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Peripheral Arterial DiseaseILLUMENATENCT01858428

Pivotal Trial of a Novel Paclitaxel-Coated Percutaneous Angioplasty Balloon

A study testing Cardiovascular Ingenuity (CVI) Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon Catheter and EverCross Percutaneous Transluminal Balloon Catheter in people with Peripheral Arterial Disease, run by Spectranetics Corporation at 44 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

This study is designed to evaluate the safety and efficacy of a Paclitaxel-coated percutaneous transluminal angioplasty (PTA) Catheter in the treatment of patients with peripheral arterial disease. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peripheral Arterial Disease
What is being tested?
Cardiovascular Ingenuity (CVI) Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon Catheter and EverCross Percutaneous Transluminal Balloon Catheter
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
44 sitesin 2 countries
Study dates
18 Jun 2013to 19 Mar 2018
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

  • Subjects with symptomatic leg ischemia, requiring treatment of the Superficial Femoral Artery (SFA) or popliteal artery.

Who cannot join

  • Known intolerance to study medications, paclitaxel or contrast agents that in the opinion of the investigator cannot be adequately pre-treated

Trial locations and contacts

44 sites in 2 countries.

44 sites in 2 countries

United States42 sites
  • Mission Hospital

    Asheville, North Carolina, 28801

  • Emory University Hospital

    Atlanta, Georgia, 30322

  • Northside Hospital

    Atlanta, Georgia, 30342

  • Heritage Valley Health System

    Beaver, Pennsylvania, 15009

  • Deborah Heart and Lung Center

    Browns Mills, New Jersey, 08015

  • CAMC Clinical Trial Center

    Charleston, West Virginia, 25304

  • University of Virginia

    Charlottesville, Virginia, 22908

  • University Surgical Associates

    Chattanooga, Tennessee, 37403

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Providence Cardiology LLC

    Columbia, South Carolina, 29204

  • OhioHealth Research Institute

    Columbus, Ohio, 43214

  • Texas Health & Research Education Institution

    Dallas, Texas, 75231

  • Central Iowa Hospital Corporation

    Des Moines, Iowa, 50309

  • El Paso Cardiology Associates

    El Paso, Texas, 79902

  • North Ohio Research LTD.

    Elyria, Ohio, 44035

  • St. Joseph Hospital

    Fort Wayne, Indiana, 46802

  • Mission Cardiovascular Research Institute

    Fremont, California, 94538

  • Cardiovascular Research of North Florida

    Gainesville, Florida, 32605

  • University of Texas Health Science Center

    Houston, Texas, 77030

  • Jackson Heart Clinic

    Jackson, Mississippi, 39216

  • Wellmont Holston Area Medical Center

    Kingsport, Tennessee, 37660

  • Premier Surgical Associates

    Knoxville, Tennessee, 37909

  • Good Samaritan Hospital - Los Angeles

    Los Angeles, California, 90017

  • Medical Center of the Rockies

    Loveland, Colorado, 80538

  • Baptist Cardiac and Vascular Institute

    Miami, Florida, 33176

  • Aurora Health Care

    Milwaukee, Wisconsin, 53215

  • Yale University School of Medicine

    New Haven, Connecticut, 06510

  • Mount Sinai Medical Center

    New York, New York, 10029

  • Sentara Vascular Specialist

    Norfolk, Virginia, 23507

  • Advocate Health and Hospitals Corporation

    Oakbrook Terrace, Illinois, 60181

  • Oklahoma Foundation for Cardiovascular Research

    Oklahoma City, Oklahoma, 73120

  • Coastal Vascular and Interventional

    Pensacola, Florida, 32504

  • Cardiac & Vascular Research Center of Northern Michigan

    Petoskey, Michigan, 49770

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15232

  • Providence Heart and Vascular Institute

    Portland, Oregon, 97225

  • Rex Hospital

    Raleigh, North Carolina, 27607

  • Wake Heart Research

    Raleigh, North Carolina, 27607

  • Sanford Health Vascular Associates

    Sioux Falls, South Dakota, 57117

  • Jobst Vascular Institute

    Toledo, Ohio, 43606

  • Pinnacle Health Cardiovascular Institute, INC.

    Wormleysburg, Pennsylvania, 17043

  • Metro Health Hospital

    Wyoming, Michigan, 15146

  • Yuma Regional Medical Center

    Yuma, Arizona, 85364

Other trials in United States

Austria2 sites
  • LKH Univ. - Klinikum Graz

    Graz

  • Hanusch Krankenhaus Wien

    Vienna

Other trials in Austria

About this study

Official title: ILLUMENATE Pivotal: ProspectIve, Randomized, SingLe-Blind, U.S. MuLti-Center Study to EvalUate TreatMent of Obstructive SupErficial Femoral Artery or Popliteal LesioNs With A Novel PacliTaxel-CoatEd Percutaneous Angioplasty Balloon

This study is designed to evaluate the safety and efficacy of a Paclitaxel-coated percutaneous transluminal angioplasty (PTA) Catheter in the treatment of patients with peripheral arterial disease.

