Peripheral Arterial DiseaseENTRAPNCT03271710
Study to Evaluate the Lower Extremity Intervention With Integrated Embolic Protection Using the Vanguard IEP System
A study testing peripheral balloon angioplasty in people with Peripheral Arterial Disease and Intermittent Claudication, run by Contego Medical, Inc. at 9 sites in 2 countries.
Trial summary
The ENTRAP Study is a prospective, multi-center, non-randomized, single-arm, study with follow-up to 30 days to determine the acute safety, acute device performance and clinical performance of the Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Peripheral Arterial Disease, Intermittent Claudication, Atherosclerosis of Femoral Artery
- What is being tested?
- peripheral balloon angioplasty
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 113 participants
- Where
- 9 sitesin 2 countries
- Study dates
- 1 Sep 2017to 30 Dec 2018
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male and female patients ≥18 years old.
- Subject has clinically significant symptomatic leg ischemia requiring treatment.
- Subject has a Rutherford category of 2 - 3.
- Target lesion in the superficial femoral artery (SFA), common femoral artery, p1 segment of popliteal artery, common iliac artery and external iliac artery (cross-over access only), and profunda femoris arteries.
- Target lesion stenosis >50% by investigator's visual estimate.
- Vessel diameter between 4.0 mm and 8.0 mm at the site of the target lesion.
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- Total target lesion length ≤ 18 cm, and may include a chronic total occlusion ≤ 10 cm.
- If target lesion is restenotic, the prior PTA must be > 30 days prior to enrollment.
- If the guide wire traverses the lesion subintimally, it must enter the true lumen distal to the lesion without the use of a reentry device.
- Distal vessel diameter at the site of filter deployment of 4.0 mm to 8.0 mm with sufficient landing zone required for the successful deployment of the integrated embolic protection filter.
- Patent popliteal and infrapopliteal arteries; I.e. single vessel runoff or better with at least one of three vessels patient (<50% stenosis) to the ankle or foot.
- The patient (or legally authorized representative) is willing to provide written informed consent and to comply with all study requirements.
Who cannot join
- Subjects who have undergone prior vascular surgery of the target artery to treat atherosclerotic disease.
- History of major amputation in the same limb as the target lesion.
- Woman who is pregnant or nursing.
- Subject has Rutherford category of 4- 6.
- Target lesion(s) within native or synthetic vessel grafts.
- Use of atherectomy as an adjunctive therapy during the index procedure in the target lesion or target vessel.
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- Any major (e.g. cardiac, peripheral, abdominal) intervention, including in the contralateral lim planned within 30 days post index procedure.
- Presence of other hemodynamically significant outflow lesion in the target limb requiring intervention within 30 days of enrollment.
- Subject has significant inflow disease which cannot be treated prior to target lesion treatment.
- Presence of aneurysm in the target vessel.
- Acute limb occlusion due to thrombotic occlusion of the target limb.
- In-stent restenosis of target lesion.
- Severe calcification that renders the target lesion lesion resistant to angioplasty.
- Visible acute thrombus in the target lesion
- Intolerance to antiplatelet, anticoagulant or thrombolytic therapy medications that would be administered during the trial.
- Known hypersensitivity to contrast media that cannot be adequately premedicated.
- Known hypersensitivity to nickel and/or titanium.
- Acute Myocardial Infarction within 30 days prior to the index procedure.
- Subject has a known coagulopathy or bleeding diathesis, or INR <1.5.
- Platelet count <100,000 mm3/L or >700,000 mm3/L
- Concomitant renal failure with a serum creatinine > 2.5 mg/dL or receiving dialysis.
- Patient is currently participating in an interventional study, investigational drug or device study that has not completed the primary endpoint, that may potentially confound the results of this trial or that would limit the subject's compliance with the follow-up requirements.
Trial locations and contacts
9 sites in 2 countries.
