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Peripheral Arterial DiseaseNCT03193619

Real World Registry Assessing the Clinical Use of the Bard UltraScore Forced Focus PTA Balloon

An observational study of Peripheral Arterial Disease and Peripheral Vascular Diseases, run by C. R. Bard at 31 sites in United States.

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 objective of this study is to assess the clinical use of the Bard® UltraScore™ Focused Force PTA balloon in a heterogeneous patient population in a real world, on-label clinical application. Read more about this study

Who is it for?
Ages 21 years and older
What is being tested?
PTA (UltraScore Focused Force PTA Balloon)
Type of treatment
Medical device
How many people
350 participants
Where
31 sitesUnited States
Study dates
28 Mar 2018to 1 Apr 2022
How long will I take part?
1 Year
Phase
Observational
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 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: This study will include a maximum of 350 subjects at up to 45 U.S. sites. All subjects will have peripheral arterial disease (PAD; a stenotic lesion of the SFA, popliteal, or infra-popliteal arteries).

Who may be able to join

  • Subject must voluntarily sign and date the Informed Consent Form (ICF) prior to collection of study data or performance of study procedures.
  • Subject must be either a male or non-pregnant female ≥ 21 years of age with an expected lifespan sufficient to allow for completion of all study procedures.
  • Subject must be willing to comply with the protocol requirements, including the follow-up procedures.
  • Subject must have a target lesion (de novo lesion or prior failed treatment) that can be treated with the UltraScore™ Focused Force PTA balloon according to the Instructions for Use (IFU). Only a target lesion in the SFA, popliteal, or infra-popliteal arteries (posterior tibial, anterior tibial, or peroneal arteries) may be treated for this study.
  • Subject must have an Above the Knee (ATK) or Below the Knee (BTK) target lesion with at least one vessel run-off.
  • The target lesion must be able to be crossed using a guidewire (use of chronic total occlusion (CTO) or atherectomy is allowed).

Who cannot join

  • Subjects that are to receive one or more stents as adjunctive therapy at the target lesion (bail out stenting is allowed).
  • The subject has a single target lesion that involves both ATK and BTK arteries.
  • The subject has a target lesion in a previously placed stent or stent graft (in-stent restenosis).
  • The subject has a lesion, which in the opinion of the Investigator, would preclude safe use of the UltraScore™ Focused Force PTA balloon.
  • The subject has a flow limiting dissection at the target lesion prior to use of the UltraScore™ Focused Force PTA balloon.
  • The subject has acute limb ischemia.
Show all 9Show fewer
  • The subject has been assessed Rutherford category 6.
  • The subject has a known allergy or sensitivity to contrast media, which cannot be adequately pre-medicated.
  • The subject has another medical condition or is currently participating in an investigational drug or another device study that, in the opinion of the Investigator, may cause him/her to be non-compliant with the protocol, confound the data interpretation, or is associated with a life expectancy insufficient to allow for the completion of study procedures and follow-up.

Trial locations and contacts

31 sites in 1 country.

31 sites in 1 country

United States31 sites
  • MedStar Health Research Institute

    Annapolis, Maryland, 21401

  • Cardiothoracic and Vascular Surgeons

    Austin, Texas, 78746

  • Willis Knighton Medical Center

    Bossier City, Louisiana, 71112

  • Beth Israel Deaconess Medical Center, Inc

    Boston, Massachusetts, 02215

  • SSM DePaul Health Center

    Bridgeton, Missouri, 63044

  • Health One Denver Heart

    Denver, Colorado, 80220

  • St. Joseph Hospital

    Fort Wayne, Indiana, 46802

  • Stern Cardiovascular Foundation, Inc

    Germantown, Tennessee, 38138

  • HSHS St. Vincent Hospital

    Green Bay, Wisconsin, 54301

  • East Carolina University

    Greenville, North Carolina, 27858

  • Baylor St. Luke's Health College of Medicine

    Houston, Texas, 77030

  • The Methodist Hospital Research Institute dba Houston Methodist Research Institute

