Paclitaxel Coated Balloon Catheter for Prevention of Restenosis in Femoropopliteal Arteries (PACCOCATH_F)
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Purpose
The PACCOCATH FEM study is a randomized, double-blinded German multicenter trial on the efficacy and tolerance of a paclitaxel coated balloon catheter in prevention of restenosis after femoropopliteal angioplasty.
| Condition | Intervention | Phase |
|---|---|---|
|
Peripheral Arterial Disease |
Device: paclitaxel coated balloon catheter (device with drug) |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Paclitaxel Coated Balloon Catheter for Inhibition of Restenosis in Femoropopliteal Arteries (PACCOCATH - FEM I) |
- angiographic late lumen loss [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- binary restenosis rate; major adverse events [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 87 |
| Study Start Date: | April 2004 |
| Study Completion Date: | July 2007 |
| Primary Completion Date: | July 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: 1
PTA
|
Device: paclitaxel coated balloon catheter (device with drug)
PTA vs Paccocath
|
|
Active Comparator: 2
PTA with Paccocath
|
Device: paclitaxel coated balloon catheter (device with drug)
PTA vs Paccocath
|
Detailed Description:
Background: Treatment of patients with peripheral arterial disease (PAD) in the femoropopliteal arteries by percutaneous intervention is still limited by high rates of restenosis. The aim of the present study is to evaluate the efficacy and safety of a novel method of short time local drug delivery based on a paclitaxel-coated balloon in femoropopliteal arteries.
Methods and results: The double-blind and randomized study enrolled n=79 patients with occlusion or stenosis of femoropopliteal arteries. Inclusion criteria were clinical Rutherford stage 1-5, occlusion or hemodynamic relevant stenosis (≥ 70 % diameter) of femoropopliteal arteries and successful guiding wire recanalization. The primary endpoint was the late lumen loss after 6 months follow-up as seen in angiography. Secondary endpoints included the rate of restenosis (a binary variable), change of ankle brachial index (ABI), rutherford class and major adverse events.
Eligibility| Ages Eligible for Study: | 18 Years to 95 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Rutherford stage 1, 2, 3, 4 oder 5
- Occlusion or Stenosis of Superficial femoral and/or popliteal artery
- Successful guide wire passage of the lesion
- Patient suitable of vascular surgery in case of complication
- Written consent
- Patient is willing to take part in follow up examinations within the study
Exclusion Criteria:
- Acute ischemia
- Distal run off less than one vessel
- Pregnancy
- Hyperthyroidism
- Thrombocytes <100.000/mm3 or >700.000/mm3, Leucocytes <3.000/mm3
- Life expectancy less than two years
- Patients not willing to enter the study
Contacts and Locations| Germany | |
| Klinik für Strahlenheilkunde, Charité Campus Virchow Klinikum | |
| Berlin, Germany, 13353 | |
| Institut für Diagnostische Radiologie und Neuroradiologie, Universitätsklinikum Greifswald der Ernst-Moritz-Arndt-Universität | |
| Greifswald, Germany, 17487 | |
| Principal Investigator: | Jens Ricke, MD | Klinik für Strahlenheilkunde, Charité Campus Virchow, Augustenburger Platz 1, 13353 Berlin, Germany |
| Study Director: | Ulrich Speck, PhD | Radiologie, Campus Mitte, Charite, 10117 Berlin, Germany |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Charite Hospital, Berlin |
| ClinicalTrials.gov Identifier: | NCT00472472 History of Changes |
| Other Study ID Numbers: | PACCOCATH - FEM I |
| Study First Received: | May 10, 2007 |
| Last Updated: | June 29, 2010 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by University Hospital, Saarland:
|
restenosis peripheral arterial disease paccocath drug-coated balloon |
Additional relevant MeSH terms:
|
Peripheral Arterial Disease Peripheral Vascular Diseases Atherosclerosis Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases Cardiovascular Diseases Paclitaxel |
Tubulin Modulators Antimitotic Agents Mitosis Modulators Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antineoplastic Agents, Phytogenic Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013