Disrupt PAD Japan is a prospective, multi-center, single-arm study of SWM-831 to treat moderate and severely calcified femoropopliteal arteries, prior to DCB or stenting.
Up to 60 subjects at up to 10 sites in Japan will be enrolled in the femoropopliteal clinical study with moderate and severely calcified femoropopliteal artery disease presenting with Rutherford Category 2 - 5 of the target limb. Two additional cohorts \[Iliac and BTK (Below-the-Knee)\] will enroll a minimum of 10 and a maximum of 15 subjects each with moderate and severely calcified iliac disease with a Rutherford Category (RC) 2 - 5 and a minimum of 10 and a maximum of 15 subjects with moderate and severely calcified BTK lesions with a Rutherford Category (RC) 2 - 5 will be enrolled and followed through 12 months. The estimated study duration for these cohorts is approximately 24 months. Study subjects will be followed through discharge, 30 days, 6, and 12 months.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
81
For the Disrupt PAD Japan study, the Shockwave Medical Peripheral IVL System (SWM-831) is intended for lithotripsy enhanced balloon dilatation of lesions, including calcified lesions, in the peripheral vasculature, including the femoropopliteal arteries.
Asahi General Hospital
Asahi, Chiba, Japan
Tokyobay Urayasu Ichikawa
Chiba, Japan
Matsuyama Red Cross Hospital
Ehime, Japan
Kokura Memorial Hospital
Fukuoka, Japan
Percentage of Subjects with Procedural Success
Primary Endpoint for Femoropopliteal: Procedural success is defined as residual stenosis \< 50% without ≥ grade D dissections, prior to Drug-Coated Balloon (DCB) or stenting for the treated target lesion (core lab assessed)
Time frame: Day 0
Percentage of Subjects with Procedural Success
Primary Endpoint for Iliac: Procedural success is defined as residual stenosis \< 50% without ≥ grade D dissections, prior to stenting for the treated target lesion (core lab assessed)
Time frame: Day 0
Percentage of Subjects with Procedural Success
Primary Endpoint for BTK: Procedural success is defined as final residual stenosis \< 50% without ≥ grade D dissections for the treated target lesion (core lab assessed).
Time frame: Day 0
Rate of ≥ grade D dissections, perforation, distal embolization, slow flow or acute vessel closure
Serious angiographic complications defined as the rate of ≥ grade D dissections, perforation, distal embolization, slow flow or acute vessel closure at the final procedural timepoint, as assessed by the angiographic core lab.
Time frame: Day 0
Residual stenosis < 50% without ≥ grade D dissections
Femoropopliteal Technical Success defined as residual stenosis \< 50% without ≥ grade D dissections (core lab assessed) at the final timepoint (after DCB or stenting).
Time frame: Day 0
Residual stenosis < 30% without ≥ grade D dissections
Femoropopliteal Technical Success defined as residual stenosis \< 30% without ≥ grade D dissections (core lab assessed) at the final timepoint (after DCB or stenting)
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Caress Sapporo Tokeidai Memorial Hospital
Hokkaido, Japan
Tokushukai Shonan Kamakura General Hospital
Kanagawa, Japan
Sendai Kousei Hospital
Miyagi, Japan
Nara Medical University Hospital
Nara, Japan
Osaka International Medical & Science Center Daini Osaka Police Hospital
Osaka, Japan
Toho University Ohashi Medical Center
Tokyo, Japan
Time frame: Day 0
Number of participants with freedom from clinically-driven target lesion revascularization (CD-TLR) CEC adjudicated and freedom from restenosis as determined by duplex-derived peak systolic velocity ratio (PSVR) ≤ 2.4, assessed by the DUS core lab.
Primary patency at 6 and 12 months defined as freedom from clinically-driven target lesion revascularization (CD-TLR) CEC adjudicated and freedom from restenosis as determined by duplex-derived peak systolic velocity ratio (PSVR) ≤ 2.4, assessed by the DUS core lab. \- CD-TLR is defined as any revascularization (endovascular or surgical) within the target vessel due to symptoms or drop of ABI \> 20% or \> 0.15 when compared to the 30-day ABI and associated with an angiographic lesion ≥ 50% at the target lesion site.
Time frame: At 6 months and 12 months post-procedure
Number of participants with Major Adverse Event
Major Adverse Event (MAE) at 30 days, 6 and 12 months Clinical Events Committee adjudicated (as a composite and individual components), defined as: \- Cardiovascular death \- Clinically-driven target lesion revascularization (CD-TLR) \- Unplanned target limb major amputation (above the ankle)
Time frame: At 30 days, 6 months and 12 months post-procedure
Number of participants with change in Ankle brachial index (ABI) or Toe brachial index (TBI)
Ankle brachial index (ABI) or Toe brachial index (TBI) at 30 days, 6, and 12 months reported as change from baseline
Time frame: At 30 days, 6 months, and 12 months post-procedure
Number of participants with change in Rutherford Category
Rutherford Category at 30 days, 6, 12 months reported as change from baseline
Time frame: At 30 days, 6 months, and 12 months post-procedure