ACOART BTK RENEW:A Post Market Clinical Study
Primary Purpose
Peripheral Artery Disease
Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
DEB catheter
Sponsored by
About this trial
This is an interventional treatment trial for Peripheral Artery Disease
Eligibility Criteria
Inclusion Criteria:
- 1. Age ≥18 years old and ≤75 years old
- 2. Rutherford clinical category classification:3,4 or 5
- 3. Significant stenosis (≥70%) or occlusions of de-novo or restenotic lesion(s) located in below-the-knee arteries which distal bloodflow is patent.
- 4. Reference vessel diameter is between 2 mm and 4 mm
- 5. Subject has provided written informed consent prior to participation , understands the purpose of this trail and agrees to comply with all protocol-specified examinations and follow-up appointments.
Exclusion Criteria:
- 1. Plasma creatinine clearance rate <30 mL/min
- 2. Acute vessel occlusion or acute thrombosis in target lesion
- 3. Planned amputation on the target limb
- 4. Subjects confined to bed that are completely non-ambulatory.
- 5. Thrombolytic therapy or surgical procedure on the target limb within 6 weeks prior to enrollment.
- 6. Life expectancy < 5 year.
- 7. Cumulative length of 100% occluded target lesion(s)>150 mm
- 8. In-stent restenosis within the target lesion, or the distance between the target lesions and the stent was less than 20 mm
- 9. History of stroke within 90 days prior to enrollment
- 10. Known allergy to contrast agents, antiplatelet, anticoagulant, or thrombolytic therapy
- 11. Uncorrectable bleeding diathesis
- 12. The lesion of the inflow pathway cannot be identified due to the complete occlusion of the P3 segment of the popliteal artery
- 13. Pregnant or breastfeeding female subjects
- 14. Ability to cross a guidewire through target lesion
- 15. Patients who have participated in clinical trials of other medical devices or drugs during the same period
Sites / Locations
- Chui Yang Liu Hospital affiliated to Tsinghua UniversityRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
DEB catheter
Arm Description
Use DEB catheter to treat the stenosis or occlusion in below popliteal artery of experimental arm
Outcomes
Primary Outcome Measures
Primary Patency
Primary patency rate is defined as freedom from clinically-driven target lesion revascularisation (CD-TLR) , restenosis as determined by duplex ultrasound (DUS) or digital subtraction angiography (DSA) or major target limb amputation.
Secondary Outcome Measures
Major adverse event (MAE) rate
Defined as a composite rate of all-cause death, target limb major amputation and CD-TLR
Patency rate
Defined as freedom from clinically-driven target lesion revascularisation (CD-TLR) , restenosis as determined by duplex ultrasound (DUS) or digital subtraction angiography (DSA) or major target limb amputation.
Rate of major target limb amputation
A major adverse limb event is defined as above-ankle amputation of the treated limb
Rate of All-cause mortality
All-cause mortality at 12, 24, 36, 48, 60 months post procedure
Rate of clinically-driven target vessel revascularization (CD-TVR)
Clinically-driven target vessel revascularization (CD-TVR) at 12, 24, 36, 48, 60 months post procedure
Rate of clinically-driven target lesion revascularization (CD-TLR)
Clinically-driven target lesion revascularization (CD-TLR) at 12, 24, 36, 48, 60 months post procedure
Rate of ulcer healing
Ulcer healed or not; if not, improving, stagnant,worsening
Rate of distal embolization
Rate of distal embolization defined as occurrence significant distal embolization in target limb through the end of the procedure
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04885985
Brief Title
ACOART BTK RENEW:A Post Market Clinical Study
Official Title
A Post Market Clinical Study to Evaluate the Safety and Efficacy of the Acotec Drug-coated Balloon in the Treatment of the Below-the-knee Artery
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 31, 2021 (Actual)
Primary Completion Date
August 1, 2024 (Anticipated)
Study Completion Date
April 1, 2027 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Acotec Scientific Co., Ltd
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 objective of this prospective, multi-center, single arm study is to obtain further data on the safety and performance of the Acotec Litos&Tulip Drug-coated Balloon catheters in the treatment of lesions in below-the-knee artery.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Artery 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
107 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
DEB catheter
Arm Type
Experimental
Arm Description
Use DEB catheter to treat the stenosis or occlusion in below popliteal artery of experimental arm
Intervention Type
Device
Intervention Name(s)
DEB catheter
Intervention Description
Trade name of DEB catheter: AcoArt Tulip (0.018") or AcoArt Litos (0.014")
Primary Outcome Measure Information:
Title
Primary Patency
Description
Primary patency rate is defined as freedom from clinically-driven target lesion revascularisation (CD-TLR) , restenosis as determined by duplex ultrasound (DUS) or digital subtraction angiography (DSA) or major target limb amputation.
