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Peripheral Arterial Occlusive DiseaseLIBERTYNCT01855412

Observational Study to Evaluate PAD Treatment Clinical and Economic Outcomes

An observational study of Peripheral Arterial Occlusive Disease, run by Abbott Medical Devices at 52 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate acute and long term clinical and economic outcomes of endovascular procedures to treat Peripheral Arterial Disease (PAD). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peripheral Arterial Occlusive Disease
What is being tested?
PAD endovascular treatments
How many people
1,204 participants
Where
52 sitesUnited States
Study dates
May 2013to 11 Apr 2019
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who have been determined by their physician to require endovascular device treatment for their PAD.

Who may be able to join

  • Subject's age ≥ 18 years.
  • Subject presents with a Rutherford classification of 2 to 6.
  • Subject presents with clinical evidence of PAD requiring endovascular intervention on one or both limbs that includes a target lesion in a native vessel located within or extending into 10 cm above the medial epicondyle to the digital arteries.
  • If subject presents with bilateral disease, the first limb treated with a lesion in the target area will be considered the target limb.
  • For subjects with one or more wounds on the target limb, the target lesion(s) should be considered the lesion(s) in the vessel(s) that provide(s) blood flow to the wound(s).
  • Subject has at least one lesion in a native vessel located within or extending into the target area that is crossed and treated with an endovascular device.

Who cannot join

  • Subject is unwilling or unable to sign the IRB-approved informed consent form (ICF).
  • Subject is unable to understand or comply with the study protocol requirements.
  • Subject is currently participating in an investigational drug or other device study that can clinically interfere with the endpoints of this study.
  • Subject requires a conversion from endovascular intervention to a surgical bypass graft for any lesion(s) in the target area, as determined by the Investigator.
  • Subject has an in-stent restenosis in the target area, and this lesion is the only one requiring treatment.
  • Subject is pregnant or planning to become pregnant within the study period.
  • Subject has an anticipated life span of less than one (1) year.

Trial locations and contacts

52 sites in 1 country.

52 sites in 1 country

United States52 sites
  • Cardiothoracic and Vascular Surgeons, P.A.

