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The SIR-POBA Bypass Trial

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT06056193
Recruitment Status : Active, not recruiting
First Posted : September 28, 2023
Last Update Posted : September 28, 2023
Sponsor:
Collaborator:
MedAlliance Swiss Medical Technology
Information provided by (Responsible Party):
Manuela Pilz, Paracelsus Medical University

Tracking Information
First Submitted Date  ICMJE September 20, 2023
First Posted Date  ICMJE September 28, 2023
Last Update Posted Date September 28, 2023
Actual Study Start Date  ICMJE September 20, 2023
Estimated Primary Completion Date October 1, 2025   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: September 20, 2023)
Incidence of Primary Lesion Target Patency of the venous bypass stenosis [ Time Frame: 2 years ]
The incidence of patency will be analysed after reopening the stenosis of the venous bypass.
Original Primary Outcome Measures  ICMJE Same as current
Change History No Changes Posted
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE The SIR-POBA Bypass Trial
Official Title  ICMJE SIRrolimus-coated Versus Plain Old Balloon Angioplasty (POBA) in Lower Extremity Autologous Venous Bypass Stenosis - The SIR-POBA Bypass Trial
Brief Summary The goal of this clinical trial is to compare plain old balloon angioplasty with sirolimus-coated balloon angioplasty in patients with an infrainguinal venous bypass stenosis. The main question we aim to answer is, how patency is affected by each of the randomised treatment options.
Detailed Description This clinical trial will be conducted at our Division of Vascular Surgery and Endovascular Surgery at the University Hospital of Salzburg. Patients will be randomized into one of the two treatment options (plain old ballon angioplasty versus sirolimus coated balloon angioplasty). The recruitment phase is calculated for two years with a planned follow-up of 2 years. Follow-up data will be collected to answer the endpoints and will include all available follow-ups to monitor the bypass up to 2 years after the procedure. Typically, follow-up visits will be conducted at 6 weeks, 3 months, 6 months, 12 months, and 24 months after the procedure.
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE
  • Peripheral Arterial Occlusive Disease
  • Bypass Complication
  • Femoropopliteal Artery Occlusion
  • Femoropopliteal Stenosis
  • Critical Limb-Threatening Ischemia
  • Claudication, Intermittent
Intervention  ICMJE Procedure: Balloon Angioplasty
Revascularisation procedures will be performed according to randomised list
Other Name: Endovascular Revascularization
Study Arms  ICMJE
  • Active Comparator: Plain Balloon Angioplasty
    Plain Balloon Angioplasty will be used to treat lesions
    Intervention: Procedure: Balloon Angioplasty
  • Active Comparator: Sirolimus-coated Balloon Angioplasty
    Sirolimus-coated Balloon Angioplasty will be used to treat lesions after preparing vessel with plain balloon angioplasty
    Intervention: Procedure: Balloon Angioplasty
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Active, not recruiting
Estimated Enrollment  ICMJE
 (submitted: September 20, 2023)
120
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE October 1, 2027
Estimated Primary Completion Date October 1, 2025   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria

  • Age at least 18 years
  • Informed consent with signature
  • Rutherford category 2 or 3 (in terms of lifestyle-limiting moderate or severe claudication symptomatology) or chronic critical ischemia (Rutherford 4-6)
  • Venous bypass stenosis requiring intervention
  • Confirmed inflow
  • At least 1 crural outflow vessel

Exclusion Criteria:

  • Pregnant or lactating women
  • Active infection or sepsis
  • Patients currently participating in another clinical trial
  • Unconfirmed inflow
  • Intolerance to sirolimus
  • Coagulopathy
  • Radiotherapy
  • Patients on immunosuppressive therapy
  • Non-dialysis renal insufficiency (eGFR < 45 ml/min/1.73m2)
  • Use of potent CYP3A4 and/or P-gp inhibitors (such as ketoconazole, Voriconazole, itraconazole, erythromycin, telithromycin, or clarithromycin) or strong CYP3A4 and/or P-gp inducers (such as rifampin or rifabutin).
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Austria
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT06056193
Other Study ID Numbers  ICMJE 1036/2023
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE Not Provided
Current Responsible Party Manuela Pilz, Paracelsus Medical University
Original Responsible Party Same as current
Current Study Sponsor  ICMJE Paracelsus Medical University
Original Study Sponsor  ICMJE Same as current
Collaborators  ICMJE MedAlliance Swiss Medical Technology
Investigators  ICMJE
Principal Investigator: Manuela Pilz, MD PD FEBVS Senior Physician
Study Director: Klaus Linni, MD PD FEBVS Head of Division of Vascular and Endovascular Surgery
Study Chair: Stephanie Rassam, MD Resident Physician
PRS Account Paracelsus Medical University
Verification Date September 2023

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP