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PERVIDEO I Registry, The Lutonix Paclitaxel-Coated Balloon Catheter for the Treatment of Coronary In-Stent Restenosis
This study has been completed.

First Received on June 4, 2009.   Last Updated on April 3, 2012   History of Changes
Sponsor: Lutonix, Inc.
Information provided by (Responsible Party): Lutonix, Inc.
ClinicalTrials.gov Identifier: NCT00916279
  Purpose

The study will enroll patients with angiographic evidence of in-stent restenosis of a previously placed bare-metal stent. Subjects will be treated with a Lutonix Catheter. The purpose is to investigate the feasibility, safety, and efficacy of the Lutonix Catheter in the native coronary system. Angiographic and clinical outcomes will be assessed.


Condition Intervention Phase
In-Stent Restenosis
Device: Lutonix Paclitaxel-Coated Balloon
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Prospective, Multicenter, European Registry Investigating the Lutonix Paclitaxel-Coated Balloon for the Treatment of In-Stent Restenosis Within Bare-Metal Stents

Resource links provided by NLM:


Further study details as provided by Lutonix, Inc.:

Primary Outcome Measures:
  • Percent Diameter Stenosis in the Analysis Segment [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Angiographic measures [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • 30-day MACE rate [ Time Frame: 30 Days ] [ Designated as safety issue: Yes ]

Enrollment: 41
Study Start Date: June 2009
Study Completion Date: December 2011
Primary Completion Date: October 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Lutonix Catheter Device: Lutonix Paclitaxel-Coated Balloon
PTCA
Other Name: Drug Coated Balloon

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or non-pregnant/non-breast feeding Female ≥18 Years of age. Women of childbearing potential must have a negative pregnancy test within 7 days of the procedure;
  • Documented stable angina pectoris Canadian Cardiovascular Society Classification (CCSC) 1-4, unstable angina pectoris with documented ischemia (Braunwald I-II) or documented silent ischemia;
  • Previous history of native coronary bare metal stenting ≥60 days;
  • LVEF ≥25%;
  • Patient is an acceptable candidate for PTCA, stenting, and emergent CABG;
  • Patient is willing to provide informed consent and comply with follow-up visits and testing schedule;
  • Target lesion is in a native coronary with previous single bare metal stent; Stenosis is ≥50% and <100% by visual estimate or QCA prior to defined pre-dilatation;
  • Reference Vessel Diameter (RVD) is ≥2.5 and ≤3.25;
  • Target lesion is ≤40 mm in length and can be treated in its entirety by no more than 2 contiguous Lutonix Catheters;
  • Guidewire is able to cross lesion(s) and be placed in distal vessel prior to enrollment;
  • Enrollment permitted after successful treatment of 1 to 2 non-study lesions in a single other non-study vessel. Successful treatment is defined as ≤30% residual stenosis with TIMI III flow and no evidence of dissection.

Exclusion Criteria:

  • History of Stroke within past 6 months;
  • History of MI or thrombolysis within 72 hours of randomization;
  • History of previous target vessel perforation;
  • Prior vascular brachytherapy;
  • Angiographic evidence of thrombus or dissection within the target vessel;
  • Intervention of another coronary lesion <60 days before index procedure day or planned following index procedure;
  • Target lesion is in the Left Main or vessel ostium and has excessive calcification or tortuosity or involves bifurcation disease of vessel ≥2.5 mm;
  • Target lesion is planned to be treated with something other than PTCA (i.e. stent, cutting balloon, atherectomy, VBT, etc.);
  • Uncontrollable allergies to procedure medications, materials, or contrast;
  • Patient has previous stent procedure with any drug-coated or drug eluting stent device in the target coronary vessel;
  • Known sensitivity to paclitaxel or other antimitogenic agent;
  • Patient has a stent sandwich (a stench previously deployed within another stent;
  • Pre-procedure CKMB >2x ULN or positive Troponin;
  • Creatinine >2.0 mg/dl;
  • Leukocyte <3500/mL;
  • Platelet <100,000 mL or >750,000 mL;
  • Currently taking or must resume warfarin;
  • Patient is contraindicated for anti-platelet therapy or it will need to be withdrawn for a planned procedure;
  • The patient is currently participating in another investigational drug or device study that has not completed its primary endpoint or that clinically interferes with the endpoints of this study;
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00916279

