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

Primary Purpose

Peripheral Arterial 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 Arterial 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
    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 ICF, 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

  • University Hospital AKH Vienna
  • Imelda Hosptial
  • A.Z. St. Blasius Hospital
  • Karolinen-Hospital Klinik für Angiologie Arnsberg Clinic
  • Universitats-Herzzentrum Freiburg-Bad Krozingen Klinik fur Kardiologie und Angiologie lI
  • Franziskus-Hospital Berlin
  • Medizinische Klinik II Fürst Stirum Klinik Bruchsal
  • Universitätsklinikum Carl Gustav Carus
  • Asklepios Klinik St. Georg Herz-, Gefäß- und Therapiezentrum, Abt. Klinische und Interventionelle Angiologie
  • Center for Cardiology & Vascular Intervention
  • Westküstenklinikum Heide
  • Herz und Gefäßzentrum im Klinikverbund Oberallgäu-Kempten
  • Klinikum Karlsbad Langensteinbach
  • Universitätsklinik Leipzig
  • Universitätsmedizin Mainz II Medizinische Klinik und Poliklinik, Angiologie
  • Cantonal Hospital Lucerne Division of Angiology
  • Ospedale Regionale di Lugano - Civico e Italiana Civico

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Tack Implant

Arm Description

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

Outcomes

Primary Outcome Measures

Safety - Freedom from the occurrence of any new-onset major adverse event(s)
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.
Efficacy - Primary Patency
Primary patency defined as freedom from 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 PSVR >2.5:1).

Secondary Outcome Measures

Full Information

First Posted
June 13, 2016
Last Updated
April 2, 2021
Sponsor
Philips Clinical & Medical Affairs Global
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1. Study Identification

Unique Protocol Identification Number
NCT02802306
Brief Title
Tack Optimized Drug Coated Balloon Angioplasty Study of the Tack Endovascular System™ in Femoropoliteal Arteries
Acronym
TOBA III
Official Title
Tack Optimized Drug Coated Balloon Angioplasty in the 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
June 2016 (undefined)
Primary Completion Date
May 2019 (Actual)
Study Completion Date
May 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
No

5. Study Description

Brief Summary
This is an Outside the United States, post-CE Mark, multi-center, single-arm, non-blinded study designed to investigate the safety and efficacy of the Tack Endovascular System. This study will evaluate subjects with PAD who receive PTA (with a drug-coated balloon (DCB)) in the SFA and in popliteal arteries, ranging in diameter from 2.5mm to 6.0mm and lesion lengths of ≥20mm and ≤150mm, and have a resulting dissection(s) type(s) A through F. TOBA III will also evaluate the safety and efficacy of the device when used to treat a sub-group presenting with longer lesions of >150mm and ≤250mm.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Arterial 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
201 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Tack Implant
Arm Type
Experimental
Arm Description
Implantation of a Tack implant using the Intact Vascular Tack Endovascular System for the repair of post DCB-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
Safety - Freedom from the occurrence of any new-onset major adverse event(s)
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
Title
Efficacy - Primary Patency
Description
Primary patency defined as freedom from 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 PSVR >2.5:1).
Time Frame
12 months

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 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 ICF, 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
Marianne Brodmann, MD
Organizational Affiliation
Medical University Hospital Graz
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospital AKH Vienna
City
Wien
Country
Austria
Facility Name
Imelda Hosptial
City
Bonheiden
Country
Belgium
Facility Name
A.Z. St. Blasius Hospital
City
Dendermonde
Country
Belgium
Facility Name
Karolinen-Hospital Klinik für Angiologie Arnsberg Clinic
City
Arnsberg
Country
Germany
Facility Name
Universitats-Herzzentrum Freiburg-Bad Krozingen Klinik fur Kardiologie und Angiologie lI
City
Bad Krozingen
Country
Germany
Facility Name
Franziskus-Hospital Berlin
City
Berlin
Country
Germany
Facility Name
Medizinische Klinik II Fürst Stirum Klinik Bruchsal
City
Bruchsal
Country
Germany
Facility Name
Universitätsklinikum Carl Gustav Carus
City
Dresden
Country
Germany
Facility Name
Asklepios Klinik St. Georg Herz-, Gefäß- und Therapiezentrum, Abt. Klinische und Interventionelle Angiologie
City
Hamburg
ZIP/Postal Code
20099
Country
Germany
Facility Name
Center for Cardiology & Vascular Intervention
City
Hamburg
Country
Germany
Facility Name
Westküstenklinikum Heide
City
Heide
Country
Germany
Facility Name
Herz und Gefäßzentrum im Klinikverbund Oberallgäu-Kempten
City
Immenstadt
Country
Germany
Facility Name
Klinikum Karlsbad Langensteinbach
City
Karlsbad
Country
Germany
Facility Name
Universitätsklinik Leipzig
City
Leipzig
Country
Germany
Facility Name
Universitätsmedizin Mainz II Medizinische Klinik und Poliklinik, Angiologie
City
Mainz
ZIP/Postal Code
55131
Country
Germany
Facility Name
Cantonal Hospital Lucerne Division of Angiology
City
Lucerne
Country
Switzerland
Facility Name
Ospedale Regionale di Lugano - Civico e Italiana Civico
City
Lugano
Country
Switzerland

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32414527
Citation
Brodmann M, Wissgott C, Brechtel K, Nikol S, Zeller T, Lichtenberg M, Blessing E, Gray W; TOBA III Investigators. Optimized drug-coated balloon angioplasty of the superficial femoral and proximal popliteal arteries using the Tack Endovascular System: TOBA III 12-month results. J Vasc Surg. 2020 Nov;72(5):1636-1647.e1. doi: 10.1016/j.jvs.2020.01.078. Epub 2020 May 12.
Results Reference
derived

Learn more about this trial

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

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