    Austin, Texas, 78756

  • Memorial Hospital Carbondale

    Carbondale, Illinois, 62902

  • University Surgical Associates

    Chattanooga, Tennessee, 37403

  • Clearwater Cardiovascular Consultants

    Clearwater, Florida, 33756

  • Ohio Health

    Columbus, Ohio, 43214

  • Metropolitan Heart and Vascular Institute

    Coon Rapids, Minnesota, 55433

  • Midwest Cardiovascular Research Foundation

    Davenport, Iowa, 52803

  • Michigan Outpatient Vascular Institute

    Dearborn, Michigan, 48126

  • Denver Heart

    Denver, Colorado, 80220

  • VA Eastern Colorado Healthcare System

    Denver, Colorado, 80220

  • St. John Hospital and Medical Center

    Detroit, Michigan, 48236

  • El Paso Cardiology Associates

    El Paso, Texas, 79902

  • University of Texas Medical Branch at Galveston

    Galveston, Texas, 77555

  • Mercy Gilbert Medical Center

    Gilbert, Arizona, 85297

  • Phoenix Heart Cardiovascular

    Glendale, Arizona, 85306

  • Hartford Hospital

    Hartford, Connecticut, 06102

  • Houston Methodist Research Institute

    Houston, Texas, 77030

  • First Coast Cardiovascular Institute

    Jacksonville, Florida, 32216

  • St. Luke's Hospital

    Kansas City, Missouri, 64111

  • Wellmont CVA Heart Institute

    Kingsport, Tennessee, 37660

  • Premier Surgical Associates

    Knoxville, Tennessee, 37909

  • Lakeland Regional Medical Center

    Lakeland, Florida, 33805

  • Colorado Heart and Vascular, PC

    Lakewood, Colorado, 80228

  • The Heart Institute of Largo

    Largo, Florida, 33770

  • St. Joseph Hospital

    Lexington, Kentucky, 40504

  • Arkansas Heart Hospital

    Little Rock, Arkansas, 72211

  • Cedars-Sinai Heart Institute

    Los Angeles, California, 90048

  • Duke University Hospital

    Lumberton, North Carolina, 28358

  • Baptist Cardiac and Vascular Institute

    Miami, Florida, 33176

  • Mount Sinai Medical Center Heart Institute

    Miami Beach, Florida, 33140

  • Mission Research Institute

    New Braunfels, Texas, 78130

  • Yale-New Haven Hospital

    New Haven, Connecticut, 06510

  • Gotham Cardiovascular Research

    New York, New York, 10001

  • Columbia University Medical Center

    New York, New York, 10032

  • Florida Hospital

    Orlando, Florida, 32803

  • Coastal Vascular and Intervention

    Pensacola, Florida, 32504

  • St. Luke's Medical Center

    Phoenix, Arizona, 85006

  • Rex Heathcare

    Raleigh, North Carolina, 27607

  • Shady Grove Adventist Hospital

    Rockville, Maryland, 20850

  • Mid-Michigan Heart and Vascular Center

    Saginaw, Michigan, 48604

  • San Antonio Endovascular & Heart Institute

    San Antonio, Texas, 78358

  • Chicago Vascular Clinic

    Schaumburg, Illinois, 60173

  • Sanford Research

    Sioux Falls, South Dakota, 57104

  • Stern Cardiovascular Foundation

    Southaven, Mississippi, 38671

  • St. John's Hospital Springfield

    Springfield, Illinois, 62701

  • Cox Health System

    Springfield, Missouri, 65802

  • Houston Methodist Research Institute Sugar Land

    Sugar Land, Texas, 77479

  • Pepin Heart Institute

    Tampa, Florida, 33613

  • St. John Health System

    Tulsa, Oklahoma, 74104

  • Cardiovascular Associates of East Texas

    Tyler, Texas, 75701

  • Providence Health Services

    Waco, Texas, 76712

  • Metro Health Hospital

    Wyoming, Michigan, 49519

Other trials in United States

About this study

Official title: LIBERTY 360: Prospective, Observational, Multi-Center Clinical Study to Evaluate Acute and Long Term Clinical and Economic Outcomes of Endovascular Device Intervention in Patients With Distal Outflow Peripheral Arterial Disease (PAD)

The purpose of this study is to evaluate acute and long term clinical and economic outcomes of endovascular procedures to treat Peripheral Arterial Disease (PAD).

Read the detailed description

This is a prospective, observational, multi-center, clinical study examining predictors of clinical outcomes for patients undergoing endovascular treatment of lesions within or extending into the target area (10 cm above the medial epicondyle to the digital arteries). This includes disease in a vessel located within or extending into the distal superficial femoral artery (SFA), popliteal (POP), tibial peroneal trunk (TPT), anterior tibial (AT), posterior tibial (PT), and peroneal tibial (PR) arteries.

Being tested
PAD endovascular treatments
Keywords
PAD, LIBERTY, Observational
Medical subject headings
Peripheral Arterial Occlusive Disease 1

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PAD endovascular treatmentsOther

    All FDA-cleared endovascular PAD treatments

Study groups in NCT01855412
Study groupRoleWhat they receive
Claudication (Rutherford 2-3)Patients who have been diagnosed with PAD and are classified as on the Rutherford Scale as Rutherford 2-3. Patients may be treated with any FDA-cleared endovascular PAD treatment.
Receives: Other: PAD endovascular treatments
CLI Rutherford 4-5Patients who have been diagnosed with PAD and classified on the Rutherford Scale as Rutherford 4-5. Patients may be treated with any FDA-cleared endovascular PAD treatment.
Receives: Other: PAD endovascular treatments
CLI Rutherford 6Patients who have been diagnosed with PAD and classified on the Rutherford Scale as Rutherford 6. Patients may be treated with any FDA-cleared endovascular PAD treatment.
Receives: Other: PAD endovascular treatments

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Procedural Success of Endovascular PAD Treatment(s)

    Final post-procedural result of <50% residual stenosis for all treated lesions for a participant during index procedure and without angiographic complications as determined by the Angiographic Core Laboratory.

