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Critical Limb IschemiaNCT01870401

Lutonix DCB Versus Standard Balloon Angioplasty for Treatment of Below-The-Knee (BTK) Arteries

A study testing Lutonix DCB and Uncoated PTA Catheter in people with Critical Limb Ischemia, run by C. R. Bard at 51 sites in 8 countries.

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

To assess the safety and efficacy of the Lutonix Drug Coated Balloon (DCB) for treatment of stenosis or occlusion of native below-the-knee arteries. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Critical Limb Ischemia
What is being tested?
Lutonix DCB and Uncoated PTA Catheter
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
442 participants
Where
51 sitesin 8 countries
Study dates
3 Jun 2013to 22 Jun 2021
Phase
Interventional
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

Who may be able to join

  • Male or non-pregnant female ≥18 years of age;
  • Rutherford Clinical Category 3, 4 \& 5;
  • Life expectancy ≥ 1 year;
  • Significant stenosis (≥70%)
  • A patent inflow artery;
  • Target vessel(s) diameter between 2 and 4 mm;
  • Target vessel(s) reconstitute(s) at or above the ankle

Who cannot join

  • Pregnant or planning on becoming pregnant;
  • History of stroke within 3 months;
  • History of MI, thrombolysis or angina within 30 days of enrollment;
  • Planned major amputation (of either leg)
  • Prior major amputation if amputation occurred less than one year prior to enrollment and if patient is not independently ambulating;
  • GFR ≤ 30 ml/min per 1.73m2;
  • Acute limb ischemia;
  • In-stent restenosis of target lesion

Trial locations and contacts

51 sites in 8 countries.

51 sites in 8 countries

United States33 sites
  • New Mexico Heart Institute, LLC

    Albuquerque, New Mexico, 87102

  • Austin Heart PLLC

    Austin, Texas, 78756

  • Steward St. Elizabeth Medical Center of Boston

    Boston, Massachusetts, 02135

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

  • Cardiovascular Solutions Institute, LLC

    Bradenton, Florida, 34208

  • Deborah Heart & Lung Ctr

    Browns Mills, New Jersey, 08015

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Charleston Area Medical Center Health System

    Charleston, West Virginia, 25304

  • University Surgical Associates, LLC

    Chattanooga, Tennessee, 37403

  • Trihealth Heart Institute

    Cincinnati, Ohio, 45220

  • Morton Plant Mease Health Care, Inc

    Clearwater, Florida, 33756

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • OhioHealth Corporation

    Columbus, Ohio, 43214-3907

  • Cardiovascular Research of North Florida, LLC

    Gainesville, Florida, 32605

  • University of Florida

    Gainesville, Florida, 32611

  • CIS Clinical Research Corporation

    Houma, Louisiana, 70360

  • Jackson Heart Clinic, P.A.

    Jackson, Mississippi, 39216

  • Wellmont Cardiology Services, Inc.

    Kingsport, Tennessee, 37660

  • Radiology and Imaging Specialists of Lakeland, P.A

    Lakeland, Florida, 33805

  • Mt. Sinai Medical Center

    Miami Beach, Florida, 33140

  • Aurora St. Luke's Vascular Center

    Milwaukee, Wisconsin, 53215

  • Yale University-Yale New Haven Hospital

    New Haven, Connecticut, 06510

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Sentara Medical Group

    Norfolk, Virginia, 23507

  • Providence Health & Service - Oregon

    Portland, Oregon, 97225

  • The Miriam Hospital - A Lifespan Partner

    Providence, Rhode Island, 02906

  • NC Heart & Vascular Research

    Raleigh, North Carolina, 27607

  • Prairie Education and Research Cooperative

    Springfield, Illinois, 62701

  • Barnes Jewish Hospital

    St Louis, Missouri, 63110

  • Holy Name Medical Center

    Teaneck, New Jersey, 07666

  • MedStar Washington Hospital Center

    Washington D.C., District of Columbia, 20010

  • Central Iowa Hospital Corporation

    West Des Moines, Iowa, 50266

  • Metro Health-University of Michigan Health Hospital

    Wyoming, Michigan, 49519

Other trials in United States

Germany8 sites
  • Klinik für Kardiologie • Klinikum Arnsberg GmbH

    Arnsberg, 59759

  • Universitaets Herzzentrum Freiburg/Bad Krozingen

    Bad Krozingen, 79189

  • Med. Universitaet Heidelberg,Herzzentrum (Abteilung Innere Medizin III)

