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Multi-center Study On the Treatment and Prognosis of Arteriosclerosis Obliterans With Different Caliber Balloon

Primary Purpose

Arteriosclerosis; Extremities

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Increased caliber balloon
matched caliber balloon
Sponsored by
Jun-min Bao
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Arteriosclerosis; Extremities

Eligibility Criteria

40 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Target lesions from superficial femoral artery to popliteal artery P1 segment; Proximal anatomical markers of target lesions:

    1. 1cm below the fork of the common femoral artery;
    2. Distal anatomical sign of target lesions: upper border of patella;
  2. Target lesions may be single, combined, or tandem primary lesions of stenosis and/or occlusion, and meet one of the following criteria:

    1. In contrast, The stenosis rate was greater than or equal to 70% and less than 100%, and the total length of the lesions was greater than or equal to 40mm and less than or equal to 200mm.
    2. The total length of the lesion is less than 100mm.
    3. The total length of the lesion is less than or equal to 200mm, and the length of the occlusion segment is less than or equal to 100mm.

    Note: the distance between the lesions is no more than 30mm, and the distance between the lesions is > 30mm. Patients with multiple target lesions judged as 2 or more independent lesions met the inclusion criteria.

  3. The diameter of the reference vessels of target lesions shall be 4mm or more and 7mm or less.
  4. If the subject has ipsilateral iliac or lower knee lesions to be treated, the above lesions shall be successfully treated with target lesions, and the following criteria shall be met:

    1. Residual stricture of the common iliac lesion < 30%;
    2. An upper knee has at least one or more free outflow tract, i.e., residual stenosis < 50%;
    3. No embolism, rupture or other serious adverse events occurred during the operation.
  5. The pregnancy test results of fertile female subjects must be negative and there is no pregnancy plan during the study period;
  6. The patient or client signs the patient's informed consent;
  7. Understand and accept the duration of this study, and be able to cooperate with follow-up and evaluation;
  8. Subject's life expectancy is greater than or equal to 12 months after evaluation by the investigator.

Exclusion Criteria:

  1. The investigator believes that the subject has the possibility of non-compliance with the follow-up plan;
  2. Patients with cerebral apoplexy or st-segment elevation myocardial infarction in the last 3 months;
  3. Combined with the following diseases

    1. Patients diagnosed with thrombotic occlusive vasculitis;
    2. combined with abdominal aortic aneurysm/thoraco-abdominal aortic aneurysm (with mural thrombus inside the aneurysm cavity);
    3. coagulation defect;
    4. high coagulation status;
  4. blood index

    1. Serum creatinine > 170umol;
    2. White blood cell count < 3.0 x 109/L or > 14.0 x 109/L;
    3. Patients with platelet count < 80 x 109/L or > 500 x 109/L;
  5. Patients who are known to be allergic to anticoagulant, antiplatelet, contrast agent and other drugs; Examples: heparin, clopidogrel, iodixanol, etc.
  6. Target lesions are non-primary lesions of restenosis and anastomotic stenosis within the stent;
  7. Acute or subacute thrombosis of target lesions;
  8. There are aneurysms in the vicinity of target lesions, and the proximity refers to no more than 20mm.
  9. The patient is a lactating woman or a pregnant woman.

Sites / Locations

  • Anhui Provincial Hospital
  • Xuanwu Hospital
  • The First Affiliated Hospital of Chongqing Medical University
  • Gulou Hospital
  • Nanjing first hospital
  • Shanghai Ninth People's Hospital
  • Shanghai Renji Hospital
  • Shanghai Zhongshan Hospital
  • Shanxi da Hospital
  • The Affiliated Hospital of Southwest Medical University
  • People's Hospital of XinJiang Uygur Autonomous Region

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Incrementing groups

matching groups

Arm Description

Each of the Increased caliber balloon capsules was predilated one by one, and the order of the increased balloon capsules was as follows: Balloon 2 diameter = target lesion reference vessel diameter minus 1; Balloon 3 diameter = target lesion reference vessel diameter;

Pre-dilatation of the matched caliber balloon, whose diameter = the target lesion's diameter as a reference vessel, was applied.

Outcomes

Primary Outcome Measures

success rate of balloon repair
During the surgery:successful conduction, accurate positioning and release, and no narrowing or blocking of the balloon. Immediately after the balloon release, angiography shows balloon patency, successful expansion of stenosis, and arteriorrhexis or dissection rupture.

