Critical Limb Ischemia
Conditions
Brief summary
The purpose is to demonstrate the safety and effectiveness of the Stellarex DCB for the treatment of stenosis or occlusions of below-the-knee arteries.
Interventions
Intervention with the Stellarex DCB
Intervention with an uncoated Standard PTA
Sponsors
Study design
Eligibility
Inclusion criteria
* Rutherford Clinical Category 4-5 * Life expectancy \> 1 year * Significant stenosis ≥70% * Patent inflow artery * Target vessel(s) diameter between 2 and 4 mm * Target vessel(s) reconstitute(s) at the ankle
Exclusion criteria
* Pregnant or planning to become pregnant * History of stroke within 3 months * Planned major amputation * eGFR \<30 * Acute limb ischemia * Prior stent placement in target lesion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Freedom from Major Adverse Limb Event (MALE) | 30 days | Composite of major amputation or major reintervention on a per patient basis |
| Freedom from Perioperative Death (POD) | 30 days | Death on a per patient basis |
| Patency | 6 months | Freedom from target lesion occlusion and clinically driven target lesion reintervention and freedom from major amputation on a per patient basis |
| Limb Salvage | 6 months | Freedom from target lesion occlusion and clinically driven target lesion reintervention and freedom from major amputation on a per patient basis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Major adverse event rates | 6 months | Composite rate of all-cause death, major amputation and clinically driven target lesion reintervention |
| Patency rate | 6 months | Absence of target lesion occlusion and freedom from clinically-driven target lesion reintervention |
| Clinically-driven target lesion revascularization | 6 months | Rate of clinically-driven target lesion revascularization |
Countries
Australia, Austria, Belgium, Germany, United States