Trial Outcomes & Findings for JET-RANGER Trial - JETStream Atherectomy With Adjunctive Paclitaxel-Coated Balloon Angioplasty vs Plain Old Balloon Angioplasty Followed by Paclitaxel-Coated Balloon (NCT NCT03206762)

NCT ID: NCT03206762

Last Updated: 2026-05-01

Results Overview

Effectiveness: Target Lesion Revascularization at 1 Year: TLR is defined as retreatment of the index lesion (extended 1 cm proximal and distal to the lesion) at 1 year. For the primary endpoint, intra-procedural bail out stenting of the index lesion is considered meeting a TLR endpoint. (ITT analysis)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

47 participants

Primary outcome timeframe

1 year

Results posted on

2026-05-01

Participant Flow

Participant milestones

Participant milestones
Measure
Jetstream Atherectomy+Ranger DCB or Medtronic IN.PACT DCB
Jetstream Atherectomy used in conjunction with the Ranger DCB or Medtronic IN.PACT DCB Jetstream Atherectomy with randomization to the Ranger or IN.PACT DCB Arm or the POBA+DCB (Ranger or IN.PACT) Arm: Jetstream Atherectomy with randomization to the Ranger or IN.PACT DCB Arm or the POBA+DCB (Ranger or IN.PACT) Arm
POBA+DCB (Ranger or IN.PACT)
POBA and then DCB treatment (Ranger or IN.PACT) Jetstream Atherectomy with randomization to the Ranger or IN.PACT DCB Arm or the POBA+DCB (Ranger or IN.PACT) Arm: Jetstream Atherectomy with randomization to the Ranger or IN.PACT DCB Arm or the POBA+DCB (Ranger or IN.PACT) Arm
Overall Study
STARTED
31
16
Overall Study
COMPLETED
27
16
Overall Study
NOT COMPLETED
4
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Jetstream Atherectomy+Ranger DCB or Medtronic IN.PACT DCB
Jetstream Atherectomy used in conjunction with the Ranger DCB or Medtronic IN.PACT DCB Jetstream Atherectomy with randomization to the Ranger or IN.PACT DCB Arm or the POBA+DCB (Ranger or IN.PACT) Arm: Jetstream Atherectomy with randomization to the Ranger or IN.PACT DCB Arm or the POBA+DCB (Ranger or IN.PACT) Arm
POBA+DCB (Ranger or IN.PACT)
POBA and then DCB treatment (Ranger or IN.PACT) Jetstream Atherectomy with randomization to the Ranger or IN.PACT DCB Arm or the POBA+DCB (Ranger or IN.PACT) Arm: Jetstream Atherectomy with randomization to the Ranger or IN.PACT DCB Arm or the POBA+DCB (Ranger or IN.PACT) Arm
Overall Study
Lost to Follow-up
4
0

Baseline Characteristics

JET-RANGER Trial - JETStream Atherectomy With Adjunctive Paclitaxel-Coated Balloon Angioplasty vs Plain Old Balloon Angioplasty Followed by Paclitaxel-Coated Balloon

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Jetstream Atherectomy+Ranger DCB or Medtronic IN.PACT DCB
n=31 Participants
Jetstream Atherectomy used in conjunction with the Ranger DCB or Medtronic IN.PACT DCB
POBA+DCB (Ranger or IN.PACT)
n=16 Participants
Balloon angioplasty followed by adjunctive DCB treatment (Ranger or IN.PACT)
Total
n=47 Participants
Total of all reporting groups
Age, Continuous
70.5 years
STANDARD_DEVIATION 7.2 • n=14 Participants
71.5 years
STANDARD_DEVIATION 7.0 • n=34 Participants
70.8 years
STANDARD_DEVIATION 7.1 • n=69 Participants
Sex: Female, Male
Female
11 Participants
n=14 Participants
5 Participants
n=34 Participants
16 Participants
n=69 Participants
Sex: Female, Male
Male
20 Participants
n=14 Participants
11 Participants
n=34 Participants
31 Participants
n=69 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=14 Participants
1 Participants
n=34 Participants
2 Participants
n=69 Participants
Race (NIH/OMB)
Asian
1 Participants
n=14 Participants
0 Participants
n=34 Participants
1 Participants
n=69 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
00 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=14 Participants
1 Participants
n=34 Participants
3 Participants
n=69 Participants
Race (NIH/OMB)
White
27 Participants
n=14 Participants
14 Participants
n=34 Participants
41 Participants
n=69 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=14 Participants
0 Participants
n=34 Participants
0 Participants
n=69 Participants
Region of Enrollment
United States
31 participants
n=14 Participants
16 participants
n=34 Participants
47 participants
n=69 Participants

PRIMARY outcome

Timeframe: 1 year

Effectiveness: Target Lesion Revascularization at 1 Year: TLR is defined as retreatment of the index lesion (extended 1 cm proximal and distal to the lesion) at 1 year. For the primary endpoint, intra-procedural bail out stenting of the index lesion is considered meeting a TLR endpoint. (ITT analysis)

Outcome measures

Outcome measures
Measure
Jetstream Atherectomy+Ranger DCB or Medtronic IN.PACT DCB
n=27 Participants
Jetstream Atherectomy used in conjunction with the Ranger DCB or Medtronic IN.PACT DCB
POBA+DCB (Ranger or IN.PACT)
n=16 Participants
POBA and then DCB treatment (Ranger or IN.PACT)
Target Lesion Revascularization
0 participants
8 participants

PRIMARY outcome

Timeframe: 30 Days

Safety: Major Adverse Events (MAE) at 30 days: unplanned amputation, total mortality or TLR at 30 days (TLR includes bail out stenting)

Outcome measures

Outcome measures
Measure
Jetstream Atherectomy+Ranger DCB or Medtronic IN.PACT DCB
n=31 Participants
Jetstream Atherectomy used in conjunction with the Ranger DCB or Medtronic IN.PACT DCB
POBA+DCB (Ranger or IN.PACT)
n=16 Participants
POBA and then DCB treatment (Ranger or IN.PACT)
Major Adverse Events
Target Lesion Revascularization
0 participants
8 participants
Major Adverse Events
Mortality
0 participants
0 participants
Major Adverse Events
Unplanned Amputation
0 participants
0 participants

Adverse Events

Jetstream Atherectomy+Ranger DCB or Medtronic IN.PACT DCB

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

POBA+DCB (Ranger or IN.PACT)

Serious events: 8 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Jetstream Atherectomy+Ranger DCB or Medtronic IN.PACT DCB
n=31 participants at risk
Jetstream Atherectomy used in conjunction with the Ranger DCB or Medtronic IN.PACT DCB
POBA+DCB (Ranger or IN.PACT)
n=16 participants at risk
POBA and then DCB treatment (Ranger or IN.PACT)
Vascular disorders
Target Lesion Revascularization
0.00%
0/31 • 30 days
50.0%
8/16 • 30 days

Other adverse events

Other adverse events
Measure
Jetstream Atherectomy+Ranger DCB or Medtronic IN.PACT DCB
n=31 participants at risk
Jetstream Atherectomy used in conjunction with the Ranger DCB or Medtronic IN.PACT DCB
POBA+DCB (Ranger or IN.PACT)
n=16 participants at risk
POBA and then DCB treatment (Ranger or IN.PACT)
Vascular disorders
Type D Dissection
6.5%
2/31 • Number of events 31 • 30 days
6.2%
1/16 • Number of events 16 • 30 days

Additional Information

Dr. Nicolas W Shammas

Midwest Cardiovascular Research Foundation

Phone: 5633242828

Results disclosure agreements

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