Read the detailed description

The ILLUMENATE Pivotal study is a prospective, randomized, multi-center, single-blind study which will include up to 360 subjects in approximately forty-five (45) sites across the United States to evaluate the CVI Paclitaxel-coated PTA Catheter compared to the bare percutaneous transluminal angioplasty balloon catheter (bare balloon catheter) for the treatment of de-novo or post-PTA occluded/stenotic or reoccluded/restenotic (except for in-stent) SFA and/or popliteal arteries.

Being tested
Cardiovascular Ingenuity (CVI) Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon Catheter, EverCross Percutaneous Transluminal Balloon Catheter
Medical subject headings
Peripheral Arterial Disease

What participants receive

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

  • Cardiovascular Ingenuity (CVI) Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon CatheterDevice

    The CVI Paclitaxel-coated PTA Catheter is a commercially available PTA balloon catheter (EverCross™ 0.035 PTA Balloon Catheter, Covidien, Plymouth, MN 55441, USA) coated with paclitaxel using a proprietary carrier.

  • EverCross Percutaneous Transluminal Balloon CatheterDevice

    The control device is a commercially available PTA balloon catheter (EverCross™ 0.035 PTA Balloon Catheter, Covidien, Plymouth, MN 55441, USA).

Study groups in NCT01858428
Study groupRoleWhat they receive
Bare PTAActive comparatorThe control device is a commercially available PTA balloon catheter (EverCross™ 0.035 PTA Balloon Catheter, Covidien, Plymouth, MN 55441, USA).
Receives: Device: EverCross Percutaneous Transluminal Balloon Catheter
Drug-Coated PTAExperimentalThe CVI Paclitaxel-coated PTA Catheter is a commercially available PTA balloon catheter (EverCross™ 0.035 PTA Balloon Catheter, Covidien, Plymouth, MN 55441, USA) coated with paclitaxel using a proprietary carrier.
Receives: Device: Cardiovascular Ingenuity (CVI) Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon Catheter

What is being measured

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

  1. Patency at 12 Month Post-procedure

    Patency is defined as the absence of target lesion restenosis as determined by duplex ultrasound (Peak Systolic Velocity Ratio (PSVR) ≤ 2.5) and freedom from clinically-driven target lesion revascularization.

    Measured: 12 months

  2. Freedom From Device and Procedure-related Death and Target Limb Major Amputation and Clinically-driven Target Lesion Revascularization

    Freedom from device and procedure-related death through 30 days post-procedure and freedom from target limb major amputation and clinically-driven target lesion revascularization through 12 months post-procedure.

    Measured: 30 Days and 12 months

Secondary outcomes (13)
  1. Major Adverse Event (MAE) Rate in the Hospital and at 1, 6, 12, 24, 36, 48 and 60 Months Post-procedure

    Major adverse event (MAE) rate in the hospital and at 1, 6, 12, 24, 36, 48 and 60 months post-procedure, defined as a composite rate of cardiovascular death, target limb major amputation and clinically-driven target lesion revascularization (TLR).

    Measured: 1, 6, 12, 24, 36, 48 and 60 months

  2. Rate of Vascular Access and Bleeding Complications

    Rate of vascular access and bleeding complications in the hospital and at 1, 6, 12 and 24 months.

    Measured: in-hospital and 1, 6, 12 and 24 months

  3. Rate of Clinically-driven Target Lesion Revascularization

    Measured: 6, 12, 24, 36, 48 and 60 months

  4. Rate of Target Lesion Revascularization

    Measured: 6, 12, 24, 36, 48 and 60 months

  5. Rate of Target Limb Major Amputation

    Measured: 1, 6, 12, 24, 36, 48 and 60 months

  6. Mortality Rate

    Measured: 6, 12, 24, 36, 48 and 60 months

  7. Rate of Occurrence of Arterial Thrombosis of the Treated Segment

    Measured: 1, 6, 12, 24, 36, 48 and 60 months

  8. Patency Rate and Freedom From Clinically-driven TLR

    Patency rate defined as the absence of target lesion restenosis as determined by duplex ultrasound (PSVR ≤ 2.5) and freedom from clinically-driven TLR at 6, 24 and 36 months

    Measured: 6, 24 and 36 months

  9. Lesion Success of Achieving a Final In-lesion Residual Diameter Stenosis of ≤50%

    Lesion success, defined as achievement of a final in-lesion residual diameter stenosis of ≤50% (as determined by the angiographic core lab), using any device after wire passage through the lesion.

