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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02793349
Registration number
NCT02793349
Ethics application status
Date submitted
3/06/2016
Date registered
8/06/2016
Titles & IDs
Public title
The ABSORB Bioresorbable Scaffold Below the Knee (BTK) Study
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Scientific title
ABSORB BTK Study: A Prospective, Multi-center, Controlled Clinical Evaluation of the Use of a Bioresorbable Drug Eluting Stent (Absorb, Abbott Vascular) in the Arterial Vasculature Below the Knee
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Secondary ID [1]
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HREC 15/051
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Ischemia
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0
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Peripheral Arterial Disease (PTA
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0
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Arterial Occlusive Diseases
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0
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Condition category
Condition code
Cardiovascular
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Absorb Bioresorbable Vascular Scaffold
Experimental: Bioresorbable Vascular Scaffold - Absorb Bioresorbable Vascular Scaffold
Treatment: Devices: Absorb Bioresorbable Vascular Scaffold
Absorb Bioresorbable Vascular Scaffold
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Angiographic patency
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Assessment method [1]
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Freedom from angiographic binary in-scaffold restenosis (\>50% stenosis)
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Timepoint [1]
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12 months
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Secondary outcome [1]
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Technical success
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Assessment method [1]
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Technical success defined as the ability to cross and dilate the lesion to achieve residual angiographic stenosis no greater than 30% and residual stenosis less than 50% by duplex ultrasound (US) imaging.
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Timepoint [1]
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Procedure
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Secondary outcome [2]
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Haemodynamic primary, assisted primary and secondary patency
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Assessment method [2]
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Haemodynamic primary, assisted primary and secondary patency as assessed by ultrasound
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Timepoint [2]
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1 month
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Secondary outcome [3]
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0
Haemodynamic primary, assisted primary and secondary patency
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Assessment method [3]
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Haemodynamic primary, assisted primary and secondary patency as assessed by ultrasound
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Timepoint [3]
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6 months
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Secondary outcome [4]
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Haemodynamic primary, assisted primary and secondary patency
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Assessment method [4]
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Haemodynamic primary, assisted primary and secondary patency as assessed by ultrasound
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Timepoint [4]
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12 months
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Secondary outcome [5]
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0
Haemodynamic primary, assisted primary and secondary patency
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Assessment method [5]
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Haemodynamic primary, assisted primary and secondary patency as assessed by ultrasound
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Timepoint [5]
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24 months
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Secondary outcome [6]
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Haemodynamic primary, assisted primary and secondary patency
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Assessment method [6]
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Haemodynamic primary, assisted primary and secondary patency as assessed by ultrasound
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Timepoint [6]
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36 months
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Secondary outcome [7]
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Limb salvage rate (LSR)
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Assessment method [7]
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Limb salvage defined as 1 minus major amputation rate (major amputation is defined as at or above ankle, as opposed to minor amputation being at or below metatarsus preserving functionality of foot)
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Timepoint [7]
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12 months
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Secondary outcome [8]
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Target lesion revascularization (TLR)
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Assessment method [8]
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Target lesion revascularization (TLR) is defined as a repeat intervention to maintain or re-establish patency within the region of the treated arterial vessel plus 5 mm proximal and distal to the treated lesion edge
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Timepoint [8]
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12 months
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Secondary outcome [9]
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Rutherford Category
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Assessment method [9]
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Clinical success defined as an improvement of Rutherford classification of one class or more as compared to the pre-procedure Rutherford classification
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Timepoint [9]
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12 months
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Secondary outcome [10]
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Adverse clinical events
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Assessment method [10]
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Clinical events defined as fatal, life-threatening, or judged to be severe by the investigator; resulted in persistent or significant disability; necessitated surgical or percutaneous intervention; or required prolonged hospitalization
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Timepoint [10]
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12 months
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Eligibility
Key inclusion criteria
* Stenotic (> 50%) or occlusive atherosclerotic disease of the distal popliteal or infrapopliteal arteries
* A maximum of two focal target lesions in one or more distal popliteal or infrapopliteal vessels
* Length of lesion is maximally 55 mm, allowing maximally 2 stents to be implanted
* Reference vessel diameter should be 2.5 mm-4 mm
* Symptomatic critical limb ischemia (Rutherford 3, 4, 5)
* Subject is able to take at least one type of thienopyridine (e.g. clopidogrel) and acetylsalicylic acid
* The patient must be > 18 years of age
* Life-expectancy of more than 12 months
* The patient has no child bearing potential or negative serum pregnancy test within 7 days of the index procedure
* The patient must be willing and able to return to the appropriate follow-up times for the duration of the study
* The patient must provide written patient informed consent that is approved by the ethics committee
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Patient refusing treatment
* The reference segment diameter is not suitable for available stent design.
* Unsuccessfully treated (>30% residual stenosis) proximal inflow limiting arterial stenosis
* Untreatable lesion located at the distal outflow arteries
* More than two infrapopliteal lesions in the same limb
* Previously implanted stent(s) or PTA at the same lesion site
* Lesion location requiring kissing stent procedure
* Lesion lies within or adjacent to an aneurysm
* Inflow-limiting arterial lesions left untreated
* The patient has a known allergy to heparin, Aspirin or other anticoagulant/anti-platelet therapies or a bleeding diatheses or is unable, or unwilling, to tolerate such therapies.
* The patient takes Phenprocoumon (Marcumar).
* The patient has a history of prior life-threatening contrast media reaction.
* The patient is currently enrolled in another investigational device or drug trial.
* The patient is currently breast-feeding, pregnant or intends to become pregnant.
* The patient is mentally ill or retarded.
* Subject has received a heart transplant or any other organ transplant or is on a waiting list for any organ transplant
* Subject is receiving or scheduled to receive anticancer therapy for malignancy within 30 days prior to or after the procedure
* Subject is receiving immunosuppression therapy, or has known serious immunosuppressive disease (e.g., human immunodeficiency virus), or has severe autoimmune disease that requires chronic immunosuppressive therapy (e.g., systemic lupus erythematosus, etc.) The patient should also not receive inhibitors of CYP3A (such as Itraconazole, and Erythromycin), or inducers of CYP3A (Cytochrome P450 3A4) (such as Rifampin) within 90 days following the procedure.
* Subject is receiving or is scheduled to receive chronic anticoagulation therapy (e.g., heparin, coumadin)
* Use of alternative therapy (e.g. atherectomy, cutting balloon, laser, radiation therapy) as part of the index procedure
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/06/2017
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Sample size
Target
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Accrual to date
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Final
4
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Prince of Wales Hospital - Sydney
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Recruitment hospital [2]
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Epworth Hospital - Melbourne
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Recruitment postcode(s) [1]
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2031 - Sydney
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Recruitment postcode(s) [2]
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3121 - Melbourne
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Recruitment outside Australia
Country [1]
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Netherlands
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State/province [1]
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Delft
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Country [2]
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New Zealand
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State/province [2]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
The University of New South Wales
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
ABSORB BTK Study: A prospective, multicenter, controlled clinical evaluation of the use of a bioresorbable drug eluting stent in the arterial vasculature below the knee
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Trial website
https://clinicaltrials.gov/study/NCT02793349
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ramon L Varcoe, MS,FRACS,PhD
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Address
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Prince of Wales Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02793349