Drug Coated Balloons for Prevention of Restenosis

NCT ID: NCT00696956

Last Updated: 2008-06-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

114 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2011-04-30

Brief Summary

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The study will be performed as a randomized, double blind trial (in respect of the primary end point) with treatment of the stenotic lesion using uncoated PTA-catheters as control group. 114 patients will be included in the trial at about 5 study centers. Follow-up includes control angiography after 6 and 18 months and clinical follow-up examinations up to 18 months. Primary objective:

Efficacy of paclitaxel coated PTA balloons in inhibiting restenosis of below the knee arteries (late lumen loss)

Secondary objective:

Various angiographic and clinical efficacy measures, safety and tolerance of pacli-taxel coated PTA balloons in inhibiting restenosis of below the knee arteries Descriptive statistics, comparison by t-test, chi-square test for binary events 10.1 Descriptive statistics As far as applicable descriptive statistics will be applied to data and will be referring to individual changes versus baseline (predilatation or immediately postdilatation). The groups will be compared to each other testing the statistical significance of differences (p ≤ 0.05). Con-tinuous data will be expressed as mean ± standard deviation.

Categorical variables will be compared using the chi-squared test, and continuous variables will be compared using Student's t test or ANOVA analysis.

In addition to the assessment of the primary endpoint and the secondary endpoints a multi-variate analysis to investigate the influence of risk factors on the interventional outcome (interventional success, early restenosis/occlusion, LLL, stent integrity) and clinical outcomes will be performed. For this analysis the following factors will be considered: age, diabetes, neurological status (only Rutherford 5), lesion length, grade of dissection and calcification, reststenosis, number of run-off vessels, stent administration in the index lesion(s).

10.2 Estimated number of patients The primary endpoint of the study is late lumen loss (LLL) at 6 months evaluated by quantitative angiography. Because no data according this endpoint are available for both the control group and the group which will be treated with the paclitaxel coated balloon an assumption according the LLL at 6 months was made according the expectations of the principle investigator. An estimate for LLL as % of MLD in the control group is 50% and in the drug coated balloon group 30 %. The standard deviation is calculated to be 30% of LLL. A sample size of 37 patients in each group will allow the detection of a statistically significant difference (p\<0.05) with 80% power. Based on the "Below study" which enrolled patients with comparable arterial lesions in Tuebingen and the data of the Basil study, it is estimated that 35% of the patients who will be enrolled in the study will not be available for follow-up investigations in order to calculate the MLD.

In order to meet a statistical endpoint a total of 114 patients will be enrolled.

Detailed Description

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Conditions

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Atherosclerosis Restenosis Limb Ishemia

Keywords

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local drug delivery balloon angioplasty safety and tolerance of paclitaxel coated PTA balloons in inhibiting restenosis of below the knee arteries Efficacy of paclitaxel coated PTA balloons in inhibiting restenosis of below the knee arteries (late lumen loss)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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A

Normal balloon for balloon angioplasty (Submarine, Ampherion Deep by Invatec)

Group Type PLACEBO_COMPARATOR

Balloon angioplasty (uncoated conventional balloon)

Intervention Type DEVICE

endovascular therapy

2

Paclitaxel coated balloon (same balloon like in the control group, but coated with 3 µg/mm2 Paclitaxel)

Group Type ACTIVE_COMPARATOR

Balloon angioplasty (conventional but coated with 3 µg/mm2 paclitaxel)

Intervention Type DEVICE

endovascular therapy

Interventions

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Balloon angioplasty (uncoated conventional balloon)

endovascular therapy

Intervention Type DEVICE

Balloon angioplasty (conventional but coated with 3 µg/mm2 paclitaxel)

endovascular therapy

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age between 18 and 95 years,
* peripheral vascular disease, Rutherford stage 3-5, diameter stenosis ≥ 70 %, ≥ 15 -150 mm length, up to 2 vessels to be treated

Exclusion Criteria

* Disease associated with life-expectancy less than 18 months
* Acute thrombus or aneurysm in the index limb/ vessel
* Doubts in the willingness or capability of the patient to allow follow up examination
Minimum Eligible Age

18 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Tuebingen

OTHER

Sponsor Role lead

Responsible Party

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Universtiy of Tuebingen

Locations

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Herzzentrum Bad Krozingen

Bad Krozingen, Baden-Wurttemberg, Germany

Site Status RECRUITING

University of Tuebingen

Tübingen, Baden-Wurttemberg, Germany

Site Status RECRUITING

Charite Berlin

Berlin, B, Germany

Site Status ACTIVE_NOT_RECRUITING

Jüdisches Krankenhaus Berlin

Berlin, B, Germany

Site Status ACTIVE_NOT_RECRUITING

University of Rostock

Rostock, MP, Germany

Site Status ACTIVE_NOT_RECRUITING

Countries

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Germany

Central Contacts

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Gunnar Tepe, MD

Role: CONTACT

Phone: 49-707-129

Email: [email protected]

Facility Contacts

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Thomas Zeller, MD

Role: primary

Gunnar Tepe, MD

Role: primary

References

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Tepe G, Zeller T, Albrecht T, Heller S, Schwarzwalder U, Beregi JP, Claussen CD, Oldenburg A, Scheller B, Speck U. Local delivery of paclitaxel to inhibit restenosis during angioplasty of the leg. N Engl J Med. 2008 Feb 14;358(7):689-99. doi: 10.1056/NEJMoa0706356.

Reference Type BACKGROUND
PMID: 18272892 (View on PubMed)

Other Identifiers

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Pac-3

Identifier Type: -

Identifier Source: secondary_id

Pac-3

Identifier Type: -

Identifier Source: org_study_id