Time Frame
6 month
Secondary Outcome Measure Information:
Title
Major adverse event (MAE) rate
Description
Defined as a composite rate of all-cause death, target limb major amputation and CD-TLR
Time Frame
30 days
Title
Patency rate
Description
Defined as freedom from clinically-driven target lesion revascularisation (CD-TLR) , restenosis as determined by duplex ultrasound (DUS) or digital subtraction angiography (DSA) or major target limb amputation.
Time Frame
12 months,24 months,36 months,48 months ,60 months
Title
Rate of major target limb amputation
Description
A major adverse limb event is defined as above-ankle amputation of the treated limb
Time Frame
12 months,24 months,36 months,48 months ,60 months
Title
Rate of All-cause mortality
Description
All-cause mortality at 12, 24, 36, 48, 60 months post procedure
Time Frame
12 months,24 months,36 months,48 months ,60 months
Title
Rate of clinically-driven target vessel revascularization (CD-TVR)
Description
Clinically-driven target vessel revascularization (CD-TVR) at 12, 24, 36, 48, 60 months post procedure
Time Frame
12 months,24 months,36 months,48 months ,60 months
Title
Rate of clinically-driven target lesion revascularization (CD-TLR)
Description
Clinically-driven target lesion revascularization (CD-TLR) at 12, 24, 36, 48, 60 months post procedure
Time Frame
12 months,24 months,36 months,48 months ,60 months
Title
Rate of ulcer healing
Description
Ulcer healed or not; if not, improving, stagnant,worsening
Time Frame
12 months,24 months,36 months,48 months ,60 months
Title
Rate of distal embolization
Description
Rate of distal embolization defined as occurrence significant distal embolization in target limb through the end of the procedure
Time Frame
through procedure completion
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
1. Age ≥18 years old and ≤75 years old
2. Rutherford clinical category classification:3,4 or 5
3. Significant stenosis (≥70%) or occlusions of de-novo or restenotic lesion(s) located in below-the-knee arteries which distal bloodflow is patent.
4. Reference vessel diameter is between 2 mm and 4 mm
5. Subject has provided written informed consent prior to participation , understands the purpose of this trail and agrees to comply with all protocol-specified examinations and follow-up appointments.
Exclusion Criteria:
1. Plasma creatinine clearance rate <30 mL/min
2. Acute vessel occlusion or acute thrombosis in target lesion
3. Planned amputation on the target limb
4. Subjects confined to bed that are completely non-ambulatory.
5. Thrombolytic therapy or surgical procedure on the target limb within 6 weeks prior to enrollment.
6. Life expectancy < 5 year.
7. Cumulative length of 100% occluded target lesion(s)>150 mm
8. In-stent restenosis within the target lesion, or the distance between the target lesions and the stent was less than 20 mm
9. History of stroke within 90 days prior to enrollment
10. Known allergy to contrast agents, antiplatelet, anticoagulant, or thrombolytic therapy
11. Uncorrectable bleeding diathesis
12. The lesion of the inflow pathway cannot be identified due to the complete occlusion of the P3 segment of the popliteal artery
13. Pregnant or breastfeeding female subjects
14. Ability to cross a guidewire through target lesion
15. Patients who have participated in clinical trials of other medical devices or drugs during the same period
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zhuang Baixi
Phone
010-62835122
Email
zhuangbaixi@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhuang Baixi
Organizational Affiliation
Xiyuan Hospital of China Academy of Chinese Medical Sciences
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chui Yang Liu Hospital affiliated to Tsinghua University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100021
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yang Yongjiu
Phone
010-67700622
Email
docyyj@126.com
12. IPD Sharing Statement
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ACOART BTK RENEW:A Post Market Clinical Study
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