    Houston, Texas, 77030

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • US Cardiovascular Jefferson Hills

    Jefferson Hills, Pennsylvania, 15025

  • CIS Clinical Research Corporation

    Lafayette, Louisiana, 70506

  • University of Kentucky

    Lexington, Kentucky, 40536

  • Texas Tech University Health Science Center/University Medical Center

    Lubbock, Texas, 79430

  • Mount Sinai Medical Center

    Miami Beach, Florida, 33140

  • Community Hospital Munster Research Foundation

    Munster, Indiana, 46321

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • Methodist Health System

    Omaha, Nebraska, 68114

  • Vascular Access Solutions

    Orangeburg, South Carolina, 29118

  • St. Luke's Hospital- Phoenix

    Phoenix, Arizona, 85006

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • Rex Hospital, Inc

    Raleigh, North Carolina, 27607

  • Providence-Providence Park Hospital

    Southfield, Michigan, 48075

  • St. Louis Univeristy

    St Louis, Missouri, 63103

  • Staten Island University Hospital

    Staten Island, New York, 10305

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • Coastal Surgery Specialists

    Wilmington, North Carolina, 28401

  • Pinnacle Health Cardiovascular Institute

    Wormleysburg, Pennsylvania, 17043

Other trials in United States

About this study

Official title: A Prospective, Multi-Center, Single-Arm, Real-World Study Assessing the Clinical Use of the Bard® UltraScore™ Focused Force PTA Balloon

The objective of this study is to assess the clinical use of the Bard® UltraScore™ Focused Force PTA balloon in a heterogeneous patient population in a real world, on-label clinical application.

Read the detailed description

The registry is a prospective, multi-center, single-arm, real-world study to assess the clinical use of the Bard® UltraScore™ Focused Force PTA balloon for the treatment of stenotic lesions of the superficial femoral artery (SFA), popliteal artery, and infra-popliteal arteries (posterior tibial, anterior tibial and peroneal arteries). Follow-up for all treated subjects will be performed at hospital discharge, 30 days, and 6 and 12 months post-index procedure.

Being tested
PTA (UltraScore Focused Force PTA Balloon)
Medical subject headings
Peripheral Arterial Disease, Peripheral Vascular Diseases, Arterial Occlusive Diseases

What participants receive

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

  • PTA (UltraScore Focused Force PTA Balloon)Device

    Percutaneous Transluminal Angioplasty (PTA) will involve the insertion of a catheter into one of the femoral arteries. Once the catheter is in place, a tiny balloon on the end of the catheter will be inflated to press against the narrowing (or blockage) in the artery to try to open the blockage, and allow more blood to flow through the artery. The balloon may need to be inflated several times in order for the narrowed area to open up sufficiently to improve the blood flow. The area will be viewed with specialized x-ray or other imaging devices to see if the artery has opened enough.

    The UltraScore Focused Force PTA balloon through the blood vessel to the narrowed area to be treated.

Study groups in NCT03193619
Study groupRoleWhat they receive
PTA-UltraScore Focused Force PTA balloonTreatment with the UltraScore Focused Force PTA balloon will be per the investigational site's standard of care and adhering to the IFU.
Receives: Device: PTA (UltraScore Focused Force PTA Balloon)

What is being measured

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

  1. Number of Participants That Achieve Optimal PTA Results

    Optimal result is defined as ≤30% residual stenosis without major flow-limiting dissection, as measured by angiographic imaging. Major flow limiting dissections are classified by the National Heart, Lung, and Blood Institute (NHLBI) as Grade D (Spiral luminal filling defects), Grade E (Appearance of new and persistent filling defects with reduced flow), and Grade F (Total occlusion without distal flow).

    Measured: Index procedure (Day 0); approximate duration of procedure is 90 minutes.

  2. Number of Participants With Technical Success of Use of UltraScore™ Focused Force PTA Balloon

    Technical success is determined subjectively by the investigator according to delivery location of the study device relative to the target lesion, as assessed by angiographic imaging, and inflation without movement.

    Measured: Index procedure (Day 0); approximate duration of procedure is 90 minutes.

