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.
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