Secondary Outcome Measures

Balloon related adverse event rate
Renal insufficiency due to surgery; Changes in coagulation function; Degree of arterial stenosis and Degree of limb ischemia; Other adverse events

Full Information

First Posted
October 22, 2018
Last Updated
October 8, 2019
Sponsor
Jun-min Bao
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1. Study Identification

Unique Protocol Identification Number
NCT03725683
Brief Title
Multi-center Study On the Treatment and Prognosis of Arteriosclerosis Obliterans With Different Caliber Balloon
Official Title
A Prospective, Multicenter Study On the Effects of Progressive and Matched Caliber Balloon Predilation of Popliteal Artery On Treatment Strategy and Prognosis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2019
Overall Recruitment Status
Unknown status
Study Start Date
November 1, 2019 (Anticipated)
Primary Completion Date
November 1, 2020 (Anticipated)
Study Completion Date
November 1, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Jun-min Bao

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
In the endoscopic treatment of superficial femoral artery and/or proximal popliteal artery in patients with lower extremity arteriosclerosis occlusion, the intercalation caused by the predilation of increasing caliber balloon and matching caliber balloon was compared, and then the impact of the two predilation methods on the intraoperative treatment strategy and short and medium-term prognosis was analyzed. The study was designed as a prospective, multi-center, single-blind, randomized, controlled study. It is planned to set up 5-10 research centers with 340 subjects, and the single center will be less than or equal to 100 subjects, in the form of competition from each research center.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Arteriosclerosis; Extremities

