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Completed

NCT Number: NCT01858428

Pivotal Trial of a Novel Paclitaxel-Coated Percutaneous Angioplasty Balloon

This study is designed to evaluate the safety and efficacy of a Paclitaxel-coated percutaneous transluminal angioplasty (PTA) Catheter in the treatment of patients with peripheral arterial disease.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

LKH Univ. - Klinikum Graz, Graz, Austria

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About this study

The ILLUMENATE Pivotal study is a prospective, randomized, multi-center, single-blind study which will include up to 360 subjects in approximately forty-five (45) sites across the United States to evaluate the CVI Paclitaxel-coated PTA Catheter compared to the bare percutaneous transluminal angioplasty balloon catheter (bare balloon catheter) for the treatment of de-novo or post-PTA occluded/stenotic or reoccluded/restenotic (except for in-stent) SFA and/or popliteal arteries.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Subjects with symptomatic leg ischemia, requiring treatment of the Superficial Femoral Artery (SFA) or popliteal artery.

Exclusion criteria

  • Known intolerance to study medications, paclitaxel or contrast agents that in the opinion of the investigator cannot be adequately pre-treated

Treatment and study plan

Cardiovascular Ingenuity (CVI) Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon Catheter

Device

The CVI Paclitaxel-coated PTA Catheter is a commercially available PTA balloon catheter (EverCross™ 0.035 PTA Balloon Catheter, Covidien, Plymouth, MN 55441, USA) coated with paclitaxel using a proprietary carrier.

EverCross Percutaneous Transluminal Balloon Catheter

Device

The control device is a commercially available PTA balloon catheter (EverCross™ 0.035 PTA Balloon Catheter, Covidien, Plymouth, MN 55441, USA).

Primary outcomes

  1. Patency at 12 Month Post-procedure

    Time frame: 12 months

    Patency is defined as the absence of target lesion restenosis as determined by duplex ultrasound (Peak Systolic Velocity Ratio (PSVR) ≤ 2.5) and freedom from clinically-driven target lesion revascularization.

  2. Freedom From Device and Procedure-related Death and Target Limb Major Amputation and Clinically-driven Target Lesion Revascularization

    Time frame: 30 Days and 12 months

    Freedom from device and procedure-related death through 30 days post-procedure and freedom from target limb major amputation and clinically-driven target lesion revascularization through 12 months post-procedure.

Secondary outcomes

  1. Major Adverse Event (MAE) Rate in the Hospital and at 1, 6, 12, 24, 36, 48 and 60 Months Post-procedure

    Time frame: 1, 6, 12, 24, 36, 48 and 60 months

    Major adverse event (MAE) rate in the hospital and at 1, 6, 12, 24, 36, 48 and 60 months post-procedure, defined as a composite rate of cardiovascular death, target limb major amputation and clinically-driven target lesion revascularization (TLR).

  2. Rate of Vascular Access and Bleeding Complications

    Time frame: in-hospital and 1, 6, 12 and 24 months

    Rate of vascular access and bleeding complications in the hospital and at 1, 6, 12 and 24 months.

  3. Rate of Clinically-driven Target Lesion Revascularization

    Time frame: 6, 12, 24, 36, 48 and 60 months

  4. Rate of Target Lesion Revascularization

    Time frame: 6, 12, 24, 36, 48 and 60 months

  5. Rate of Target Limb Major Amputation

    Time frame: 1, 6, 12, 24, 36, 48 and 60 months

  6. Mortality Rate

    Time frame: 6, 12, 24, 36, 48 and 60 months

  7. Rate of Occurrence of Arterial Thrombosis of the Treated Segment

    Time frame: 1, 6, 12, 24, 36, 48 and 60 months

  8. Patency Rate and Freedom From Clinically-driven TLR

    Time frame: 6, 24 and 36 months

    Patency rate defined as the absence of target lesion restenosis as determined by duplex ultrasound (PSVR ≤ 2.5) and freedom from clinically-driven TLR at 6, 24 and 36 months

  9. Lesion Success of Achieving a Final In-lesion Residual Diameter Stenosis of ≤50%

    Time frame: procedure, Day 0

    Lesion success, defined as achievement of a final in-lesion residual diameter stenosis of ≤50% (as determined by the angiographic core lab), using any device after wire passage through the lesion.

  10. Technical Success of Achieving a Final In-lesion Residual Diameter Stenosis of ≤50%

    Time frame: procedure, Day 0

    Technical success, defined as achievement of a final in-lesion residual diameter stenosis of ≤50% (as determined by the angiographic core lab), using the CVI Paclitaxel-coated PTA Catheter or bare balloon catheter without a device malfunction after wire passage through the lesion.

  11. Per Subject Clinical Success Achieving no Major Adverse Events During the Procedure

    Time frame: procedure, Day 0

    Clinical success (per subject) defined as technical success without the occurrence of major adverse events during the procedure.

  12. Per Subject Procedural Success Achieving no Major Adverse Events During the Procedure

    Time frame: procedure, Day 0

    Procedural success (per subject) defined as lesion success without the occurrence of major adverse events during the procedure.

  13. Change in Ankle-brachial Index (ABI) From Pre-procedure

    Time frame: 6, 12, 24 and 36 months

    Subjects who had reinterventions were included in ABI analyses so some improvements may be reflective of revascularizations during the follow-up period.

Sponsors and collaborators

Lead sponsor

Spectranetics Corporation

Industry

Registry information

Official study title

ILLUMENATE Pivotal: ProspectIve, Randomized, SingLe-Blind, U.S. MuLti-Center Study to EvalUate TreatMent of Obstructive SupErficial Femoral Artery or Popliteal LesioNs With A Novel PacliTaxel-CoatEd Percutaneous Angioplasty Balloon

Acronym: ILLUMENATE

Important dates

Study start
2013
Primary completion
2016
Study completion
2018
First posted
May 21, 2013
Registry last updated
Aug 24, 2020

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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