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Tack Optimized Balloon Angioplasty Study of the Tack Endovascular System™ in Femoropoliteal Arteries (TOBA II)

Primary Purpose

Peripheral Artery Disease

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Tack Endovascular System
Sponsored by
Philips Clinical & Medical Affairs Global
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peripheral Artery Disease focused on measuring Angioplasty, Peripheral Artery Disease, PAD, Lesion, Claudication

Eligibility Criteria

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

Inclusion Criteria:

  • Subject must meet all of the following inclusion criteria to be eligible for enrollment:

    1. Male or non-pregnant Female ≥ 18 years of age at the time of consent
    2. Female subjects of childbearing potential must have a negative pregnancy test prior to treatment and must use some form of contraception through the duration of the study (abstinence is acceptable)
    3. Target limb requires no additional treatment aside from the target lesion and the iliac artery(ies) during the index procedure
    4. Subject or has been informed of and understands the nature of the study and provides signed informed consent to participate in the study. If the subject possesses the ability to understand and provide informed consent but due to physical inability, the subject cannot sign the Informed Consent Form, an impartial witness may sign on behalf of the subject
    5. Willing to comply with all required follow-up visits
    6. Rutherford Classification 2, 3 or 4
    7. Estimated life expectancy >1 year
    8. Eligible for standard surgical repair, if necessary
    9. Subject is ambulatory (assistive devices such as a cane or walker is acceptable)

Exclusion Criteria:

  • Subject must NOT meet any of the following exclusion criteria to be eligible for enrollment:

    1. Rutherford Classification 0, 1, 5 or 6
    2. Is pregnant or refuses to use contraception through the duration of the study
    3. Previous infrainguinal bypass graft in the target limb
    4. Planned amputation on the target limb
    5. Systemic infection or Infection within the target limb and/or immunocompromised
    6. Endovascular or surgical procedure (not including diagnostic procedures) on the target limb within 30 days prior to or within 30 days after the index procedure
    7. Endovascular or surgical procedure (not including diagnostic procedures) on the non-target limb within 14 days prior to the index procedure or planned procedure within 30 days after the index procedure
    8. Prior coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI) procedure within 30 days prior to the index procedure or planned CABG/PCI within 30 days after the index procedure
    9. Any other previous or planned surgical or endovascular procedure (not including diagnostic procedures) within 14 days prior to or 30 days post index procedure
    10. Planned atherectomy, cryoplasty, stenting or any other treatment (with the exception of a crossing device) of the target lesion other than PTA during the index procedure
    11. Known coagulopathy, hypercoagulable state, bleeding diathesis, other blood disorder, or a platelet count less than 80,000/microliter or greater than 500,000/microliter
    12. Known hypersensitivity or allergy to antiplatelet or anticoagulant therapy
    13. Myocardial infarction within 30 days prior to enrollment
    14. History of stroke within 90 days prior to enrollment
    15. Serum creatinine of >2.5 mg/dL
    16. Requires treatment of tibial or outflow vessels at the index procedure, which include the P2 and P3 segments of the popliteal artery and the tibioperoneal vessels
    17. Known hypersensitivity or contraindication to nickel-titanium alloy (Nitinol)
    18. Participating in another ongoing investigational clinical trial that has not completed its primary endpoint
    19. Has other comorbidities that, in the opinion of the investigator, would preclude them from receiving this treatment and/or participating in study-required follow-up assessments
    20. Known hypersensitivity or allergy to contrast agents that cannot be medically managed
    21. Thrombolysis of the target vessel within 72 hours prior to the index procedure, where complete resolution of the thrombus was not achieved

Sites / Locations

  • Yuma Regional Medical Center
  • Central Arkansas Veteran's Healthcare System
  • Cedars Sinai Medical Center
  • Mission Cardiovascular Research Institute
  • St. Joseph Hospital
  • Denver VA Medical Center
  • Yale New Haven Hospital
  • MedStar Washington Hospital Center
  • Florida Research Network, LLC
  • Alexian Brothers Medical Center Heart & Vascular Institute
  • Adventist Midwest Health
  • Prairie Education and Research Cooperative
  • Midwest Cardiovascular Research Foundation
  • University of Iowa
  • University of Kansas Medical Center
  • Massachusetts General Hospital
  • Metro Health Hospital
  • Holy Name Medical Center
  • New Mexico Heart Institute, PA
  • NC Heart and Vascular Research
  • NC Heart and Vascular Research - WakeMed Raleigh
  • Ohio Health Research Institute
  • Holy Spirit Cardiology
  • St. Mary Medical Center
  • Einstein Medical Center Philadelphia
  • Pinnacle Health Cardiovascular Institute
  • Lankenau Medical Center
  • The Miriam Hospital
  • Medical University of South Carolina
  • North Central Heart
  • Wellmont CVA Heart Institute
  • Baylor College of Medicine
  • The University of Texas Health Science Center at Houston
  • North Dallas Research Associates
  • Mission Research Institute
  • Sentara Vascular Specialists
  • Medical University Hospital Graz
  • Hanusch Krankenhaus
  • St. Antonius Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Tack Implant

Arm Description

Implantation of a Tack using the Intact Vascular Tack Endovascular System for the repair of post angioplasty dissections.

