Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT04433572

Temsirolimus Adventitial Delivery to Improve ANGioplasty and/or Atherectomy Revascularization Outcomes Below the Knee

Led by Mercator MedSystems, Inc. · Updated on 2025-08-05

250

Participants Needed

2

Research Sites

365 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

A multicenter, randomized, double-blind, placebo-controlled trial to evaluate the effect of Temsirolimus Perivascular Injection 0.1 mg/mL on the incidence of ischemia-driven major amputation, clinically driven target lesion revascularization, and clinically relevant target lesion occlusion after revascularization of lesions below the knee in patients with symptomatic Rutherford 3-5 peripheral artery disease. The primary safety endpoint will be gathered at 1-month post-index procedure. The primary efficacy endpoint will be gathered at 6 months post-index procedure. Participants will be followed for up to 5 years post-index procedure.

CONDITIONS

Official Title

Temsirolimus Adventitial Delivery to Improve ANGioplasty and/or Atherectomy Revascularization Outcomes Below the Knee

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participant has signed informed consent and agrees to follow study procedures and visits
  • Participant is male or female, aged 18 years or older
  • Female participants of reproductive potential agree to use highly effective contraception for at least 90 days after treatment
  • Participant has severe claudication (Rutherford 3) or chronic limb-threatening ischemia (Rutherford 4-5) in the target limb
  • Participant has up to two target lesions meeting specific size, location, and severity criteria confirmed by the investigator
  • Participant has successful revascularization with residual stenosis less than 30% and good blood flow to the foot after treatment
Not Eligible

You will not qualify if you...

  • Participant is enrolled in another vascular drug or device study that has not completed its primary endpoint
  • Participant is pregnant, nursing, or plans pregnancy within 12 months of enrollment
  • Participant has medical, social, or psychological conditions limiting study compliance
  • Mentally incapacitated individuals or those without legal authority
  • Participant's life expectancy is 1 year or less
  • Recent or planned systemic immunosuppressive therapy, immunotherapy, or chemotherapy
  • Abnormal blood counts (platelets or hemoglobin below or above specified levels)
  • Known allergies or contraindications to study drugs or contrast medium (except manageable contrast allergies)
  • Central nervous system tumor
  • Recent heart attack (within 30 days), stroke (within 90 days), or brain hemorrhage (within 1 year)
  • Recent or planned vascular surgery within 30 days of the index procedure, with limited exceptions
  • Patent bypass graft too close to target lesion
  • Bedridden or unable to walk independently
  • Planned major amputation in the target limb
  • Recent major amputation or limited mobility
  • Signs of advanced limb infection or septicemia
  • Extensive tissue loss requiring complex foot reconstruction or non-traditional amputations
  • Elevated bilirubin or severely reduced kidney function (except stable dialysis patients)
  • Severe peripheral artery disease limiting successful treatment
  • Untreated severe vessel issues or complications
  • Recent or prior use of certain vascular therapies or devices in the target lesion
  • Severe dissection or aneurysm near target lesion
  • Presence of thrombus, embolism, or lesions that cannot be crossed with a guide wire
  • Heavy calcification preventing device use

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

Cardiovascular Institute of the South

Houma, Louisiana, United States, 70360

Actively Recruiting

2

UT Southwestern

Dallas, Texas, United States, 75235

Actively Recruiting

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Research Team

K

Kirk Seward, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Temsirolimus Adventitial Delivery to Improve ANGioplasty and/or Atherectomy Revascularization Outcomes Below the Knee | DecenTrialz