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Peripheral Arterial DiseaseEffPacNCT02540018

Effectiveness of Paclitaxel-coated Luminor® Balloon Catheter Versus Uncoated Balloon Catheter in the Arteria Femoralis Superficialis

A study testing Transluminal Angioplasty with Paclitaxel-coated Luminor® Balloon Catheter in the Superficial Femoral and Popliteal Arteries and Transluminal Angioplasty with and non-coated (CE-marked) plain old angioplasty balloon (POBA) catheter in people with Peripheral Arterial Disease, run by Jena University Hospital at 11 sites in Germany.

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

The aim of this clinical trial is to evaluate the safety and efficacy of the novel Luminor® paclitaxel drug-eluting balloon (iVascular, S.L.U., Barcelona, Spain) in inhibiting restenosis and in ensuring long-term patency. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Peripheral Arterial Disease
What is being tested?
Transluminal Angioplasty with Paclitaxel-coated Luminor® Balloon Catheter in the Superficial Femoral and Popliteal Arteries and Transluminal Angioplasty with and non-coated (CE-marked) plain old angioplasty balloon (POBA) catheter
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
172 participants
Where
11 sitesGermany
Study dates
15 Sep 2015to 14 Jan 2022
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥18 years
  • Subject must agree to undergo the 6-month angiographic and clinical follow-up (at 12 month post-procedure)
  • Peripheral vascular disease Rutherford class 2-4
  • De novo stenotic/re-stenotic lesion or occlusive lesions in the superficial femoral (SFA) and/or popliteal arteries (PA)
  • If the index lesion is re-stenotic, the prior PTA must have been >30 days prior to treatment in the current study
  • ≥70% diameter stenosis or occlusion
Show all 13Show fewer
  • Target lesion length: ≤15 cm (TASC II A and B)
  • Only one lesion per limb and per patient can be treated (see definition chapter 6.5)
  • ≥ one patent intrapopliteal run-off artery to the foot of the index limb
  • Successful endoluminal guidewire passage through the target lesion
  • Predilatation prior to randomization
  • Life expectancy, in the investigators opinion of at least one year
  • Subject is able to verbally acknowledge and understand the aim of this trial and is willing and able to provide informed consent

Who cannot join

  • Previous surgery in the target vessel
  • Major amputation in the same limb as the target lesion
  • Presence of aneurysm in the target vessel
  • Acute myocardial infarction within 30 days before intervention
  • Severely calcified target lesions in the SFA/PA resistant to PTA
  • Subjects requiring different treatment or raising serious safety concern regarding the procedure or the required medication
Show all 21Show fewer
  • Women of childbearing potential expect women with the following criteria:
  • post-menopausal (12 month natural amenorrhea or 6 month amenorrhea with serum FSH > 40mlU/ml)
  • sterilization 86 weeks after bilateral ovariectomy with or without hysterectomy
  • using an effective method of birth control for the duration of the trial: implants, injectables, combined oral contraceptives, intrauterine device (in place for a period of at least 2 months prior to screening) and with negative serum pregnancy test
  • sexual abstinence
  • vasectomy partner
  • Pregnant and nursing women
  • Acute thrombus, stent or aneurysm in the index limb or vessel
  • Renal insufficiency with a serum creatinine >2.0 mg/dL at baseline
  • Platelet count <50 G/l or >600 G/l at baseline
  • Known hypersensitivity or contraindication to contrast agent that cannot be adequately pre-medicated
  • Subjects with known allergies against Paclitaxel
  • Subjects with intolerance to antiplatelet, anticoagulant, or thrombolytic medications that would be administered during the trial
  • Dialysis or immunosuppressant therapy
  • Current participation (or within the last 3 months) in another interventional study

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

Germany11 sites
  • Klinikum Arnsberg Angiologie

    Arnsberg, Thuringia, 59759

  • Herzzentrum Bad Krozingen

    Bad Krozingen, Baden-Wurttemberg, 79189

  • Ihre-Radiologen Berlin Gemeinschaftspraxis für Radiologie

    Berlin, 13347

  • Angiologikum Hamburg

    Hamburg, 22527

  • Universitätsklinikum Heidelberg

    Heidelberg, 69120

  • University Hospital Jena, Radiology

    Jena, Thuringia, 07747

  • SRH Klinikum Karlsbad-Langensteinbach

    Karlsbad-Langensteinbach, Baden-Wurttemberg, 76307

  • Westpfalz-Klinikum GmbH Standort II Kusel

    Kusel, Rhineland-Palatinate, 66869

  • Universitätsklinikum Leipzig

    Leipzig, Saxony, 04103

  • Institut für Klinische Radiologie, Klinikum der Ludwig Maximilians Universität München - Campus Innenstadt

    München, Bavaria, 80336

  • Medinos Kliniken Sonneberg

    Sonneberg, Thuringia, 96515

Other trials in Germany

About this study

Official title: Multicenter Randomized Controlled Trial to Assess the Effectiveness of Paclitaxel-coated Luminor® Balloon Catheter Versus Uncoated Balloon Catheter in the Superficial Femoral and Popliteal Arteries to Prevent Vessel Restenosis or Reocclusion

The aim of this clinical trial is to evaluate the safety and efficacy of the novel Luminor® paclitaxel drug-eluting balloon (iVascular, S.L.U., Barcelona, Spain) in inhibiting restenosis and in ensuring long-term patency.

