Please note that the ANZCTR will be unattended from Friday the 17th of July to Monday the 20th of July 2020 inclusive. Thank you and apologies for any inconvenience caused.

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 endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/show/NCT01927068




Registration number
NCT01927068
Ethics application status
Date submitted
25/07/2013
Date registered
22/08/2013
Date last updated
22/08/2019

Titles & IDs
Public title
Global Study of a Drug-coated Balloon to Treat Obstructive SFA and/or Popliteal Lesions
Scientific title
ILLUMENATE GLOBAL and ISR: Prospective, Single-Arm, Global Multi-Center Study to Evaluate Treatment of Obstructive Superficial Femoral Artery (SFA) and/or Popliteal Lesions With a Novel Paclitaxel-Coated Percutaneous Angioplasty (PTA) Balloon and in In-Stent Restenosis
Secondary ID [1] 0 0
CP-1005
Secondary ID [2] 0 0
CP-1005
Universal Trial Number (UTN)
Trial acronym
ILLUMENATE
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Peripheral Arterial Disease 0 0
Condition category
Condition code
Cardiovascular 0 0 0 0
Diseases of the vasculature and circulation including the lymphatic system

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Devices - CVI Paclitaxel-Coated PTA Balloon Catheter

Experimental: Global Cohort 1 - All subjects to be treated with the CVI Paclitaxel-Coated, Percutaneous Transluminal Angioplasty (PTX PTA) Balloon Catheter in Cohort 1.

Experimental: Global ISR Cohort 2 - For Cohort 2, the same device was commercially available, and subjects were to be treated with the CE Marked, renamed device Stellarex 0.035" OTW drug-coated angioplasty balloon (Stellarex 035 DCB)


Treatment: Devices: CVI Paclitaxel-Coated PTA Balloon Catheter
Percutaneous Transluminal Angioplasty will be completed using a 2.0 micrograms per square millimeter. Paclitaxel-Coated Balloon. Balloon will be inflated to a size appropriate for the target vessel, as determined by the physician. Total balloon inflation time is determined by the physician, but no less than one minute.

Intervention code [1] 0 0
Treatment: Devices
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Primary Safety Endpoint - Freedom from device and procedure-related death through 30 days post-procedure and freedom from target limb major amputation and clinically-driven target lesion revascularization (TLR) through 12 months post-procedure.
Timepoint [1] 0 0
Through 30 days post-procedure.
Primary outcome [2] 0 0
Primary Efficacy Endpoint - Primary patency at 12 months post-procedure. Primary patency is defined as the absence of target lesion restenosis per duplex ultrasound (peak systolic velocity ratio (PSVR) = 2.5) and freedom from clinically-driven target lesion revascularization.
Timepoint [2] 0 0
12 months post-procedure.

Eligibility
Key inclusion criteria
Cohort 1: General

1. Has symptomatic leg ischemia, requiring treatment of the SFA and/or popliteal artery.

2. Has a Rutherford Clinical Category of 2 - 4. Note: Rutherford Clinical Category 2
subjects should be entered into the study if conservative treatment has been
unsuccessful.

3. Is =18 years old.

4. Has life expectancy >1 year.

5. Is able and willing to provide written informed consent prior to study specific
procedures.

6. Is willing and capable of complying with the required follow-up visits, testing
schedule and medication regimen.

Cohort 1: Angiographic

1. Has evidence at the target lesion(s) of clinically and hemodynamically significant de
novo stenosis or restenosis, or occlusion, in the SFA (1 cm distal to the ostium of
the profunda) and/or popliteal artery (proximal to the popliteal trifurcation),
confirmed by angiography.

2. Has target limb with at least one patent (<50% stenosis) tibio-peroneal run-off vessel
to the foot confirmed by baseline angiography or magnetic resonance angiography (MRA)
or computed tomography angiography (CTA). Note: Treatment of outflow disease is NOT
permitted.

