Sirolimus Coated Balloon Versus Standard Balloon for SFA and Popliteal Artery Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21+
SponsorConcept Medical Inc.

About this trial

This study aims to conduct a randomized, double blind, randomised controlled multicentre trial of sirolimus drug coated balloon versus standard percutaneous transluminal angioplasty for the treatment of superficial and popliteal arterial disease.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 21 years or minimum age

Rutherford class 3 to 6 in the target limb

Single or sequential de novo or re-stenotic lesions (stenosis of > 50% or occlusions) from 2 to 20cm in the femoropopliteal arteries. Lesion is considered as one lesion if there is maximum of 30mm gap between lesions at discretion of investigator. Femoropopliteal arteries are superficial femoral artery, popliteal artery P1 and P2

Inflow free from flow limiting lesions (<50% stenosis) confirmed by duplex or angiography. Subjects with flow limiting inflow lesions (>50% stenosis) can be included if lesion had been treated successfully (<30% residual stenosis) before or during the index procedure.

Disqualifiers

Comorbid conditions limiting life expectancy ≤ 1 year

Subject is currently participating in another investigational drug or device study that has not reached first primary endpoint yet

Subject is pregnant or planning to become pregnant during the course of the study

Heel gangrene

Trial design

Design model

Parallel

Treatments tested in this trial

  • MagicTouch PTA sirolimus drug coated balloon (DCB)

    Device

    For participants randomised to MagicTouch PTA sirolimus DCB, following successful plain balloon angioplasty of the arterial lesion, (defined as \<30% residual stenosis after treatment at rated burst pressure of the angioplasty balloon), MagicTouch PTA sirolimus coated balloon will be applied at the lesion after appropriate sizing using the diameter of the plain balloon angioplasty.

  • POBA standard balloon

    Device

    For participants randomised to the standard balloon angioplasty group, a placebo standard balloon which is identical to the SCB will also be applied at the lesion after appropriate sizing using the diameter of the plain balloon angioplasty.

Treatment groups

279 Participants
are divided into 2 treatment groups
Group A: MagicTouch PTA sirolimus drug coated balloon (DCB)Experimental treatment 1 intervention
Group B: Placebo balloon angioplastyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Primary patency at 6 months

Primary patency rate at 6 months defined as proportion of subjects with duplex ultrasonography-derived peak systolic velocity ratio of \< 2.4 (in absence of target lesion revascularisation)

Time frame
6 Months

Secondary outcomes

1

Device and procedure related death

Proportion of device and procedure related death

Time frame
1, 6, 12 and 24 Months
2

All-cause death

Proportion of subjects died by any cause

Time frame
1, 6, 12 and 24 Months
3

Major target limb amputation

Proportion of major target limb amputation

Time frame
1, 6, 12 and 24 Months
4

Target vessel thrombosis

Proportion of subjects with target vessel thrombosis

Time frame
From day 0 to day 14

Other outcomes

1

Improvement of quality of life

Mean change from baseline in EuroQol-5Dimensions (EQ-5D) health-related quality of life questionnaire score at 12 and 24 months. The score ranges from 0 to 1, and a higher score means a better outcome

Time frame
12 and 24 months
2

Walking impairment

Mean change from baseline in walking impairment questionnaire score at 12 and 24 months. The score ranges form 0% t 100%, and a higher score means a better outcome

Time frame
12 and 24 months

Sponsors and contacts

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