Status:
COMPLETED
Sequent Please Drug Coated Balloons Versus Primary Stent Application in Long SFA Lesions
Lead Sponsor:
InnoRa GmbH
Collaborating Sponsors:
Boston Scientific Corporation
B. Braun Melsungen AG
Conditions:
Stenosis
Occlusion
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Patients with peripheral artery disease will be treated with either drug coated balloon catheter, drug coated stent or uncoated stent.
Detailed Description
Patients with chronic stenotic or occlusive atherosclerotic disease and lesions of at least 13 cm length in the SFA or Arteria poplitea segment 1 will be randomized to either treatment with paclitaxel...
Eligibility Criteria
Inclusion
- PAOD and Rutherford classes 2 - 4 (pain-free walking distance \<500 m)
- eligible for peripheral revascularization by means of PTA
- peripheral lesions in the superficial femoral artery (SFA) and / or the PI-segment of the popliteal artery (A.pop.)
- minimum diameter stenosis of ≥70%
- treatment length at least 15 cm (lesion length at least 13 cm)
- maximum of lesions to be treated should be 2 (all treated lesions should be treated within the randomization to the study group, i.e. either coated balloon catheters or coated stents or bare nitinol stents); in case of two lesions matching the eligibility criteria, the one presenting the worst attributes (length and stenosis degree) should be chosen as target lesion
- long diffuse stenosis with or without occlusions may only be divided in separate lesions if non-stenotic (i.e. \<50% stenosis) segments in between the lesions extent to \>2 cm, otherwise vessel segments will be treated as a single extended lesion
- eligible for an operative vascular intervention in case of complications during the PTA
Exclusion
- Rutherford class 1,5 or 6
- more than two stenotic lesions in the target vessel requiring treatment
- inflow lesion (proximal to the study lesion) with flow limitation not being successfully treated prior to the study lesion
- in-stent restenosis of the study lesion
- strongly calcified lesions with circumferential presence of calcifications and a lesion calcification length of \>4 cm
- reference vessel diameter \<4 mm and \>6 mm
- guide wire could not be successfully advanced across the lesion
- lesions below the knee requiring treatment
- target lesion is located in the PII-segment of the popliteal artery (A.pop.) or within a bypass graft
- acute thrombosis of the study lesion requiring lysis or thrombectomy prior to the treatment of the study lesion
- potential loss of leg due to critical or acute ischemia
- no patent distal run-off vessel
- medical reason against double anti-platelet therapy in anti-coagulated patient, e.g., receiving coumarine or conditions which prevent the intake of the double anti-platelet therapy for two months
- female patient who is pregnant or lactating
- under 18 years of age
- patients under administrative or judicial custody (§20 Act on medical Devices, Germany)
- expected life span of less than 24 months
Key Trial Info
Start Date :
March 30 2017
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 12 2023
Estimated Enrollment :
224 Patients enrolled
Trial Details
Trial ID
NCT03332264
Start Date
March 30 2017
End Date
December 12 2023
Last Update
February 15 2024
Active Locations (10)
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1
Medizinische Universität Graz
Graz, Austria
2
RoMed Klinikum
Rosenheim, Bavaria, Germany
3
Klinikum Arnsberg, Karolinen-Hospital
Arnsberg, Germany
4
Herzzentrum Bad Krozingen
Bad Krozingen, Germany