LIMES Randomised Controlled Trial about Sirolimus Coated Balloon in BTK takes the first Stride: patient enrolment started
PR97266
MÜNSTER, Germany, July 29, 2022 /PRNewswire=KYODO JBN/ --
Concept Medical Inc. [https://www.conceptmedical.com/], a pioneer in developing
drug delivery device platforms for vascular intervention, has announced the
initiation of LIMES trial.
LIMES (Prospective Multi-Center Randomized Controlled Trial to Evaluate the
Safety and Efficacy of SiroLIMus Drug Coated Balloon versus Standard
Angioplasty for the Treatment of Infrapopliteal Occlusions in Patients with
PEripheral Arterial DiSease) has already enrolled 15 patients, which is
encouraging as the Company looks to take a leap in the peripheral artery
disease (PAD) treatment.
Initiated by the University Hospitals Jena and Leipzig in Germany and led
by Principal Investigator (PI) Prof. Dr. Ulf Teichgräber alongside Co-PI Prof.
Thomas Zeller and Prof. Dierk Scheinert, LIMES is a prospective, multicentre,
randomized controlled trial (RCT) which is designed and aimed to evaluate Magic
Touch – PTA 0.014" and 0.018" (Concept Medical Inc
[https://www.conceptmedical.com/]) versus POBA (Plain Old Balloon Angioplasty)
in a head-to-head comparison (1:1). The trial kicked off with the index patient
enrolled on 31st March 2022 by PD Dr. Nassan Malyar at the University Hospital
Münster in Germany.
LIMES RCT
[https://www.conceptmedical.com/press-release/limes-randomised-controlled-trial-
about-sirolimus-coated-balloon-in-btk-takes-the-first-stride-patient-enrolment-s
tarted/ ] is set to enroll 230 patients, randomized in 1:1 (Magic Touch-PTA :
POBA) fashion in currently 19 centres across Germany and Austria. The patient
population will include patients presenting with documented chronic critical
limb ischemia (CLI) in the target limb defined as Rutherford clinical category
(RCC) 4, 5 or 6 aged greater than or equal to 18 years. The study evaluates
patients with a reference vessel diameter (RVD) greater than or equal to 2 and
less than or equal to 4.0mm and total occlusions (100% stenosis) of the target
lesion. There is no minimal lesion length required, no lesion length limitation
and no limitation in number of used devices. Follow up will be per in-house
visits at 30 days, 6, 12, 24 and 36 months.
The RCT will measure the efficacy of sirolimus-coated balloons in a complex
setting (CLTI) of the PAD segment (located below the P3 segment of the
popliteal artery to the tibiotalar joint) against the current standard of care,
making the trial significant and one to look forward to. The study's primary
endpoints are the composite of limb salvage and primary patency through 6
months. Adding to the importance of the RCT, the key-secondary safety endpoint
is the composite of major adverse limb events (MALE) and perioperative death
(POD) at 30 days. A blinded core lab will assess patency at 6, 12 and 24 months
by duplex ultrasound and quantitative vascular angiography (QVA) in case of any
TLR.
Prof. Ulf Teichgräber makes a point on why the RCT is valuable in terms of
DCB intervention in infrapopliteal occlusions, "BTK revascularization deals
with the most challenging vascular territory in very sick patients. LIMES
[https://www.conceptmedical.com/press-release/limes-randomised-controlled-trial-
about-sirolimus-coated-balloon-in-btk-takes-the-first-stride-patient-enrolment-s
tarted/ ] will solve the question if sirolimus balloon angioplasty has the
potential to become the future standard of care in BTK interventions,"
following his recent presentation at the LINC 2022.
The RCT is drawing the attention and interest of the community considering
the complex patient cohort it will include, and the use of sirolimus-coated
balloon, which is already proving its worth in SFA against POBA and Paclitaxel
in multiple RCTs. Magic Touch PTA is the only commercially available sirolimus
DCB for PAD, which has also been granted Breakthrough Device Designation.
Paclitaxel raising second thoughts due to the safety concerns raised by the US
FDA in peripheral treatment, sirolimus is the most sought after and potential
prospective for the next alternative in PAD treatment. LIMES RCT, evaluating
the sirolimus-coated balloon in this complex setting will surely add weight and
value to Magic Touch PTA Sirolimus Coated Balloon as the future of peripheral
intervention.
About MagicTouch PTA
MagicTouch PTA [https://www.conceptmedical.com/product/magic-touch-pta/ ]
is the first drug-coated balloon that has been assigned a 'Breakthrough Device
Designation' by the U.S. Food and Drug Administration (FDA), for the treatment
of Below-the-knee lesions in PAD. MagicTouch PTA is a CE approved and
commercially marketed sirolimus-coated balloon, developed using proprietary
nanolute technology– the drug delivery technology platform of MagicTouch PTA
balloon, is designed to deliver sub-micron particles of sirolimus to reach the
deepest layers of the vessel walls.
About Concept Medical Inc (CMI)
CMI [https://www.conceptmedical.com/ ] is headquartered in Tampa, Florida
and has operational offices in The Netherlands, Singapore and Brazil and
manufacturing units in India. CMI specializes in developing drug-delivery
systems and has unique and patented technology platforms that can be deployed
to deliver any drug / pharmaceutical agent across the luminal surfaces of blood
vessels.
Photo: https://mma.prnewswire.com/media/1869091/Munster_Germany_team.jpg
Logo: https://mma.prnewswire.com/media/1244676/Concept_Medical_Logo.jpg
Source: Concept Medical Inc
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