Acute Limb Ischemia
Conditions
Keywords
Acute limb ischemia, ALI, Acute lower extremity arterial occlusion
Brief summary
The purpose of this study is to evaluate the safety and efficacy of MST-188 in subjects receiving catheter-directed rt-PA for acute lower limb ischemia and to evaluate whether treatment with MST-188 results in more rapid thrombolysis of the occlusion and more rapid tissue perfusion in the effected blood vessel.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥30 to \<80 * Symptoms consistent with ALI in target lower limb classified as Rutherford Category IIa or IIb * Subject is hospitalized or in the process of hospitalization for the treatment of ALI * Angiographic confirmation of thrombotic lower limb arterial occlusion
Exclusion criteria
* Prosthetic bypass graft occlusion within 1 month of implantation or autogenous graft occlusion within 6 months of placement * Treatment with a thrombolytic agent within the last 48 hours * Subject's laboratory results indicate inadequate organ function * NYHA Class IV congestive heart failure * Prior major amputation of the target limb * Other complications or contraindications for receiving rt-PA, anticoagulants, or contrast media
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Angiographic assessment of the change in the volume of thrombus (Exploratory endpoint) | Baseline, 8 and 24 hours |
| Assessment of the change in TcPO2 (Exploratory endpoint) | Baseline, 8, 12, and 24 hours |
| Number of participants with adverse events | Randomization through 30 days post-treatment |
Countries
United States