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Completed

NCT Number: NCT01658540

Drug Eluting Balloon (DEB) and Long Lesions of Superficial Femoral Artery (SFA) Ischemic Vascular Disease

The primary purpose of this study is to assess safety and efficacy of the Drug Eluting Balloon (DEB) technology for the treatment of the Superficial Femoral Artery (SFA) ischemic obstructive vascular disease in patients presenting with long lesions. As secondary aim this study is going to explore treatment effect on a number of procedural and clinical endpoints in order to collect information to design a future comparative effectiveness study.

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Key information

Sex eligibility

All sexes

Study type

Observational

Primary location

Anthea Hospital, Bari, Italy

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About this study

The study is aimed at collecting preliminary safety and efficacy data related to the use of Drug Eluting Balloon (DEB) technology for the treatment of symptomatic Superficial Femoral Artery (SFA) ischemic vascular disease in patients presenting with long lesions.

The present clinical evaluation is intended as a prospective observational data collection of patient treatment in full accordance with institution standard practice and utilizing an approved (CE marked) DEB currently available on the market.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Documented ischemic, symptomatic arterial disease in the femoral-popliteal arteries according to Rutherford Category 2, 3 or 4;
  • Target lesion consists of a single solitary or multiple adjacent de novo or restenotic lesions (non-in-stent) with diameter stenosis ≥ 70% by visual estimate and cumulative lesion length ≥ 15 cm;
  • Target vessel is the superficial femoral artery and/or proximal popliteal artery (above the knee);
  • Life expectancy >1 year in the Investigator's opinion;
  • Written informed consent.

Exclusion criteria

Given the observational nature of the study, no study-specific but only clinical exclusion criteria will apply:

  • Patient unwilling or unlikely to comply with FU schedule;
  • Administration of local or systemic thrombolytic therapy within 48 hours prior to the index procedure;
  • Known allergies or sensitivities to heparin, aspirin, other anticoagulant/antiplatelet therapies, and/or paclitaxel;
  • Additional planned cardiac or peripheral percutaneous or surgical intervention including CABG within 30 days following the study procedure;
  • 15 cm long inflow lesion (≥50% DS) or occlusion (any length) in the ipsilateral Iliac artery;
  • Failure to successfully treat < 15 cm long inflow lesion in the ipsilateral Iliac artery

Treatment and study plan

Primary outcomes

  1. rate of primary patency

    Time frame: within the first 12 months after percutaneous treatment

    Primary patency is defined as freedom from the combined endpoints of clinically-driven target lesion revascularization (TLR) and >50% restenosis in the treated lesion. Clinically driven TLR is defined as any re-intervention within the target lesion due to symptoms or drop of ABI of ≥20% or >0.15 when compared to post-procedure. Restenosis > 50% is defined by a peak systolic velocity ratio (PSVR) > 2.4.

Secondary outcomes

  1. composite of all Major Adverse Events (MAE)

    Time frame: within the first 24 months after percutaneous treatment

    evaluate the incidence of the composite of all Major Adverse Events (MAE) through 24 months i.e. the first occurrence of any of the following: death from any cause, major target limb amputation, thrombosis at the target lesion site

  2. incidence of Major Adverse Cardiac and Cerebrovascular event (MACCE)

    Time frame: within the first 24 months after percutaneous treatment

    to assess the incidence of Major Adverse Cardiac and Cerebrovascular event (MACCE) individual components through 24 months

  3. clinical improvement as assessed by Rutherford Class changes

    Time frame: within 6, 12 and 24 months vs baseline

    compare clinical improvement as assessed by Rutherford Class changes at 6, 12 and 24 months with respect to baseline

Other outcomes

  1. rate of instrumental restenosis

    Time frame: within the first 24 months after percutaneous treatment

    the rate of instrumental restenosis as determined by duplex ultrasound Peak Systolic Velocity Ratio (PSVR) ≤ 2.4 post-index procedure and the rate of instrumental restenosis as determined by duplex ultrasound Peak Systolic Velocity Ratio (PSVR) ≤2 and ≤3.5 at 12 months (6, and 24 if available) or at unscheduled visit, as evaluated by an independent core lab

  2. procedural success rate

    Time frame: at the end of percutaneous treatment

    rate of procedural success i.e. complete revascularization in the absence of peri-procedural complications

  3. walking capacity and quality of life

    Time frame: whithin 6, 12 and 24 months post-procedure vs. baseline

    walking capacity as assessed by walking impairment questionnaire (WIQ) and quality of life (EQ5D questionnaire) at 6, 12 and 24 months post-procedure vs. baseline

Sponsors and collaborators

Lead sponsor

Ettore Sansavini Health Science Foundation

Other

Registry information

Official study title

Safety and Efficacy of the Drug Eluting Balloon (DEB) for the Treatment of the Superficial Femoral Artery (SFA) Ischemic Vascular Disease in Symptomatic Patients Presenting With Long Lesions: a Pilot Study

Acronym: DEB-SFA-LONG

Important dates

Study start
2012
Primary completion
2015
Study completion
2016
First posted
Aug 7, 2012
Registry last updated
Oct 3, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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