Peripheral Artery Disease
Conditions
Keywords
peripheral artery disease, PAD, claudication, angioplasty, percutaneous transluminal angioplasty, PTA, superficial femoral artery, SFA, popliteal artery, PA, PRT-201, restenosis, vonapanitase
Brief summary
The purpose of this study is to determine if it is safe and feasible to apply PRT-201 to the adventitia of arteries following successful angioplasty (PTA).
Interventions
DRUGPRT-201
0.03, 1, or 3 mg single adventitial administration
Sponsors
University of California, San Francisco
Proteon Therapeutics
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age of at least 18 years 2. Clinical diagnosis of PAD, secondary to atherosclerosis affecting a lower limb 3. Rutherford classification 2-4 (moderate claudication to ischemic rest pain) 4. ABI \<0.90 at rest or with exercise, or a toe-brachial index \<0.70, or radiographic evidence of PAD that correlates with clinical symptoms 5. De novo lesion, not previously treated by angioplasty or atherectomy 6. Greater than 70% stenosis of the SFA or PA, target lesion length of 10 cm or less, and at least one patent runoff vessel. Short segment occlusions (\<10 cm) are acceptable 7. If female and of childbearing potential (premenopausal and not surgically sterile) must have a negative pregnancy test at the screening visit and be willing to use contraception from the time of the screening visit to 1 week following study drug administration. Acceptable methods of birth control include abstinence, barrier methods with spermicide, implants, injectables, oral contraceptives, intra-uterine device, or a vasectomized partner 8. Ability to understand and comply with the requirements of the entire study and communicate with the study team 9. Ability to provide written informed consent using a document that has been approved by the required institutional review board
Exclusion criteria
1. Previous treatment with PRT-201 2. Patients in whom arterial insufficiency in the lower extremity is the result of an immunologic or inflammatory non-atherosclerotic disorder (e.g. Buerger's disease, vasculitis) 3. Current severe critical limb ischemia defined as ulceration or gangrene 4. Planned atherectomy of the arteries of the index leg 5. Prior or planned stenting of the target lesion 6. Prior bypass surgery to the target SFA or PA 7. Severe concentric medial calcification of the target lesion thought to interfere with drug delivery to the adventitia that is defined subjectively by the Investigator based on fluoroscopic appearance. 8. History of metastatic cancer 9. Presence of aortic or peripheral artery aneurysm 10. Platelet count \<130K, hematocrit \<30%, bilirubin or ALT \>3.0 times the upper limit of normal 11. Pregnancy, lactation or plans to become pregnant during the course of the study 12. Presence of any significant medical condition that might significantly confound the collection of safety and efficacy data in this study 13. Treatment with any investigational drug within the previous 30 days or investigational antibody therapy within 90 days prior to signing informed consent 14. Known allergy to contrast media
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Safety | 12 months following PTA and study drug administration | Safety evaluations will be based on adverse events, physical examinations, ultrasounds, vital signs, and clinical laboratory results. Events of interest (EOI) include: acute occlusion, vessel dissection, vessel rupture, aneurysm, pseudoaneurysm, target lesion revascularization, limb amputation, and death. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Technical success of adventitial administration of PRT-201 | Immediately following study drug administration | Technical success of study drug administration will be assessed by the extent of circumferential and longitudinal coverage of the artery by the study drug. A standardized scale will be used to grade the pattern of distribution for each patient. |
Countries
United States
Outcome results
None listed