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The primary objective of the Clinical Investigation is to assess the clinical safety and the inhibition of restenosis of the Investigational Device in the treatment of de-novo occluded/stenotic or re-occluded/restenotic lesions of the superficial femoral and/or popliteal arteries.
The primary endpoint of the Clinical Investigation is Late Lumen Loss (LLL) of the target lesion, as measured by Quantitative Vascular Angiography (QVA) at 6 months post-index procedure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SELUTION DCB | Experimental | The SELUTION™ DCB (coated with sirolimus) is intended for use as a Percutaneous Transluminal Angioplasty (PTA) balloon catheter to dilate de-novo or restenotic vascular lesions, for the purpose of improving limb perfusion and decreasing the incidence of restenosis. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SELUTION DCB (sirolimus coated balloon) | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| Late Lumen Loss (LLL) of the target lesion, as measured by Quantitative Vascular Angiography (QVA) | 6 Months (plus or minus 30 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Device success | defined as successful delivery, inflation, deflation and retrieval of the Investigational Device | index procedure |
| Procedural success | defined as final residual stenosis of ≤ 30% of the target lesion, as measured by QVA |
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Inclusion Criteria:
There must be at least 1 patent (< 50% stenosis) native outflow artery to the ankle, as confirmed by angiography. Treatment of outflow disease during the index procedure is NOT permitted.
Exclusion Criteria:
Remaining acute or sub-acute thrombus in the target vessel.
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Zeller, Prof Dr Med | Universitäts-Herzzentrum Freiburg-Bad Krozingen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitäts-Herzzentrum Freiburg-Bad Krozingen | Bad Krozingen | Baden-Wurttemberg | 79189 | Germany | ||
| Radiologische Gemeinschaftspraxis Ihre-Radiologen Franziskus - Krankenhaus Berlin |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32666871 | Derived | Zeller T, Brechtel K, Meyer DR, Noory E, Beschorner U, Albrecht T. Six-Month Outcomes From the First-in-Human, Single-Arm SELUTION Sustained-Limus-Release Drug-Eluting Balloon Trial in Femoropopliteal Lesions. J Endovasc Ther. 2020 Oct;27(5):683-690. doi: 10.1177/1526602820941811. Epub 2020 Jul 15. |
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| index procedure |
| Clinical success | defined as procedural success with no MAE noted | within 24 hours post-index procedure |
| Freedom from device- and procedure- related death | 30 days |
| Freedom from Major Adverse Event (MAE) | defined as composite rate of Cardio-Vascular (CV) mortality, index limb amputation, target lesion thrombosis and clinically driven Target Lesion Revascularization (TLR) | 6 Months (plus or minus 30 days) |
| Primary Patency (PP) | defined as freedom from clinically driven Target Lesion Revascularization (TLR) and freedom from restenosis as determined by Duplex Ultrasound (DUS) with a Peak Systolic Velocity Ratio (PSVR) < 2.5 of the target lesion | discharge, 6, 12 and 24 Months (plus or minus 30 days) |
| Composite of freedom from index limb amputation and clinically driven Target Vessel Revascularization (TVR) | 12 and 24 Months (plus or minus 30 days) |
| Angiographic Binary Restenosis (ABR) | defined as > 50% diameter stenosis of the target lesion, as measured by QVA | 6 Month (plus or minus 30 days) |
| Change of Rutherford Classification as compared to baseline | at 6, 12 and 24 months (plus or minus 30 days) |
| Change of Ankle Brachial Index (ABI) as compared to baseline | at 6, 12 and 24 months (plus or minus 30 days) |
| Change in functional status measured by changes in the Walking Impairment compared to baseline | at 6, 12 and 24 months (plus or minus 30 days) |
| Change in functional status measured by changes in the general health-related Quality of Life measured by changes in EQ-5D-5L questionnaire compared to baseline | at 6, 12 and 24 months (plus or minus 30 days) |
| User Acceptance Testing (UAT) questionnaire | index procedure |
| Berlin |
| 10787 |
| Germany |
| Vivantes Klinikum Neukölln | Berlin | 12351 | Germany |
| Evangelisches Krankenhaus Hubertus | Berlin | 14129 | Germany |