Trial Outcomes & Findings for OptiCal COherence ToMography ABoard InformiNg AtherEctomy (NCT NCT01775410)

NCT ID: NCT01775410

Last Updated: 2021-04-21

Results Overview

Freedom from major adverse events (MAE) through 30 day follow-up: * Clinically driven target lesion revascularization (TLR) * Myocardial infarct (MI) * Cardiovascular related deaths * Unplanned, major index limb amputation * Device Related Events: * Clinically Significant Perforations * Clinically Significant Dissections * Clinically Significant Embolus * Pseudoaneurysm

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

4 participants

Primary outcome timeframe

Through 30 day follow-up

Results posted on

2021-04-21

Participant Flow

Participant milestones

Participant milestones
Measure
Wolverine System
Wolverine System to perform atherectomy while using directional visualization and imaging as an adjunct to fluoroscopy to aid removal of plaque from diseased lower extremity arteries
Overall Study
STARTED
4
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

OptiCal COherence ToMography ABoard InformiNg AtherEctomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Wolverine System
n=4 Participants
Wolverine System to perform atherectomy while using directional visualization and imaging as an adjunct to fluoroscopy to aid removal of plaque from diseased lower extremity arteries
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=99 Participants
Age, Categorical
>=65 years
2 Participants
n=99 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
4 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
Colombia
4 participants
n=99 Participants
Target lesion length in cm
8.5 cm
STANDARD_DEVIATION 1.7 • n=99 Participants
Vessel Luminal diameter in cm
3.8 cm
STANDARD_DEVIATION 0.65 • n=99 Participants

PRIMARY outcome

Timeframe: Through 30 day follow-up

Freedom from major adverse events (MAE) through 30 day follow-up: * Clinically driven target lesion revascularization (TLR) * Myocardial infarct (MI) * Cardiovascular related deaths * Unplanned, major index limb amputation * Device Related Events: * Clinically Significant Perforations * Clinically Significant Dissections * Clinically Significant Embolus * Pseudoaneurysm

Outcome measures

Outcome measures
Measure
Wolverine System
n=4 Participants
Wolverine System to perform atherectomy while using directional visualization and imaging as an adjunct to fluoroscopy to aid removal of plaque from diseased lower extremity arteries
Number of Participants With no Major Adverse Events
4 Participants

SECONDARY outcome

Timeframe: During interventional procedure

Technical success is defined as the percent of target lesions that has a residual diameter stenosis \< 50% post the Wolverine device alone as assessed by an independent review at the time of treatment using quantitative angiography or visual estimate

Outcome measures

Outcome measures
Measure
Wolverine System
n=4 Participants
Wolverine System to perform atherectomy while using directional visualization and imaging as an adjunct to fluoroscopy to aid removal of plaque from diseased lower extremity arteries
Technical Success: Percent of Target Lesions That Have a Residual Diameter Stenosis < 50%
100 Percentage of target lesions

SECONDARY outcome

Timeframe: Day 0

Outcome measures

Outcome measures
Measure
Wolverine System
n=4 Participants
Wolverine System to perform atherectomy while using directional visualization and imaging as an adjunct to fluoroscopy to aid removal of plaque from diseased lower extremity arteries
Procedural Success: Percent of Target Lesions That Have Residual Diameter Stenosis ≤30% Post-Wolverine and Any Other Adjunctive Therapy
100 Percentage of target lesions

SECONDARY outcome

Timeframe: During interventional procedure

A procedural emboli is defined as a new occlusion of any visualized runoff vessel which cannot be reversed with an intravascular vasodilator.

Outcome measures

Outcome measures
Measure
Wolverine System
n=4 Participants
Wolverine System to perform atherectomy while using directional visualization and imaging as an adjunct to fluoroscopy to aid removal of plaque from diseased lower extremity arteries
Number of Participants With no Procedural Emboli
4 Participants

SECONDARY outcome

Timeframe: At 30 days

Ankle-Brachial Index (ABI) is the ratio of blood pressure in the lower legs to the blood pressure in the arms. It is calculated by dividing the systolic blood pressure at the ankle by the systolic blood pressure in the arm. ABI \< 0.95 indicates arterial disease; ABI between 0.95 and 1.3 is considered normal (free from significant peripheral artery disease); ABI \> 1.3 is abnormal, and suggests calcification of the artery walls and incompressible vessels, indicating severe peripheral vascular disease.

Outcome measures

Outcome measures
Measure
Wolverine System
n=4 Participants
Wolverine System to perform atherectomy while using directional visualization and imaging as an adjunct to fluoroscopy to aid removal of plaque from diseased lower extremity arteries
Ankle-Brachial Index (ABI) at 30 Days
1.32 Ratio
Standard Deviation 0.85

SECONDARY outcome

Timeframe: At 30 days

Rutherford Classification is a commonly used clinical means for describing the degree of peripheral artery disease. Rutherford Classifications range from Class 0: Asymptomatic, to Class 6: Major Tissue Loss. A lower score is less severe disease and a higher score is more severe disease progression.

Outcome measures

Outcome measures
Measure
Wolverine System
n=4 Participants
Wolverine System to perform atherectomy while using directional visualization and imaging as an adjunct to fluoroscopy to aid removal of plaque from diseased lower extremity arteries
Rutherford Classification at 30 Days Post-procedure
2.6 score on a scale
Standard Deviation 0.63

Adverse Events

Wolverine System

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Wolverine System
n=4 participants at risk
Wolverine System to perform atherectomy while using directional visualization and imaging as an adjunct to fluoroscopy to aid removal of plaque from diseased lower extremity arteries
Vascular disorders
Dissection
50.0%
2/4 • Number of events 2

Other adverse events

Adverse event data not reported

Additional Information

Director of Clinical Trials

Avinger, Inc.

Phone: 650 241 7030

Results disclosure agreements

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

Restriction type: LTE60