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CompletedNCT02013193RANGER-SFAUpdated Dec 23, 2019

Comparison of the Ranger™ Paclitaxel-Coated PTA Balloon Catheter and Uncoated PTA Balloons in Femoropopliteal Arteries

An interventional study of Ranger DCB and uncoated PTA balloon in Peripheral Artery Disease, Claudication and Atherosclerosis, sponsored by Hemoteq AG. Completed at 11 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-12-23.

Sponsored by Hemoteq AG · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
105
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of this study is to prove the superior performance of the Ranger™ paclitaxel-coated PTA balloon catheter for angioplasty for femoropopliteal artery lesions when compared to non-coated balloons at six months post-procedure when comparing Late Lumen Loss (LLL). Study statistical hypothesis: The %-mean loss of luminal diameter as assessed by angiography at six months follow-up after treatment of the femoropopliteal artery with Ranger DCB study devices is lower than the %-mean loss of luminal diameter after treatment with uncoated PTA balloon control devices.

02

Conditions studied

  • Peripheral Artery Disease
  • Claudication
  • Atherosclerosis
  • Arteriosclerosis

Keywords

  • drug-coated balloon
  • drug-eluting balloon
  • peripheral artery disease
  • claudication
03

In context

Atherosclerosis

1,567 studies on the registry are indexed under Atherosclerosis; 264 are open to participants now.

This study's enrollment of 105 is close to the median of 106 across 882 interventional studies indexed under Atherosclerosis.

Browse Atherosclerosis studies →

Lead sponsor

Hemoteq AG is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects must be age 18 or older
  • Subject is willing and able to provide informed consent
  • Subject is available to attend all required follow-up visits
  • Subject has a clinically significant symptomatic leg ischemia requiring treatment
  • Subject has a Rutherford clinical category of 2-4
  • If the index lesion is restenotic, the prior PTA must have been >30 days prior to treatment in the current study
  • Only one lesion per limb can be treated under this protocol.
  • Successful intraluminal wire crossing of the target lesion
  • Index lesion is a clinically and hemodynamically significant stenotic or restenotic lesion located in the native nonstented superficial femoral artery or proximal popliteal artery
  • Degree of stenosis 70% or more, by visual assessment
  • Lesion length between 20 mm and 150 mm
  • At least one patent infrapopliteal artery to the foot of the index limb

Exclusion criteria

Exclusion Criteria:

  • Subjects who have undergone prior vascular surgery of the femoropopliteal artery in the index limb to treat atherosclerotic disease
  • History of major amputation in the same limb as the target lesion
  • Presence of aneurysm in the target vessel
  • Acute ischemia and/or acute thrombosis in any artery of the lower limbs
  • Acute Myocardial Infarction within 30 days before the index procedure
  • Persistent, intraluminal thrombus of the proposed target lesion post-thrombolytic therapy
  • Known hypersensitivity or contraindication to contrast dye that cannot be adequately pre-medicated
  • Known allergies against Paclitaxel or other components of the used medical devices
  • Intolerance to antiplatelet, anticoagulant, or thrombolytic medications that would be administered during the trial
  • Platelet count \<100,000 mm3 or >600,000 mm3
  • Concomitant renal failure with a serum creatinine >2.0 mg/dL
  • Receiving dialysis or immunosuppressant therapy
  • Life expectancy of less than one year
  • Women of child-bearing potential must agree to use a reliable method of contraception from the time of screening through 12 months after the index procedure.
  • Woman who is pregnant or nursing.
  • Previously planned stenting of the index lesion
  • Use of adjunctive therapies (debulking, laser, cryoplasty, re-entry devices)
  • Planned or expected procedures (cardiac, aorta, peripheral) within 30 days after the index procedure
  • Presence of outflow lesions requiring intervention within 30 days of the index procedure
  • Perforated vessel as evidenced by extravasation of contrast media
  • Heavily calcified target lesions resistant to PTA
  • Current participation in another drug or device trial that has not completed the primary endpoint, that may potentially confound the results of this trial, or that would limit the subject's compliance with the follow-up requirements
  • Current participation in any study using drug-coated/drug-eluting technologies
  • Current participation in any study using drug-coated/drug-eluting technologies
  • Target lesion with in-stent restenosis (any stent or stent-graft)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
105 participants (actual)

Study arms

  • Experimental
    Ranger(TM) Paclitaxel-coated balloon

    Index lesion treated with Ranger(TM) Paclitaxel-coated PTA balloon catheter (Ranger DCB)

    Device: Ranger DCB

  • Active comparator
    uncoated PTA balloon

    Index lesion treated with an uncoated standard PTA dilatation balloon catheter selected upon investigator´s discretion

    Device: uncoated PTA balloon

Interventions

  • DeviceRanger DCB

    After successful pre-dilatation the index lesion is treated with one or two Ranger DCB devices that completely cover the lesion. If two devices are deployed, overlap shall be minimal.

  • Deviceuncoated PTA balloon

    The index lesion is treated with one or more uncoated standard PTA balloons that completely cover the lesion.

06

What researchers measure

Primary outcomes

  1. in-segment late lumen loss

    In-segment late lumen loss (LLL) of the treated segment after PTA using the Ranger™ paclitaxel-coated PTA balloon, in comparison to the LLL after PTA using an uncoated balloon, as observed by angiography at six months post-index procedure.

    Time frame: six months

Secondary outcomes

  1. technical success

    The ability to cross and dilate the lesion to achieve residual angiographic stenosis no greater than 30%.