Outcomes

Primary Outcome Measures

Efficacy - Number of Subjects That Met Primary Patency Criteria at 12 Months
Primary patency defined as freedom from Clinical Events Committee (CEC) adjudicated clinically-driven target lesion revascularization (CD-TLR) and freedom from core lab adjudicated duplex ultrasound derived binary restenosis at 12 months (defined as peak systolic velocity ratio (PSVR) >2.5)
Safety - Number of Subjects That Met the Primary Safety Criteria of Freedom From Major Adverse Events at 30 Days
Freedom from the occurrence of any new-onset major adverse event(s) (MAEs) defined as index limb amputation (above the ankle), CEC adjudicated clinically-driven target lesion revascularization (CD-TLR), or all-cause death at 30 days.

Secondary Outcome Measures

Full Information

First Posted
August 7, 2015
Last Updated
April 2, 2021
Sponsor
Philips Clinical & Medical Affairs Global
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1. Study Identification

Unique Protocol Identification Number
NCT02522884
Brief Title
Tack Optimized Balloon Angioplasty Study of the Tack Endovascular System™ in Femoropoliteal Arteries
Acronym
TOBA II
Official Title
Tack Optimized Balloon Angioplasty Study for Superficial Femoral and Proximal Popliteal Arteries Using the Tack Endovascular System™
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
September 2015 (Actual)
Primary Completion Date
May 2018 (Actual)
Study Completion Date
March 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Philips Clinical & Medical Affairs Global

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a prospective, multi-center, single-arm, non-blinded study designed to investigate the safety and efficacy of the Tack Endovascular System in subjects with post-balloon angioplasty (post-PTA) dissection(s) type(s) A through F in the superficial femoral and proximal popliteal arteries ranging in diameter from 2.5mm to 6.0mm.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Artery Disease
Keywords
Angioplasty, Peripheral Artery Disease, PAD, Lesion, Claudication