    Measured: procedure, Day 0

  10. Technical Success of Achieving a Final In-lesion Residual Diameter Stenosis of ≤50%

    Technical success, defined as achievement of a final in-lesion residual diameter stenosis of ≤50% (as determined by the angiographic core lab), using the CVI Paclitaxel-coated PTA Catheter or bare balloon catheter without a device malfunction after wire passage through the lesion.

    Measured: procedure, Day 0

  11. Per Subject Clinical Success Achieving no Major Adverse Events During the Procedure

    Clinical success (per subject) defined as technical success without the occurrence of major adverse events during the procedure.

    Measured: procedure, Day 0

  12. Per Subject Procedural Success Achieving no Major Adverse Events During the Procedure

    Procedural success (per subject) defined as lesion success without the occurrence of major adverse events during the procedure.

    Measured: procedure, Day 0

  13. Change in Ankle-brachial Index (ABI) From Pre-procedure

    Subjects who had reinterventions were included in ABI analyses so some improvements may be reflective of revascularizations during the follow-up period.

    Measured: 6, 12, 24 and 36 months

Timeline

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

  1. First posted21 May 2013 (estimated)
  2. Study start18 Jun 2013
  3. Primary completionSep 2016
  4. Study completion19 Mar 2018

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
300 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01858428
Sponsor's protocol ID
TP-1397
Acronym
ILLUMENATE
Status last verified
Aug 2020
First submitted
8 May 2013
Last updated
24 Aug 2020
Data monitoring committee
Yes

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 42573020
  • Krishnan P, Faries P, Niazi K, Sachar R, Jain A, Brodmann M, Werner M, Holden A, Tarricone A, Tarra T, Lyden S. Stellarex Drug-Coated Balloon for the Treatment of Peripheral Artery Disease: Five-Year Results from the ILLUMENATE Pivotal Randomized Controlled Trial. Am J Cardiol. 2024 Sep 15;227:83-90. doi: 10.1016/j.amjcard.2024.06.027. Epub 2024 Jul 15.

    PubMed 39019203
  • Lyden SP, Brodmann M, Parikh SA, Krishnan P, Schroeder H, Werner M, Holden A, Ouriel K, Tarra T, Gray WA. Four-year patient-level pooled mortality analysis of the ILLUMENATE US Pivotal and EU randomized controlled trials. J Vasc Surg. 2022 Feb;75(2):600-607. doi: 10.1016/j.jvs.2021.07.244. Epub 2021 Sep 8.

    PubMed 34506898
  • Gray WA, Jaff MR, Parikh SA, Ansel GM, Brodmann M, Krishnan P, Razavi MK, Vermassen F, Zeller T, White R, Ouriel K, Adelman MA, Lyden SP. Mortality Assessment of Paclitaxel-Coated Balloons: Patient-Level Meta-Analysis of the ILLUMENATE Clinical Program at 3 Years. Circulation. 2019 Oct;140(14):1145-1155. doi: 10.1161/CIRCULATIONAHA.119.040518. Epub 2019 Sep 30.

    PubMed 31567024
  • Krishnan P, Faries P, Niazi K, Jain A, Sachar R, Bachinsky WB, Cardenas J, Werner M, Brodmann M, Mustapha JA, Mena-Hurtado C, Jaff MR, Holden AH, Lyden SP. Stellarex Drug-Coated Balloon for Treatment of Femoropopliteal Disease: Twelve-Month Outcomes From the Randomized ILLUMENATE Pivotal and Pharmacokinetic Studies. Circulation. 2017 Sep 19;136(12):1102-1113. doi: 10.1161/CIRCULATIONAHA.117.028893. Epub 2017 Jul 20.

    PubMed 28729250

Questions about this trial

What is this clinical trial studying?

A study testing Cardiovascular Ingenuity (CVI) Paclitaxel-coated Percutaneous Transluminal Angioplasty Balloon Catheter and EverCross Percutaneous Transluminal Balloon Catheter in people with Peripheral Arterial Disease, run by Spectranetics Corporation at 44 sites in 2 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 1 inclusion and 1 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 24 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Austria. 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 17 Jan 2018). 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?

Patency at 12 Month Post-procedure (time frame: 12 months). 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?

On the ClinicalTrials.gov record for NCT01858428, which also lists 5 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 24 Aug 2020; AzTrials last refreshed its copy on 8 Nov 2026.

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