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Revascularization With Modification Using Definitive IVL and Serration Remodeling for Optimal Lumen (REMODEL I)

4. mai 2026 oppdatert av: Cagent Vascular LLC

REMODEL I: Revascularization With Modification Using Definitive IVL and Serration Remodeling for Optimal Lumen

The objective of this first-in-human study is to assess the safety and effectiveness of the Serranator Sonic Intravascular Lithotripsy (IVL) System™ for the treatment of peripheral artery disease.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Antatt)

30

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studer Kontakt Backup

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Beskrivelse

*Inclusion Criteria for Cohort A: ATK arm of the study:

Clinical:

  • Subject is ≥ 18 years of age
  • Target limb is Rutherford Clinical Category 2, 3 or 4
  • Resting ABI of ≤0.90, or TBI ≤0.70 of the target limb

Angiographic:

  • Subject must have a de novo target lesion in a native superficial femoral artery (SFA) or popliteal artery
  • Reference vessel diameter (RVD) between 4.0 and 8.0mm
  • Target lesion must have a diameter stenosis of ≥70%
  • Lesion calcification is at least moderate
  • Total planned target lesion length must be ≤150mm
  • Chronic total occlusion lesion length is ≤100mm

  • Subject has at least one patent tibial vessel on the target limb with runoff to the foot

    • Exclusion Criteria for Cohort A: ATK arm of the study:

Clinical:

  • Rutherford Clinical Categories 0, 1, 5 and 6
  • Subject with known pregnancy or is nursing
  • Subject has acute or chronic renal disease, defined as serum creatinine of >2.5 mg/dL or >220 µmol/L or on dialysis

Angiographic:

  • Target lesions >150mm by visual estimation
  • Chronic total occlusions > 100mm by visual estimation

  • No or mild calcium present in the target lesion

    • Inclusion Criteria for Cohort B: BTK arm of the study:

Clinical:

  • Age of subject is ≥18
  • Rutherford Clinical Category 2 - 5 (with tissue loss limited to the digits and no evidence of infection)

Angiographic:

  • Single or two target lesion(s) located in a de novo artery distal to the trifurcation vessels
  • Target vessel reference diameter is between 2.5mm and 4.0 mm
  • Target lesion with diameter stenosis ≥50%
  • Target lesion is ≤150mm in length
  • Subject has at least one patent tibial vessel (>50%) with run-off to the foot.

  • Calcification is at least moderate

    • Exclusion Criteria for Cohort B: BTK arm of the study:

Clinical:

  • Rutherford Clinical Category 0,1 or 6
  • Gangrene of the lower extremity
  • Patient is pregnant or nursing

Angiographic:

  • Target lesion is within only lower extremity vessel with < 50% stenosis
  • Target lesion length exceeds 150mm
  • Patient has chronic total occlusion of target lesion

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Above-the-Knee
For blockages in the legs that occur above the knee.
Enhet: Serranator Sonic Intravascular Lithotripsy (IVL) System
Serration remodeling balloon angioplasty with Intravascular Lithotripsy of the superficial femoral and popliteal arteries for Cohort A: Above-the-Knee; treatment of the infrapopliteal and inframalleolar arteries for Cohort B: Below-the-Knee.
Eksperimentell: Below-the-Knee
For blockages in the legs that occur below the knee.
Enhet: Serranator Sonic Intravascular Lithotripsy (IVL) System
Serration remodeling balloon angioplasty with Intravascular Lithotripsy of the superficial femoral and popliteal arteries for Cohort A: Above-the-Knee; treatment of the infrapopliteal and inframalleolar arteries for Cohort B: Below-the-Knee.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Primary Safety: Major Adverse Events
Tidsramme: 30 Days

Primary Safety: Major Adverse Events (MAE), measured at 30 days and defined as a composite of:

  • All cardiovascular death
  • Major amputation
  • Clinically-driven target lesion revascularization (CD-TLR)
30 Days
Primary Effectiveness: Procedural Success
Tidsramme: Procedure

Procedural Success, defined as:

<50% residual stenosis of the target lesion (with or without adjunctive PTA therapy and/or stenting) by angiographic core-lab assessment
Procedure

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Freedom from Major Adverse Events at 6 months
Tidsramme: 6 months
Freedom from Major Adverse Events, defined as a composite of all cardiovascular death, major amputation, and clinically-driven target lesion revascularization
6 months
Freedom from Major Adverse Events at 12 months
Tidsramme: 12 months
Freedom from Major Adverse Events defined as a composite of all cardiovascular death, major amputation, and clinically-driven target lesion revascularization.
12 months
Procedural success of ≤30% residual stenosis of the target lesion
Tidsramme: Procedure
Procedural success of ≤30% residual stenosis of the target lesion (with or without adjunctive PTA therapy and/or stenting) by angiographic core lab assessment
Procedure
Patency rates of target lesion by duplex ultrasound
Tidsramme: 30 Days, 6 Months, and 12 Months
Patency rates at 30 days, 6 months, and 12 months of target lesion by duplex ultrasound. Target vessel patency by duplex ultrasound, defined as freedom from > 50% restenosis, as assessed by duplex ultrasound peak systolic velocity ratio of ≥2.5
30 Days, 6 Months, and 12 Months
Freedom from clinically-driven target lesion revascularization
Tidsramme: 30 Days, 6 Months, and 12 Months
Freedom from clinically-driven target lesion revascularization (CD-TLR) at 30 days, 6 months, and 12 months
30 Days, 6 Months, and 12 Months
Change in Ankle-Brachial Index/Toe-Brachial Index
Tidsramme: 30 Days, 6 Months, and 12 Months
Change in Ankle-Brachial Index/Toe-Brachial Index (TBI) at 30 days, 6 months, and 12 months, as compared to baseline
30 Days, 6 Months, and 12 Months
Change in Rutherford Category
Tidsramme: 30 Days, 6 Months, and 12 Months
Change in Rutherford Category at 30 days, 6 months and 12 months, as compared to baseline
30 Days, 6 Months, and 12 Months
Change in Walking Impairment Questionnaire score
Tidsramme: 30 Days, 6 Months, and 12 Months
Change in Walking Impairment Questionnaire (WIQ) score at 30 days, 6 months and 12 months, as compared to baseline
30 Days, 6 Months, and 12 Months
Change in EuroQol-5D-3L
Tidsramme: 30 Days, 6 Months, and 12 Months
Change in EuroQol-5D-3L (EQ-5D-3L) at 30 days, 6 months and 12 months, as compared to baseline
30 Days, 6 Months, and 12 Months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Cagent Vascular LLC

Samarbeidspartnere

Yale Cardiovascular Research Group
Clinical Accelerator
Australian Healthcare Solutions

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. mai 2026

Primær fullføring (Antatt)

1. august 2026

Studiet fullført (Antatt)

1. september 2027

Datoer for studieregistrering

Først innsendt

4. mai 2026

Først innsendt som oppfylte QC-kriteriene

4. mai 2026

Først lagt ut (Faktiske)

8. mai 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

8. mai 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

4. mai 2026

Sist bekreftet

1. mai 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • CSP-1179

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Ja

produkt produsert i og eksportert fra USA

Ja

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