Locations
Belgium
Onze Lieve Vrouw Ziekenhuis
Aalst, Belgium, 9300
Germany
Kerckhoff Klinik
Bad Nauheim, Germany, 61231
Westdeutsches Herzzentrum Essen
Essen, Germany
Alte Clinic Center for Cardiology
Hamburg, Germany, 22527
Herzzentrum Leipzig GmbH
Leipzig, Germany
Netherlands
Academic Medical Center
Amsterdam, Netherlands
Catherina Ziekenhuis
Eindhoven, Netherlands
Sint Antonius Ziehenhuis
Nieuwegein, Netherlands
Sponsors and Collaborators
Lutonix, Inc.
Investigators
Principal Investigator: Laura Mauri, MD Brigham & Women's Hospital, Boston, MA
  More Information

Publications:
Scheller B, Speck U, Abramjuk C, Bernhardt U, Bohm M, Nickenig G. Paclitaxel balloon coating, a novel method for prevention and therapy of restenosis. Circulation. 2004 Aug 17;110(7):810-4. Epub 2004 Aug 9.
Speck U, Scheller B, Abramjuk C, Breitwieser C, Dobberstein J, Boehm M, Hamm B. Neointima inhibition: comparison of effectiveness of non-stent-based local drug delivery and a drug-eluting stent in porcine coronary arteries. Radiology. 2006 Aug;240(2):411-8.
Stone GW, Ellis SG, O'Shaughnessy CD, Martin SL, Satler L, McGarry T, Turco MA, Kereiakes DJ, Kelley L, Popma JJ, Russell ME; TAXUS V ISR Investigators. Paclitaxel-eluting stents vs vascular brachytherapy for in-stent restenosis within bare-metal stents: the TAXUS V ISR randomized trial. JAMA. 2006 Mar 15;295(11):1253-63. Epub 2006 Mar 12.
Scheller B, Hehrlein C, Bocksch W, Rutsch W, Haghi D, Dietz U, Bohm M, Speck U. Treatment of coronary in-stent restenosis with a paclitaxel-coated balloon catheter. N Engl J Med. 2006 Nov 16;355(20):2113-24. Epub 2006 Nov 13.
Holmes DR Jr, Teirstein P, Satler L, Sketch M, O'Malley J, Popma JJ, Kuntz RE, Fitzgerald PJ, Wang H, Caramanica E, Cohen SA; SISR Investigators. Sirolimus-eluting stents vs vascular brachytherapy for in-stent restenosis within bare-metal stents: the SISR randomized trial. JAMA. 2006 Mar 15;295(11):1264-73. Epub 2006 Mar 12.
Serruys PW, de Jaegere P, Kiemeneij F, Macaya C, Rutsch W, Heyndrickx G, Emanuelsson H, Marco J, Legrand V, Materne P, et al. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. Benestent Study Group. N Engl J Med. 1994 Aug 25;331(8):489-95.
Kastrati A, Mehilli J, von Beckerath N, Dibra A, Hausleiter J, Pache J, Schühlen H, Schmitt C, Dirschinger J, Schömig A; ISAR-DESIRE Study Investigators. Sirolimus-eluting stent or paclitaxel-eluting stent vs balloon angioplasty for prevention of recurrences in patients with coronary in-stent restenosis: a randomized controlled trial. JAMA. 2005 Jan 12;293(2):165-71.

Responsible Party: Lutonix, Inc.
ClinicalTrials.gov Identifier: NCT00916279     History of Changes
Other Study ID Numbers: CL0010-01
Study First Received: June 4, 2009
Last Updated: April 3, 2012
Health Authority: Germany: Ethics Commission

Keywords provided by Lutonix, Inc.:
Bare Metal In-Stent Restenosis
Paclitaxel Coated Balloon Catheter
Drug Coated Balloon
Coronary Artery Disease

Additional relevant MeSH terms:
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 May 23, 2012