AtherosclerosisNCT02710656
Study Comparing Legflow Versus Bare Balloon Angioplasty for Treatment of Atherosclerotic Disease
A study testing Legflow® balloon and Standard PTA in people with Atherosclerosis, run by Cardionovum GmbH at 9 sites in 3 countries.
Trial summary
A randomized multicentric study for endovascular treatment of patients with obstructive disease in the SFA (superficial femoral artery) and in the popliteal artery. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Atherosclerosis
- What is being tested?
- Legflow® balloon and Standard PTA
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 130 participants
- Where
- 9 sitesin 3 countries
- Study dates
- Mar 2016to Nov 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
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
- Patient must sign the informed consent form prior to the index-procedure.
- Patient must be older than 18 years.
- Patient with Rutherford 2, 3 and 4..
- Target lesion is an occlusion or ≥70% stenosis (visual estimate) located in SFA or popliteal artery (P1 -P2).
- Maximum length of the target lesion is 13 cm.
- Target lesion is TASC A, B or C.
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- Target lesion is a de novo lesion or restenotic lesion (previously POBA treated, in-stent restenosis is not allowed).
- Inflow arteries are free from hemodynamically significant obstruction (i.e. ≥ 50% diameter stenosis). It is allowed to treat inflow lesions during the index-procedure if the result is ≤ 30% diameter stenosis (treatment with DCB or DES is not allowed). Treatment of a non-target lesion in the target vessel is allowed if the nontarget lesion is considered to be an inflow lesion.
- Popliteal artery P3 segment (below knee popliteal artery) is free from hemodynamically significant obstruction (i.e. ≥ 50%). Treatment of a lesion in this segment is not allowed during the index-procedure.
- At least 1 patent (< 50% diameter stenosis) below-the-knee vessel (anterior tibial artery, posterior tibial artery or peroneal artery) till the ankle as confirmed by baseline angiography.
Who cannot join
- Patient is already included in this study (recruitment of the contralateral leg is not allowed).
- Patient has a known intolerance to antiplatelet therapy or contrast agent.
- Patient with known sensitivity to Paclitaxel.
- Patient is pregnant or patient intends to become pregnant within 1 year after the index-procedure.
- Patient takes esomeprazole or omeprazole.
- Patient with serum creatinine >2.0 mg/dL or renal dialysis.
Show all 19Show fewer
- Patient suffers from acute limb ischemia defined as any sudden decrease in limb perfusion causing a potential threat to limb viability.
- Patient has a life expectancy <2 years.
- Patient with Rutherford 0, 1 , 5 and 6.
- Patient has a target lesion that is severely calcified (grade 3 and grade 4).
- Patient with a TASC D lesion.
- Patient has an acute thrombus or aneurysm in the target vessel.
- Patient has a target lesion that cannot be crossed with a guidewire.
- Target vessel has been treated previously with a DCB or a DES.
- Treatment of outflow lesions during the index-procedure.
- Patients with significant disease of all 3 infrapopliteal vessels (i.e. ≥ 50% diameter stenosis in each vessel).
- Any scheduled surgery within 3 months after the index-procedure that would necessitate the discontinuation of clopidogrel.
- Patients with previous bypass surgery involving the SFA.
- Patient has cirrhosis of the liver.
Trial locations and contacts
9 sites in 3 countries.
9 sites in 3 countries
Belgium5 sites
ZNA Stuivenberg
Antwerp, 2060
AZ Sint-Jan
Bruges, 8000
ZOL (Ziekenhuis Oost-Limburg)
Genk, 3600
Jessa hospital
Hasselt, 3500
UZ Leuven
Leuven, 3000
France3 sites
CHU Bordeaux
Bordeau, 33076
CHU Cermont-Ferrand
Clermont-Ferrand
CH Mont-de-Marsan
Mont-de-Marsan
About this study
Official title: Multicenter Randomized Controlled Trial Comparing Legflow - DCB (Cardionovum) Versus Bare Balloon Angioplasty for the Treatment of Atherosclerotic Disease in the Superficial Femoral & Popliteal Segment
A randomized multicentric study for endovascular treatment of patients with obstructive disease in the SFA (superficial femoral artery) and in the popliteal artery.
Read the detailed description
This interventional study will collect data about the treatment of de novo lesions or restenotic lesions. Restenotic lesions that are previously DCB (drug coated balloon) treated or in-stent restenosis are excluded in this study.
