
  • lesions if a) there is 2 cm of normal appearing artery between them, and b) at
  • least 1 cm of the normal appearing artery is not treated. Otherwise, the
  • lesions should be considered a single lesion and the entire segment should be
  • treated with the assigned devices. If multiple SELUTION* SLR DEB are used, the
  • total allowable drug dose per patient by summing the drug dose per individual
  • balloons must be <= 4396µg.
  • 2. Distal tibial and pedal runoff for each target lesion treated is patent
  • (defined as <50% stenosis of the associated distal tibial artery and pedal
  • outflow arteries).
  • 3. Target vessel reference diameter(s) are >= 2mm and <= 4mm.
  • 4. Arterial inflow (ipsilateral common iliac, external iliac, common femoral
  • and profunda femoris arteries, SFA and popliteal artery proximal to the tibial
  • plateau) is free from >= 50% stenosis as confirmed on angiography.
  • a) If >= 50% inflow stenosis of the common and external iliac, superficial
  • femoral, and proximal popliteal arteries is found, it must be successfully
  • treated during the index procedure.
  • b) Completion angiography must confirm successful treatment of inflow disease
  • (<=30% residual stenosis, no distal embolization, and no Grade C or greater
  • dissection ) prior to pre-dilation and randomization of the BTK target
  • 5. Successful pre-dilatation (defined by <= 30% residual stenosis, no distal
  • embolization, and no Grade C or greater dissection) of all target lesions with
  • uncoated PTA catheter sized to the reference vessel diameter must be
  • accomplished before randomization.

排除标准

  • CLINICAL EXCLUSION CRITERIA
  • 1. Subject underwent failed POBA intervention on the target lesion(s) within 3
  • months of the index procedure.
  • 2. Subject underwent surgical or endovascular procedure within 14 days prior to
  • index procedure, or is planned for surgical or endovascular procedure within 30
  • days following index procedure, with the exception of:
  • a) Diagnostic angiography prior to index procedure
  • b) Treatment of contralateral iliac disease and/or treatment of inflow disease
  • of the index limb that is completed prior to randomization
  • c) Planned amputation of digit(s) of the index limb at the phalangeal level
  • d) Debridement of a foot wound
  • 3. Subject has infrainguinal disease in the contralateral leg that requires
  • treatment at the index procedure, or treatment planned to occur within 14 days
  • prior to the index procedure or within 30 days after the index procedure.
  • 4. Subject is planned to undergo major amputation of either leg.
  • 5. Subject has undergone any prior major amputation of the ipsilateral
  • 6. Subject is unable to tolerate dual antiplatelet therapy.
  • 7. Subject has undergone non-coronary artery treatment with any limus based
  • drug-coated or drug-eluting balloon/stent/other device within one year prior to
  • index procedure.
  • 8. Subject has undergone prior DCB, DES or BMS treatment of current target
  • 9. Subject has known hypersensitivity or allergy to Sirolimus or other
  • pharmacologic agents (such as contrast agent, heparin, bivalirudin) required
  • for the procedure, and this hypersensitivity/allergy cannot be adequately
  • pre-treated.
  • 10. Subject has experienced stroke or MI within 3 months of index procedure.
  • 11. Subject had onset of index limb symptoms less than 14 days prior to index
  • procedure (acute limb ischemia).
  • 12. Subject has undergone prior bypass of arteries of the index limb (except
  • for iliac artery bypass).
  • 13. Subject has non-atherosclerotic disease of the index limb (including
  • aneurysmal disease, vasculitis, Buerger*s disease)
  • 14. Subject has target lesion(s) that require (pre-)treatment with alternative
  • therapies such as thrombolysis, thrombus aspiration, cutting/scoring/contoured
  • balloon, stenting, laser, cryoplasty, brachytherapy, intravascular lithotripsy,
  • or re-entry device.
  • 15. Subject has target lesion(s) that require treatment via pedal site.
  • 16. Subject has target lesion(s) that require access via upper extremity
  • 17. Subject has extensive tissue loss salvageable only with complex foot
  • reconstruction or non-traditional trans metatarsal amputations. This includes
  • subjects with:
  • a) Osteomyelitis involving, more proximal to, the metatarsal head(s)
  • b) Any heel wound or wound with calcaneal bone involvement
  • c) Wounds that are deemed to be neuropathic or non-ischemic in nature
  • d) Wounds that would require flap coverage or complex wound management for
  • large soft tissue defect
  • e) Full-thickness wounds on the dorsum of the foot with exposed tendon or bone
  • f) Venous or mixed wounds.
  • 18. Subject has hypercoagulable state or disorder, or coagulopathy, including
  • platelet count less than 100,000 per microliter.
  • 另有 4 项未显示

研究者

发起方
M.A. Med Alliance SA

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