Secondary outcomes (16)
  1. Number of Participants With Bail-out Stenting Due to Dissection

    Number of participants who needed stent placement for abrupt or threatened artery closure caused by arterial dissection immediately following index procedure.

    Measured: Index procedure (Day 0); approximate duration of procedure is 90 minutes.

  2. Number of Participants That Did Not Have a Target Lesion Revascularization (TLR).

    TLR is defined as a revascularization procedure (e.g. PTA, stenting, surgical bypass, etc.) in target vessel after the index procedure

    Measured: 30 days post-index procedure

  3. Number of Participants That Did Not Have a Target Lesion Revascularization (TLR).

    TLR is defined as a revascularization procedure (e.g. PTA, stenting, surgical bypass, etc.) in target vessel after the index procedure

    Measured: 6 months post-index procedure

  4. Number of Participants That Did Not Have a Target Lesion Revascularization (TLR).

    TLR is defined as a revascularization procedure (e.g. PTA, stenting, surgical bypass, etc.) in target vessel after the index procedure

    Measured: 12 months post-index procedure

  5. Number of Participants That Did Not Have a Major Amputation of the Target Limb

    Major amputation is defined as above the ankle amputation

    Measured: 30 days post-index procedure

  6. Number of Participants That Did Not Have a Major Amputation of the Target Limb

    Major amputation is defined as above the ankle amputation

    Measured: 6 months post-index procedure

  7. Number of Participants That Did Not Have a Major Amputation of the Target Limb

    Major amputation is defined as above the ankle amputation

    Measured: 12 months post-index procedure

  8. Number of Participants That Had Improved Clinical Measures From Baseline (ABI)

    Resting ankle brachial index (ABI) for chronic limb ischemia measurements will be assessed clinically at follow-up and compared with baseline. ABI measurements: Mild to moderate if the ABI is between 0.4 and 0.9, and an ABI less than 0.40 is suggestive of severe PAD [19]. An ABI value greater than 1.3 is also considered abnormal, suggestive of non-compressible vessels.

    Measured: 30 days post-index procedure

  9. Number of Participants That Had Improved Clinical Measures From Baseline (ABI)

    Resting ankle brachial index (ABI) for chronic limb ischemia measurements will be assessed clinically at follow-up and compared with baseline. ABI measurements: Mild to moderate if the ABI is between 0.4 and 0.9, and an ABI less than 0.40 is suggestive of severe PAD [19]. An ABI value greater than 1.3 is also considered abnormal, suggestive of non-compressible vessels.

    Measured: 6 months post-index procedure

  10. Number of Participants That Had Improved Clinical Measures From Baseline (ABI)

    Resting ankle brachial index (ABI) for chronic limb ischemia measurements will be assessed clinically at follow-up and compared with baseline. ABI measurements: Mild to moderate if the ABI is between 0.4 and 0.9, and an ABI less than 0.40 is suggestive of severe PAD [19]. An ABI value greater than 1.3 is also considered abnormal, suggestive of non-compressible vessels.

    Measured: 12 months post-index procedure

  11. Number of Participants That Had Improved Clinical Measures From Baseline (Rutherford Classification)

    Rutherford classification (RC):

    0 Asymptomatic: documented peripheral arterial disease, without symptoms of claudication or ischemic pain

    1. Mild claudication: ischemic limb muscle pain that does not limit walking, or limits walking only after >2 blocks (>600 feet, or 2 football fields)
    2. Moderate claudication: ischemic limb muscle pain that limits walking to 1-2 blocks (300-600 feet, or 1-2 football fields)
    3. Severe claudication: ischemic limb muscle pain that limits walking to <1 block (<300 feet, or 1 football field)
    4. Ischemic rest pain: pain in the distal foot at rest felt to be due to limited arterial perfusion
    5. Minor tissue loss: non-healing ischemic ulcer(s) on distal leg, or focal gangrene with diffuse pedal ischemia
    6. Major tissue loss: ischemic gangrene extending above TM level, functional foot no longer salvageable without extensive resvascularization efforts

