Trial Outcomes & Findings for Randomized Study of Laser and Balloon Angioplasty Versus Balloon Angioplasty to Treat Peripheral In-stent Restenosis (NCT NCT01330628)

NCT ID: NCT01330628

Last Updated: 2016-08-18

Results Overview

Number of participants free from Target Lesion Revascularization (TLR) through 6 months follow-up.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

252 participants

Primary outcome timeframe

6 months

Results posted on

2016-08-18

Participant Flow

Participant milestones

Participant milestones
Measure
Laser Atherectomy and PTA
laser, then balloon angioplasty Turbo Elite Laser and Turbo Tandem Laser Guide Catheters: application of laser energy to remove blockage followed by standard balloon angioplasty
Balloon Angioplasty
Balloon angioplasty: standard balloon catheters for PTA
Overall Study
STARTED
170
82
Overall Study
30 Day Follow-up
165
73
Overall Study
6 Month Follow-up
135
60
Overall Study
COMPLETED
100
42
Overall Study
NOT COMPLETED
70
40

Reasons for withdrawal

Reasons for withdrawal
Measure
Laser Atherectomy and PTA
laser, then balloon angioplasty Turbo Elite Laser and Turbo Tandem Laser Guide Catheters: application of laser energy to remove blockage followed by standard balloon angioplasty
Balloon Angioplasty
Balloon angioplasty: standard balloon catheters for PTA
Overall Study
Death
2
3
Overall Study
Lost to Follow-up
5
6
Overall Study
Adverse Event
44
25
Overall Study
Withdrawn
18
6
Overall Study
Didn't receive study treatment
1
0

Baseline Characteristics

Randomized Study of Laser and Balloon Angioplasty Versus Balloon Angioplasty to Treat Peripheral In-stent Restenosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Laser Atherectomy and PTA
n=170 Participants
laser, then balloon angioplasty Turbo Elite Laser and Turbo Tandem Laser Guide Catheters: application of laser energy to remove blockage followed by standard balloon angioplasty
Balloon Angioplasty
n=82 Participants
Balloon angioplasty: standard balloon catheters for PTA
Total
n=252 Participants
Total of all reporting groups
Age, Continuous
68.6 years
STANDARD_DEVIATION 9.8 • n=99 Participants
67.9 years
STANDARD_DEVIATION 10.3 • n=107 Participants
68.4 years
STANDARD_DEVIATION 9.9 • n=206 Participants
Sex: Female, Male
Female
64 Participants
n=99 Participants
31 Participants
n=107 Participants
95 Participants
n=206 Participants
Sex: Female, Male
Male
106 Participants
n=99 Participants
51 Participants
n=107 Participants
157 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
21 Participants
n=99 Participants
12 Participants
n=107 Participants
33 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
149 Participants
n=99 Participants
70 Participants
n=107 Participants
219 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
22 Participants
n=99 Participants
8 Participants
n=107 Participants
30 Participants
n=206 Participants
Race (NIH/OMB)
White
144 Participants
n=99 Participants
74 Participants
n=107 Participants
218 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
170 participants
n=99 Participants
82 participants
n=107 Participants
252 participants
n=206 Participants

PRIMARY outcome

Timeframe: 6 months

Population: The number of participants analyzed for this endpoint does not match with the Participant Flow 6 Month Follow-up population. A subject may not complete a 6 Month Follow-up due to missing the visit, being lost to follow-up, etc., but if they had a TLR prior to this time point, they would still be included in this outcome analysis.

Number of participants free from Target Lesion Revascularization (TLR) through 6 months follow-up.

Outcome measures

Outcome measures
Measure
Laser Atherectomy and PTA
n=157 Participants
laser, then balloon angioplasty Turbo Elite Laser and Turbo Tandem Laser Guide Catheters: application of laser energy to remove blockage followed by standard balloon angioplasty
Balloon Angioplasty
n=73 Participants
Balloon angioplasty: standard balloon catheters for PTA
Freedom From Target Lesion Revascularization (TLR)
123 # of participants free from TLR
43 # of participants free from TLR

PRIMARY outcome

Timeframe: 30 days

Population: The number of participants analyzed for this endpoint does not match with the Participant Flow 30 Day Follow-up population. If a subject did not complete a 30 Day Follow-up due to missing the visit or lost to follow-up, but had an MAE prior to this time point, they would still be included in this outcome analysis.

Number of participants free from Major Adverse Events (MAE) at 30 days. MAE are defined all cause death, major amputation in the target limb, or target lesion revascularization (TLR) from procedure to 30 days (±7 days).

Outcome measures

Outcome measures
Measure
Laser Atherectomy and PTA
n=167 Participants
laser, then balloon angioplasty Turbo Elite Laser and Turbo Tandem Laser Guide Catheters: application of laser energy to remove blockage followed by standard balloon angioplasty
Balloon Angioplasty
n=77 Participants
Balloon angioplasty: standard balloon catheters for PTA
Freedom From Major Adverse Events (MAE)
158 # of participants free from MAE
61 # of participants free from MAE

Adverse Events

Balloon Angioplasty

Serious events: 56 serious events
Other events: 34 other events
Deaths: 0 deaths

Laser Atherectomy and PTA

Serious events: 117 serious events
Other events: 88 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Balloon Angioplasty
n=82 participants at risk
Balloon angioplasty: standard balloon catheters for PTA
Laser Atherectomy and PTA
n=170 participants at risk
laser, then balloon angioplasty Turbo Elite Laser and Turbo Tandem Laser Guide Catheters: application of laser energy to remove blockage followed by standard balloon angioplasty
Infections and infestations
Infection SAEs
4.9%
4/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
1.8%
3/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Cardiac disorders
Cardiac SAEs
9.8%
8/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
11.2%
19/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
General disorders
Other SAEs
14.6%
12/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
14.7%
25/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Gastrointestinal disorders
Gastrointestinal SAEs
7.3%
6/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
5.3%
9/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Nervous system disorders
Neurological SAEs
6.1%
5/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
2.4%
4/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Blood and lymphatic system disorders
Blood related disorder SAEs
1.2%
1/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
2.9%
5/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Vascular disorders
Vascular SAEs
58.5%
48/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
56.5%
96/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.

Other adverse events

Other adverse events
Measure
Balloon Angioplasty
n=82 participants at risk
Balloon angioplasty: standard balloon catheters for PTA
Laser Atherectomy and PTA
n=170 participants at risk
laser, then balloon angioplasty Turbo Elite Laser and Turbo Tandem Laser Guide Catheters: application of laser energy to remove blockage followed by standard balloon angioplasty
Infections and infestations
Infection
4.9%
4/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
5.3%
9/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Cardiac disorders
Cardiac
4.9%
4/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
8.8%
15/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
General disorders
Other AEs
9.8%
8/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
23.5%
40/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Gastrointestinal disorders
Gastrointestinal
3.7%
3/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
5.9%
10/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Nervous system disorders
Neurological
3.7%
3/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
4.7%
8/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Blood and lymphatic system disorders
Blood related disorders
6.1%
5/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
4.1%
7/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
Vascular disorders
Vascular
29.3%
24/82 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.
31.2%
53/170 • Through 1 year
Specific study related terms (death, amputation and/or TLR) are in the Primary Outcomes Table. To summarize the remaining events, they were categorized into general organ class. The general organ classes are inclusive of the specific study related events. All events were adjudicated and categorized by an independent Clinical Events Committee.

Additional Information

Amanda Johnson, VP of Regulatory & Medical Affairs

Spectranetics

Phone: (719) 447-2000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60