Clinical Trial Investigating the Combination Therapy With Luminor DCB and iVolution Stent in TASC C and D Femoropopliteal Lesions (TINTIN)
Primary Purpose
Peripheral Arterial Disease
Status
Active
Phase
Not Applicable
Locations
Belgium
Study Type
Interventional
Intervention
Combination therapy DCB + stent
Sponsored by
About this trial
This is an interventional treatment trial for Peripheral Arterial Disease
Eligibility Criteria
General inclusion criteria:
- Patient presenting a score from 2 to 5 following Rutherford classification
- Patient is willing to comply with specified follow-up evaluations at the specified times
- Patient is >18 years old
- Patient understands the nature of the procedure and provides written informed consent, prior to enrolment in the study
- Patient has a projected life expectancy of at least 12 months
- Prior to enrolment, the guidewire has crossed target lesion
- Patient is eligible for treatment with the Luminor Paclitaxel-Eluting Peripheral Balloon Dilatation Catheter and the iVolution stent
- Male, infertile female or female of child bearing potential practicing an acceptable method of birth control with a negative pregnancy test within 7 days prior to study procedure
Angiographic inclusion criteria
- De novo and post-percutaneous transluminal angioplasty (PTA) restenotic lesions located in the femoropopliteal arteries suitable for endovascular therapy
- The target lesion is located within the native femoropopliteal artery
- The length of the target lesion is ≥ 150mm and considered as TASC C or D lesion according to the TASC II classification.
- The target lesion has angiographic evidence of stenosis > 50% or occlusion which can be passed with standard guidewire manipulation
- Target vessel diameter visually estimated is >4mm and <6.5 mm
- There is angiographic evidence of at least one-vessel-runoff to the foot, irrespective of whether or not outflow was re-established by means of previous endovascular intervention
Exclusion Criteria:
- Patient refusing treatment
- Presence of a stent in the target lesion that was placed during a previous procedure
- Untreated flow-limiting inflow lesions
- Any previous surgery in the target vessel (including prior ipsilateral crural bypass)
- Patients for whom antiplatelet therapy, anticoagulants or thrombolytic drugs are contraindicated
- Patients who exhibit persistent acute intraluminal thrombus of the proposed lesion site
- Perforation at the angioplasty site evidenced by extravasation of contrast medium
- Patients with known hypersensitivity to heparin, including those patients who have had a previous incidence of heparin-induced thrombocytopenia (HIT) type II
- Patients with uncorrected bleeding disorders
- Aneurysm located at the level of the superficial femoral artery/popliteal artery
- Non-atherosclerotic disease resulting in occlusion (e.g. embolism, Buerger's disease, vasculitis)
- Severe medical comorbidities (severe chronic obstructive pulmonary disease, metastatic malignancy, dementia, etc.) or other medical condition that would preclude compliance with the study protocol or 1-year life expectancy
- Major distal amputation (above the transmetatarsal) in the study limb or non-study limb
- Septicemia or bacteremia
- Use of thrombectomy, atherectomy or laser devices during procedure
- Any patient considered to be hemodynamically unstable at onset of procedure
- Known allergy to contrast media that cannot be adequately pre-medicated prior to the study procedure
Sites / Locations
- O.L.V. Hospital
- Z.N.A.
- Imelda Hospital
- Sint-Jozefkliniek
- A.Z. Sint-Blasius
- H. Hartziekenhuis
- AZ Damiaan
- R.Z. Heilig Hart
- AZ Jan Portaels
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Combination therapy DCB + stent
Arm Description
Patients treated with the Luminor DCB and the iVolution stent
Outcomes
Primary Outcome Measures
Freedom from clinically-driven TLR at 12 months
TLR defined as a repeated intervention to maintain or re-establish patency within the region of the treated arterial vessel plus 5mm proximal and distal to the treated lesion edge at the respective time points.
Secondary Outcome Measures
Primary patency rate
Absence of a hemodynamically significant stenosis on duplex ultrasound (systolic velocity ratio no greater than 2.5) at the target lesion and without TLR within the time of the procedure and the given follow-up.
Technical success
Ability to cross and dilate the lesion and achieve residual angiographic stenosis no greater than 30%
Freedom from clinically-driven TLR
TLR defined as a repeated intervention to maintain or re-establish patency within the region of the treated arterial vessel plus 5mm proximal and distal to the treated lesion edge at the respective time points.
