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Peripheral Artery DiseaseFUTURE-SFANCT04511234

Sirolimus Coated Balloon Versus Standard Balloon for SFA and Popliteal Artery Disease

A study testing MagicTouch PTA sirolimus drug coated balloon (DCB) and POBA standard balloon in people with Peripheral Artery Disease and Atherosclerosis, run by Concept Medical Inc. at 20 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study aims to conduct a randomized, double blind, randomised controlled multicentre trial of sirolimus drug coated balloon versus standard percutaneous transluminal angioplasty for the treatment of superficial and popliteal arterial disease. Read more about this study

Who is it for?
Ages 21 years and older
What is being tested?
MagicTouch PTA sirolimus drug coated balloon (DCB) and POBA standard balloon
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
279 participants
Where
20 sitesin 3 countries
Study dates
8 Sep 2020to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Age ≥ 21 years or minimum age
  • Rutherford class 3 to 6 in the target limb
  • Intraoperative Inclusion Criteria
  • Single or sequential de novo or re-stenotic lesions (stenosis of > 50% or occlusions) from 2 to 20cm in the femoropopliteal arteries. Lesion is considered as one lesion if there is maximum of 30mm gap between lesions at discretion of investigator. Femoropopliteal arteries are superficial femoral artery, popliteal artery P1 and P2
  • Inflow free from flow limiting lesions (<50% stenosis) confirmed by duplex or angiography. Subjects with flow limiting inflow lesions (>50% stenosis) can be included if lesion had been treated successfully (<30% residual stenosis) before or during the index procedure.
  • At least one non-occluded crural vessel (ie. without significant stenosis) with angiographically documented run off to the foot.

Who cannot join

  • Comorbid conditions limiting life expectancy ≤ 1 year
  • Subject is currently participating in another investigational drug or device study that has not reached first primary endpoint yet
  • Subject is pregnant or planning to become pregnant during the course of the study
  • Heel gangrene
  • Prior bypass surgery of target vessel
  • Planned amputation of the target limb
Show all 16Show fewer
  • Previously implanted stent in the target lesion
  • Vulnerable or protected adults
  • Bleeding diathesis or another disorder such as gastrointestinal ulceration which restrict the use of clopidogrel or aspirin
  • Known allergy to sirolimus
  • Intraoperative Exclusion Criteria
  • Failure to successfully cross the target lesion with a guide wire (successful crossing means tip of the guide wire distal to the target lesion in the absence of flow limiting dissections or perforations)
  • Failure to obtain <30% residual stenosis in a pre-existing lesion
  • Highly calcific lesions
  • Use of DCBs, drug eluting stent, specialty balloons or artherectomy devices during the index procedure. (Non-compliant balloons are not considered specialty balloons)
  • Lesions requiring retrograde access (SAFARI)

Trial locations and contacts

20 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

20 sites in 3 countries

Taiwan8 sites, 8 recruiting
  • Kaohsiung Medical University Chung-Ho Memorial Hospital

    Kaohsiung City

    Po-Chao Hsu, Dr.

    Recruiting
  • Kaoshiung Chang Gung Memorial Hospital

    Kaohsiung City

    Hsu Ting Yen, Dr.

    Recruiting
  • Far Eastern Memorial Hospital

    New Taipei City

    Chen Jer-Shen, Dr.

    Recruiting
  • Taipei Tzuchi Hospital

    New Taipei City

    Huang Hsuan-Li, Dr.

    Recruiting
  • China Medical University Hospital

    Taichung

    Chung-Ho Hsu, Dr.

    Not yet recruiting
  • National Taiwan University Hospital

    Taipei

    Lee Jen-Kuang, Dr.

    Recruiting
  • Shin Kong Wu Ho-Su Memorial Hospital

    Taipei

    Lin Chia-Hsun, Dr.

    Recruiting
  • Linkou Chang Gung Memorial Hospital

    Taoyuan City

    Chen Chun-Chi, Dr.

    Recruiting

Other trials in Taiwan

Singapore6 sites, 6 recruiting
  • Khoo Teck Puat Hospital

    Singapore

    Leong Chuo Ren

    Recruiting
  • National University Hospital

    Singapore

    Jackie Ho

    Recruiting
  • Ng Teng Fong General Hospital

    Singapore

    Vikram Vijayan

    Not yet recruiting
  • Sengkang General Hospital

    Singapore

    Kalpana Vijaykumar, Dr.

    Recruiting
  • Singapore General Hospital

    Singapore

    Chong Tze Tec, A/Prof

    Recruiting
  • Tan Tock Seng Hospital

    Singapore

    Pua Uei, Dr.

