Trial Outcomes & Findings for Intima Versus Adventitia Drug Delivery to Elucidate Mechanisms of Restenosis: Magnetic Resonance Imaging (NCT NCT02807779)

NCT ID: NCT02807779

Last Updated: 2025-07-17

Results Overview

The change in percent wall volume (PWV) of the treated segment between the postoperative and 12 month time points as measured by MRI

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

33 participants

Primary outcome timeframe

From Post-Operative Day One to 12 Months

Results posted on

2025-07-17

Participant Flow

Of 33 enrolled participants, 20 met inclusion criteria and were randomized to treatment.

Participant milestones

Participant milestones
Measure
Dexamethasone
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Overall Study
STARTED
10
9
1
Overall Study
COMPLETED
6
8
0
Overall Study
NOT COMPLETED
4
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Dexamethasone
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Overall Study
Lost to Follow-up
1
0
0
Overall Study
Physician Decision
2
0
1
Overall Study
Death
1
1
0

Baseline Characteristics

Intima Versus Adventitia Drug Delivery to Elucidate Mechanisms of Restenosis: Magnetic Resonance Imaging

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dexamethasone
n=10 Participants
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=9 Participants
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
n=1 Participants
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
67 years
STANDARD_DEVIATION 7.5 • n=5 Participants
67.6 years
STANDARD_DEVIATION 9.9 • n=7 Participants
76 years
STANDARD_DEVIATION 0 • n=5 Participants
67.7 years
STANDARD_DEVIATION 8.5 • n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
8 Participants
n=7 Participants
1 Participants
n=5 Participants
19 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
9 Participants
n=7 Participants
1 Participants
n=5 Participants
20 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
6 Participants
n=7 Participants
1 Participants
n=5 Participants
16 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Hypertension
10 Participants
n=5 Participants
8 Participants
n=7 Participants
1 Participants
n=5 Participants
19 Participants
n=4 Participants
Hyperlipidemia
9 Participants
n=5 Participants
6 Participants
n=7 Participants
0 Participants
n=5 Participants
15 Participants
n=4 Participants
Diabetes mellitus
5 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
8 Participants
n=4 Participants
Coronary artery disease
6 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
9 Participants
n=4 Participants
Rutherford category
Rutherford category 1
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Rutherford category
Rutherford category 2
2 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
Rutherford category
Rutherford category 3
7 Participants
n=5 Participants
8 Participants
n=7 Participants
1 Participants
n=5 Participants
16 Participants
n=4 Participants
Rutherford category
Rutherford category 4
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Rutherford category
Rutherford category 5
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
White blood cell count
8.6 10^9 cells/L
STANDARD_DEVIATION 1.8 • n=5 Participants
7.9 10^9 cells/L
STANDARD_DEVIATION 2.2 • n=7 Participants
8 10^9 cells/L
STANDARD_DEVIATION 0 • n=5 Participants
8.2 10^9 cells/L
STANDARD_DEVIATION 1.9 • n=4 Participants
Hemoglobin
12.3 g/dL
STANDARD_DEVIATION 1.6 • n=5 Participants
12.9 g/dL
STANDARD_DEVIATION 1.1 • n=7 Participants
14.6 g/dL
STANDARD_DEVIATION 0 • n=5 Participants
12.7 g/dL
STANDARD_DEVIATION 1.4 • n=4 Participants
Hematocrit
37.5 percentage of hematocrit
STANDARD_DEVIATION 4.8 • n=5 Participants
38.8 percentage of hematocrit
STANDARD_DEVIATION 3.2 • n=7 Participants
43.2 percentage of hematocrit
STANDARD_DEVIATION 0 • n=5 Participants
38.4 percentage of hematocrit
STANDARD_DEVIATION 4.1 • n=4 Participants
Platelet count
225.1 10^9 platelets/L
STANDARD_DEVIATION 62.3 • n=5 Participants
244.5 10^9 platelets/L
STANDARD_DEVIATION 62.9 • n=7 Participants
157 10^9 platelets/L
STANDARD_DEVIATION 0 • n=5 Participants
229.9 10^9 platelets/L
STANDARD_DEVIATION 62.3 • n=4 Participants
C-Reactive Protein (CRP)
3.5 mg/L
n=5 Participants
2.0 mg/L
n=7 Participants
.33 mg/L
n=5 Participants
2.1 mg/L
n=4 Participants
Monocyte Chemotactic Protein 1 (MCP-1)
72.6 pg/mL
STANDARD_DEVIATION 21.5 • n=5 Participants
77.1 pg/mL
STANDARD_DEVIATION 19.6 • n=7 Participants
62.0 pg/mL
STANDARD_DEVIATION 0 • n=5 Participants
73.9 pg/mL
STANDARD_DEVIATION 19.8 • n=4 Participants
Interleukin 1 Beta (IL-1beta)
0.19 pg/mL
n=5 Participants
0.17 pg/mL
n=7 Participants
0 pg/mL
n=5 Participants
0.19 pg/mL
n=4 Participants

