Atherectomy Followed by a Drug Coated Balloon to Treat Peripheral Arterial Disease

NCT ID: NCT01366482

Last Updated: 2019-05-29

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

COMPLETED

Clinical Phase

NA

Total Enrollment

121 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2014-05-31

Brief Summary

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The DEFINITIVE AR study is a prospective, multi-center, randomized pilot study evaluating the use of either the TurboHawk™ or SilverHawk® plaque excision systems followed by treatment with the Cotavance™ drug-eluting balloon catheter versus the Cotavance balloon catheter alone in patients with peripheral arterial disease.

Detailed Description

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Conditions

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Peripheral Arterial Disease Claudication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Drug-eluting balloon

Subjects are randomized to have a lesion treated with a paclitaxel-coated balloon Intervention: Cotavance Drug-Eluting Balloon

Group Type EXPERIMENTAL

Cotavance Drug-Eluting Balloon

Intervention Type DEVICE

Treatment with a paclitaxel-coated angioplasty balloon (without preceding plaque excision)

Plaque excision + drug-eluting balloon

Subjects are randomized to have a lesion treated with plaque excision (PE) followed by treatment with a paclitaxel-coated balloon Intervention: SilverHawk/TurboHawk + Cotavance Drug-Eluting Balloon

Group Type EXPERIMENTAL

TurboHawk/SilverHawk + Cotavance Drug-Eluting Balloon

Intervention Type DEVICE

Plaque excision with a SilverHawk or TurboHawk plaque excision device followed by treatment with a paclitaxel-coated angioplasty balloon

Severely Ca++ Group

Subjects with a severely calcified lesion will be assigned to a non-randomized arm and treated with plaque excision followed by a drug-eluting balloon Intervention: SilverHawk/TurboHawk + Cotavance Drug-Eluting Balloon

Group Type EXPERIMENTAL

TurboHawk/SilverHawk + Cotavance Drug-Eluting Balloon

Intervention Type DEVICE

Plaque excision followed by treatment with a paclitaxel-coated angioplasty balloon

Interventions

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Cotavance Drug-Eluting Balloon

Treatment with a paclitaxel-coated angioplasty balloon (without preceding plaque excision)

Intervention Type DEVICE

TurboHawk/SilverHawk + Cotavance Drug-Eluting Balloon

Plaque excision with a SilverHawk or TurboHawk plaque excision device followed by treatment with a paclitaxel-coated angioplasty balloon

Intervention Type DEVICE

TurboHawk/SilverHawk + Cotavance Drug-Eluting Balloon

Plaque excision followed by treatment with a paclitaxel-coated angioplasty balloon

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Rutherford Clinical Category 2-4
* At least 18 years of age
* Is able and willing to provide written informed consent prior to study specific procedures

Exclusion Criteria

* Has a life expectancy of less than 24 months
* Is pregnant, of childbearing potential not taking adequate contraceptive measures, or nursing
* Has one or more of the contraindications listed in the SilverHawk/ TurboHawk or Cotavance IFUs
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MEDRAD, Inc.

INDUSTRY

Sponsor Role collaborator

Medtronic Endovascular

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Professor Thomas Zeller

Role: PRINCIPAL_INVESTIGATOR

Herz-Zentrum Bad Krozingen Germany

Professor Gunnar Tepe

Role: PRINCIPAL_INVESTIGATOR

Klinikum Rosenheim Germany

Locations

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Imelda Hospital

Bonheiden, , Belgium

Site Status

Countries

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Belgium

References

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Zeller T, Langhoff R, Rocha-Singh KJ, Jaff MR, Blessing E, Amann-Vesti B, Krzanowski M, Peeters P, Scheinert D, Torsello G, Sixt S, Tepe G; DEFINITIVE AR Investigators. Directional Atherectomy Followed by a Paclitaxel-Coated Balloon to Inhibit Restenosis and Maintain Vessel Patency: Twelve-Month Results of the DEFINITIVE AR Study. Circ Cardiovasc Interv. 2017 Sep;10(9):e004848. doi: 10.1161/CIRCINTERVENTIONS.116.004848.

Reference Type DERIVED
PMID: 28916599 (View on PubMed)

Other Identifiers

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P-4941

Identifier Type: -

Identifier Source: org_study_id

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