Read the detailed description

The investigational medical device represents the Paclitaxel drug-eluting Luminor®-35 balloon catheter which is based on a proprietary transfertech coating technology. This has been engineered to improve clinical efficacy by optimizing coating properties and device functionalities. This allows a homogeneous and precise Paclitaxel concentration of 3 μg/mm2 on the PTA balloon surface. The balloon dilatation procedure, including deployment to the target lesion and balloon inflation, deflation and retrieval, is performed under fluoroscopic observation. All sites shall have access to an emergency unit to perform also interventions as bypass surgery e.g. in case of failed percutaneous transluminal angioplasty (PTA). The patient is positioned on the angiographic table and draped in a sterile fashion. The standard vascular access represents the ipsilateral or contralateral femoral artery in accordance to the target vessel. The endovascular procedure can be performed in a direct antegrade or a cross-over retrograde technique.

An introducer sheath will be inserted over a guidewire. 5.000 I.U. heparin is injected i.a. to pre-vent peri-procedural thrombotic events. Alternative peri-procedural anti-coagulation regimens may be applied if justified by individual patient requirements. An endoluminal guidewire passage of the stenotic and occlusive femoro-popliteal lesion is mandatory for study inclusion.

A POBA PTA balloon of appropriate balloon diameter and length, and catheter working length is selected according to the characteristics of the target vessel and lesion for the pre-dilation and assessed by angiography (DSA or XA). A ruler has to be adjacent to the target vessel. After pre-dilatation of the target lesion an angiographic assessment will be performed (DSA or XA). A ruler has to be adjacent to the target vessel.

Randomization will be performed by envelope pull. The treatment group represents the Lumi-nor® DEB and the control group POBA applying a CE-marked non-drug-eluting PTA balloon catheter. In patients with peripheral artery disease, quantitative vascular angiography (QVA) is essential for the analysis of the degree of the arterial stenosis. For quantitative assessment of stenotic lesions, the residual lumen at the lesion site is compared with the lumen at a reference site.

QVA will be assessed by an independent core lab. The assessment during the angioplasty is performed pre- and post-procedure, at 6 months follow-up and any unscheduled procedure if necessary. Follow-up (FU) assessments will occur at pre-discharge, 6, 12 and 24 months following the study procedure.

Being tested
Transluminal Angioplasty with Paclitaxel-coated Luminor® Balloon Catheter in the Superficial Femoral and Popliteal Arteries, Transluminal Angioplasty with and non-coated (CE-marked) plain old angioplasty balloon (POBA) catheter
Keywords
DEB, drug-eluting balloon, Paclitaxel, peripheral artery disease
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.

  • Transluminal Angioplasty with Paclitaxel-coated Luminor® Balloon Catheter in the Superficial Femoral and Popliteal ArteriesDevice

    Also called DEB

    Endoluminal guidewire passage of the stenotic and occlusive femoro-popliteal lesion must be performed. A pre-dilatation follows. Then the investigational procedure (DEB) is assigned by randomization.

    Luminor35®-DEB PTA catheter is applied.

  • Transluminal Angioplasty with and non-coated (CE-marked) plain old angioplasty balloon (POBA) catheterDevice

    Also called POBA

    Endoluminal guidewire passage of the stenotic and occlusive femoro-popliteal lesion must be performed. A pre-dilatation follows. Then the investigational procedure is assigned by randomization. POBA catheter is applied.

Study groups in NCT02540018
Study groupRoleWhat they receive
Paclitaxel-coated Luminor® Balloon CatheterActive comparatorThe balloon dilatation procedure, including deployment to the target lesion and balloon inflation, deflation and retrieval, is performed under fluoroscopic observation. An endoluminal guidewire passage of the stenotic and occlusive femoro-popliteal lesion is mandatory. After pre-dilatation of the target lesion an angiographic assessment will be performed (DSA or XA). Randomization will be performed by envelope pull. The treatment group represents the Luminor® DEB PTA. After dilation of the target lesion, the PTA catheter is withdrawn through the introducer sheath, and a post-PTA angiography is performed (DSA or XA) to evaluate the technical result and possible procedural complications. A final run-off angiography (DSA or XA) of the BTK arteries is required.
Receives: Device: Transluminal Angioplasty with Paclitaxel-coated Luminor® Balloon Catheter in the Superficial Femoral and Popliteal Arteries
Uncoated Balloon CatheterActive comparatorIdentical procedure also for control arm with PTA balloon (see below): After pre-dilatation, randomization will be performed by envelope pull. The control group requires an uncoated balloon catheter. After dilation of the target lesion, the PTA catheter is withdrawn and a post-PTA angiography is performed (DSA or XA) to evaluate the technical result and possible procedural complications. A final run-off angiography (DSA or XA) of the BTK arteries is required.
Receives: Device: Transluminal Angioplasty with and non-coated (CE-marked) plain old angioplasty balloon (POBA) catheter