3. Has 1 or 2 target lesion(s) with a cumulative lesion(s) length of no more than 20 cm.
Note: A maximum of two (2) lesions can be treated if the cumulative total lesion
length (i.e. the combined length of both lesions) is less than or equal to 20cm.

4. Has target lesion(s) located >2 cm from any stent if the target vessel was previously
stented.

5. Has a reference vessel diameter of 4 - 6 mm by visual estimate.

6. Has a successful exchangeable guidewire crossing of the lesion(s).

Cohort 1: General
Minimum age
18 Years
Maximum age
85 Years
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
1. A female who is pregnant, of childbearing potential not taking adequate contraceptive
measures, or nursing; or a male intending to father children during the study.

2. Has significant gastrointestinal bleeding or any coagulopathy that would
contraindicate the use of anti-platelet therapy

3. Has known intolerance to study medications, paclitaxel or contrast agents that in the
opinion of the investigator cannot be adequately pre-treated.

4. Is currently participating in another investigational device or drug study that would
interfere with study endpoints.

5. Has history of hemorrhagic stroke within 3 months.

6. Has surgical or endovascular procedure of the target limb within 14 days prior to the
index procedure.

7. Has any planned surgical intervention (requiring hospitalization) or endovascular
procedure within 30 days after the index procedure.

8. Has had a previous peripheral bypass affecting the target limb.

9. Has unstable angina pectoris, myocardial infarction, liver failure, renal failure or
chronic kidney disease (dialysis dependent, or serum creatinine =2.5 mg/dL) within 30
days of the index procedure.

Cohort 1: Angiographic

1. Has significant stenosis (=50%) or occlusion of inflow tract that is not successfully
revascularized (<30% residual stenosis without death or major vascular complication)
prior to treatment of the target lesion(s). Only treatment of target lesion(s) is
acceptable after successful treatment of inflow iliac artery lesion(s).

2. Has an acute or sub-acute intraluminal thrombus within the target vessel.

3. Has in-stent restenosis or restenosis of the target lesion following previous
treatment with a drug-coated balloon.

4. Has an aneurysm (at least twice the reference vessel diameter) located in the target
vessel, abdominal aorta, iliac, or popliteal arteries.

5. Has perforation, dissection or other injury of the access or target vessel requiring
stenting or surgical intervention prior to enrollment.

6. Has no normal arterial segment proximal to the target lesion in which duplex
ultrasound velocity ratios can be measured.

7. Requires use of adjunctive therapies (i.e., laser, atherectomy, cryoplasty,
scoring/cutting balloons, brachytherapy).

8. Has severe calcification that precludes adequate PTA treatment.

Cohort 2: General Inclusion Criteria:

1. Has symptomatic leg ischemia, requiring treatment of the SFA and/or popliteal artery.

2. Has a Rutherford Clinical Category of 2 - 4. Note: Rutherford Clinical Category 2
subjects should be entered into the study if conservative treatment has been
unsuccessful.

3. Is between 18-85 years old.

4. Has life expectancy >1 year.

5. Is able and willing to provide written informed consent prior to study specific
procedures.

6. Is willing and capable of complying with the required follow-up visits, testing
schedule and medication regimen.

7. History of previous femoropopliteal nitinol stenting which is suspect for in-stent
restenosis.

8. The patient has a resting ankle-brachial index (ABI) <0.9 or an abnormal exercise ABI
(<0.9) if resting ABI is normal. Patient with incompressible arteries (ABI>1.2) must
have a toe-brachial index (TBI) <0.7 in target limb.

Cohort 2: Angiographic Inclusion Criteria:

1. Has angiographic evidence of significant restenosis (=50% by visual estimate) within a
previously deployed femoropopliteal bare nitinol stent(s) including ISR Class I, II or
III.

2. Has target limb with at least one patent (<50% stenosis) tibio-peroneal run-off vessel
to the foot confirmed by baseline angiography or magnetic resonance angiography (MRA)
or computed tomography angiography (CTA). Note: Treatment of outflow disease is NOT
permitted.

