DANCE Partner: Inflammatory Biomarker Analysis by Femoropopliteal Revascularization Method and Treatment Outcomes
NCT ID: NCT02469532
Last Updated: 2018-03-08
Study Results
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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COMPLETED
31 participants
OBSERVATIONAL
2015-05-31
2018-01-31
Brief Summary
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Detailed Description
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1. To observe the femoropopliteal revascularization outcomes post-angioplasty and/or atherectomy and to observe potential correlation between patency outcomes and the levels of MCP-1, C-reactive protein and MMP-9 from baseline to 24 hours and 30 days post-procedure.
2. To provide a comparator dataset to the investigational DANCE trial, which has the same enrollment criteria as this observational trial but includes the investigational use of a local drug therapy to limit inflammation caused by mechanical revascularization.
Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Study Groups
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Atherectomy
Up to 20 atherectomy procedures at up to 5 sites in the United States. Change in inflammatory biomarkers (hs-CRP, MCP-1 and MMP-9) from baseline to 24 hours post-procedure and 30-days post-revascularization procedure.
This registry will also observe outcomes (target lesion revascularization rates, 6 and 12 month duplex ultrasound-detected binary restenosis with PSVR\>2.4) post-atherectomy revascularization procedures.
Atherectomy System
Device: Orbital or Directional or Laser Atherectomy Systems Atherectomy selection is driven by preference of the operator
Angioplasty
Up to 20 angioplasty procedures at up to 5 sites in the United States. Change in inflammatory biomarkers (hs-CRP, MCP-1 and MMP-9) from baseline to 24 hours post-procedure and 30-days post-revascularization procedure.
This registry will also observe outcomes (target lesion revascularization rates, 6 and 12 month duplex ultrasound-detected binary restenosis with PSVR\>2.4) post-angioplasty revascularization procedures.
Balloon Angioplasty
Device: Balloon Angioplasty Selection is driven by preference of the operator
Interventions
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Balloon Angioplasty
Device: Balloon Angioplasty Selection is driven by preference of the operator
Atherectomy System
Device: Orbital or Directional or Laser Atherectomy Systems Atherectomy selection is driven by preference of the operator
Eligibility Criteria
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Inclusion Criteria
* Male or non-pregnant female ≥18 years of age
* Rutherford Clinical Category 2-4
* Clinical diagnosis of PAD requiring revascularization, secondary to atherosclerosis affecting a lower limb.
* Patient is willing to provide informed consent and comply with the required follow up visits Procedural Criteria
* De novo or nonstented restenotic lesions \>90 days from prior angioplasty and/or atherectomy, at least 3 cm from any previously placed stent or vascular surgery site
* \>70% diameter stenosis up to 15 cm in total length (with no greater than 3 cm length of contiguous intervening normal artery) in the superficial femoral and/or popliteal artery (between the profunda and tibioperoneal trunk)
* Reference vessel diameter ≥3mm and ≤ 8mm
* Successful wire crossing of lesion
* A patent artery proximal to the index lesion free from significant stenosis (significant stenosis is defined as \>50% in iliac or \>30% stenosis in common femoral artery) as confirmed by angiography (treatment of target lesion after successful treatment of iliac or common femoral artery lesions is acceptable)
Exclusion Criteria
* Pregnant, nursing or planning on becoming pregnant in \< 2years
* Life expectancy of \<2 years
* Known active malignancy
* History of solid organ transplantation
* Patient actively participating in another investigational device or drug study
* History of hemorrhagic stroke within 3 months
* Previous or planned surgical or interventional procedure within 30 days of index procedure
* Chronic renal insufficiency with eGFR \<29
* Prior bypass surgery, drug-coated balloon or stenting of the target lesion
* Contra-indication or known hypersensitivity to contrast media or physician prescribed antiplatelet regimen as applicable
* Systemic fungal infection
* Anticipated use of IIb/IIIa inhibitor prior to index lesion treatment
* Acute or sub-acute thrombus, acute vessel occlusion or sudden symptom onset
* Acute limb ischemia
* Inability to ambulate (e.g. from prior ipsilateral or contralateral amputation)
* Patient is receiving steroids already, however locally acting inhaled steroids for asthma treatment do not exclude patients from the trial Procedural Criteria
* Lesions extending into the trifurcation or above the profunda
* Heavy eccentric or moderate circumferential calcification at index lesion
* Lesion length is \>15 cm as measured from proximal normal vessel to distal normal vessel, or there is no normal proximal arterial segment in which duplex ultrasound velocity ratios can be measured
* Inadequate distal outflow defined as absence of at least one patent tibial artery (no lesion \>50% stenosis) with flow into the foot
* Use of adjunctive therapies other than angioplasty, atherectomy (mechanical or laser) or bare metal stenting (i.e. scoring/cutting balloon, drug-eluting stent, drug-coated balloon, cryoplasty, etc.)
18 Years
ALL
No
Sponsors
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Mercator MedSystems, Inc.
INDUSTRY
Responsible Party
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Principal Investigators
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Jason A Yoho, MD
Role: PRINCIPAL_INVESTIGATOR
Mission Research, New Braunfels, TX
Locations
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Arkansas Heart Hospital
Little Rock, Arkansas, United States
Endovascular Technologies (Willis Knighton Medical Center)
Bossier City, Louisiana, United States
Hattiesburg Clinic
Hattiesburg, Mississippi, United States
Rex Hospital
Raleigh, North Carolina, United States
Mission Research Institute
New Braunfels, Texas, United States
Palestine Regional Medical Center
Palestine, Texas, United States
Countries
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Other Identifiers
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CIP0181
Identifier Type: -
Identifier Source: org_study_id
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