    Time frame: during index procedure, less 1 hour

  2. procedural success

    Technical success with no MAE noted within 24 hours of the index procedure.

    Time frame: within 24 hours of index procedure

  3. primary patency

    Percentage of lesions that reach endpoint without a hemodynamically significant stenosis on duplex ultrasound (DUS) and without target lesion revascularization (TLR) or bypass of the target lesion to maintain or restore patency.

    Time frame: six months

  4. primary patency

    Percentage of lesions that reach endpoint without a hemodynamically significant stenosis on DUS and without TLR or bypass of the target lesion to maintain or restore patency.

    Time frame: twelve months

  5. assisted primary patency

    Percentage of lesions without TLR and those with TLR (not due to complete occlusion or bypass) that reach endpoint without restenosis.

    Time frame: six months

  6. assisted primary patency

    Percentage of lesions without TLR and those with TLR (not due to complete occlusion or bypass) that reach endpoint without restenosis.

    Time frame: twelve months

  7. secondary patency

    Percentage of lesions with TLR for occlusion that reach endpoint without restenosis.

    Time frame: six months

  8. secondary patency

    Percentage of lesions with TLR for occlusion that reach endpoint without restenosis.

    Time frame: twelve months

  9. binary restenosis rate

    Binary restenosis defined as \> 50% diameter stenosis via peak systolic velocity ratio (PSVR) \> 2.4 via duplex ultrasound and assessed by the core lab.

    Time frame: six months

  10. binary restenosis rate

    Binary restenosis defined as \> 50% diameter stenosis via peak systolic velocity ratio (PSVR) \> 2.4 via duplex ultrasound and assessed by the core lab.

    Time frame: twelve months

  11. clinical success

    Positive change (by +1 or more) of Rutherford category at pre-discharge post-index-procedure as compared to baseline.

    Time frame: pre-discharge, estim. 1-2 days post-index procedure

  12. clinical success

    Positive change (by +1 or more) of Rutherford category at six months (plus or minus 30 days) post-index-procedure as compared to baseline.

    Time frame: six months

  13. clinical success

    Positive change (by +1 or more) of Rutherford category at twelve months (plus or minus 30 days) post-index-procedure as compared to baseline.

    Time frame: twelve months

  14. hemodynamic success

    positive change in Ankle-Brachial Index (ABI) at pre-discharge as compared to baseline

    Time frame: pre-discharge, estim. 1-2 days post-index procedure

  15. hemodynamic success

    positive change in ABI at six months (plus or minus 30 days) as compared to baseline

    Time frame: six months

  16. hemodynamic success

    positive change in ABI at twelve months (plus or minus 30 days) as compared to baseline

    Time frame: twelve months

  17. change in quality of life

    Change in functional status measured by changes in the Walking Impairment Questionnaire (WiQ) and general health-related quality of life measured by changes in SF-12 and EQ5D scores at six months (plus or minus 30 days) as compared to baseline.

    Time frame: six months

  18. change in quality of life

    Change in functional status measured by changes in the Walking Impairment Questionnaire (WiQ) and general health-related quality of life measured by changes in SF-12 and EQ5D scores at twelve months (plus or minus 30 days) as compared to baseline.

    Time frame: twelve months

  19. change in quality of life

    Change in general health-related quality of life measured by changes in SF-12 and EQ5D scores at 24 months (plus or minus 30 days) as compared to baseline.

    Time frame: 24 months

  20. change in quality of life

    Change in general health-related quality of life measured by changes in SF-12 and EQ5D scores at 36 months (plus or minus 30 days) as compared to baseline.

    Time frame: 36 months

07

Study locations

11 sites
  • Medical University, AKH
    Vienna, 1090, Austria
  • CHU Caen Côte de Nacre
    Caen, 14000, France
  • Hopital Europeen Georges-Pompidou (HEGP)
    Paris, 75908, France
  • Clinique Pasteur Toulouse
    Toulouse, 31076, France
  • Klinikum Arnsberg
    Arnsberg, 59759, Germany
  • Segeberger Kliniken
    Bad Segeberg, 23795, Germany
  • Klinikum Darmstadt GmbH
    Darmstadt, 64283, Germany
  • CardioVascular Center
    Frankfurt, 60389, Germany
  • Universitätsklinikum Leipzig
    Leipzig, 04103, Germany
  • Park-Krankenhaus
    Leipzig, 04289, Germany
  • Universitätsklinikum
    Marburg, 35043, Germany
08

References and documents

Publications

  • Bausback Y, Willfort-Ehringer A, Sievert H, Geist V, Lichtenberg M, Del Giudice C, Sauguet A, Diaz-Cartelle J, Marx C, Strobel A, Schult I, Scheinert D; RANGER SFA Investigators. Six-Month Results From the Initial Randomized Study of the Ranger Paclitaxel-Coated Balloon in the Femoropopliteal Segment. J Endovasc Ther. 2017 Aug;24(4):459-467. doi: 10.1177/1526602817710770. Epub 2017 May 31. PubMed 28558502 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02013193
Lead sponsor
Hemoteq AG
Collaborators
CERES GmbH, coreLab Black Forest GmbH
Responsible party
Sponsor
First posted
Dec 17, 2013
Start date
Jan 7, 2014
Primary completion
Jun 16, 2016
Completion
Mar 15, 2019
Last update
Dec 23, 2019

Study contacts

Dierk Scheinert, M.D.
principal investigator · University Leipzig

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

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