Peripheral Vascular DiseasePhase 4ISAR-PEBISNCT01083394
Paclitaxel Eluting Balloon and Conventional Balloon for In-Stent Restenosis of the Superficial Femoral Artery
A Phase 4 study testing PTA, PTA with PEB and Percutaneous Transluminal Angioplasty (PTA) in people with Peripheral Vascular Disease, run by Deutsches Herzzentrum Muenchen at 2 sites in Germany.
Trial summary
The aim of this study is to perform a randomized, controlled trial to compare percutaneous transluminal angioplasty using paclitaxel eluting balloon (PEB) or using a conventional balloon for treatment of superficial femoral artery in-stent restenosis. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Peripheral Vascular Disease
- What is being tested?
- PTA, PTA with PEB and Percutaneous Transluminal Angioplasty (PTA)
- Type of treatment
- Medical device, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- 2 sitesGermany
- Study dates
- Mar 2010to Dec 2015
- Phase
- Phase 4
- 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
- Symptomatic ≥ 70% in-stent restenosis of the AFS, (Rutherford stage 2-6)
- Written, informed consent by the patient or her/his legally-authorized representative for participation in the study
Who cannot join
- Acute ischemia and/or acute thrombosis of the SFA
- Untreated ipsilateral iliac artery stenosis >70%
- Not at least one vessel run-off
- Popliteal involvement with stenosis >70%
- Severe renal insufficiency (GFR <30 ml/min/m2)
- Malignancies or other comorbid conditions (for example severe liver, renal and pancreatic disease) with life expectancy less than 12 months or that may result in protocol non-compliance.
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- Pregnancy (present, suspected or planned) or positive pregnancy test.
- Previous enrollment in this trial.
- Patient's inability to fully cooperate with the study protocol.
Trial locations and contacts
2 sites in 1 country.
Germany2 sites, 2 recruiting
- Recruiting
1. Medizinische Klinik, Klinikum rechts der Isar
München
Ilka V. Ott, MD, +49 89 4140 ext. 4360, ott@dhm.mhn.de
Ilka V. Ott, MD
- Recruiting
Deutsches Herzzentrum
München
Massimiliano Fusaro, MD, +49 89 1218 ext. 4566, fusaro@dhm.mhn.de
Tarek Ibrahim, MD, +49 89 1218 ext. 4016, ibrahim@dhm.mhn.de
About this study
Official title: Randomized Trial of Paclitaxel Eluting Balloon or Conventional Balloon for Treatment of In-Stent Restenosis of the Superficial Femoral Artery in Patients With Symptomatic Peripheral Artery Disease (ISAR-PEBIS)
The aim of this study is to perform a randomized, controlled trial to compare percutaneous transluminal angioplasty using paclitaxel eluting balloon (PEB) or using a conventional balloon for treatment of superficial femoral artery in-stent restenosis.
Read the detailed description
The superficial femoral artery is a common place for arteriosclerosis in patients symptomatic for lower extremity vascular disease. Advances in percutaneous transluminal angioplasty (PTA) and stenting have provided new options for the treatment of the disease in this arterial segment. Restenosis after PTA occurs in 40-60% within one year. A novel attempt to reduce restenosis is the use of paclitaxel eluting balloons (PEB). First clinical studies suggest that the use of PEBs during percutaneous treatment of femoropopliteal disease is associated with significant reductions in late lumen loss and target-lesion revascularization. There is no randomized comparison of these treatments in patients with in stent restenosis of the superficial femoral artery. Thus, the aim of this study was to compare the efficacy of PTA with conventional balloon or PEB for in stent restenosis in the SFA in terms of reduction of diameter stenosis at follow-up angiogram.