Clinical success
Improvement of Rutherford classification compared to the pre-procedure Rutherford classification
Serious Adverse Events (SAEs)
Defined according to the Internal Organization of Standardization (ISO) guidelines: ISO 14155:2011
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03347383
Brief Title
Clinical Trial Investigating the Combination Therapy With Luminor DCB and iVolution Stent in TASC C and D Femoropopliteal Lesions
Acronym
TINTIN
Official Title
Physician Initiated, Prospective, Non-randomized Belgian Multi-center Trial, Investigating the Safety and Efficacy of the Treatment With the LumINor DCB and The IvolutioN Stent of iVascular in TASC C and D Femoropopliteal Atherosclerotic Disease
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 19, 2017 (Actual)
Primary Completion Date
October 16, 2019 (Actual)
Study Completion Date
November 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ID3 Medical
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The T.I.N.T.I.N. study investigates the safety and efficacy of the combination therapy with the Luminor drug coated balloon (DCB) and the iVolution stent in the treatment of TASC C and D femoropopliteal lesions. An expected total of 100 patients will be treated in the scope of this study. The lesion is located within the native superficial femoral artery and/or the popliteal artery. Prior to dilatation with the Luminor DCB, pre-dilatation with the Oceanus balloon is mandatory. After dilatation with the Luminor DCB, stenting with the iVolution stent need to be performed. Post-dilatation can be performed according to the physician's discretion. Patients will be invited for a follow-up visit at 1, 6, 12, 24, 36, 48 and 60 month post-procedure. The primary efficacy endpoint of the study is defined as the freedom from clinically-driven target lesion revascularization (TLR) at 12 months. Secondary endpoints include primary patency rate at 6 and 12 months, freedom from clinically-driven TLR at 6, 24, 36, 48 and 60 months, clinical success at 1, 6, 12, 24, 36, 48 and 60 months and freedom from serious adverse events at pre-discharge, 1, 6, 12, 24, 36, 48 and 60 months follow-up.
Detailed Description
The objective of this clinical investigation is to evaluate, in a controlled setting, the long-term safety and efficacy of the combination therapy with the Luminor DCB and the iVolution stent post CE-certification and according to the indications of the Instructions for use (IFU) with focus on the treatment of TASC C and D femoropopliteal atherosclerotic lesions.
Patients will be selected based on the investigator's assessment, evaluation of the underlying disease and the eligibility criteria. The patient's medical condition should be stable, with no underlying medical condition which would prevent them from performing the required testing or from completing the study. Patients should also be geographically stable, willing and able to cooperate in this clinical study and remain available for long-term follow-up. A patient is considered enrolled in the study after obtaining the patients informed consent, if there is full compliance with the study eligibility criteria and after successful guidewire passage through the study target lesion.
Prior to the index procedure the following tests and clinical data will be collected: informed consent for data collection, demographics, medical history, medication record, physical examination, clinical category of chronic limb ischemia (Rutherford category) and resting ankle-brachial index (ABI).
During the procedure, the vascular access can be achieved to the investigator's standard clinical practice. After successful lesion passage, diagnostic angiography of the lesion area and distal run-off is performed and angiographic measurements (vessel diameter, percentage stenosis and lesion length) are collected. All inflow-limiting lesion will be treated according to the investigators standard clinical practice before treatment of the target lesion. Pre-dilatation of the target lesion is mandatory with the Oceanus balloon. After pre-dilatation, a least one Luminor DCB will be inflated and at least 1 iVolution stent will be deployed at the target lesion. At the physician's discretion, post-dilatation can be performed. No other adjunctive therapies (atherectomy, laser) are allowed. The complete femoropopliteal vasculature should be treated in one single session, staged interventions are not allowed. All outflow-limiting lesions must be treated according to the hospital treatment standard.
The regular follow-ups are necessary to monitor the condition of the patient and the procedure. Patients will be invited for a follow-up visit at 1, 6, 12, 24, 36, 48 and 60 months after the index procedure. The 24, 36, 48 and 60 month follow-up can be conducted via a phone call. The following data will be collected during these follow-up visit: medication record, physical examination, rutherford categorization, ABI and color flow doppler ultrasound.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Arterial Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Combination therapy DCB + stent
Arm Type
Experimental
Arm Description
Patients treated with the Luminor DCB and the iVolution stent
Intervention Type
Device
Intervention Name(s)
Combination therapy DCB + stent
Intervention Description
Patients will be treated with the Luminor DCB and iVolution stent
Primary Outcome Measure Information:
Title
Freedom from clinically-driven TLR at 12 months
Description
TLR defined as a repeated intervention to maintain or re-establish patency within the region of the treated arterial vessel plus 5mm proximal and distal to the treated lesion edge at the respective time points.
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Primary patency rate
Description
Absence of a hemodynamically significant stenosis on duplex ultrasound (systolic velocity ratio no greater than 2.5) at the target lesion and without TLR within the time of the procedure and the given follow-up.