    Measured: Participants were followed from baseline procedure through hospital discharge, an expected average of less than 24 hours

  2. Lesion Success of Endovascular PAD Treatment(s)

    Final post-procedural result of <50% residual stenosis for a given lesion treated during index procedure without angiographic complications as determined by the Angiographic Core Laboratory.

    Measured: Participants were followed from baseline procedure through hospital discharge, an expected average of less than 24 hours

  3. Rate of Freedom From Major Adverse Events (MAEs) at One (1) and Three (3) Years

    A Kaplan-Meier analysis was performed to determine the percent probability that the study participant was free from a major adverse event through 1 year and 3 years.

    1- and 3-year MAE is composed of:

    • Death within 30 days of index procedure
    • Unplanned major (above the ankle) amputation of the target limb
    • Clinically-driven TVR (Target Vessel Revascularization) of the target limb

    Measured: One (1) year and three (3) years post-procedure

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 May 2013 (estimated)
  2. Study startMay 2013
  3. Primary completion11 Apr 2019
  4. Study completion11 Apr 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,204 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01855412
Sponsor's protocol ID
CLN-0001-P
Acronym
LIBERTY
Status last verified
Jul 2023
First submitted
7 May 2013
Last updated
18 Jul 2023
Data monitoring committee
No

Publications

  • Adams GL, Mustapha J, Gray W, Hargus NJ, Martinsen BJ, Ansel G, Jaff MR. The LIBERTY study: Design of a prospective, observational, multicenter trial to evaluate the acute and long-term clinical and economic outcomes of real-world endovascular device interventions in treating peripheral artery disease. Am Heart J. 2016 Apr;174:14-21. doi: 10.1016/j.ahj.2015.12.013. Epub 2015 Dec 30.

    PubMed 26995365
  • Mustapha J, Gray W, Martinsen BJ, Bolduan RW, Adams GL, Ansel G, Jaff MR. One-Year Results of the LIBERTY 360 Study: Evaluation of Acute and Midterm Clinical Outcomes of Peripheral Endovascular Device Interventions. J Endovasc Ther. 2019 Apr;26(2):143-154. doi: 10.1177/1526602819827295. Epub 2019 Feb 6.

    PubMed 30722718
  • Mustapha JA, Igyarto Z, O'Connor D, Armstrong EJ, Iorio AR, Driver VR, Saab F, Behrens AN, Martinsen BJ, Adams GL. One-Year Outcomes of Peripheral Endovascular Device Intervention in Critical Limb Ischemia Patients: Sub-Analysis of the LIBERTY 360 Study. Vasc Health Risk Manag. 2020 Feb 10;16:57-66. doi: 10.2147/VHRM.S230934. eCollection 2020.

    PubMed 32103970
  • Giannopoulos S, Secemsky EA, Mustapha JA, Adams G, Beasley RE, Pliagas G, Armstrong EJ. Three-Year Outcomes of Orbital Atherectomy for the Endovascular Treatment of Infrainguinal Claudication or Chronic Limb-Threatening Ischemia. J Endovasc Ther. 2020 Oct;27(5):714-725. doi: 10.1177/1526602820935611. Epub 2020 Jul 3.

    PubMed 32618486
  • Giannopoulos S, Shammas NW, Cawich I, Staniloae CS, Adams GL, Armstrong EJ. Sex-Related Differences in the Outcomes of Endovascular Interventions for Chronic Limb-Threatening Ischemia: Results from the LIBERTY 360 Study. Vasc Health Risk Manag. 2020 Jul 8;16:271-284. doi: 10.2147/VHRM.S246528. eCollection 2020.

    PubMed 32753875
  • Narcisse DI, Weissler EH, Rymer JA, Armstrong EJ, Secemsky EA, Gray WA, Mustapha JA, Adams GL, Ansel GM, Patel MR, Jones WS. The impact of chronic kidney disease on outcomes following peripheral vascular intervention. Clin Cardiol. 2020 Nov;43(11):1308-1316. doi: 10.1002/clc.23444. Epub 2020 Aug 11.