PRIMARY outcome

Timeframe: From Post-Operative Day One to 12 Months

Population: No data was collected for the Plain Balloon Angioplasty group

The change in percent wall volume (PWV) of the treated segment between the postoperative and 12 month time points as measured by MRI

Outcome measures

Outcome measures
Measure
Dexamethasone
n=5 Participants
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=4 Participants
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Change in Percent Wall Volume (PWV)
12.3 Percent Wall Volume
Standard Deviation 11.6
3.9 Percent Wall Volume
Standard Deviation 4.3

SECONDARY outcome

Timeframe: From Post-Operative Day One to 12 Months

Population: No data was collected for the Plain Balloon Angioplasty group

The change in wall volume (WV) without change in total vessel volume (TVV) of the treated segment between the postoperative and 12 month time points as measured by MRI

Outcome measures

Outcome measures
Measure
Dexamethasone
n=5 Participants
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=4 Participants
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Change in Wall Volume (WV) Without a Change in Total Vessel Volume (TVV)
28.7 mm*3
Standard Deviation 78.5
4.5 mm*3
Standard Deviation 66.6

SECONDARY outcome

Timeframe: From Post-Operative Day One to 12 Months

Population: No data was collected for the Plain Balloon Angioplasty group

The serum concentration of monocyte chemoattractant protein-1 (MCP-1) between postprocedure day 1 and 12 months postprocedure. Reported as the area under the curve (AUC) of the MCP-1 concentration (postprocedure day 1, 1 month and 12 months)

Outcome measures

Outcome measures
Measure
Dexamethasone
n=6 Participants
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=4 Participants
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Change in Perioperative Inflammatory Profile (MCP-1)
27933 pg*d/mL
Standard Deviation 3267
277745 pg*d/mL
Standard Deviation 4000

SECONDARY outcome

Timeframe: From Post-Operative Day One to 12 Months

Population: No data was collected for the Plain Balloon Angioplasty group

The serum concentration of C-reactive protein (CRP) between postprocedure day 1 and 12 months postprocedure. Reported as the area under the curve (AUC) of the CRP concentration (postprocedure day 1, 1 month and 12 months).

Outcome measures

Outcome measures
Measure
Dexamethasone
n=6 Participants
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=4 Participants
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Change in Perioperative Inflammatory Profile (CRP)
1721 mg*d/L
Standard Deviation 1171
1863 mg*d/L
Standard Deviation 1475

SECONDARY outcome

Timeframe: From Post-Operative Day One to 12 Months

Population: No subject had measurable serum IL-1beta at the 12month timepoint

The serum concentration of interleukin-1beta (IL-1beta) between postprocedure day 1 and 12 months postprocedure. Reported as the area under the curve (AUC) of the IL-1beta concentration (postprocedure day 1, 1 month and 12 months).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From 1 Month to 6 Months

Population: No data was collected for the Plain Balloon Angioplasty group

The change in adventitial transfer constant (Ktrans) of the treated segment between the postoperative and 6 month time points as measured by dynamic contrast enhanced MRI

Outcome measures

Outcome measures
Measure
Dexamethasone
n=6 Participants
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=4 Participants
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Change in Transfer Constant (Ktrans)
-0.0002 min^-1
Standard Deviation 0.003
-0.0067 min^-1
Standard Deviation 0.006

SECONDARY outcome

Timeframe: From Post-Operative Day One to 12 Months

Population: No data was collected for the Plain Balloon Angioplasty group

The change in lumen volume (LV) relative to total vessel volume (TVV) of the treated segment between the postoperative and 12 month time points as measured by MRI

Outcome measures

Outcome measures
Measure
Dexamethasone
n=5 Participants
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=4 Participants
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Change in Lumen Volume (LV) Relative to Total Vessel Volume (TVV)
-12.3 mm*3
Standard Deviation 11.6
-3.88 mm*3
Standard Deviation 4.28

SECONDARY outcome

Timeframe: From Post-Operative Day One to 12 Months

Percentage of subjects with clinically significant restenosis that undergo reintervention of greater than or equal to 75% of the treated segment by the 12 month timepoint.