- Conditions
- Peripheral Vascular Disease
- Being tested
- PTA, PTA with PEB, Percutaneous Transluminal Angioplasty (PTA)
- Keywords
- PTA, paclitaxel, restenosis
- Medical subject headings
- Peripheral Vascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PTADevice
Also called PACIFIC XTREME, Invatec
PTA using a conventional balloon
PTA with PEBDevice
Also called IN.PACT PACIFIC, Invatec
PTA using a paclitaxel eluting balloon
Percutaneous Transluminal Angioplasty (PTA)Procedure or surgery
Also called PACIFIC XTREME or IN.PACT PACIFIC balloons
Percutaneous transluminal angioplasty with conventional balloon or paclitaxel-eluting balloon
| Study group | Role | What they receive |
|---|---|---|
| conventional PTA | Active comparator | In stent restenosis is treated with PTA using a conventional balloon. Receives: Device: PTA; Procedure: Percutaneous Transluminal Angioplasty (PTA) |
| PTA with PEB | Experimental | In stent restenosis is treated with PTA using a paclitaxel eluting balloon. Receives: Device: PTA with PEB; Procedure: Percutaneous Transluminal Angioplasty (PTA) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage diameter stenosis
Measured: 6 months
Secondary outcomes (5)
All-cause mortality
Measured: 6 and 24 months
Major adverse peripheral events (MAPE) defined as acute thrombosis of SFA or ipsilateral amputation or revascularization (PTA or bypass surgery)
Measured: 6 Months
Time to onset of any of MAPE
Measured: 3-24 months
Binary restenosis rate
Measured: 6 months
Percentage diameter stenosis in duplex ultrasound
Measured: 6 and 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Mar 2010 (estimated)
- Study startMar 2010
- Primary completionDec 2014 (estimated)
- Study completionDec 2015 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Peripheral Vascular DiseaseStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 70 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Deutsches Herzzentrum Muenchen
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Adnan Kastrati, MD, Study chair, Deutsches Herzzentrum MuenchenIlka V. Ott, MD, Principal investigator, Klinikum rechts der Isar
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01083394
- Sponsor's protocol ID
- GE IDE No. B00210
- Acronym
- ISAR-PEBIS
- Status last verified
- Apr 2010
- First submitted
- 26 Feb 2010
- Last updated
- 10 Mar 2014
- Results posted
- No
- Data monitoring committee
- No
Publications
Ma GW, Bernatchez J, Yarranton B, Dueck AD, Rajan DK, Forbes TL, de Mestral C, Kayssi A. Drug-eluting balloon angioplasty versus uncoated balloon angioplasty for peripheral arterial disease of the lower limbs. Cochrane Database Syst Rev. 2026 Aug 10;8:CD011319. doi: 10.1002/14651858.CD011319.pub3.
PubMed 42573020Ott I, Cassese S, Groha P, Steppich B, Voll F, Hadamitzky M, Ibrahim T, Kufner S, Dewitz K, Wittmann T, Kasel AM, Laugwitz KL, Schunkert H, Kastrati A, Fusaro M. ISAR-PEBIS (Paclitaxel-Eluting Balloon Versus Conventional Balloon Angioplasty for In-Stent Restenosis of Superficial Femoral Artery): A Randomized Trial. J Am Heart Assoc. 2017 Jul 25;6(7):e006321. doi: 10.1161/JAHA.117.006321.
PubMed 28743787
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Trial of Paclitaxel Eluting Balloon or Conventional Balloon for Treatment of In-Stent Restenosis of the Superficial Femoral Artery in Patients With Symptomatic Peripheral Artery Disease (ISAR-PEBIS)
- ClinicalTrials.gov ID
- NCT01083394
- Acronym / sponsor ID
- ISAR-PEBIS / GE IDE No. B00210
- Conditions
- Peripheral Vascular Disease
- Keywords
- PTA, paclitaxel, restenosis
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 70 participants (estimated)
- Lead sponsor
- Deutsches Herzzentrum MuenchenUniversity, hospital or other
- Study start
- Mar 2010
- Primary completion
- Dec 2014 (estimated)
- Study completion
- Dec 2015 (estimated)
- First posted
- 9 Mar 2010 (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.
The aim of this study is to perform a randomized, controlled trial to compare percutaneous transluminal angioplasty using paclitaxel eluting balloon (PEB) or using a conventional balloon for treatment of superficial femoral artery in-stent restenosis.
