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New drug balloon could keep leg arteries open longer
NCT ID NCT05132361
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a special balloon coated with a drug (SELUTION SLR™ 018) to open narrowed leg arteries in people with peripheral arterial disease. About 300 participants will be randomly assigned to receive either the drug-coated balloon or a standard uncoated balloon. The goal is to see if the drug balloon keeps arteries open longer and reduces the need for repeat treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- drug-coated balloon (SELUTION SLR™ 018)
- What this could lead to
- If it works, this could offer a better, longer-lasting treatment for blocked leg arteries, reducing the need for repeat procedures.
- What could go wrong
- This is an early-stage study with 300 participants, so results may not apply to everyone. Risks include artery damage, re-narrowing, or no benefit over standard care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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300 people
The number who actually took part.
- Started
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Dec 2022
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Clinical Inclusion Criteria: 1. Subject age is ≥ 18 years or minimum legal age as required by local regulations. 2. Life expectancy \>1 year in opinion of investigator. 3. Documented ischemia with Rutherford classification category 2, 3 or 4. 4. Target lesion(s) in the SFA or PPA. 5. Able to walk without the assistance of a walker. 6. Subject is willing and able to provide informed consent and comply with study procedures and required follow-up evaluations. 7. Female subjects only: If female, then subjects of childbearing potential must have a negative pregnancy test ≤ 7 days before the procedure and be prepared to use effective contraception for 12 months after treatment. Angiographic Inclusion Criteria: 1. Angiographic evidence that target lesion lies within the superficial femoral artery and/or proximal popliteal artery (P1 and P2 only). 2. Angiographic evidence that the target lesion consists of either a de novo lesion or a non-stented restenotic lesion, or a combination of both, that meets one of the following criteria: A. A stenosis of 70-99% with lesion length between ≥3cm and \<20cm by visual estimation. B. A total (100%) occlusion with lesion length between ≥3cm and ≤10cm by visual estimation. C. A combination lesion (stenosis and total occlusion) must have a total lesion length between ≥3cm and \<20cm by visual estimation with an occluded segment that is ≤10cm by visual estimation. D. If multiple lesions are to be treated, then only 2 lesions may be included. The total combination of lengths must be between ≥3cm and \< 20cm by visual estimation, and there must be at least 5 cm of artery that is not to be treated between them. 3. Target vessel reference diameter ≥4mm and ≤7mm. 4. Patent arterial inflow (common iliac, external iliac, common femoral and profunda femoris arteries, and the proximal 2 cm of the SFA) free from significant lesion (defined as ≥50% stenosis) as confirmed on angiography. Note: Where required, inflow iliac arteries (common and external iliac arteries only) must be successfully treated during the index procedure. Completion angiography must confirm successful treatment of inflow disease (≤30% residual stenosis, no distal embolization, and no Grade C or greater dissection ) prior to pre-dilation and randomization of the target lesion(s). Drug-eluting devices are not allowed for treatment of the occluded inflow iliac arteries. 5. Angiographic evidence of adequate distal run off (defined as ≤50% stenosis) in one or more tibial arteries on initial angiography, and if applicable, after completion of inflow artery treatment. Note: Treatment of outflow disease is permitted during the index procedure. Drug-eluting devices are not allowed for outflow treatment. PK Sub-Study Inclusion Criteria: Subjects must meet all of the main protocol inclusion criteria to participate in the PK sub-study. Subjects must also meet the following additional PK sub-study inclusion criteria: 1\. Subject is willing and able to provide informed consent for the PK sub-study and comply with the PK sub-study procedures and required follow-up evaluations. Clinical Exclusion Criteria: 1. Other surgical or endovascular procedure in the target limb that occurred within 14 days prior to index procedure or is planned for within 30 days following index procedure, with exception for diagnostic angiography. 2. Inability to tolerate dual antiplatelet therapy. 3. Known hypersensitivity or allergy to Sirolimus or other pharmacologic agents, such as contrast agent, which are required for the procedure and which cannot be adequately pre-treated. 4. Stroke or MI within 3 months of enrollment. 5. Symptom onset less than 14 days prior to index procedure (acute limb ischemia). 6. Lower limb disease in the contralateral leg that requires treatment at the index procedure, or, that is planned within 14 days prior to the index procedure or within 30 days after the index procedure. 7. Prior vascular surgery (including bypass and endarterectomy) of abdominal aorta, iliac arteries, or arteries of the index limb. 8. Non-atherosclerotic disease of the index limb (including aneurysmal disease, vasculitis, Buerger's disease) 9. Target lesion requires treatment with alternative therapies such as thrombolysis, thrombus aspiration, cutting/scoring/contoured balloon, stenting, laser, cryoplasty, intravascular lithotripsy, brachytherapy, re-entry device). 10. Subject has target lesion(s) that require treatment via pedal site. 11. Subject has target lesion(s) that require access via upper extremity arteries. 12. Hypercoagulable state or disorder present, or coagulopathy present, including platelet count less than 80,000 per microliter. 13. Chronic renal insufficiency (dialysis dependent, or serum creatinine \>2.5 mg/dL within 30 days of index procedure). 14. Systemic infection (WBC \> 12,000 and febrile) or known immune compromise. 15. Breast-feeding woman. 16. Currently participating in another investigational drug or device study that has not completed primary endpoint follow-up. Angiographic Exclusion Criteria: 1. Presence of a previously placed stent in the treated artery. 