The primary objective of this randomized study is to compare the efficacy of the DCB (Legflow - Cardionovum) versus POBA for the treatment of de novo lesions or restenosis in the SFA and in the popliteal artery (segment P1 -P2) by assessing the binary restenosis rate with duplex ultrasonography at 12 months.
The secondary endpoints are the assessment of the immediate procedural outcome, distribution of Rutherford, mortality, target lesion revascularization (TLR), target extremity revascularization (TER), amputation and anklebrachial index (ABI).
For each patient enrolled, data will be collected up to 12 months after the procedure.
- Conditions
- Atherosclerosis
- Being tested
- Legflow® balloon, Standard PTA
- Keywords
- Atherosclerosis, SFA, Poplitea, Drug coated balloon, Angioplasty, Restenosis, Peripheral artery disease (PAD)
- Medical subject headings
- Atherosclerosis, Peripheral Arterial Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Legflow® balloonDevice
Also called Paclitaxel eluting balloon
Percutaneous angioplasty performed with a Drug coated balloon (DCB) with Paclitaxel
Standard PTADevice
Also called POBA
Percutaneous angioplasty performed with a standard balloon
| Study group | Role | What they receive |
|---|---|---|
| Drug Coated Balloon (DCB) - Legflow® | Experimental | Percutaneous balloon angioplasty performed with the investigational device, the paclitaxel eluting Legflow® balloon. Receives: Device: Legflow® balloon |
| Standard PTA - POBA | Active comparator | Percutaneous balloon angioplasty performed with the clinical standard, that is, a non-drug eluting balloon (POBA, plain old balloon angioplasty). Receives: Device: Standard PTA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy measured by binary restenosis rate
Binary restenosis rate determined by duplex ultrasonography at 1, 6 and 12 months afte procedure. Binary restenosis is defined as a re-obstruction ≥50% of the target lesion (peak systolic velocity ratio > 2.4).
Measured: Until 12 months after procedure
Secondary outcomes (7)
Immediate procedural outcome of percutaneous balloon angioplasty
Investigator opinion of procedural and technical success of the percutaneous angioplasty. Opinion of investigator (yes/no) is recorded in the CRF for technical success and procedural success.
Measured: From start of procedure surgery until completion of procedure surgery (Percutaneous balloon angioplasty)
Rutherford
Distribution of Rutherford stages during follow-up as compared to baseline.
Measured: Baseline until 12 months after procedure
Mortality
30-day mortality, 6-months mortality and overall mortality at 12 months.
Measured: Until 12 months after procedure
Repeated target lesion revascularization (TLR) rate
TLR is defined as a repeated procedure (endovascular or surgical) due to a problem arising from the lesion (+1 cm proximally and distally to include edge phenomena) initially treated in surviving patients with preserved limb.
Measured: Until 12 months after procedure
Repeated target extremity revascularization (TER) rate
TER is defined as a procedure (endovascular or surgical) due to a problem arising in the ipsilateral traject (iliac, femoropopliteal and below the knee arteries) remote from the lesion initially treated in surviving patients with preserved limb.
Measured: Until 12 months after procedure
Minor and major amputation rate
Occurrence of minor (below the ankle) and major (above the ankle) amputations.
Measured: Until 12 months after procedure
Ankle-Brachial Index (ABI)
Reporting of Ankle-Brachial Index compared to baseline
Measured: Baseline until 12 months after procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Mar 2016 (estimated)
- Study startMar 2016
- Primary completionOct 2019
- Study completionNov 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AtherosclerosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- None (open label)
- Enrolment
- 130 participants (actual)
Sponsor and investigators
- Lead sponsor
- Cardionovum GmbH
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Archer Research
- Responsible party
- Sponsor
- Investigators
- Peter Goverde, Dr., Principal investigator, ZNA Stuivenberg
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02710656
- Sponsor's protocol ID
- MAGNIFICENT
- Status last verified
- Jan 2020
- First submitted
- 7 Mar 2016
- Last updated
- 23 Jan 2020
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicenter Randomized Controlled Trial Comparing Legflow - DCB (Cardionovum) Versus Bare Balloon Angioplasty for the Treatment of Atherosclerotic Disease in the Superficial Femoral & Popliteal Segment
- ClinicalTrials.gov ID
- NCT02710656
- Acronym / sponsor ID
- MAGNIFICENT
- Conditions
- Atherosclerosis
- Keywords
- Atherosclerosis, SFA, Poplitea, Drug coated balloon, Angioplasty, Restenosis, Peripheral artery disease (PAD)
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 130 participants (actual)
- Lead sponsor
- Cardionovum GmbHIndustry (pharma, biotech, devices)
- Collaborators
- Archer Research
- Study start
- Mar 2016 (actual)
- Primary completion
- Oct 2019 (actual)
- Study completion
- Nov 2019 (actual)
- First posted
- 17 Mar 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A randomized multicentric study for endovascular treatment of patients with obstructive disease in the SFA (superficial femoral artery) and in the popliteal artery.