3. Total target treatment length of in-stent restenosis must be =4.0 cm in length and may
include a single lesion or a multifocal lesion within the femoropopliteal segment
(This includes the proximal, mid, and/or distal SFA and PI, P2 and/or P3 segment of
the popliteal artery). Edge restenosis may be treated provided the lesion extends no
more than 3 cm outside the margin of the stent (proximal and/or distal margin).

4. Has target lesion(s) located >2 cm from any stent if the target vessel was previously
stented.

5. Has a reference vessel diameter of 4 - 6 mm by visual estimate.

6. Has a successful exchangeable guidewire crossing of the lesion(s).

Cohort 2: General

1. A female who is pregnant, of childbearing potential not taking adequate contraceptive
measures, or nursing; or a male intending to father children during the study.

2. Has significant gastrointestinal bleeding or any coagulopathy that would
contraindicate the use of anti-platelet therapy.

3. Has known intolerance to study medications, paclitaxel or contrast agents that in the
opinion of the investigator cannot be adequately pre-treated.

4. Is currently participating in another investigational device or drug study that would
interfere with study endpoints.

5. Has history of hemorrhagic stroke within 3 months including those within <60 days with
an unresolved walking impairment.

6. Has surgical or endovascular procedure of the target limb within 3 months prior to the
index procedure.

7. Has any planned surgical intervention (requiring hospitalization) or endovascular
procedure within 30 days after the index procedure.

8. Has had a previous peripheral bypass affecting the target limb.

9. Has unstable angina pectoris, myocardial infarction within 60 days, liver failure,
renal failure or chronic kidney disease (dialysis dependent, or serum creatinine =2.5
mg/dL) within 30 days of the index procedure.

10. History of previous femoropopliteal stenting in the target lesion with drug eluting
stents or covered stents (endografts).

Cohort 2: Angiographic

1. Ipsilateral and/or contralateral iliac (or common femoral) artery stenosis

=50% diameter stenosis (DS) that is not successfully treated prior to index procedure
(e.g. where a perforation occurred requiring a covered stent) or with final residual
stenosis = 30% documented by angiography.

2. Identification of any lesion of the native vessel (excludes ISR) above the target
stent in the femoropopliteal segment >50% that is not successfully treated prior to
index procedure (e.g. complication requiring additional treatment) or with final
residual stenosis >30% documented by angiography. Drug eluting stent (DES) and drug
coated balloon (DCB) will not be allowed. The lesion length must be treatable with a
single stent (if required). The lesion must not be contiguous with the target lesion;
at least 2 cm of normal appearing vessel between the lesion and target lesion/ target
stent or between deployed stent (if required) and the target lesion/ target stent.

3. Has an acute or sub-acute intraluminal thrombus within the target vessel.

4. Has an aneurysm (at least twice the reference vessel diameter) located in the target
vessel, abdominal aorta, iliac, or popliteal arteries.

5. Has perforation, dissection or other injury of the access or target vessel requiring
stenting or surgical intervention prior to enrollment.

6. Has no normal arterial segment proximal to the target lesion in which duplex
ultrasound velocity ratios can be measured.

7. Requires use of adjunctive therapies (i.e., laser, atherectomy, cryoplasty,
scoring/cutting balloons, brachytherapy).

8. Grade 4 or 5 stent fracture affecting target stent or proximal to the target stent, or
where evidence of stent protrusion into the lumen is noted on angiography in 2
orthogonal views.

