Atherosclerotic Disease
Conditions
Brief summary
A total of up to 250 patients from an all-comers patient population with infrainguinal atherosclerotic disease who are implanted or scheduled for an implant with a Ranger Drug coated balloon. Interim analysis will be carried out for every 50 subjects enrolled.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years. * Patient must be willing to sign a a patient informed consent form. * Patient with de novo, restenotic or reoccluded lesions in the infrainguinal .arteries implanted or scheduled for an implant with a Ranger Drug coated balloon. * Target vessel reference diameter 2.5 to 8 mm.
Exclusion criteria
* Subjects pregnant or planning to become pregnant during the course of the study. * Life expectancy of less than 1 year. * Known allergy to concomitant medication, contrast agents (that cannot be medically managed), anti-platelet, anti-coagulant or thrombolytic medications. Subject enrolled in another study that has not reached its primary endpoint at the time of enrolment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical primary endpoint: Major Adverse Events (MAE) defined as composite of freedom from device- and procedure-related mortality through 30 days, freedom from major target limb amputation and TLR within 6 months post-index procedure. | 6 Months |
| Performance primary endpoint: Primary patency at 12 months, defined as freedom from > 50% restenosis with no clinically-driven reintervention | 12 Months |
Secondary
| Measure | Time frame |
|---|---|
| Primary patency at 6 and 24 months, defined as freedom from > 50% restenosis with no clinically-driven reintervention | 6 and 24 Months |
| MAE at 12 and 24 months | 12 and 24 Months |
| Technical success, defined as successful vascular access and completion of the endovascular procedure and immediate morphological success with ≤ 50% residual stenosis (visual assessment) | Intraoperative |
| Device success, defined as exact deployment of the device according to the IFU (operator assessment) | Intraoperative |
| Procedural success, defined as the combination of technical success and device success | Intraoperative |
| Target Lesion Revascularization (TLR) and Target Vessel Revascularization (TVR) at 6, 12 and 24 months. | 6, 12 and 24 months |
| Limb salvage, defined as preservation of the treated limb with no need for any amputation at 6, 12 and 24 months. | 6, 12 and 24 months |
| Improvement of pain score at 6, 12 and 24 months compared to the pre-procedure score | 6, 12 and 24 months |
| Improvement of at least one Rutherford class at 6, 12 and 24 months (an prior to any reintervention) compared to the pre-procedure Rutherford classification. | 6, 12 and 24 months |
| Ankle-Brachial Index (ABI) at 6, 12 and 24 months (and prior to any reintervention) | 6, 12 and 24 months |
Countries
Germany, Switzerland