Detailed description
This interventional study will collect data about the treatment of de novo lesions or restenotic lesions. Restenotic lesions that are previously DCB (drug coated balloon) treated or in-stent restenosis are excluded in this study.
The primary objective of this randomized study is to compare the efficacy of the DCB (Legflow - Cardionovum) versus POBA for the treatment of de novo lesions or restenosis in the SFA and in the popliteal artery (segment P1 -P2) by assessing the binary restenosis rate with duplex ultrasonography at 12 months.
The secondary endpoints are the assessment of the immediate procedural outcome, distribution of Rutherford, mortality, target lesion revascularization (TLR), target extremity revascularization (TER), amputation and anklebrachial index (ABI).
For each patient enrolled, data will be collected up to 12 months after the procedure.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Drug Coated Balloon (DCB) - Legflow® | Experimental | Device: Legflow® balloonPercutaneous balloon angioplasty performed with the investigational device, the paclitaxel eluting Legflow® balloon. |
| Standard PTA - POBA | Active comparator | Device: Standard PTAPercutaneous balloon angioplasty performed with the clinical standard, that is, a non-drug eluting balloon (POBA, plain old balloon angioplasty). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Patient must sign the informed consent form prior to the index-procedure.
- Patient must be older than 18 years.
- Patient with Rutherford 2, 3 and 4..
- Target lesion is an occlusion or ≥70% stenosis (visual estimate) located in SFA or popliteal artery (P1 -P2).
- Maximum length of the target lesion is 13 cm.
Key exclusion criteria (19 listed)
- Patient is already included in this study (recruitment of the contralateral leg is not allowed).
- Patient has a known intolerance to antiplatelet therapy or contrast agent.
- Patient with known sensitivity to Paclitaxel.
- Patient is pregnant or patient intends to become pregnant within 1 year after the index-procedure.
- Patient takes esomeprazole or omeprazole.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Legflow® balloonAlso: Paclitaxel eluting balloonPercutaneous angioplasty performed with a Drug coated balloon (DCB) with Paclitaxel | Device | Drug Coated Balloon (DCB) - Legflow® |
| Standard PTAAlso: POBAPercutaneous angioplasty performed with a standard balloon | Device | Standard PTA - POBA |
Primary outcome
Efficacy measured by binary restenosis rate
Time frame: Until 12 months after procedure
Binary restenosis rate determined by duplex ultrasonography at 1, 6 and 12 months afte procedure. Binary restenosis is defined as a re-obstruction ≥50% of the target lesion (peak systolic velocity ratio > 2.4).
7 secondary outcomes
Immediate procedural outcome of percutaneous balloon angioplasty
Time frame: From start of procedure surgery until completion of procedure surgery (Percutaneous balloon angioplasty)
Rutherford
Time frame: Baseline until 12 months after procedure
Mortality
Time frame: Until 12 months after procedure
Repeated target lesion revascularization (TLR) rate
Time frame: Until 12 months after procedure
Repeated target extremity revascularization (TER) rate
Time frame: Until 12 months after procedure
Minor and major amputation rate
Time frame: Until 12 months after procedure
Ankle-Brachial Index (ABI)
Time frame: Baseline until 12 months after procedure
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jan 2020.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Peter Goverde, Dr. principal investigator
ZNA Stuivenberg
9 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Legflow® balloon and Standard PTA in people with Atherosclerosis, run by Cardionovum GmbH at 9 sites in 3 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 10 inclusion and 19 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 23 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in Belgium, France, Germany. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Efficacy measured by binary restenosis rate (time frame: Until 12 months after procedure). 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 23 Jan 2020.