    Recruiting

Other trials in Singapore

Thailand6 sites, 6 recruiting
  • Phramongkutklao Hospital

    Bangkok

    Thatchawit Urasuk

    Recruiting
  • Rajavithi Hospital

    Bangkok

    Supachai Chanvitan, Dr.

    Recruiting
  • Ramathibodi Hospital

    Bangkok

    Suthas Horsirimanont, Dr.

    Not yet recruiting
  • Siriraj Hospital

    Bangkok

    Tossapol Prapassaro

    Recruiting
  • Vajira Hospital

    Bangkok

    Wuttichai Saengprakai, Dr.

    Recruiting
  • Thammasat University Hospital

    Pathum Thani

    Boonying Siribumrungwong

    Recruiting

Other trials in Thailand

About this study

Official title: Randomized Controlled Trial of First Sirolimus Coated Balloon Versus Standard Balloon Angioplasty in The Treatment of Superficial Femoral Artery and Popliteal Artery Disease

This study aims to conduct a randomized, double blind, randomised controlled multicentre trial of sirolimus drug coated balloon versus standard percutaneous transluminal angioplasty for the treatment of superficial and popliteal arterial disease.

Read the detailed description

The burden of limb loss as a result of peripheral arterial disease (PAD) is high and this problem is set to worsen globally. Treatment of PAD primarily involves revascularisation of the limb. Angioplasty as a first line strategy of revascularization over surgical procedures has been adopted by most vascular centers. Local drug delivery using drug coated balloons (DCB) during angioplasty for PAD can successfully deliver effective local tissue concentrations of anti-proliferative drugs to the lesions in the artery involved in the PAD. This offers the potential for sustained anti-restenotic efficacy.

Randomized trials have shown superiority of Paclitaxel DCBs over just plain-balloon angioplasty for treatment of PAD, and DCB is now considered the standard of care. However a recent meta-analyses which showed increased mortality at two years in patients treated with paclitaxel DCBs have called into question the safety of paclitaxel based DCBs.

Alternative drugs for DCBs are therefore urgently needed and sirolimus offers an attractive alternative. Compared to Paclitaxel, sirolimus is cytostatic in its mode of action with a high margin of safety. It has a high transfer rate to the vessel wall and has been shown to effectively inhibit neointimal hyperplasia in the porcine coronary model. In the coronary artery interventions, preliminary clinical studies using Sirolimus DCBs have also shown excellent procedural and 6 month patency.

Being tested
MagicTouch PTA sirolimus drug coated balloon (DCB), POBA standard balloon
Keywords
PAD, DCB, PTA, Sirolimus
Medical subject headings
Peripheral Arterial Disease, Atherosclerosis

What participants receive

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

  • MagicTouch PTA sirolimus drug coated balloon (DCB)Device

    For participants randomised to MagicTouch PTA sirolimus DCB, following successful plain balloon angioplasty of the arterial lesion, (defined as <30% residual stenosis after treatment at rated burst pressure of the angioplasty balloon), MagicTouch PTA sirolimus coated balloon will be applied at the lesion after appropriate sizing using the diameter of the plain balloon angioplasty.

  • POBA standard balloonDevice

    For participants randomised to the standard balloon angioplasty group, a placebo standard balloon which is identical to the SCB will also be applied at the lesion after appropriate sizing using the diameter of the plain balloon angioplasty.

Study groups in NCT04511234
Study groupRoleWhat they receive
MagicTouch PTA sirolimus drug coated balloon (DCB)ExperimentalMagicTouch PTA sirolimus drug coated balloon (DCB) in addition to standard balloon angioplasty
Receives: Device: MagicTouch PTA sirolimus drug coated balloon (DCB)
Placebo balloon angioplastyActive comparatorPlacebo balloon angioplasty in addition to standard balloon angioplasty (PTA)
Receives: Device: POBA standard balloon

What is being measured

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

  1. Primary patency at 6 months

    Primary patency rate at 6 months defined as proportion of subjects with duplex ultrasonography-derived peak systolic velocity ratio of < 2.4 (in absence of target lesion revascularisation)

    Measured: 6 Months

Secondary outcomes (18)
  1. Device and procedure related death

    Proportion of device and procedure related death

    Measured: 1, 6, 12 and 24 Months

  2. All-cause death

    Proportion of subjects died by any cause

    Measured: 1, 6, 12 and 24 Months

  3. Major target limb amputation

    Proportion of major target limb amputation

    Measured: 1, 6, 12 and 24 Months

  4. Target vessel thrombosis

    Proportion of subjects with target vessel thrombosis

    Measured: From day 0 to day 14

  5. Proportion of subjects who experienced either death at 6 month or major target limb amputation at 6 month or target vessel thrombosis within 14 days

    Proportion of subjects who experienced either death at 6 month or major target limb amputation at 6 month or target vessel thrombosis within 14 days