Time Frame
6 and 12 months post-procedure
Title
Technical success
Description
Ability to cross and dilate the lesion and achieve residual angiographic stenosis no greater than 30%
Time Frame
Index procedure
Title
Freedom from clinically-driven TLR
Description
TLR defined as a repeated intervention to maintain or re-establish patency within the region of the treated arterial vessel plus 5mm proximal and distal to the treated lesion edge at the respective time points.
Time Frame
6, 24, 36, 48 and 60 months post-procedure
Title
Clinical success
Description
Improvement of Rutherford classification compared to the pre-procedure Rutherford classification
Time Frame
1, 6, 12, 24, 36, 48 and 60 months post-procedure
Title
Serious Adverse Events (SAEs)
Description
Defined according to the Internal Organization of Standardization (ISO) guidelines: ISO 14155:2011
Time Frame
1, 6, 12, 24, 36, 48 and 60 months post-procedure
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
General inclusion criteria:
Patient presenting a score from 2 to 5 following Rutherford classification
Patient is willing to comply with specified follow-up evaluations at the specified times
Patient is >18 years old
Patient understands the nature of the procedure and provides written informed consent, prior to enrolment in the study
Patient has a projected life expectancy of at least 12 months
Prior to enrolment, the guidewire has crossed target lesion
Patient is eligible for treatment with the Luminor Paclitaxel-Eluting Peripheral Balloon Dilatation Catheter and the iVolution stent
Male, infertile female or female of child bearing potential practicing an acceptable method of birth control with a negative pregnancy test within 7 days prior to study procedure
Angiographic inclusion criteria
De novo and post-percutaneous transluminal angioplasty (PTA) restenotic lesions located in the femoropopliteal arteries suitable for endovascular therapy
The target lesion is located within the native femoropopliteal artery
The length of the target lesion is ≥ 150mm and considered as TASC C or D lesion according to the TASC II classification.
The target lesion has angiographic evidence of stenosis > 50% or occlusion which can be passed with standard guidewire manipulation
Target vessel diameter visually estimated is >4mm and <6.5 mm
There is angiographic evidence of at least one-vessel-runoff to the foot, irrespective of whether or not outflow was re-established by means of previous endovascular intervention
Exclusion Criteria:
Patient refusing treatment
Presence of a stent in the target lesion that was placed during a previous procedure
Untreated flow-limiting inflow lesions
Any previous surgery in the target vessel (including prior ipsilateral crural bypass)
Patients for whom antiplatelet therapy, anticoagulants or thrombolytic drugs are contraindicated
Patients who exhibit persistent acute intraluminal thrombus of the proposed lesion site
Perforation at the angioplasty site evidenced by extravasation of contrast medium
Patients with known hypersensitivity to heparin, including those patients who have had a previous incidence of heparin-induced thrombocytopenia (HIT) type II
Patients with uncorrected bleeding disorders
Aneurysm located at the level of the superficial femoral artery/popliteal artery
Non-atherosclerotic disease resulting in occlusion (e.g. embolism, Buerger's disease, vasculitis)
Severe medical comorbidities (severe chronic obstructive pulmonary disease, metastatic malignancy, dementia, etc.) or other medical condition that would preclude compliance with the study protocol or 1-year life expectancy
Major distal amputation (above the transmetatarsal) in the study limb or non-study limb
Septicemia or bacteremia
Use of thrombectomy, atherectomy or laser devices during procedure
Any patient considered to be hemodynamically unstable at onset of procedure
Known allergy to contrast media that cannot be adequately pre-medicated prior to the study procedure
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Koen Deloose, M.D.
Organizational Affiliation
ID3 Medical
Official's Role
Study Director
Facility Information:
Facility Name
O.L.V. Hospital
City
Aalst
ZIP/Postal Code
9300
Country
Belgium
Facility Name
Z.N.A.
City
Antwerpen
ZIP/Postal Code
2060
Country
Belgium
Facility Name
Imelda Hospital
City
Bonheiden
ZIP/Postal Code
2820
Country
Belgium
Facility Name
Sint-Jozefkliniek
City
Bornem
Country
Belgium
Facility Name
A.Z. Sint-Blasius
City
Dendermonde
ZIP/Postal Code
9200
Country
Belgium
Facility Name
H. Hartziekenhuis
City
Lier
Country
Belgium
Facility Name
AZ Damiaan
City
Oostende
Country
Belgium
Facility Name
R.Z. Heilig Hart
City
Tienen
ZIP/Postal Code
3300
Country
Belgium
Facility Name
AZ Jan Portaels
City
Vilvoorde
Country
Belgium
12. IPD Sharing Statement
Learn more about this trial
Clinical Trial Investigating the Combination Therapy With Luminor DCB and iVolution Stent in TASC C and D Femoropopliteal Lesions
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