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The Jetstream G3™ Calcium Study

Primary Purpose

Peripheral Arterial Disease

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Jetstream Atherectomy System
Sponsored by
Boston Scientific Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peripheral Arterial Disease focused on measuring PAD, Peripheral Arterial Disease, Calcium, Atherectomy, Jetstream

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. The patient is ≥ 18 years of age.
  2. Patient has claudication determined to be due to femoropopliteal lesion(s) requiring revascularization.
  3. The target lesion(s) is/are located in the common femoral, superficial femoral or popliteal arteries.
  4. The reference vessel lumen (proximal to target lesion) is ≥ 3.0mm.
  5. The patient is an acceptable candidate for percutaneous intervention using the Jetstream G3 System in accordance with its labeled indications and instructions for use.
  6. The patient has signed approved informed consent.
  7. Moderate or severe vessel obstructive intraluminal calcification as demonstrated by IVUS and angiography.

Exclusion Criteria:

  1. Patient has an uncontrollable allergy to nitinol, stainless steel or other stent materials or to contrast agent.
  2. Patient is unable to take appropriate anti-platelet therapy.
  3. Patient has no distal runoff vessels.
  4. Deep wall calcium.
  5. Interventional treatment is intended for in-stent restenosis at the peripheral vascular site.
  6. Patient has target vessel with moderate or severe angulation (e.g., >30 degrees) or tortuosity at the treatment segment.
  7. Patient has a history of coagulopathy or hypercoagulable bleeding disorder.
  8. Patient is receiving hemodialysis or has impaired renal function (creatinine is > 2.5 mg/dl) at the time of treatment.
  9. Patient has evidence of intracranial or gastrointestinal bleeding within the past 3 months.
  10. Patient has had severe trauma, fracture, major surgery or biopsy of a parenchymal organ within the past 14 days.
  11. Patient is pregnant or nursing a child.
  12. Intended interventional treatment includes planned laser, brachytherapy or atherectomy procedure other than the Jetstream G3 System.

    -

Sites / Locations

  • Arizona Heart Institute
  • Emory University
  • St. John Hopital
  • Mercy Medical Center
  • Wheaton Franciscan Healthcare

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Patients with PAD

Arm Description

Patients with symptomatic peripheral vascular disease undergoing percutaneous intervention who have moderate to severe obstructive intraluminal calcium

Outcomes

Primary Outcome Measures

Luminal Area Change
lumen area change as measured by intravascular ultrasound (IVUS)

Secondary Outcome Measures

Adjunctive Therapy Use
Residual Diameter Stenosis
lumen diameter stenosis change post-atherectomy

Full Information

First Posted
December 20, 2010
Last Updated
October 19, 2015
Sponsor
Boston Scientific Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT01273623
Brief Title
The Jetstream G3™ Calcium Study
Official Title
A Prospective, Single-Arm Study to Evaluate the Effects of the Jetstream G3 System on Calcified Peripheral Vascular Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
January 2011 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
March 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boston Scientific Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To investigate the treatment effects with the Jetstream G3 System in moderate to severely calcified peripheral artery disease in the common femoral, superficial femoral or popliteal arteries using intravascular ultrasound (IVUS).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Arterial Disease
Keywords
PAD, Peripheral Arterial Disease, Calcium, Atherectomy, Jetstream

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
55 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Patients with PAD
Arm Type
Experimental
Arm Description
Patients with symptomatic peripheral vascular disease undergoing percutaneous intervention who have moderate to severe obstructive intraluminal calcium
Intervention Type
Device
Intervention Name(s)
Jetstream Atherectomy System
Intervention Description
to perform atherectomy on calcified lesions
Primary Outcome Measure Information:
Title
Luminal Area Change
Description
lumen area change as measured by intravascular ultrasound (IVUS)
Time Frame
Day 0
Secondary Outcome Measure Information:
Title
Adjunctive Therapy Use
Time Frame
Day 0
Title
Residual Diameter Stenosis
Description
lumen diameter stenosis change post-atherectomy
Time Frame
Day 0

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient is ≥ 18 years of age. Patient has claudication determined to be due to femoropopliteal lesion(s) requiring revascularization. The target lesion(s) is/are located in the common femoral, superficial femoral or popliteal arteries. The reference vessel lumen (proximal to target lesion) is ≥ 3.0mm. The patient is an acceptable candidate for percutaneous intervention using the Jetstream G3 System in accordance with its labeled indications and instructions for use. The patient has signed approved informed consent. Moderate or severe vessel obstructive intraluminal calcification as demonstrated by IVUS and angiography. Exclusion Criteria: Patient has an uncontrollable allergy to nitinol, stainless steel or other stent materials or to contrast agent. Patient is unable to take appropriate anti-platelet therapy. Patient has no distal runoff vessels. Deep wall calcium. Interventional treatment is intended for in-stent restenosis at the peripheral vascular site. Patient has target vessel with moderate or severe angulation (e.g., >30 degrees) or tortuosity at the treatment segment. Patient has a history of coagulopathy or hypercoagulable bleeding disorder. Patient is receiving hemodialysis or has impaired renal function (creatinine is > 2.5 mg/dl) at the time of treatment. Patient has evidence of intracranial or gastrointestinal bleeding within the past 3 months. Patient has had severe trauma, fracture, major surgery or biopsy of a parenchymal organ within the past 14 days. Patient is pregnant or nursing a child. Intended interventional treatment includes planned laser, brachytherapy or atherectomy procedure other than the Jetstream G3 System. -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tom Davis, MD
Organizational Affiliation
St. John Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Malcolm Foster
Organizational Affiliation
Mercy Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Venkatesh Ramaiah, MD
Organizational Affiliation
Arizona Heart Institute
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Joseph Ricotta, MD
Organizational Affiliation
Emory University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Thomas Shimshak, MD
Organizational Affiliation
Wheaton Franciscan Healthcare
Official's Role
Principal Investigator
Facility Information:
Facility Name
Arizona Heart Institute
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85006
Country
United States
Facility Name
Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
St. John Hopital
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48236
Country
United States
Facility Name
Mercy Medical Center
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37934
Country
United States
Facility Name
Wheaton Franciscan Healthcare
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53210
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
28504047
Citation
Yin D, Maehara A, Shimshak TM, Ricotta JJ 2nd, Ramaiah V, Foster MT 3rd, Davis TP, Matsumura M, Mintz GS, Gray WA. Intravascular Ultrasound Validation of Contemporary Angiographic Scores Evaluating the Severity of Calcification in Peripheral Arteries. J Endovasc Ther. 2017 Aug;24(4):478-487. doi: 10.1177/1526602817708796. Epub 2017 May 15.
Results Reference
derived

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The Jetstream G3™ Calcium Study

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