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. 2016 Aug 4;2016(8):CD011319. doi: 10.1002/14651858.CD011319.pub2

MDT‐2113 SFA.

Trial name or title Randomized Trial of MDT‐2113 Drug‐Eluting Balloon (DEB) vs. Standard PTA for the Treatment of Atherosclerotic Lesions in the Superficial Femoral Artery and/or Proximal Popliteal Artery
Methods Randomized controlled trial
Participants Country: Japan
Setting: single hospital
Number of participants: 100
Inclusion criteria:
  • Age: ≥ 20 to ≤ 85 years

  • Documented ischemia with Rutherford classification 2, 3, or 4

  • Able to walk without assistive devices

  • Target lesion is in the SFA or the PA (or both) above the knee

  • Target lesion consists of a single de novo or nonstented restenotic lesion (or tandem lesions) or is a combination lesion that meets the following criteria:

    • ≥ 70% and < 100% occluded with total lesion length ≥ 40 mm and ≤ 200 mm

    • 100% occluded with total lesion length ≤ 100 mm

    • Combination lesions must have total lesion length ≥ 40 mm and ≤ 200 mm with an occluded segment that is ≤ 100 mm in length (by visual estimates)

  • Reference vessel diameter ≥ 4 mm and ≤ 7 mm (by visual estimate)

  • Angiographic evidence of adequate distal runoff through the foot


Exclusion criteria:
  • Stroke or STEMI within the 3 months prior to enrolment

  • Either local or systemic thrombolytic therapy within the 48 hours prior to the index procedure

  • Inability to tolerate oral anticoagulation therapy (blood thinners such as warfarin) while on concomitant dual antiplatelet therapy

  • Known allergies or sensitivities to heparin, acetylsalicylic acid (aspirin), other anticoagulant/antiplatelet therapies or to paclitaxel, or an allergy to contrast media that cannot be adequately pretreated prior to the index procedure

  • Chronic renal insufficiency

  • Person is enrolled in another investigational device, drug, or biologic study

  • Any major surgical procedure or intervention performed within the 30‐day period prior to or post index procedure

  • Contralateral SFA/proximal PA disease requiring treatment in the same setting as index procedure

  • Failure to successfully cross the target lesion

  • Angiographic evidence of severe calcification

  • Target lesion known in advance of enrolment to require treatment with alternative therapy such as stenting, laser, atherectomy, cryoplasty, brachytherapy, re‐entry devices, cutting balloons, scoring balloons; use of embolic protection devices is also prohibited

Interventions Uncoated balloon angioplasty device: unspecified
DEB device: MDT‐2113 drug‐eluting balloon catheter
Drug used: paclitaxel
Vessels treated: femoropopliteal arteries
Outcomes Primary:
Freedom from clinically driven TLR and freedom from restenosis as determined by duplex ultrasound
Secondary:
Freedom from device‐ and procedure‐related death through 30 days postprocedure, and freedom from target limb major amputation and clinically driven TVR
Starting date September 2013
Contact information Unspecified
Notes Sponsor: Medtronic Endovascular