9 sites in 2 countries
Germany5 sites
Interventional Cardiology and Vascular Medicine, Department of Angiology, Universitäts-Herzzentrum Freiburg
Bad Krozingen, 79189
Sankt Gertrauden-Krankenhaus
Berlin, 10713
Daikonissenkrankenhaus Flensburg
Flensburg, 24939
MVZ/Prof. Mathey Prof. Schofer Clinic
Hamburg
Universitätsklinikum Leipzig
Leipzig, 04103
Belgium4 sites
OLV Hospital Aalst
Aalst, 9300
Imelda Hospital / Vascular Science Research Center
Bonheiden, 2820
AZ Sint Blasius
Dendermonde, 9300
RZ Heilig Hart Hospital
Tienen, 3300
About this study
Official title: A Single-Arm, Multicenter Study for the Lower Extremities Using the Vanguard IEP Peripheral Balloon Angioplasty System With Integrated Embolic Protection
The ENTRAP Study is a prospective, multi-center, non-randomized, single-arm, study with follow-up to 30 days to determine the acute safety, acute device performance and clinical performance of the Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection. The Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection is indicated for peripheral vascular percutaneous transluminal angioplasty (PTA) and capture and removal of embolic material during angioplasty for the femoral, iliac, popliteal and profunda arteries.
Read the detailed description
The ENTRAP Study is a prospective, multi-center, non-randomized, single-arm, study with follow-up to 30 days to determine the acute safety, acute device performance and clinical performance of the Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection. The Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection is indicated for peripheral vascular percutaneous transluminal angioplasty (PTA) and capture and removal of embolic material during angioplasty for the femoral, iliac, popliteal and profunda arteries.
The Vanguard System has been designed to revascularize iliac and femoro-popliteal PAD while protecting against embolization at the same time. It is the first system in which the embolic protection filter is coupled on the same catheter as the angioplasty balloon for use in the lower extremities. Up to 130 patients will be enrolled into this study and followed for 30 days after post-procedure. Adult patients with lifestyle-limiting claudication or rest pain (Rutherford categories 2 to 3) who meet all eligibility criteria will be approached for participation in the trial.
- Being tested
- peripheral balloon angioplasty
- Keywords
- Distal embolization, Percutaneous transluminal angioplasty, Integrated embolic protection
- Medical subject headings
- Peripheral Arterial Disease, Intermittent Claudication
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
peripheral balloon angioplastyDevice
Also called percutaneous transluminal angioplasty (PTA)
Percutaneous transluminal angioplasty (PTA) of the lower extremities
| Study group | Role | What they receive |
|---|---|---|
| Peripheral balloon angioplasty | Experimental | Peripheral vascular percutaneous transluminal angioplasty (PTA) and capture and removal of embolic material during angioplasty for the femoral, iliac, popliteal and profunda arteries with the Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection Receives: Device: peripheral balloon angioplasty |
What is being measured
The primary outcome is the main question the study is designed to answer.
Freedom from MAE, defined as death, amputation and target vessel revascularization (TVR)
Primary safety endpoint
Measured: 30 days
Procedural success
Defined as <50% residual stenosis without MAE (death, amputation or TVR)
Measured: 24 hours or at discharge.
Secondary outcomes (3)
Technical Success
Technical success of the investigational device using questionnaire
Measured: Index procedure
Ankle-Brachial Index (ABI)
Change in Ankle-Brachial Index from baseline, discharge and 30 days
Measured: Baseline, discharge and 30 days
Rutherford-Becker
Rutherford-Becker improvement greater than or equal to 1
Measured: 30 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Sep 2017
- Study start1 Sep 2017
- Primary completion30 Nov 2018
- Study completion30 Dec 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Peripheral Arterial 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 N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 113 participants (actual)
Sponsor and investigators
- Lead sponsor
- Contego Medical, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Thomas Zeller, Prof., Principal investigator, Universitäts-Herzzentrum Freiburg
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03271710
- Sponsor's protocol ID
- CSP1121
- Acronym
- ENTRAP
- Status last verified
- Jul 2019
- First submitted
- 26 Apr 2017
- Last updated
- 10 Jul 2019
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Site specific individual participant data is available to each research site via export from EDC.
