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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06656364
Registration number
NCT06656364
Ethics application status
Date submitted
15/10/2024
Date registered
24/10/2024
Date last updated
2/06/2025
Titles & IDs
Public title
Esprit BTK Post-Approval Study
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Scientific title
Esprit BTK Post-Approval Study (Esprit BTK PAS)
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Secondary ID [1]
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ABT-CIP-10519
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Universal Trial Number (UTN)
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Trial acronym
EspritBTKPAS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Limb-Threatening Ischemia
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Condition category
Condition code
Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Esprit BTK System
Experimental: Esprit BTK System - This device, manufactured by Abbott Medical, is intended to be used for improving luminal diameter in infrapopliteal lesions in patients with CLTI.
Treatment: Devices: Esprit BTK System
The Esprit BTK System is a resorbable polymeric scaffold with the everolimus drug and a resorbable polymeric coating mounted on a balloon dilatation catheter.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Primary Effectivenes Endpoint(s): Freedom from clinically-driven target lesion revascularization (CD-TLR)
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Assessment method [1]
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This effectiveness endpoint was chosen because it allows to assess whether Esprit BTK is effective at maintaining patency (CD-TLR).
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Timepoint [1]
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At 1 year
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Primary outcome [2]
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Primary Safety Endpoint(s):MALE at 6 months + POD at 30 days (Major Adverse Limb Event + Peri-Operative Death)
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Assessment method [2]
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This safety endpoint was chosen because it is a commonly used endpoint to assess the safety of devices used in lower limb treatment, including treatment of lesions below the knee. Additionally, this endpoint assesses whether the device is associated with acute and sub-acute harm such as death and limb loss.
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Timepoint [2]
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6 months + 30 days
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Secondary outcome [1]
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All-cause mortality
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Assessment method [1]
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Timepoint [1]
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Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years
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Secondary outcome [2]
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Amputation (minor, major)
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Assessment method [2]
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Timepoint [2]
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Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years
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Secondary outcome [3]
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Amputation-free survival
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Assessment method [3]
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Timepoint [3]
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Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years
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Secondary outcome [4]
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Ankle-Brachial Index (ABI)/Toe-Brachial Index (TBI) progression over time
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Assessment method [4]
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Timepoint [4]
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Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years
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Secondary outcome [5]
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Rutherford Becker category evolution over time
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Assessment method [5]
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Timepoint [5]
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Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years
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Secondary outcome [6]
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Wound healing, as assessed by investigator
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Assessment method [6]
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Timepoint [6]
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Discharge (between 0 and 10-days post-index procedure), 30 days, 90 days (only for subjects with index wound), 6 months, 1 year, 2 years, 3 years
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Eligibility
Key inclusion criteria
* General Inclusion Criteria
1. Subject must provide written informed consent prior to any study-specific procedures which are not considered standard of care at the site.
1. Informed consent can be obtained up to 3 days post-procedure or prior to discharge whichever comes first.
2. Subject, or a legally acceptable representative must provide written informed consent per site IRB/EC requirements.
2. Subject must be at least 18 years of age.
3. Subject has evidence of symptomatic Chronic Limb-Threatening Ischemia (CLTI) with infrapopliteal lesions.
* Anatomic Inclusion Criteria
1. Subjects who have lesion(s) in an infrapopliteal vessel with reference vessel diameter = 2.5 mm and = 4.0 mm.
2. Target lesion(s) must have = 70% stenosis, per visual assessment at the time of the procedure. If needed, quantitative imaging (angiography and intravascular imaging) can be used to aid accurate sizing of the vessels.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* General Exclusion Criteria
1. Subjects who have contraindications to the Esprit BTK System per the instruction for use (IFU).
2. Subject is currently participating in another clinical investigation.
3. Subject is unable or unwilling to provide written consent prior to enrollment.
4. Subject with life expectancy = 1 year.
5. Subject with an unsalvageable limb (as per physician assessment at the time of the index procedure), who is likely to get a below-the-knee amputation.
* Anatomic Exclusion Criteria
1. Subject has in-stent restenosis in the target vessel or requires treatment with a metallic stent in the target vessel during the index procedure.
2. Subject had been previously treated with Esprit BTK Scaffold(s).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Not applicable
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
21/10/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/05/2029
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NedlandsNSW
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Recruitment hospital [1]
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Royal Perth Hospital - Perth
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Recruitment hospital [2]
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Prince of Wales Private Hospital - Randwick
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Recruitment postcode(s) [1]
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6000 - Perth
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Recruitment postcode(s) [2]
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2031 - Randwick
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Recruitment outside Australia
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United States of America
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Arizona
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California
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Colorado
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District of Columbia
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Florida
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Georgia
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Illinois
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Indiana
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Massachusetts
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Mississippi
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New Jersey
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New York
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North Carolina
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Ohio
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Oklahoma
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Tennessee
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Texas
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Hong Kong
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State/province [18]
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Hk Sar
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New Zealand
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State/province [19]
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Auckland
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United Arab Emirates
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State/province [20]
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Sharjah
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Abbott Medical Devices
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The Esprit BTK PAS is a prospective, single-arm, multi-center observational study to assess the continued safety and effectiveness of the Espritâ„¢ BTK Everolimus Eluting Resorbable Scaffold System under commercial use, in patients with diseased infrapopliteal lesions causing CLTI (Chronic Limb-Threatening Ischemia) in a real-world setting. The clinical investigation will be conducted at up to 50 sites in the United States (US) and additional sites may be added outside of the US (OUS). Approximately 200 patients with a minimum of 50% of patients in the US will be registered in the clinical investigation.
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Trial website
https://clinicaltrials.gov/study/NCT06656364
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ramon L Varcoe, MBBS, MS, FRACS, PHD
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Address
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Prince of Wales Private Hospital, Randwick, NSW, Australia
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Anna Wong
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Address
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Phone
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+1 (408) 845-0846
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06656364
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