Detailed description
The superficial femoral artery is a common place for arteriosclerosis in patients symptomatic for lower extremity vascular disease. Advances in percutaneous transluminal angioplasty (PTA) and stenting have provided new options for the treatment of the disease in this arterial segment. Restenosis after PTA occurs in 40-60% within one year. A novel attempt to reduce restenosis is the use of paclitaxel eluting balloons (PEB). First clinical studies suggest that the use of PEBs during percutaneous treatment of femoropopliteal disease is associated with significant reductions in late lumen loss and target-lesion revascularization. There is no randomized comparison of these treatments in patients with in stent restenosis of the superficial femoral artery. Thus, the aim of this study was to compare the efficacy of PTA with conventional balloon or PEB for in stent restenosis in the SFA in terms of reduction of diameter stenosis at follow-up angiogram.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| conventional PTA | Active comparator | Device: PTA, Procedure: Percutaneous Transluminal Angioplasty (PTA)In stent restenosis is treated with PTA using a conventional balloon. |
| PTA with PEB | Experimental | Device: PTA with PEB, Procedure: Percutaneous Transluminal Angioplasty (PTA)In stent restenosis is treated with PTA using a paclitaxel eluting balloon. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Symptomatic ≥ 70% in-stent restenosis of the AFS, (Rutherford stage 2-6)
- Written, informed consent by the patient or her/his legally-authorized representative for participation in the study
Key exclusion criteria (9 listed)
- Acute ischemia and/or acute thrombosis of the SFA
- Untreated ipsilateral iliac artery stenosis >70%
- Not at least one vessel run-off
- Popliteal involvement with stenosis >70%
- Severe renal insufficiency (GFR <30 ml/min/m2)
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 |
|---|---|---|
| PTAAlso: PACIFIC XTREME, InvatecPTA using a conventional balloon | Device | conventional PTA |
| PTA with PEBAlso: IN.PACT PACIFIC, InvatecPTA using a paclitaxel eluting balloon | Device | PTA with PEB |
| Percutaneous Transluminal Angioplasty (PTA)Also: PACIFIC XTREME or IN.PACT PACIFIC balloonsPercutaneous transluminal angioplasty with conventional balloon or paclitaxel-eluting balloon | Procedure or surgery | PTA with PEB, conventional PTA |
Primary outcome
Percentage diameter stenosis
Time frame: 6 months
5 secondary outcomes
All-cause mortality
Time frame: 6 and 24 months
Major adverse peripheral events (MAPE) defined as acute thrombosis of SFA or ipsilateral amputation or revascularization (PTA or bypass surgery)
Time frame: 6 Months
Time to onset of any of MAPE
Time frame: 3-24 months
Binary restenosis rate
Time frame: 6 months
Percentage diameter stenosis in duplex ultrasound
Time frame: 6 and 24 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2014.
- Derived from this study: PubMed 42573020Ma GW, Bernatchez J, Yarranton B, Dueck AD, Rajan DK, Forbes TL, de Mestral C, Kayssi A. Drug-eluting balloon angioplasty versus uncoated balloon angioplasty for peripheral arterial disease of the lower limbs. Cochrane Database Syst Rev. 2026 Aug 10;8:CD011319. doi: 10.1002/14651858.CD011319.pub3.
- Derived from this study: PubMed 28743787Ott I, Cassese S, Groha P, Steppich B, Voll F, Hadamitzky M, Ibrahim T, Kufner S, Dewitz K, Wittmann T, Kasel AM, Laugwitz KL, Schunkert H, Kastrati A, Fusaro M. ISAR-PEBIS (Paclitaxel-Eluting Balloon Versus Conventional Balloon Angioplasty for In-Stent Restenosis of Superficial Femoral Artery): A Randomized Trial. J Am Heart Assoc. 2017 Jul 25;6(7):e006321. doi: 10.1161/JAHA.117.006321.
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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.
Adnan Kastrati, MD study chair
Deutsches Herzzentrum Muenchen
Ilka V. Ott, MD principal investigator
Klinikum rechts der Isar
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing PTA, PTA with PEB and Percutaneous Transluminal Angioplasty (PTA) in people with Peripheral Vascular Disease, run by Deutsches Herzzentrum Muenchen at 2 sites in Germany.
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 2 inclusion and 9 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: status not confirmed, as of the sponsor's last update on 10 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in 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.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Julinda Mehilli, MD (+49 89 12 18 ext. 4582, mehilli@dhm.mhn.de), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage diameter stenosis (time frame: 6 months). 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 NCT01083394, which also lists 2 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 10 Mar 2014.