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
340 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Incrementing groups
Arm Type
Experimental
Arm Description
Each of the Increased caliber balloon capsules was predilated one by one, and the order of the increased balloon capsules was as follows: Balloon 2 diameter = target lesion reference vessel diameter minus 1; Balloon 3 diameter = target lesion reference vessel diameter;
Arm Title
matching groups
Arm Type
Experimental
Arm Description
Pre-dilatation of the matched caliber balloon, whose diameter = the target lesion's diameter as a reference vessel, was applied.
Intervention Type
Device
Intervention Name(s)
Increased caliber balloon
Intervention Description
Imaging of target lesions was performed before surgery to evaluate the characteristics of target lesions. Postoperative to discharge Laboratory examination: blood routine, renal function, biochemical, coagulation functionTo determine and record the ABI(ankle-brachial pressure index);Records Rutherford classification; record the application of anticoagulant and antiplatelet agents; Records of adverse events.
Intervention Type
Device
Intervention Name(s)
matched caliber balloon
Intervention Description
Imaging of target lesions was performed before surgery to evaluate the characteristics of target lesions. Postoperative to discharge Laboratory examination: blood routine, renal function, biochemical, coagulation functionTo determine and record the ABI index;Records Rutherford classification; record the application of anticoagulant and antiplatelet agents; Records of adverse events.
Primary Outcome Measure Information:
Title
success rate of balloon repair
Description
During the surgery:successful conduction, accurate positioning and release, and no narrowing or blocking of the balloon. Immediately after the balloon release, angiography shows balloon patency, successful expansion of stenosis, and arteriorrhexis or dissection rupture.
Time Frame
during the surgery
Secondary Outcome Measure Information:
Title
Balloon related adverse event rate
Description
Renal insufficiency due to surgery; Changes in coagulation function; Degree of arterial stenosis and Degree of limb ischemia; Other adverse events
Time Frame
7 days after operation
Other Pre-specified Outcome Measures:
Title
30days±7days related adverse event rate
Description
Changes in coagulation function; Degree of arterial stenosis and Degree of limb ischemia; Other adverse events
Time Frame
30days±7days
Title
6months±30days related adverse event rate
Description
Changes in coagulation function; Degree of arterial stenosis and Degree of limb ischemia; Other adverse events
Time Frame
6months±30days
Title
12months±30days related adverse event rate
Description
Changes in coagulation function; Degree of arterial stenosis and Degree of limb ischemia; Other adverse events
Time Frame
12months±30days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Target lesions from superficial femoral artery to popliteal artery P1 segment; Proximal anatomical markers of target lesions: 1cm below the fork of the common femoral artery; Distal anatomical sign of target lesions: upper border of patella; Target lesions may be single, combined, or tandem primary lesions of stenosis and/or occlusion, and meet one of the following criteria: In contrast, The stenosis rate was greater than or equal to 70% and less than 100%, and the total length of the lesions was greater than or equal to 40mm and less than or equal to 200mm. The total length of the lesion is less than 100mm. The total length of the lesion is less than or equal to 200mm, and the length of the occlusion segment is less than or equal to 100mm. Note: the distance between the lesions is no more than 30mm, and the distance between the lesions is > 30mm. Patients with multiple target lesions judged as 2 or more independent lesions met the inclusion criteria. The diameter of the reference vessels of target lesions shall be 4mm or more and 7mm or less. If the subject has ipsilateral iliac or lower knee lesions to be treated, the above lesions shall be successfully treated with target lesions, and the following criteria shall be met: Residual stricture of the common iliac lesion < 30%; An upper knee has at least one or more free outflow tract, i.e., residual stenosis < 50%; No embolism, rupture or other serious adverse events occurred during the operation. The pregnancy test results of fertile female subjects must be negative and there is no pregnancy plan during the study period; The patient or client signs the patient's informed consent; Understand and accept the duration of this study, and be able to cooperate with follow-up and evaluation; Subject's life expectancy is greater than or equal to 12 months after evaluation by the investigator. Exclusion Criteria: The investigator believes that the subject has the possibility of non-compliance with the follow-up plan; Patients with cerebral apoplexy or st-segment elevation myocardial infarction in the last 3 months; Combined with the following diseases Patients diagnosed with thrombotic occlusive vasculitis; combined with abdominal aortic aneurysm/thoraco-abdominal aortic aneurysm (with mural thrombus inside the aneurysm cavity); coagulation defect; high coagulation status; blood index Serum creatinine > 170umol; White blood cell count < 3.0 x 109/L or > 14.0 x 109/L; Patients with platelet count < 80 x 109/L or > 500 x 109/L; Patients who are known to be allergic to anticoagulant, antiplatelet, contrast agent and other drugs; Examples: heparin, clopidogrel, iodixanol, etc. Target lesions are non-primary lesions of restenosis and anastomotic stenosis within the stent; Acute or subacute thrombosis of target lesions; There are aneurysms in the vicinity of target lesions, and the proximity refers to no more than 20mm. The patient is a lactating woman or a pregnant woman.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Junmin Bao, Doctor's degree
Phone
18801790869
Ext
18801790869
Email
bryantdj@163.com
Facility Information:
Facility Name
Anhui Provincial Hospital
City
Hefei
State/Province
Anhui
ZIP/Postal Code
230001
Country
China
Facility Contact:
Phone
13956007036
Email
xzlcyjhuhj@163.com
First Name & Middle Initial & Last Name & Degree
Hejie Hu
Facility Name
Xuanwu Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100053
Country
China
Facility Contact:
Phone
13671009746
Email
xzlcyjguolr@163.com
First Name & Middle Initial & Last Name & Degree
Lianrui Guo
Facility Name
The First Affiliated Hospital of Chongqing Medical University
City
Chongqing
State/Province
Chongqing
ZIP/Postal Code
400016
Country
China
Facility Contact:
Phone
13320201220
Email
xzlcyjchengjuni@163.com
First Name & Middle Initial & Last Name & Degree
Jun Cheng
Facility Name
Gulou Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210000
Country
China
Facility Contact:
Email
xzlcyjwangwei@163.com
First Name & Middle Initial & Last Name & Degree
Wei Wang
Facility Name
Nanjing first hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210001
Country
China
Facility Contact:
Phone
18912954049
Email
xzlcyjlwsh@163.com
First Name & Middle Initial & Last Name & Degree
Wensheng Lou
Facility Name
Shanghai Ninth People's Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
20000
Country
China
Facility Contact:
Phone
13801961446
Email
xzlcyjymy@163.com
First Name & Middle Initial & Last Name & Degree
Xintian Huang
Facility Name
Shanghai Renji Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
20000
Country
China
Facility Contact:
Phone
13501611993
Email
xzlcyjym@163.com
First Name & Middle Initial & Last Name & Degree
Wei Liang
Facility Name
Shanghai Zhongshan Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
20000
Country
China
Facility Contact:
Phone
13701913248
Email
xzlcyjjjh@163.com
First Name & Middle Initial & Last Name & Degree
Junhao Jiang
Facility Name
Shanxi da Hospital
City
Taiyuan
State/Province
Shanxi
ZIP/Postal Code
030000
Country
China
Facility Contact:
Phone
13934566999
Email
xzlcyjcaowd@163.com
First Name & Middle Initial & Last Name & Degree
Wendong Cao
Facility Name
The Affiliated Hospital of Southwest Medical University
City
Luzhou
State/Province
Sichuan
ZIP/Postal Code
646000
Country
China
Facility Contact:
Phone
13989131390
Email
xzlcyjliuyong@163.com
First Name & Middle Initial & Last Name & Degree
yong Liu
Facility Name
People's Hospital of XinJiang Uygur Autonomous Region
City
Urumqi
State/Province
Xinjiang
ZIP/Postal Code
830001
Country
China
Facility Contact:
Phone
13579218863
Email
xzlcyjguansh@163.com
First Name & Middle Initial & Last Name & Degree
Sheng Guan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Multi-center Study On the Treatment and Prognosis of Arteriosclerosis Obliterans With Different Caliber Balloon

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