    Heidelberg, 69120

  • Hospital Kempten

    Immenstadt im Allgäu, 87509

  • Universitaetsklinikum Leipzig Medical Centre

    Leipzig, 04103

  • Universitätsklinikum Münster, Innere Medizin C

    Münster, 48149

  • Medinos Kliniken des Landkriess Sonneberg GmbH

    Sonneberg, 96515

  • University of Tubingen, Dept. of Diagnostic and Interventional Radiology

    Tübingen, 72076

Other trials in Germany

Japan5 sites
  • Kasukabe Chuo General Hospital

    Kasukabe, 344-0063

  • The Jikei University Hospital

    Minato-ku, Tokyo, 105-0003

  • Morinomiya Hospital

    Osaka, 536-0025

  • Kishiwada Tokushukai Hospital

    Osaka, 596-8522

  • Toho University

    Tokyo, 153-8515

Other trials in Japan

Austria1 site
  • Medical University Graz

    Graz, A-8036

Other trials in Austria

Belgium1 site
  • ZOL St. Jan

    Genk, 3600

Other trials in Belgium

Canada1 site
  • University Health Network

    Toronto, Ontario, M5G2M9

Other trials in Canada

Italy1 site
  • Maria Cecilia Hospital

    Cotignola

Other trials in Italy

Switzerland1 site
  • Kantonsspital Luzern

    Lucerne, 6000

Other trials in Switzerland

About this study

Official title: A Prospective, Multicenter, Single Blind, Randomized, Controlled Trial Comparing the Lutonix Drug Coated Balloon Versus Standard Balloon Angioplasty for Treatment of Below-the-Knee (BTK) Arteries(Lutonix BTK Trial)

To assess the safety and efficacy of the Lutonix Drug Coated Balloon (DCB) for treatment of stenosis or occlusion of native below-the-knee arteries.

Being tested
Lutonix DCB, Uncoated PTA Catheter
Medical subject headings
Chronic Limb-Threatening Ischemia

What participants receive

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

  • Lutonix DCBDevice

    Also called LTX DCB

  • Uncoated PTA CatheterDevice

    Also called PTA

Study groups in NCT01870401
Study groupRoleWhat they receive
Lutonix DCBExperimentalLutonix Paclitaxel Drug Coated Balloon
Receives: Device: Lutonix DCB
PTA CatheterActive comparatorStandard Uncoated PTA Catheter
Receives: Device: Uncoated PTA Catheter

What is being measured

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

  1. Number of Participants With Freedom From Below-the-Knee (BTK) Major Adverse Limb Event and Peri-Operative Death (POD) at 30 Days Post Index Procedure.

    The primary safety endpoint is defined as freedom from the composite of all-cause death, above-ankle amputation or major reintervention (new bypass graft, jump/interposition graft revision, or thrombectomy/thrombolysis) of the index limb involving a below-the-knee artery.

    Measured: 30 days post index procedure

  2. Number of Participants With Freedom From the Composite of Above-ankle Amputation, Target Lesion Occlusion, and Clinically-driven Target Lesion Revascularization at 6 Months Post Index Procedure.

    The primary efficacy endpoint is defined as freedom from the composite of above-ankle amputation, target lesion occlusion, and clinically-driven target lesion revascularization. All amputations included in endpoints refer to amputations in the index limb.

    Measured: 6 months post-index procedure

Secondary outcomes (25)
  1. Percentage of Lesions Considered Technical Success at Time of Index Procedure

    Technical Success: A success is determined if the device success was achieved and a final residual stenosis post study device (DCB or placebo) dilatation ≤ 30% was reported.

    Measured: At time of index procedure

  2. Percentage of Procedures With Procedural Success at Time of Index Procedure.

    A success is determined if there is restoration of at least 1 infrapopliteal artery with residual stenosis ≤ 30% (or ≤ 50% depending upon the version of the protocol) and inline outflow to the foot, irrespective of device success, and without a major adverse event during the index procedure.

