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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02911623
Registration number
NCT02911623
Ethics application status
Date submitted
16/09/2016
Date registered
22/09/2016
Titles & IDs
Public title
Safety and Feasibility of the Shockwave Lithoplasty® System for the Treatment of Peripheral Vascular Stenosis
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Scientific title
Safety and Feasibility of the Shockwave Lithoplasty® System for the Treatment of Peripheral Vascular Stenosis
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Secondary ID [1]
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TD 0258
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Universal Trial Number (UTN)
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Trial acronym
BTK
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Peripheral Arterial Disease
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Shockwave Lithoplasty® System
Experimental: Lithoplasty Treatment - Patients in this group will receive treatment with the Shockwave Lithoplasty® System which uses lithotripsy-enhanced, low-pressure balloon dilation of calcified stenotic peripheral arteries.
Treatment: Devices: Shockwave Lithoplasty® System
The Shockwave Lithoplasty® System is a proprietary lithotripsy-enhanced balloon catheter that is designed to be delivered through the peripheral arterial system of the lower extremities to the site of calcified stenosis. Activating the lithotripsy within the device will generate pulsatile mechanical energy within the target treatment site, disrupt calcium within the lesion and allow subsequent dilation of a peripheral artery stenosis using low balloon pressure. The system consists of a balloon catheter with multiple integrated lithotripsy electrodes, and a generator.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Composite of new-onset Major Adverse Events (MAE)
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Assessment method [1]
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Death Myocardial infarction Need for emergency surgical revascularization of the target limb. Amputation of target limb.
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Timepoint [1]
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Procedure through 30 days post procedure
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Primary outcome [2]
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Efficacy
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Assessment method [2]
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Acute reduction in percent (%) diameter stenosis of target lesion
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Timepoint [2]
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Peri-Procedural
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Secondary outcome [1]
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Procedural Success
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Assessment method [1]
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The ability of the Shockwave Lithoplasty® System to achieve a post-shockwave residual diameter stenosis of =50%
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Timepoint [1]
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Peri-Procedural
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Eligibility
Key inclusion criteria
1. Subject is able and willing to comply with all assessments in the study.
2. Subject or subject's legal representative have been informed of the nature of the study, agrees to participate and has signed the approved consent form.
3. Age of subject is >18.
4. Rutherford Clinical Category 1 - 5.
Angiographic
1. Single or multiple target lesion(s) is/are located in a de novo artery distal to the trifurcation vessels and extends to and ends above the ankle
2. Target vessel reference diameter is between 2.5mm and 3.5mm by visual estimate
3. Target lesion with diameter stenosis =50% by investigator via visual estimate
4. If inflow disease >50% proximal to the trifurcation vessels is present, and it can be treated with POBA, stent or Lithoplasty and without complications.
5. Target lesion is =150mm in length
6. Subject has at least one patent tibial vessel (>50%) with run-off to the foot.
7. No evidence of aneurysm or acute thrombus in target vessel.
8. Any presence of calcification within the target lesion as assessed by imaging (radiograph, CT or angiography).
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Rutherford Clinical Category 6.
2. Target lesion is within only lower extremity vessel with < 50% stenosis.
3. Gangrene of the lower extremity.
4. Planned major amputation of the target leg.
5. Previously implanted stent in the treatment lesion
6. Target lesion length exceeds 150mm.
7. Patient has chronic total occlusion of target lesion.
8. Patient has significant stenosis (>50% stenosis) or occlusion of inflow tract (e.g., iliac or common femoral) not successfully treated with POBA, stent or Lithoplasty and without complications.
9. Patient in whom antiplatelet, anticoagulant, or thrombolytic therapy is contraindicated.
10. Patient has known allergy to contrast agents or medications used to perform endovascular intervention that cannot be adequately pre-treated.
11. Patient has known allergy to urethane, nylon, or silicone.
12. Patient is pregnant or nursing.
13. Patient is participating in another research study involving an investigational agent (pharmaceutical, biologic, or medical device) that has not reached the primary endpoint.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/07/2017
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Sample size
Target
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Accrual to date
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Final
20
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Graz
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Country [2]
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Austria
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State/province [2]
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Vienna
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Country [3]
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Germany
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State/province [3]
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Baden-Württemberg
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Country [4]
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New Zealand
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State/province [4]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Shockwave Medical, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To observe early safety and performance of the Shockwave Medical Lithoplasty® System (specifically, Lithoplasty® Catheters: 2.5 x 60mm, 2.75 x 60mm, 3.0 x 60mm, 3.25 x 60mm, and 3.5 x 60mm) in subjects to demonstrate that the Shockwave device can safely and effectively deliver localized pulsatile mechanical energy for balloon dilation of calcified, stenotic, infrapopliteal arteries.
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Trial website
https://clinicaltrials.gov/study/NCT02911623
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Trial related presentations / publications
Brodmann M, Holden A, Zeller T. Safety and Feasibility of Intravascular Lithotripsy for Treatment of Below-the-Knee Arterial Stenoses. J Endovasc Ther. 2018 Aug;25(4):499-503. doi: 10.1177/1526602818783989. Epub 2018 Jun 18.
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Public notes
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Contacts
Principal investigator
Name
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Marianne Brodmann, MD
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Address
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Universitätsklinikum LKH Graz
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02911623