Study design
Purpose of the study
Treatment
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Not Applicable
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Active, not recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
The Wesley St. Andrew Research Institute Ltd. - Auchenflower
Recruitment hospital [2] 0 0
Flinders Medical Centre - Bedford
Recruitment hospital [3] 0 0
Royal Brisbane and Women's Hospital - Brisbane
Recruitment hospital [4] 0 0
Monash Medical Centre at Dandenong Campus - Dandenong
Recruitment hospital [5] 0 0
The Alfred Hospital - Melbourne
Recruitment hospital [6] 0 0
Sir Charles Gairdner Hospital - Nedlands
Recruitment postcode(s) [1] 0 0
- Auchenflower
Recruitment postcode(s) [2] 0 0
- Bedford
Recruitment postcode(s) [3] 0 0
- Brisbane
Recruitment postcode(s) [4] 0 0
3175 - Dandenong
Recruitment postcode(s) [5] 0 0
- Melbourne
Recruitment postcode(s) [6] 0 0
- Nedlands
Recruitment outside Australia
Country [1] 0 0
Austria
State/province [1] 0 0
Graz
Country [2] 0 0
Belgium
State/province [2] 0 0
Aalst
Country [3] 0 0
Belgium
State/province [3] 0 0
Antwerpen
Country [4] 0 0
Belgium
State/province [4] 0 0
Bonheiden
Country [5] 0 0
Belgium
State/province [5] 0 0
Dendermonde
Country [6] 0 0
Belgium
State/province [6] 0 0
Genk
Country [7] 0 0
Belgium
State/province [7] 0 0
Gent
Country [8] 0 0
Belgium
State/province [8] 0 0
Leuven
Country [9] 0 0
Belgium
State/province [9] 0 0
Tienen
Country [10] 0 0
France
State/province [10] 0 0
Clermont-Ferrand
Country [11] 0 0
France
State/province [11] 0 0
Lyon
Country [12] 0 0
France
State/province [12] 0 0
Marseille
Country [13] 0 0
France
State/province [13] 0 0
Nantes
Country [14] 0 0
France
State/province [14] 0 0
Paris
Country [15] 0 0
France
State/province [15] 0 0
Rennes
Country [16] 0 0
France
State/province [16] 0 0
Toulouse
Country [17] 0 0
Germany
State/province [17] 0 0
Bad Krozingen
Country [18] 0 0
Germany
State/province [18] 0 0
Berlin
Country [19] 0 0
Germany
State/province [19] 0 0
Heidelberg
Country [20] 0 0
Germany
State/province [20] 0 0
Immenstadt
Country [21] 0 0
Germany
State/province [21] 0 0
Langensteinbach
Country [22] 0 0
Germany
State/province [22] 0 0
Leipzig
Country [23] 0 0
Germany
State/province [23] 0 0
Rosenheim
Country [24] 0 0
Germany
State/province [24] 0 0
Tübingen
Country [25] 0 0
Italy
State/province [25] 0 0
Ancona
Country [26] 0 0
Italy
State/province [26] 0 0
Palermo
Country [27] 0 0
Italy
State/province [27] 0 0
Perugia
Country [28] 0 0
New Zealand
State/province [28] 0 0
Auckland
Country [29] 0 0
New Zealand
State/province [29] 0 0
Hamilton
Country [30] 0 0
New Zealand
State/province [30] 0 0
Wellington
Country [31] 0 0
Poland
State/province [31] 0 0
Gdansk
Country [32] 0 0
Poland
State/province [32] 0 0
Warszawa
Country [33] 0 0
Spain
State/province [33] 0 0
Barcelona
Country [34] 0 0
Spain
State/province [34] 0 0
Madrid
Country [35] 0 0
United Kingdom
State/province [35] 0 0
London

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Spectranetics Corporation
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Cohort 1: Single-Arm, multicenter study to continue to assess the safety and performance of
the Cardiovascular Ingenuity (CVI) Paclitaxel-Coated PTA Balloon Catheter in the treatment of
de novo or restenotic lesions in the superficial femoral and/or popliteal arteries Cohort 2:
To evaluate this patient population for treatment of in-stent restenotic lesions
Trial website
https://clinicaltrials.gov/show/NCT01927068
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Thomas Zeller, MBChB, FRANZCR
Address 0 0
Herz-Zentrum Bad Krozingen, Germany
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Summary results
Other publications