RECRUITING

Sirolimus Coated BALloon Versus Standard Balloon Angioplasty in The Treatment of Below The Knee Arterial Disease

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This is a Pivotal, Prospective, randomized, two arm, placebo controlled, single-blind, multicenter trial that will be conducted at approximately 80 sites; approx. 50 sites with at least 50% of subjects will be recruited from USA and approx. 30 sites OUS - Europe, Australia and Asia. Each site will be capped at 30 maximum subjects recruited. The main goal of this clinical trial is to determine the effectiveness and safety of the sirolimus drug coated balloon (DCB) versus standard percutaneous transluminal angioplasty (PTA) for the treatment of below the knee arterial disease. Eligible subjects will be randomised in a 1:1 allocation ratio and stratified by recruiting countries. Each subject will be randomized to receive either: 1. MagicTouch PTA sirolimus coated balloon catheter (DCB) in addition to standard balloon angioplasty or 2. Placebo balloon angioplasty in addition to standard balloon angioplasty (PTA).

Official Title

MAGICAL BTK: Randomized Controlled Trial of MAGIcTouch - Sirolimus Coated BALloon Versus Standard Balloon Angioplasty in The Treatment of Below The Knee Arterial Disease

Quick Facts

Study Start:2025-01-16
Study Completion:2031-02-01
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06182397

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:21 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Age ≥ 21 years or minimum age (is allowed the inclusion of subjects \> 21 years OR adulthood minimum age (depending on the US state regulations)
  2. 2. Rutherford class 4 with documented WIFI score, not exceeding more than 30% of target patient population.
  3. 3. Rutherford class 5 to 6 in the target limb with documented WIFI score.
  1. 1. Comorbid conditions limiting life expectancy ≤ 1 year
  2. 2. Subject is currently participating in another investigational drug or device study that has not reached first primary endpoint yet
  3. 3. Subject is lactating, pregnant or planning to become pregnant during the course of the study
  4. 4. Subject with extensive tissue loss salvageable only with complex foot reconstruction or non-traditional trans metatarsal amputation. This includes subjects with:
  5. 1. Osteomyelitis including and/or proximal to the metatarsal head
  6. 2. Gangrene involving the plantar skin of the forefoot, midfoot,or heel
  7. 3. Deep ulcer or large shallow ulcer (\> 3 cm) involving the plantar skin of the forefoot, midfoot, or heel
  8. 4. Full thickness heel ulcer with/without calcaneal involvement
  9. 5. Any wound with calcaneal bone involvement
  10. 6. Wounds that are deemed to be neuropathic or non-ischemic in nature
  11. 7. Wounds that would require flap coverage or complex wound management for large soft tissue defect
  12. 8. Full thickness wounds on the dorsum of the foot with exposed tendon or bone
  13. 5. Prior bypass surgery of target vessel
  14. 6. Planned amputation of the target limb (major)
  15. 7. Previously implanted stent in the target lesion
  16. 8. Vulnerable or protected adults
  17. 9. Bleeding diathesis or another disorder (i.e. gastrointestinal ulceration,etc) which would prevent the use of mandated antiplatelet agents
  18. 10. Known allergy to sirolimus
  19. 11. Subjects with severe (Stage 4) renal disease, defined eGFR \< 30.

Contacts and Locations

Study Contact

Farhana Siddique
CONTACT
+919725495366
farhana@conceptmedical.com
Dario Gattuso
CONTACT
+393292467132
dario@conceptmedical.com

Principal Investigator

Sahil Parikh, MD
STUDY_CHAIR
New York-Presbyterian/Columbia University Irving Pavilion

Study Locations (Sites)

Honor Health Research & Innovation Institute
Scottsdale, Arizona, 85258
United States
Cedars-Sinai Medical Center
Los Angeles, California, 90048
United States
University of California Los Angeles
Los Angeles, California, 90095
United States
Clearwater Cardiovascular Consultants
Clearwater, Florida, 33756
United States
Baptist Hospital of Miami
Miami, Florida, 33176
United States
University of South Florida
Tampa, Florida, 33606
United States
Vascular Institute of the Midwest
Davenport, Iowa, 52807
United States
Unity Point Health Des Moines
Des Moines, Iowa, 50309
United States
Atria Vascular and Vein
Farmington Hills, Michigan, 48334
United States
Deborah Heart and Lung Center
Browns Mills, New Jersey, 08015
United States
Virtua Healthcare - Virtua Our Lady of Lourdes
Marlton, New Jersey, 08053
United States
Northwell Health Long Island Jewish Medical Center
Lake Success, New York, 11042
United States
NYU Langone Medical Center
New York, New York, 10016
United States
The Mount Sinai Hospital
New York, New York, 10029
United States
Columbia University Irving Medical center/NYPH
New York, New York, 10032
United States
New York Presbyterian - Weill Cornell Medical Center Vascular & Endovascular Surgery
New York, New York, 10065
United States
St. Francis Hospital and Heart Center
Roslyn, New York, 11576
United States
Westchester Medical Center
Valhalla, New York, 10595
United States
The Christ Hospital Network Outpatient Center
Cincinnati, Ohio, 45219
United States
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
United States
Lankenau Institute for Medical Research Bryn Mawr Hospital
Bryn Mawr, Pennsylvania, 19010
United States
University of Pennsylvania - Penn Heart and Vascular Center
Philadelphia, Pennsylvania, 19104
United States
Medical University of South Carolina(MUSC) Health Ashley River Tower
Charleston, South Carolina, 29425
United States
Ascension Seton Medical Center Austin
Austin, Texas, 78705
United States
Baylor Research Institute
Dallas, Texas, 75226
United States
HOPE Vascular and Podiatry
Houston, Texas, 77054
United States
The Heart Hospital Baylor Plano
Plano, Texas, 75093
United States
San Antonio Vascular and Endovascular Clinic
San Antonio, Texas, 78221
United States
University of Washington Seattle
Seattle, Washington, 98104
United States

Collaborators and Investigators

Sponsor: Concept Medical Inc.

  • Sahil Parikh, MD, STUDY_CHAIR, New York-Presbyterian/Columbia University Irving Pavilion

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-01-16
Study Completion Date2031-02-01

Study Record Updates

Study Start Date2025-01-16
Study Completion Date2031-02-01

Terms related to this study

Keywords Provided by Researchers

  • below the knee
  • PTA
  • Angioplasty
  • lower limb

Additional Relevant MeSH Terms

  • Arterial Disease of Legs
  • Below-the-knee Obstruction
  • PAD - Peripheral Arterial Disease