Status:
ACTIVE_NOT_RECRUITING
Sirolimus- vs. Paclitaxel-Drug Coated Ballons in Patients With Peripheral Artery Disease
Lead Sponsor:
Jena University Hospital
Collaborating Sponsors:
Concept Medical Inc.
Vascuscience
Conditions:
Peripheral Artery Disease
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
This study is a prospective, interventional, multi-center 1:1 randomized non-inferiority trial. The trial evaluates the safety and efficacy of the Magic Touch PTA sirolimus drug-coated balloon in com...
Detailed Description
Percutaneous transluminal angioplasty (PTA), in which a balloon is advanced and inflated in the obstructed artery for several seconds to minutes, has become the standard endovascular treatment for per...
Eligibility Criteria
Inclusion
- Subject age ≥ 18
- Subject has been informed on the nature of the study, the duration of the study, agrees to attend follow-up visits, agrees to complete the required testing, agrees to participate, and has signed an informed consent form.
- Rutherford category 2-4 according to the investigator's subjective evaluation
- Subject has a de novo or re-stenosed lesion with ≥ 70 % stenosis documented angiographically
- Target lesion length is ≥ 2 cm and ≤ 20 cm by visual estimate of the treating physician
- Multiple lesions with max. 3 cm healthy vessel segment in between lesions can be considered at the discretion of the operator as one lesion. Total lesion length should not exceed 20 cm
- Reference vessel diameter (RVD) ≥ 4 mm and ≤ 6.5 mm by visual estimation
- Patency of P2 and P3 segment of the popliteal artery and at least one (1) infrapopliteal artery to the ankle (\< 50 % diameter stenosis) in continuity with the femoropopliteal artery
- Patency of ipsilateral iliac artery (≤ 30% diameter stenosis). Iliac artery stenosis \> 30 % may be treated during the index procedure to ensure sufficient inflow.
- A guidewire has successfully traversed the target treatment segment intraluminal
- Vascular disease in the opposite leg that requires treatment at the time point of index procedure is allowed, but has to be treated according to randomization or with POBA.
- A patient can only be enrolled and randomized once with only one target lesion in the SIRONA trial. Please note that only the lesion in one limb can be treated as target lesion for index procedure.
Exclusion
- Failure to successfully cross the target lesion or subintimal target lesion guidewire crossing
- Flow-limiting dissection after pre-dilatation
- Angiographic evidence of severe calcification of the target vessel (contiguous calcification on both sides of the vessel)
- Presence of fresh thrombus in the target lesion
- Presence of aneurysm in the target vessel/s
- Prior vascular surgery (including atherectomy, bypass surgery) of the target limb
- Prior stent in the target lesion
- Stroke or heart attack within 3 months prior to enrollment
- Any vascular surgical procedure or intervention performed in the target limb within 30 days prior to or planned within 30 days post index procedure
- Any vascular treatment with PTX or sirolimus-coated devices 60 days prior to index procedure
- Target lesion requires treatment with alternative therapies such as primary stenting, laser, lithotripsy, thrombectomy, atherectomy, cryoplasty, brachytherapy, re-entry devices
- Enrolled in another investigational drug, device or biologic study
- Life expectancy of less than one year in the investigator's opinion
- Known allergies or sensitivity to heparin, aspirin, other anticoagulant/ antiplatelet therapies, sirolimus, paclitaxel or contrast media that cannot be adequately pre-treated prior to index procedure
- Significant gastrointestinal bleeding or any coagulopathy that would contraindicate the use of anti-platelet therapy
- Receiving dialysis or immunosuppressant therapy
- Pregnant or lactating females
- History of major amputation in the same limb as the target lesion
Key Trial Info
Start Date :
April 13 2021
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2027
Estimated Enrollment :
478 Patients enrolled
Trial Details
Trial ID
NCT04475783
Start Date
April 13 2021
End Date
December 31 2027
Last Update
December 26 2025
Active Locations (22)
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1
Medical University Vienna, Universitätsklinik für Innere Medizin II, Klinische Abteilung für Angiologie
Vienna, Vienna, Austria, A-1090
2
Medizinische Universität Graz, Klinische Abteilung für Angiologie
Graz, Austria, 8010
3
Klinikum Klagenfurt am Wörthersee, Institut für Diagnostische und Interventionelle Radiologie
Klagenfurt, Austria, 9020
4
Universitätsklinik für Radiologie und Nuklearmedizin, Klinische Abteilung für Kardiovaskuläre und Interventionelle Radiologie
Vienna, Austria, 1090