    Measured: Day 0 to day 14, 6 Months

  6. Occurrence of adverse events (AEs), serious AEs and AEs related to device and Occurrence of adverse events (AEs), serious AEs and AEs related to device and procedure

    Occurrence of adverse events (AEs), serious AEs and AEs related to device and Occurrence of adverse events (AEs), serious AEs and AEs related to device and procedure

    Measured: From Day 0 to 24 Months Follow-up

  7. Procedural Success

    Proportion of subjects with procedural success during hospital stay

    Measured: From Day 1 to discharge up to maximum of 30 days

  8. Proportion of subjects who are free from clinically-driven Target Lesion Revascularization (TLR)

    Proportion of subjects who are free from clinically-driven TLR

    Measured: 6,12 and 24 Months

  9. Proportion of subjects who are free from clinically-driven Target Vessel Revascularization (TVR)

    Proportion of subjects who are free from clinically-driven Target Vessel Revascularization (TVR)

    Measured: 6,12 and 24 Months

  10. Primary patency

    Primary patency rate at 12 and 24 months

    Measured: 12 and 24 Months

  11. Restenosis

    Proportion of subjects with restenosis

    Measured: 6, 12 and 24 Months

  12. Subjects who are free from MAE

    Proportion of subjects who are free from MAE

    Measured: 6 Months

  13. Amputation-free survival

    Amputation-free survival

    Measured: 6, 12 and 24 Months

  14. Clinical Success

    Proportion of subjects with clinical Success at 6, 12 and 24 months, Clinical success is defined as Improvement in Rutherford classification compared to the pre-procedure Rutherford classification

    Measured: 6, 12 and 24 Months

  15. Device success

    Proportion of subjects with device success at day 1

    Measured: Day 1

  16. Technical success

    Proportion of subjects with technical success at day 1

    Measured: Day 1

  17. Wound assessment (if any)

    Wound assessment (if any)

    Measured: 1, 6, 12, 24 Months

  18. Toe Pressure or ABPI assessment

    Toe Pressure or ABPI assessment

    Measured: 6, 12, 24 Months

Timeline

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

  1. First posted13 Aug 2020
  2. Study start8 Sep 2020
  3. Primary completionDec 2025 (estimated)
  4. Study completionDec 2026 (estimated)

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
Model description
Eligible subjects will be randomised via a secure online system to a labelled device and to receive either Magic Touch sirolimus drug coated balloon in addition to standard balloon angioplasty or standard balloon angioplasty and placebo balloon.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
279 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04511234
Sponsor's protocol ID
FUTURE SFA
Acronym
FUTURE-SFA
Status last verified
Jun 2025
First submitted
5 Aug 2020
Last updated
3 Jul 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Giacoppo D, Cassese S, Harada Y, Colleran R, Michel J, Fusaro M, Kastrati A, Byrne RA. Drug-Coated Balloon Versus Plain Balloon Angioplasty for the Treatment of Femoropopliteal Artery Disease: An Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials. JACC Cardiovasc Interv. 2016 Aug 22;9(16):1731-42. doi: 10.1016/j.jcin.2016.06.008.

    PubMed 27539695
  • Clever YP, Peters D, Calisse J, Bettink S, Berg MC, Sperling C, Stoever M, Cremers B, Kelsch B, Bohm M, Speck U, Scheller B. Novel Sirolimus-Coated Balloon Catheter: In Vivo Evaluation in a Porcine Coronary Model. Circ Cardiovasc Interv. 2016 Apr;9(4):e003543. doi: 10.1161/CIRCINTERVENTIONS.115.003543.

    PubMed 27069105
  • Verheye S, Vrolix M, Kumsars I, Erglis A, Sondore D, Agostoni P, Cornelis K, Janssens L, Maeng M, Slagboom T, Amoroso G, Jensen LO, Granada JF, Stella P. The SABRE Trial (Sirolimus Angioplasty Balloon for Coronary In-Stent Restenosis): Angiographic Results and 1-Year Clinical Outcomes. JACC Cardiovasc Interv. 2017 Oct 23;10(20):2029-2037. doi: 10.1016/j.jcin.2017.06.021. Epub 2017 Sep 27.

    PubMed 28964764

Questions about this trial

What is this clinical trial studying?

A study testing MagicTouch PTA sirolimus drug coated balloon (DCB) and POBA standard balloon in people with Peripheral Artery Disease and Atherosclerosis, run by Concept Medical Inc. at 20 sites in 3 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 6 inclusion and 16 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: looking for participants now, as of the sponsor's last update on 3 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Taiwan, Singapore, Thailand. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Edward Choke (+65 69302164, tcchoke@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary patency at 6 months (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 NCT04511234, which also lists 3 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 3 Jul 2025.

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