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single-Arm, Multicenter Study for the Lower Extremities Using the Vanguard IEP Peripheral Balloon Angioplasty System With Integrated Embolic Protection
- ClinicalTrials.gov ID
- NCT03271710
- Acronym / sponsor ID
- ENTRAP / CSP1121
- Keywords
- Distal embolization, Percutaneous transluminal angioplasty, Integrated embolic protection
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 113 participants (actual)
- Lead sponsor
- Contego Medical, Inc.Industry (pharma, biotech, devices)
- Study start
- 1 Sep 2017 (actual)
- Primary completion
- 30 Nov 2018 (actual)
- Study completion
- 30 Dec 2018 (actual)
- First posted
- 5 Sep 2017 (actual)
- 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 ENTRAP Study is a prospective, multi-center, non-randomized, single-arm, study with follow-up to 30 days to determine the acute safety, acute device performance and clinical performance of the Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection. The Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection is indicated for peripheral vascular percutaneous transluminal angioplasty (PTA) and capture and removal of embolic material during angioplasty for the femoral, iliac, popliteal and profunda arteries.
Detailed description
The ENTRAP Study is a prospective, multi-center, non-randomized, single-arm, study with follow-up to 30 days to determine the acute safety, acute device performance and clinical performance of the Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection. The Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection is indicated for peripheral vascular percutaneous transluminal angioplasty (PTA) and capture and removal of embolic material during angioplasty for the femoral, iliac, popliteal and profunda arteries.
The Vanguard System has been designed to revascularize iliac and femoro-popliteal PAD while protecting against embolization at the same time. It is the first system in which the embolic protection filter is coupled on the same catheter as the angioplasty balloon for use in the lower extremities. Up to 130 patients will be enrolled into this study and followed for 30 days after post-procedure. Adult patients with lifestyle-limiting claudication or rest pain (Rutherford categories 2 to 3) who meet all eligibility criteria will be approached for participation in the trial.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Peripheral balloon angioplasty | Experimental | Device: peripheral balloon angioplastyPeripheral vascular percutaneous transluminal angioplasty (PTA) and capture and removal of embolic material during angioplasty for the femoral, iliac, popliteal and profunda arteries with the Vanguard IEP Peripheral Balloon Angioplasty System with Integrated Embolic Protection |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Male and female patients ≥18 years old.
- Subject has clinically significant symptomatic leg ischemia requiring treatment.
- Subject has a Rutherford category of 2 - 3.
- Target lesion in the superficial femoral artery (SFA), common femoral artery, p1 segment of popliteal artery, common iliac artery and external iliac artery (cross-over access only), and profunda femoris arteries.
- Target lesion stenosis >50% by investigator's visual estimate.
Key exclusion criteria (22 listed)
- Subjects who have undergone prior vascular surgery of the target artery to treat atherosclerotic disease.
- History of major amputation in the same limb as the target lesion.
- Woman who is pregnant or nursing.
- Subject has Rutherford category of 4- 6.
- Target lesion(s) within native or synthetic vessel grafts.
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 |
|---|---|---|
| peripheral balloon angioplastyAlso: percutaneous transluminal angioplasty (PTA)Percutaneous transluminal angioplasty (PTA) of the lower extremities | Device | Peripheral balloon angioplasty |
Primary outcome
Freedom from MAE, defined as death, amputation and target vessel revascularization (TVR)
Time frame: 30 days
Primary safety endpoint
Procedural success
Time frame: 24 hours or at discharge.
Defined as <50% residual stenosis without MAE (death, amputation or TVR)
3 secondary outcomes
Technical Success
Time frame: Index procedure
Ankle-Brachial Index (ABI)
Time frame: Baseline, discharge and 30 days
Rutherford-Becker
Time frame: 30 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2019.
- Individual participant dataSharing planned: No. Site specific individual participant data is available to each research site via export from EDC.
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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.
Thomas Zeller, Prof. principal investigator
Universitäts-Herzzentrum Freiburg
9 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing peripheral balloon angioplasty in people with Peripheral Arterial Disease and Intermittent Claudication, run by Contego Medical, Inc. at 9 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 12 inclusion and 22 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 10 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in Germany, Belgium. 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?
Freedom from MAE, defined as death, amputation and target vessel revascularization (TVR) (time frame: 30 days). 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 10 Jul 2019.