Outcome measures

Outcome measures
Measure
Dexamethasone
n=10 Participants
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=9 Participants
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
n=1 Participants
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Percentage of Subjects With Clinically Significant Restenosis That Undergo Reintervention of Greater Than or Equal to 75% of the Treated Segment
4 Participants
4 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: From Post-Operative Day One to 36 Months

Participant monitoring for clinical adverse events

Outcome measures

Outcome data not reported

Adverse Events

Dexamethasone

Serious events: 7 serious events
Other events: 1 other events
Deaths: 1 deaths

Drug-Coated Balloon

Serious events: 7 serious events
Other events: 1 other events
Deaths: 1 deaths

Plain Balloon Angioplasty

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dexamethasone
n=10 participants at risk
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=9 participants at risk
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
n=1 participants at risk
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Cardiac disorders
Death
10.0%
1/10 • Number of events 1 • 36 months
Adverse Event data collection for 36 months after index procedure
11.1%
1/9 • Number of events 1 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/1 • 36 months
Adverse Event data collection for 36 months after index procedure
Vascular disorders
Reintervention requiring hospitalization
50.0%
5/10 • Number of events 10 • 36 months
Adverse Event data collection for 36 months after index procedure
66.7%
6/9 • Number of events 7 • 36 months
Adverse Event data collection for 36 months after index procedure
100.0%
1/1 • Number of events 2 • 36 months
Adverse Event data collection for 36 months after index procedure
Respiratory, thoracic and mediastinal disorders
COVID pneumonia requiring hospitalization
10.0%
1/10 • Number of events 1 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/9 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/1 • 36 months
Adverse Event data collection for 36 months after index procedure
Cardiac disorders
Acute heart failure requiring admission
10.0%
1/10 • Number of events 1 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/9 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/1 • 36 months
Adverse Event data collection for 36 months after index procedure
Vascular disorders
Arterial access site pseudoaneurysm requiring operation
0.00%
0/10 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/9 • 36 months
Adverse Event data collection for 36 months after index procedure
100.0%
1/1 • Number of events 1 • 36 months
Adverse Event data collection for 36 months after index procedure
Cardiac disorders
Unstable angina requiring coronary revascularization
10.0%
1/10 • Number of events 1 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/9 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/1 • 36 months
Adverse Event data collection for 36 months after index procedure

Other adverse events

Other adverse events
Measure
Dexamethasone
n=10 participants at risk
Participants received dexamethasone infusion to the adventitia of the treated artery (1.6mg per cm of artery) following plain-old-balloon-angioplasty (POBA). Dexamethasone infusion: Dexamethasone infusion to the artery adventitia (1.6mg per cm of artery) following plain balloon angioplasty
Drug-Coated Balloon
n=9 participants at risk
Participants received additional angioplasty with a paclitaxel drug-coated balloon (DCB) of the treated artery following plain-old-balloon-angioplasty (POBA). Drug-coated balloon: Angioplasty with a paclitaxel drug-coated balloon following plain balloon angioplasty
Plain Balloon Angioplasty
n=1 participants at risk
Participants received plain-old-ballon-angioplasty (POBA) only. Plain balloon angioplasty: Participants will receive plain balloon angioplasty only
Cardiac disorders
Pacemaker placement
10.0%
1/10 • Number of events 1 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/9 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/1 • 36 months
Adverse Event data collection for 36 months after index procedure
Renal and urinary disorders
Urinary tract infection
0.00%
0/10 • 36 months
Adverse Event data collection for 36 months after index procedure
11.1%
1/9 • 36 months
Adverse Event data collection for 36 months after index procedure
0.00%
0/1 • 36 months
Adverse Event data collection for 36 months after index procedure

Additional Information

Warren Gasper, MD

University of California, San Francisco

Phone: 415-353-4366

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place