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Completed

NCT Number: NCT02554266

Registry Investigating the Clinical Use and Safety of the Lutonix Drug Coated Balloon for Treatment of BTK Arteries

The study will enroll patients presenting with claudication, or critical limb ischemia (Rutherford Category 3- 5) and an angiographically significant (≥ 70%) native artery lesion appropriate for angioplasty that is below the knee. Subjects will be treated with the Lutonix Drug Coated Balloon (DCB) carrying the CE Mark per current IFU and followed clinically for a minimum of 2 years.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

LKH-Univ. Klinikum Graz, Graz, Austria

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About this study

Patients will be treated according to hospital routine with anticipated visits 30 days, 6 months, 12months and 24 months after the index procedure. Data on Rutherford grade, wound healing, patency of the target lesion, concomitant antiplatelet medication and Adverse Events will be collected.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or non-pregnant, non-breastfeeding female ≥18 years of age;
  • Rutherford Clinical Category 3-5;
  • Patient is willing to provide informed consent, and is willing to comply with the protocol-required follow up visits and recommended medication regimen;
  • Significant stenosis (≥70%) or occlusion of one or more native artery(s) below the tibial plateau and above the tibiotalar joint appropriate for angioplasty per operator visual assessment;
  • Lesion(s) can be treated with available Lutonix DCB device size matrix per current Instructions for Use (IFU); and
  • Target vessel(s) reconstitute(s) at or above the ankle with inline flow to at least one patent (<50% residual stenosis) inframalleolar outflow vessel (planned treatment below-the-ankle is not allowed).

NOTE: Outflow must be assessed AFTER pre-dilatation NOTE: More than one artery allowed, but each target vessel MUST demonstrate inline inframalleolar outflow.

Exclusion criteria

Patients will be excluded if ANY of the following conditions apply:

  • Patient is currently participating in an investigational drug or device study which has not yet reached its primary endpoint or was previously enrolled into this registry (i.e. Lutonix BTK registry);
  • Inability to take recommended medications as stated in the IFU or non-controllable allergy to contrast; or
  • Neurotrophic ulcer or heel pressure ulcer or ulcer potentially involving calcaneus (index limb).

Treatment and study plan

Lutonix 014 Drug Coated Balloon PTA Catheter

Device

Drug Coated Balloon PTA Catheter for Treatment of Below-the-Knee (BTK) Arteries

Primary outcomes

  1. Freedom from major adverse limb related events below the knee and of perioperative death.

    Time frame: 30-days

    Freedom from the composite of all-cause death, above-ankle amputation or major reintervention, i.e. new bypass graft, jump/interposition graft revision, or thrombectomy/thrombolysis, of the index limb involving a below-the-knee artery. All these events will be adjudicated by a Clinical Events Committee.

  2. Rate of Target Lesion Revascularization (TLR)

    Time frame: 6 months

    Defined as clinically-driven target lesion reintervention. All re-interventions at the target limb are captured and adjudicated by a Clinical Events Committee.

Secondary outcomes

  1. Primary patency of the target lesion

    Time frame: 6, 12 and 24 months

    Primary Patency of the target vessel is defined as freedom from total occlusion. Primary patency is assessed by the investigators.

  2. Freedom from clinically-driven Target Lesion Revascularization (TLR)

    Time frame: 12 and 24 months

    All events leading to re-interventions at the target limb will be adjudicated by a Clinical Events Committee.

  3. Rate of amputations above the ankle at the target limb

    Time frame: 1, 6, 12 and 24 months

    All events leading to amputations at the target limb will be adjudicated by a Clinical Events Committee.

  4. Rate of Target vessel reintervention (TVR)

    Time frame: 1, 6, 12 and 24 months

    All events leading to re-interventions at the target limb will be adjudicated by a Clinical Events Committee.

  5. Rate of unexpected device or drug-related adverse events

    Time frame: 1, 6, 12 and 24 months

    Unexpected device or drug-related adverse events are those events that are related to the device or drug, but are not listed in the potential adverse event section of the Instructions For Use.

  6. Rate of reintervention for treatment of thrombosis of the target vessel(s)

    Time frame: 1, 6, 12 and 24 months

    Arteries may occlude from thrombosis

  7. Rate of reintervention for embolization to its distal vasculature

    Time frame: 1, 6, 12 and 24 months

    Atherothrombotic debris may occlude the artery downstream and cause distal embolization.

  8. Rate of death

    Time frame: 1, 6, 12 and 24 months

    All events leading to a patient's death will be adjudicated by a Clinical Events Committee.

  9. Status of ischemic wounds at the target limb

    Time frame: 6 and 12 months

    Ischemic wounds and their status during the follow-up period will be captured.

  10. Rate of new or recurrent artery lesions at the target limb

    Time frame: 6 and 12 months

    Artery lesions are captured as Adverse Events.

  11. Change in Rutherford Class at the target limb

    Time frame: 6 and 12 months

    The Rutherford class is captured from Baseline to study end.

Sponsors and collaborators

Lead sponsor

C. R. Bard

Industry

Registry information

Official study title

A Prospective, Multicenter, Single Arm Real-World Registry Investigating the Clinical Use and Safety of the Lutonix Drug Coated Balloon Percutaneous Transluminal Angioplasty (PTA) Catheter for Treatment of Below-the-Knee (BTK) Arteries

Acronym: BTKRegistry

Important dates

Study start
2015
Primary completion
2018
Study completion
2019
First posted
Sep 18, 2015
Registry last updated
Jan 13, 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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