    Measured: 30 days post-index procedure

  12. Number of Participants That Had Improved Clinical Measures From Baseline (Rutherford Classification)

    Rutherford classification (RC):

    0 Asymptomatic: documented peripheral arterial disease, without symptoms of claudication or ischemic pain

    1. Mild claudication: ischemic limb muscle pain that does not limit walking, or limits walking only after >2 blocks (>600 feet, or 2 football fields)
    2. Moderate claudication: ischemic limb muscle pain that limits walking to 1-2 blocks (300-600 feet, or 1-2 football fields)
    3. Severe claudication: ischemic limb muscle pain that limits walking to <1 block (<300 feet, or 1 football field)
    4. Ischemic rest pain: pain in the distal foot at rest felt to be due to limited arterial perfusion
    5. Minor tissue loss: non-healing ischemic ulcer(s) on distal leg, or focal gangrene with diffuse pedal ischemia
    6. Major tissue loss: ischemic gangrene extending above TM level, functional foot no longer salvageable without extensive resvascularization efforts

    Measured: 6 months post-index procedure

  13. Number of Participants That Had Improved Clinical Measures From Baseline (Rutherford Classification)

    Rutherford classification (RC):

    0 Asymptomatic: documented peripheral arterial disease, without symptoms of claudication or ischemic pain

    1. Mild claudication: ischemic limb muscle pain that does not limit walking, or limits walking only after >2 blocks (>600 feet, or 2 football fields)
    2. Moderate claudication: ischemic limb muscle pain that limits walking to 1-2 blocks (300-600 feet, or 1-2 football fields)
    3. Severe claudication: ischemic limb muscle pain that limits walking to <1 block (<300 feet, or 1 football field)
    4. Ischemic rest pain: pain in the distal foot at rest felt to be due to limited arterial perfusion
    5. Minor tissue loss: non-healing ischemic ulcer(s) on distal leg, or focal gangrene with diffuse pedal ischemia
    6. Major tissue loss: ischemic gangrene extending above TM level, functional foot no longer salvageable without extensive resvascularization efforts

    Measured: 12 months post-index procedure

  14. Number of Participants That Had an Open (Patent) Target Vessel for Above the Knee (ATK) Subjects

    ATK subjects have a target lesion of the SFA or popliteal artery only. Primary patency (patent or open target vessel) is measured by duplex ultrasound (DUS) core lab; the core lab determines whether target vessel is patent/open.

    Measured: 30 days post-index procedure

  15. Number of Participants That Had an Open (Patent) Target Vessel for Above the Knee (ATK) Subjects

    ATK subjects have a target lesion of the SFA or popliteal artery only. Primary patency (patent or open target vessel) is measured by duplex ultrasound (DUS) core lab; the core lab determines whether target vessel is patent/open.

    Measured: 6 months post-index procedure

  16. Number of Participants That Had an Open (Patent) Target Vessel for Above the Knee (ATK) Subjects

    ATK subjects have a target lesion of the SFA or popliteal artery only. Primary patency (patent or open target vessel) is measured by duplex ultrasound (DUS) core lab; the core lab determines whether target vessel is patent/open.

    Measured: 12 months post-index procedure

Timeline

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

  1. First posted21 Jun 2017
  2. Study start28 Mar 2018
  3. Primary completion29 Oct 2020
  4. Study completion1 Apr 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
350 participants (actual)
Target duration
1 Year
IDs, dates and publications
ClinicalTrials.gov ID
NCT03193619
Sponsor's protocol ID
BPV-16-001
Status last verified
Oct 2023
First submitted
19 Jun 2017
Last updated
28 Mar 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Peripheral Arterial Disease and Peripheral Vascular Diseases, run by C. R. Bard at 31 sites in United States.

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 6 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: finished, as of the sponsor's last update on 28 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in United States. 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 28 Mar 2024). 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?

Number of Participants That Achieve Optimal PTA Results (time frame: Index procedure (Day 0); approximate duration of procedure is 90 minutes.). 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?
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 28 Mar 2024.

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