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
213 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Tack Implant
Arm Type
Experimental
Arm Description
Implantation of a Tack using the Intact Vascular Tack Endovascular System for the repair of post angioplasty dissections.
Intervention Type
Device
Intervention Name(s)
Tack Endovascular System
Other Intervention Name(s)
Post-PTA Dissection Repair Implant, Tack Implant, Tack Dissection Repair Device
Intervention Description
Repair of post-PTA dissections using the Intact Vascular Tack Endovascular System.
Primary Outcome Measure Information:
Title
Efficacy - Number of Subjects That Met Primary Patency Criteria at 12 Months
Description
Primary patency defined as freedom from Clinical Events Committee (CEC) adjudicated clinically-driven target lesion revascularization (CD-TLR) and freedom from core lab adjudicated duplex ultrasound derived binary restenosis at 12 months (defined as peak systolic velocity ratio (PSVR) >2.5)
Time Frame
12 Months
Title
Safety - Number of Subjects That Met the Primary Safety Criteria of Freedom From Major Adverse Events at 30 Days
Description
Freedom from the occurrence of any new-onset major adverse event(s) (MAEs) defined as index limb amputation (above the ankle), CEC adjudicated clinically-driven target lesion revascularization (CD-TLR), or all-cause death at 30 days.
Time Frame
30 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject must meet all of the following inclusion criteria to be eligible for enrollment: Male or non-pregnant Female ≥ 18 years of age at the time of consent Female subjects of childbearing potential must have a negative pregnancy test prior to treatment and must use some form of contraception through the duration of the study (abstinence is acceptable) Target limb requires no additional treatment aside from the target lesion and the iliac artery(ies) during the index procedure Subject or has been informed of and understands the nature of the study and provides signed informed consent to participate in the study. If the subject possesses the ability to understand and provide informed consent but due to physical inability, the subject cannot sign the Informed Consent Form, an impartial witness may sign on behalf of the subject Willing to comply with all required follow-up visits Rutherford Classification 2, 3 or 4 Estimated life expectancy >1 year Eligible for standard surgical repair, if necessary Subject is ambulatory (assistive devices such as a cane or walker is acceptable) Exclusion Criteria: Subject must NOT meet any of the following exclusion criteria to be eligible for enrollment: Rutherford Classification 0, 1, 5 or 6 Is pregnant or refuses to use contraception through the duration of the study Previous infrainguinal bypass graft in the target limb Planned amputation on the target limb Systemic infection or Infection within the target limb and/or immunocompromised Endovascular or surgical procedure (not including diagnostic procedures) on the target limb within 30 days prior to or within 30 days after the index procedure Endovascular or surgical procedure (not including diagnostic procedures) on the non-target limb within 14 days prior to the index procedure or planned procedure within 30 days after the index procedure Prior coronary artery bypass graft (CABG) or percutaneous coronary intervention (PCI) procedure within 30 days prior to the index procedure or planned CABG/PCI within 30 days after the index procedure Any other previous or planned surgical or endovascular procedure (not including diagnostic procedures) within 14 days prior to or 30 days post index procedure Planned atherectomy, cryoplasty, stenting or any other treatment (with the exception of a crossing device) of the target lesion other than PTA during the index procedure Known coagulopathy, hypercoagulable state, bleeding diathesis, other blood disorder, or a platelet count less than 80,000/microliter or greater than 500,000/microliter Known hypersensitivity or allergy to antiplatelet or anticoagulant therapy Myocardial infarction within 30 days prior to enrollment History of stroke within 90 days prior to enrollment Serum creatinine of >2.5 mg/dL Requires treatment of tibial or outflow vessels at the index procedure, which include the P2 and P3 segments of the popliteal artery and the tibioperoneal vessels Known hypersensitivity or contraindication to nickel-titanium alloy (Nitinol) Participating in another ongoing investigational clinical trial that has not completed its primary endpoint Has other comorbidities that, in the opinion of the investigator, would preclude them from receiving this treatment and/or participating in study-required follow-up assessments Known hypersensitivity or allergy to contrast agents that cannot be medically managed Thrombolysis of the target vessel within 72 hours prior to the index procedure, where complete resolution of the thrombus was not achieved
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William A. Gray, MD
Organizational Affiliation
Main Line Health/Lankenau Heart Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Yuma Regional Medical Center
City
Yuma
State/Province
Arizona
ZIP/Postal Code
85364
Country
United States
Facility Name
Central Arkansas Veteran's Healthcare System
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72205
Country
United States
Facility Name
Cedars Sinai Medical Center
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Mission Cardiovascular Research Institute
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
St. Joseph Hospital
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Denver VA Medical Center
City
Denver
State/Province
Colorado
ZIP/Postal Code
80220
Country
United States
Facility Name
Yale New Haven Hospital
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Facility Name
MedStar Washington Hospital Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010
Country
United States
Facility Name
Florida Research Network, LLC
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32605
Country
United States
Facility Name
Alexian Brothers Medical Center Heart & Vascular Institute
City
Elk Grove Village
State/Province
Illinois
ZIP/Postal Code
60007
Country
United States
Facility Name
Adventist Midwest Health
City
LaGrange
State/Province
Illinois
ZIP/Postal Code
60439
Country
United States
Facility Name
Prairie Education and Research Cooperative
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62701
Country
United States
Facility Name
Midwest Cardiovascular Research Foundation
City
Davenport
State/Province
Iowa
ZIP/Postal Code
52803
Country
United States
Facility Name
University of Iowa
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
University of Kansas Medical Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66226
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Metro Health Hospital
City
Wyoming
State/Province
Michigan
ZIP/Postal Code
49519
Country
United States
Facility Name
Holy Name Medical Center
City
Teaneck
State/Province
New Jersey
ZIP/Postal Code
07666
Country
United States
Facility Name
New Mexico Heart Institute, PA
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87102
Country
United States
Facility Name
NC Heart and Vascular Research
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27607
Country
United States
Facility Name
NC Heart and Vascular Research - WakeMed Raleigh
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27610
Country
United States
Facility Name
Ohio Health Research Institute
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43214
Country
United States
Facility Name
Holy Spirit Cardiology
City
Camp Hill
State/Province
Pennsylvania
ZIP/Postal Code
17011
Country
United States
Facility Name
St. Mary Medical Center
City
Langhorne
State/Province
Pennsylvania
ZIP/Postal Code
19047
Country
United States
Facility Name
Einstein Medical Center Philadelphia
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19141
Country
United States
Facility Name
Pinnacle Health Cardiovascular Institute
City
Wormleysburg
State/Province
Pennsylvania
ZIP/Postal Code
17043
Country
United States
Facility Name
Lankenau Medical Center
City
Wynnewood
State/Province
Pennsylvania
ZIP/Postal Code
19096
Country
United States
Facility Name
The Miriam Hospital
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02906
Country
United States
Facility Name
Medical University of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
North Central Heart
City
Sioux Falls
State/Province
South Dakota
ZIP/Postal Code
57108
Country
United States
Facility Name
Wellmont CVA Heart Institute
City
Kingsport
State/Province
Tennessee
ZIP/Postal Code
37660
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
The University of Texas Health Science Center at Houston
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
North Dallas Research Associates
City
McKinney
State/Province
Texas
ZIP/Postal Code
75069
Country
United States
Facility Name
Mission Research Institute
City
New Braunfels
State/Province
Texas
ZIP/Postal Code
78130
Country
United States
Facility Name
Sentara Vascular Specialists
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States
Facility Name
Medical University Hospital Graz
City
Graz
Country
Austria
Facility Name
Hanusch Krankenhaus
City
Vienna
Country
Austria
Facility Name
St. Antonius Hospital
City
Nieuwegein
State/Province
Utrecht
Country
Netherlands

12. IPD Sharing Statement

Learn more about this trial

Tack Optimized Balloon Angioplasty Study of the Tack Endovascular System™ in Femoropoliteal Arteries

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