2. Failure to successfully cross the target lesion. 3. Residual stenosis ≥30% after pre-dilatation. PK Sub-Study Exclusion Criteria: 1. Subjects must meet none of the main protocol exclusion criteria (Section 6.1.2 of the main protocol) to participate in the PK sub-study. Subjects will be excluded if any of the following additional PK sub-study exclusion criteria are met: 2. Any limus family (Zotarolimus, Everolimus, Sirolimus etc.) eluting device has been placed/used in any part of the body within 3 months prior to the index procedure including non-target lesion(s) treated during the index procedure. 3. Planned intervention with any limus family (Zotarolimus, Everolimus, Sirolimus etc.) eluting device anywhere in the body within 6 months after the index procedure. Note: staged procedures \>30 days after index procedure (Exclusion #20 and #22 of the main protocol) are permitted only in the main protocol, and are not permitted in this PK sub-study. 4. The subject is taking or has taken within the last 3 months any limus family medication(s) for any reason. 5. Subjects who are taking strong CYP3A4 Inhibitors within 14 days before the index procedure or plan to take the strong inhibitors during the study period. Strong inhibitors include: cobicistat; ritonavir; indinavir and ritonavir; itraconazole; ketoconazole; lopinavir and ritonavir; paritaprevir and ritonavir and ombitasvir (and/or dasabuvir); posaconazole; saquinavir and ritonavir; tipranavir and ritonavir; elvitegravir and ritonavir; telithromycin; voriconazole; ceritinib; clarithromycin; idealalisib; nefazodone; nelfinavir. 6. Subjects who are taking strong CYP3A4 Inducers within 14 days before the index procedure or plan to take the strong inducers during the study period. Strong inducers include apalutamide; carbamazepine; enzalutamide; ivosidenib; lumacaftor and ivacaftor; mitotane; phenytoin; rifampin; St. John's wort.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068, United States
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Alexianer Klinikum Hochsauerland
Arnsberg, 59759, Germany
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Arkansas Heart Hospital
Little Rock, Arkansas, 72211, United States
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Baylor College of Medicine
Houston, Texas, 77030, United States
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Cardiovascular Consultants of South Georgia
Thomasville, Georgia, 31792, United States
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Cardiovascular Institute of the South
Gray, Louisiana, 70359, United States
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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ClinRé
Thornton, Colorado, 80023, United States
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El Paso Cardiology
El Paso, Texas, 79902, United States
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Emory University Hospital
Atlanta, Georgia, 30322, United States
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First Coast Cardiovascular Institute
Jacksonville, Florida, 32218, United States
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Guardian Research Organization, LLC
Winter Park, Florida, 32792, United States
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Heart Care Centers Research Foundation
Palos Park, Illinois, 60464, United States
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Heart Hospital Baylor Plano
Plano, Texas, 75093, United States
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Holy Name Medical Center
Teaneck, New Jersey, 07666, United States
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James J. Peters VA Medical Center
The Bronx, New York, 10468, United States
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Krankenhaus Buchholz
Buchholz, 21244, Germany
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Manatee Memorial Hospital
Bradenton, Florida, 34205, United States
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MedStar Health Research Institute
Hyattsville, Maryland, 20782, United States
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Memorial Healthcare System
Hollywood, Florida, 33021, United States
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Mercy Hospital
St Louis, Missouri, 63128, United States
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Miriam Hospital
Providence, Rhode Island, 02906, United States
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Mission Cardiovascular Research Institute
Fremont, California, 94538, United States
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NC Heart and Vascular Research, LLC
Raleigh, North Carolina, 27607, United States
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Palm Vascular Centers
Miami Beach, Florida, 33140, United States
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Queen Mary Hospital
Hong Kong, Pok Fu Lam, Hong Kong
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RoMed Klinikum Rosenheim
Rosenheim, 83022, Germany
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Sana Kliniken Oberfranken Coburg
Coburg, 96450, Germany
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St. Helena Hospital
St. Helena, California, 94558, United States
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Tennessee Center for Clinical Trials
Tullahoma, Tennessee, 37388, United States
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Texas Cardiac and Vascular Institute San Antonio
San Antonio, Texas, 78229, United States
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The Cardiac and Vascular Institute Research Foundation
Gainesville, Florida, 32605, United States
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The Chinese University of Hong Kong
Shatin, Hong Kong
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University Clinic Tübingen
Tübingen, 72076, Germany
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Universitäts-Herzzentrum Freiburg - Bad Krozingen
Bad Krozingen, 79189, Germany
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Universitätsklinikum Graz
Graz, A-8036, Austria
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Universitätsklinikum Leipzig
Leipzig, 04103, Germany
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Vascular Care Group
Darien, Connecticut, 06820, United States
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