    Measured: At time of Index Procedure

  3. Comparison of the Below the Knee (BTK) Major Adverse Limb Event (MALE) and Perioperative Death (POD) Rate to a Performance Goal at 30 Days Post Index Procedure.

    Measured: 30 days post index procedure

  4. Change in European Quality of Life 5 Dimensions (EuroQol -5D) Scores at 30 Days, 6 and 12 Months Compared to Baseline.

    Mean change in EuroQol (EQ-5D) scores at 30 days, 6, and 12 months compared to baseline. The EurolQol-5D system rates quality of life using five dimensions including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels of ratings, that is, no problems, slight problems, moderate problems, severe problems and extreme problems that can be selected. A visual scale allows participants to report their own perception of their health status. The overall scores range from 0 (worst) to 100 (best). Please note that the data in the table below represent the mean changes in overall scores for each group compared to their baseline data. Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure compared to baseline

  5. Late Lumen Loss at 12 Months Post Index Procedure

    Measured: 12 months post-index procedure

  6. Number of Healed Wounds at 30 Days, 6 and 12 Months Post Index Procedure

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available. The number of wounds analyzed at 6 and 12 months post-index procedure includes wounds that may have appeared (new wounds) since the previous time period reporting.

    Measured: 30 days, 6 and 12 months post index procedure

  7. Number of Non-Healed Wounds by Category (Improving, Stagnant and Worsening) at 30 Days, 6 and 12 Months Post-Index Procedure.

    Measured: 30 days, 6 and 12 months post index procedure

  8. Percentage of Existing, New, and Recurrent Wounds at 30 Days, 6 and 12 Months Post Index Procedure.

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure

  9. Change in Rutherford Classification Scores at 30 Days, 6 and 12 Months Post Index Procedure Compared to Baseline.

    The endpoint summarizes the change in index-limb Rutherford Classification of participants from baseline through 36 months. Data is presented as shift from baseline Rutherford Classification data using the following categories: 1) Improvement, 2) Same, and 3) Worsened.

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure compared to baseline

  10. Number of Participants With Freedom From Above Ankle Amputation, Unhealed Wound, Ischemic Rest Pain, Target Vessel Occlusion, and Clinically-Driven Target Vessel Revascularization (TVR) at 30 Days, 6 and 12 Months Post Index Procedure.

    The composite endpoint of freedom from above ankle amputation (CEC-adjudicated), unhealed wound (presence of wound vs. no wound), ischemic rest pain (Rutherford category 4 or higher), target vessel occlusion (based on DUS and/or angiograph), and clinically-driven TVR (CEC-adjudicated).

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure

  11. Percentage of Participants With Freedom From Primary Patency Failure at 30 Days, 6 and 12 Months Post Index Procedure

    Primary patency is defined as the absence of both total occlusion (100% diameter stenosis) in all of the target lesions in a flow pathway as well as a clinically-driven Target Lesion Revascularization (TLR).

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days and at 6 and 12 months

  12. Percentage of Lesions With Primary Patency Excluding Early Mechanical Recoil at 30 Days, 6 and 12 Months Post Index Procedure

    Primary patency with exclusion of early mechanical recoil of the target flow pathway is defined as the absence of both total occlusion (100% diameter stenosis) of the target lesions and clinically-driven TLR events > 30 days.

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure

  13. Number of Lesions With Secondary Patency at 30 Days, 6 and 12 Months Post Index Procedure

    The secondary patency of the target lesion is defined as the absence of total occlusion (100% diameter stenosis) of the target lesions based on angiography (if performed) or ultrasound as analyzed by the angiographic Core Lab.

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure

  14. Composite of Freedom From Clinically -Driven Target Lesion Revascularization (TLR) and From 50% DS by Angiography or Duplex Ultrasound at 30 Days, 6 and 12 Months Post Index Procedure.