    PubMed 32780436
  • Giannopoulos S, Mustapha J, Gray WA, Ansel G, Adams G, Secemsky EA, Armstrong EJ. Three-Year Outcomes From the LIBERTY 360 Study of Endovascular Interventions for Peripheral Artery Disease Stratified by Rutherford Category. J Endovasc Ther. 2021 Apr;28(2):262-274. doi: 10.1177/1526602820962972. Epub 2020 Oct 5.

    PubMed 33016805
  • Weissler EH, Narcisse DI, Rymer JA, Armstrong EJ, Secemsky E, Gray WA, Mustapha JA, Adams GL, Ansel GM, Patel MR, Jones WS. Characteristics and Outcomes of Patients With Diabetes Mellitus Undergoing Peripheral Vascular Intervention for Infrainguinal Symptomatic Peripheral Artery Disease. Vasc Endovascular Surg. 2021 Feb;55(2):124-134. doi: 10.1177/1538574420968671. Epub 2020 Oct 23.

    PubMed 33094679
  • Magnuson EA, Li H, Vilain K, Armstrong EJ, Secemsky EA, Giannopoulos S, Adams GL, Mustapha J, Cohen DJ; LIBERTY 360 degrees Trial Investigators. Two-year PAD-related health care costs in patients undergoing lower extremity endovascular revascularization: results from the LIBERTY 360 degrees trial. J Med Econ. 2021 Jan-Dec;24(1):570-580. doi: 10.1080/13696998.2021.1917141.

    PubMed 33866936
  • Giannopoulos S, Pliagas G, Armstrong EJ. Procedural and 3-Year Outcomes of Peripheral Vascular Interventions Performed in Office-Based Labs: LIBERTY 360 Sub-Analysis. J Invasive Cardiol. 2021 May;33(5):E365-E377. doi: 10.25270/jic/20.00594.

    PubMed 33932282
  • Giannopoulos, S, Fakorede FA, Cawich I, Dishmon D, Horne A, Raja ML, Mustapha JA, Adams GL, Armstrong EJ. Racial Disparities in Risk for Major Amputation or Death After Endovascular Interventions for Peripheral Artery Disease: A LIBERTY 360 Study. J Crit Limb Ischemia. 2021 June;1(2):E62-E72.

  • Salahuddin T, Giannopoulos S, Adams G, Armstrong EJ. Anterior, posterior, or all-vessel infrapopliteal revascularization in patients with moderate-severe claudication: Insights from the LIBERTY 360 study. Catheter Cardiovasc Interv. 2021 Sep;98(3):559-569. doi: 10.1002/ccd.29780. Epub 2021 May 31.

    PubMed 34057276
  • Jammeh ML, Suggs J, Adams GL, Armstrong EJ, Mustapha J, Zayed MA. Outcomes of Orbital Atherectomy in Patients with Critical Limb Threatening Ischemia and Diabetes. J Crit Limb Ischemia. 2022 Jun;2(2):E29-E37. Epub 2022 Apr 12.

    PubMed 37066103
  • Metser G, Puma J, Mustapha J, Adams GL, Ratcliffe J, Khullar P, Rosero JHC, Armstrong EJ, Zayed M, Green P. Clinical Outcomes of Additional Below-The-Ankle Intervention Compared to Below-The-Knee Intervention Alone: A Post-Hoc Analysis of a Prospective Multicenter Study. J Endovasc Ther. 2023 Oct;30(5):711-720. doi: 10.1177/15266028221092981. Epub 2022 May 3.

    PubMed 35503774

Questions about this trial

What is this clinical trial studying?

An observational study of Peripheral Arterial Occlusive Disease, run by Abbott Medical Devices at 52 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 52 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 May 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Procedural Success of Endovascular PAD Treatment(s) (time frame: Participants were followed from baseline procedure through hospital discharge, an expected average of less than 24 hours). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01855412, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jul 2023.

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