What is being measured

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

  1. Change in Late Lumen Loss (LLL)

    Change in Late Lumen Loss (LLL), defined as difference between the diameters (in mm) at 6 months follow-up minus post-procedure.

    Measured: at baseline and after 6 months

Secondary outcomes (8)
  1. Revascularisation of TVR

    Freedom of target vessel revascularization (TVR)

    Measured: after 6 months and 12 months

  2. Revascularisation of TLR

    Freedom from target lesion revascularization (TLR)

    Measured: after 6 months and 12 months

  3. Change in Rutherford classification

    Change of Rutherford stage to baseline at Follow-up

    Measured: after 6 months and 12 months

  4. Change of ABI

    Decrease in the ankle-brachial-index

    Measured: after 6 months and 12 months

  5. Change of Life Quality

    Improvement of life quality according to the Walking Impairment Questionnaire (WIQ) and the EQ5D questionnaire to baseline at Follow-up

    Measured: after 6 months and 12 months

  6. Absence of amputation

    Major and minor amputation rate at the index limb

    Measured: after 6 months and 12 months

  7. Bailouts

    Number of bailouts

    Measured: after 6 months and 12 months

  8. Mortality

    Mortality rate independently of the direct cause

    Measured: after 6 months and 12 months

Timeline

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

  1. First posted3 Sep 2015 (estimated)
  2. Study start15 Sep 2015
  3. Primary completionDec 2016
  4. Study completion14 Jan 2022

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
Single group
Masking
Single blind
Who is masked
Participant
Enrolment
172 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02540018
Sponsor's protocol ID
CIV-15-03-013204
Acronym
EffPac
Status last verified
Mar 2023
First submitted
17 Aug 2015
Last updated
13 Mar 2023
Results posted
No
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
  • Teichgraber U, Lehmann T, Ingwersen M, Aschenbach R, Zeller T, Brechtel K, Blessing E, Lichtenberg M, von Flotow P, Heilmeier B, Sixt S, Brucks S, Erbel C, Beschorner U, Werk M, Riambau V, Wienke A, Klumb C, Thieme M, Scheinert D. Long-Term Effectiveness and Safety of Femoropopliteal Drug-Coated Balloon Angioplasty : 5-Year Results of the Randomized Controlled EffPac Trial. Cardiovasc Intervent Radiol. 2022 Dec;45(12):1774-1783. doi: 10.1007/s00270-022-03265-1. Epub 2022 Sep 11.

    PubMed 36088609
  • Teichgraber U, Lehmann T, Aschenbach R, Scheinert D, Zeller T, Brechtel K, Blessing E, Lichtenberg M, Sixt S, Brucks S, Beschorner U, Klumb CT, Thieme M; Collaborators. Efficacy and safety of a novel paclitaxel-nano-coated balloon for femoropopliteal angioplasty: one-year results of the EffPac trial. EuroIntervention. 2020 Apr 3;15(18):e1633-e1640. doi: 10.4244/EIJ-D-19-00292.

    PubMed 31687933
  • Teichgraber U, Aschenbach R, Scheinert D, Zeller T, Brechtel K, Thieme M, Blessing E, Treitl M, Lichtenberg M, von Flotow P, Vogel B, Werk M, Riambau V, Wienke A, Lehmann T, Sixt S. The effectiveness of the paclitaxel-coated Luminor(R) balloon catheter versus an uncoated balloon catheter in superficial femoral and popliteal arteries in preventing vessel restenosis or reocclusion: study protocol for a randomized controlled trial. Trials. 2016 Oct 28;17(1):528. doi: 10.1186/s13063-016-1657-x.

    PubMed 27793175

Questions about this trial

What is this clinical trial studying?

A study testing Transluminal Angioplasty with Paclitaxel-coated Luminor® Balloon Catheter in the Superficial Femoral and Popliteal Arteries and Transluminal Angioplasty with and non-coated (CE-marked) plain old angioplasty balloon (POBA) catheter in people with Peripheral Arterial Disease, run by Jena University Hospital at 11 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 13 inclusion and 21 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 13 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 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.

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?

Change in Late Lumen Loss (LLL) (time frame: at baseline and after 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 NCT02540018, which also lists 4 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 13 Mar 2023.

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