    Measured: 30 days, 6 and 12 months post index procedure

  15. Change in Toe Brachial Index (TBI) at 30 Days, 6 and 12 Months Post Index Procedure Compared to Baseline

    Mean change from baseline values. The Toe Brachial Index (TBI) is defined as a ratio of toe to brachial (upper arm) artery systolic blood pressure and aims at determining how well the blood is flowing in the legs.

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure compared to baseline

  16. Change in Ankle Brachial Index (ABI) at 30 Days, 6 and 12 Months Post Index Procedure Compared to Baseline

    Mean change from baseline values. The Ankle Brachial Index (ABI) is defined as a ratio of ankle to brachial (upper arm) artery systolic blood pressure and aims at determining how well the blood is flowing in the legs.

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, and at 6 and 12 months compared to baseline

  17. Change in Walking Impairment Questionnaire (WIQ) Scores at 30 Days, 6 and 12 Months Post Index Procedure Compared to Baseline.

    The WIQ assesses 3 categories of activities that include 1) walking distance, 2) stair-climbing, and 3) walking speed. Each question requires participants to rate their degree of difficulty with the activity on a scale of 0 (unable) to 4 (no problem). Final scores range from 0% to 100%, with lower percentages indicating higher levels of difficulties with activities.The results below represent the mean differences in total Walking Impairment Questionnaire (WIQ) scores at 30 days 6 and 12 months, compared to baseline assessment scores.

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure compared to baseline

  18. Number of Participants With Clinically-Driven Target Lesion Revascularization (TLR) at 30 Days, 6 and 12 Months Post Index Procedure

    Measured: 30 days, 6 and 12 months post index procedure

  19. Cumulative Number of Target Lesion Revascularization (TLR) at 30 Days, 6 and 12 Months Post Index Procedure.

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure

  20. Number of Participants With Clinically-Driven Target Vessel Revascularization (TVR) at 30 Days, 6 and 12 Months Post Index Procedure.

    Measured: 30 days, 6 and 12 months post index procedure

  21. Cumulative Number of Target Vessel Revascularization (TVR) at 30 Days, 6 and 12 Months Post Index Procedure.

    Measured: 30 days, 6 and 12 months post index procedure

  22. Percentage of Participants With Freedom From Limb Amputation at 30 Days, 6 and 12 Months Post Index Procedure

    Limb salvage defined as no amputation of target limb.

    Measured: 30 days and at 6 and 12 months

  23. Percentage of Participants With Freedom From Unplanned Below the Knee (BTK) Amputation of the Target Limb at 30 Days, 6 and 12 Months Post Index Procedure.

    Defined as amputation that was below the ankle, including digit amputation. Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure

  24. Cumulative Number of of Below the Knee (BTK) Index-Limb Reinterventions at 30 Days, 6 and 12 Months Post Index Procedure.

    The overall burden of BTK reinterventions was defined as the total number of BTK index-limb re-interventions and major amputations for each time point.

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure

  25. Percentage of Participants With Freedom From Composite of Perioperative Death (POD), Index Limb-related Death, Below the Knee Reinterventions or Major Amputations of the Index Limb at 30 Days, 6 and 12 Months Post Index Procedure

    Results for 24 and 36 months will be reported when the final Clinical Study Report becomes available.

    Measured: 30 days, 6 and 12 months post index procedure

Timeline

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

  1. First posted6 Jun 2013 (estimated)
  2. Study start3 Jun 2013
  3. Primary completion17 May 2018
  4. Study completion22 Jun 2021

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
442 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01870401
Sponsor's protocol ID
CL0005-01
Status last verified
Feb 2022
First submitted
7 May 2013
Last updated
9 Feb 2022
Data monitoring committee
Yes
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Lutonix DCB and Uncoated PTA Catheter in people with Critical Limb Ischemia, run by C. R. Bard at 51 sites in 8 countries.

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 7 inclusion and 8 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 9 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States, Germany, Japan, Austria, Belgium and 3 more countries. 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 12 Aug 2020). 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?

Number of Participants With Freedom From Below-the-Knee (BTK) Major Adverse Limb Event and Peri-Operative Death (POD) at 30 Days Post Index Procedure. (time frame: 30 days post index procedure). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Feb 2022.

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