Resoloy Initial Safety Evaluation (RISE)
The aim of this clinical trial is to learn if the resorbable scaffold can be successfully implanted in below-the-knee arteries and help to restore the blood flow in diseased vessels. The main questions which will be addressed in this study are:
- Is the implantation of the scaffold safe and easy?
- Does the scaffold dissolve in a reasonable time period?
- Can the stent help to fix intervention-derived vessel injuries such as dissection or recoil? The scaffold will be implanted in patients with critical limb-threatening ischemia which were initially treated with balloon catheters to restore blood flow and where a vessel segment needs additional stabilisation. The scaffold will be implanted during the normal interventional procedure. All 10 patients enrolled into this study will receive at least one scaffold. There is no control group.
The patients will be monitored for their wellbeing after 30 days as well as after 6 and 12 months. The status of the treated vessels will be examined using a non-invasive ultrasound method.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Tashkent, Uzbekistan, 100095
- Republican Specialized Scientific and Practical Medical Center of Therapy and Medical Rehabilitation (clinical base "Nano Medical Clinic" at "GARBUS TRADE" JV LLC)
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion criteria:
Patient related
- Subject at least 18 years of age and provided written informed consent
- RF class 3, 4 or 5
- Subject requires treatment of up to 2 de novo or non-ISR restenotic lesions in BTK arteries
- Female subjects of childbearing potential must have a negative pregnancy test prior to treatment
Presence of at least one patent (<50% DS) infrapopliteal vessel that has not been revascularized prior to index procedure
Lesion related
- Presence of elastic recoil or dissection type C-F requiring mechanical support after balloon angioplasty (diameter stenosis >30% by visual estimate)
- Lesion must be located in the native infrapopliteal vessels with reference vessel diameter of ≥2.5 and 4 mm (investigators assessment)
- Total lesion length/vessel length covered by BioFade scaffold should not exceed 27 mm
- Significant lesion (≥ 50% stenosis) in the inflow artery(ies) must be treated successfully (as per physician's assessment) through standard of care prior to the treatment of the target lesion. Treatment can be done within the same trial procedure.
- Distal margin of lesion must be located ≥10 cm above the proximal margin of the ankle mortise
- Non-target lesion, if any, must be located in separate infrapopliteal arteries and suitable to be treated per standard of care using PTA
Exclusion Criteria:
Patient related
- Prior amputation to the ipsilateral extremity other than the toe or forefoot or major amputation to the contralateral extremity <1 year prior index procedure
- Subject has known hypersensitivity or contraindication to device material and its degradants (that cannot be adequately premedicated)
- Subject has known allergic reaction, hypersensitivity or contraindication to aspirin, clopidogrel/prasugrel/ticagrelor and anti-coagulants
- Subject has known hypersensitivity or allergy to contrast media that cannon be medically managed
- Planned amputation on target leg other than toe or forefoot
- Systemic infection or infection within the target limb and/or immunocompromised
- Endovascular or surgical procedure on the target limb within 30 days prior index procedure (not including diagnostic procedures)
- Myocardial infarction within 30 days prior enrollment
- History of stroke within 90 days prior enrollment
- Patient is currently participating in another clinical study whose requirements conflict with or affect this clinical investigation
- Presence of any conditions that, in the investigator's opinion, could limit the participants ability to comply with the follow-up requirements, or impact the scientific soundness of the clinical investigation results
- Patient has subacute limb ischemia which requires thrombolysis as a treatment modality
- Patient has acute limb ischemia of the target limb
- Patient is bedridden or unable to walk (assistance is acceptable)
Pregnant females or females of child-bearing potential without negative result of pregnancy test
Lesion related
- In-stent restenosis (metallic stent)
- Severe calcification (calcification renders the target lesion non-dilatable or has ≥5 cm of circumferential calcification)
- Evidence of thrombus in target vessel
- Evidence of thromboembolism or atheroembolism in the study leg
- No angiographic evidence of a patent pedal artery
- Aneurysm at treatment location
- Lesions/dissections exceeding 27 mm
- Visual hint of an additional significant stenosis (≥50%) in the target vessel prior index procedure
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: A
|
Following the verification of all inclusion and exclusion criteria, the BioFade scaffold is delivered to the treatment site and will be deployed.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
safety endpoint
Time Frame: day 30
|
Freedom from device and procedure related events (thrombosis, embolization, amputation, device-related death, target lesion reintervention) at 30 days
|
day 30
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Efficacy endpoint
Time Frame: day 1
|
Device success
|
day 1
|
|
Efficacy endpoint
Time Frame: day 1
|
Procedural success
|
day 1
|
|
Efficacy endpoint
Time Frame: year 1
|
CD-TLR
|
year 1
|
|
Efficacy endpoint
Time Frame: year 1
|
MALE
|
year 1
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- RISE-01
- No 8/3-2143 (Other Identifier: Ministry of Health of Republic of Uzbekistan / Ethical Committee)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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