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CompletedNCT03294902IROADUpdated Sep 21, 2020

Improving Radiological Outcomes in Arterial Disease - A Pilot Evaluation of the Pedra Tissue Perfusion Monitoring System

An observational study in Peripheral Arterial Disease and Chronic Limb Ischemia, sponsored by Pedra Technology, PTE LTD. Completed at 1 site in United Kingdom. Open to participants aged 40 Years to 90 Years. Per ClinicalTrials.gov, last updated 2020-09-21.

Sponsored by Pedra Technology, PTE LTD · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
68
Ages
40 Years to 90 Years
Sex
All
01

Study summary

The Pedra Technologies' PedraTM device is a non-invasive, diagnostic device intended to measure foot perfusion by assessing blood flow. The PedraTM device comprises a compact instrument console connected to a sensor that is pasted onto the patient's foot during perfusion assessment. Through skin contact, the device is able to monitor tissue perfusion at depths of up to 7.5mm. The monitor console contains opto-electronic instrumentation including coherent infrared light sources, photo detectors, and display/control electronics. The sensor comprises passive fiber-optic conduits, which transfer infrared light from the console to the patient, and relays scattered light from the patient back to the console. The intensity of light emitted from the sensor is less than 3 mW, well within the safety envelope of Class I laser systems and comparable (or lower than) other commercially available devices such as laser Doppler systems. The sole point of contact with the patient is a layer of medical grade adhesive tape, which is used to paste the flat sensor onto intact skin.

02

Conditions studied

  • Peripheral Arterial Disease
  • Chronic Limb Ischemia
03

Who can participate

Ages eligible
40 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The 3 distinct subjects groups are divided as such:

  • Critical Limb Ischaemia (CLI) Group with tibial arterial disease: Up to 20, but at least 8 subjects with a Rutherford grade 4 or 5 critically ischemic foot, where the primary intention is to treat at least one occluded tibial vessel or 2 severely stenosed tibial vessels. The treatment of SFA stenoses of less than 70%, as confirmed by duplex or CT, is acceptable in parallel in this group.
  • Peripheral Artery Disease (PAD) Group with SFA disease: Up to 20, but at least 8 subjects with a clinical diagnosis of claudication and duplex or CT-confirmed SFA stenoses greater than 70%, with no intention of primarily treating any tibial disease at this encounter.
  • PAD-free Group (Healthy Volunteer Group): Up to 20 subjects with no clinical diagnosis of peripheral vascular disease.

Eligibility criteria

General Inclusion Criteria:

  1. The patient is a male or non-pregnant female ≥ 40 to 90 years of age
  2. The patient is willing to comply with protocol-specified follow-up evaluations
  3. The patient has been informed of the nature of the study, agrees to its provisions and has willingly provided written informed consent, approved by the appropriate Ethics Committee (EC)

Cohort Specific Inclusion Criteria:

Critical Limb Ischaemia Group Inclusion Criteria:

  1. The subject is referred for a percutaneous peripheral revascularisation procedure on one of their lower limbs within 2 weeks of Baseline assessments.
  2. Rutherford grade 4 or 5 critically ischemic foot, where the primary intention is to treat at least one occluded tibial vessel or 2 severely stenosed tibial vessels.

Peripheral Arterial Disease Group Inclusion Criteria:

  1. The subject is referred for a percutaneous peripheral revascularisation procedure on one of their lower limbs within 2 weeks of Baseline assessments.
  2. This subject must have a clinical diagnosis of claudication and duplex or CT-confirmed SFA or popliteal artery stenoses greater than 70%, with no intention of primarily treating any tibial disease at this encounter.

PAD-Free Group Inclusion Criteria:

  1. The subject is recruited voluntarily
  2. Absence of peripheral vascular disease determined by questionnaire and clinical review (triphasic signals on hand-held Doppler)

Exclusion Criteria:

  1. Infusion of vasoactive medications within the past 24 hours
  2. The presence of a known chronic history of anaemia (i.e. Hb \<8g/dL)
  3. Congestive heart failure defined by NYHA Classification 3 or 4
  4. The absence of intact skin at suitable measurement sites on the foot.
  5. The presence of invasive soft tissue infection in the toes spreading into the forefoot.
  6. The presence of physical impediment to the method of measurements being completed (i.e. absent first two toes, extensive ulceration, excessive oedema, pressure dressings or heavy bandaging, etc.)
  7. The presence of a non-salvageable foot or a Rutherford 6 wound.
  8. The presence of other conditions, which in the opinion of the Investigator, may compromise the subject safety or comfort.
  9. The presence of other conditions, which in the opinion of the Investigator, may compromise the accuracy of the data obtained.
  10. The patient is a vulnerable or protected adult, or is unable to provide consent.
  11. The patient is unable to comply with the measurement protocol.
  12. Pregnant subjects
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
68 participants (actual)
Patient registry
No

Groups and cohorts

  • Critical Limb Ischaemia (CLI) Group with tibial arterial dis

    Up to 20, but at least 8 subjects with a Rutherford grade 4 or 5 critically ischemic foot, where the primary intention is to treat at least one occluded tibial vessel or 2 severely stenosed tibial vessels. The treatment of SFA stenoses of less than 70%, as confirmed by duplex or CT, is acceptable in parallel in this group.

    Device: Pedra Tissue Perfusion Monitor

  • Peripheral Artery Disease (PAD) Group with SFA disease

    Up to 20, but at least 8 subjects with a clinical diagnosis of claudication and duplex or CT-confirmed SFA stenoses greater than 70%, with no intention of primarily treating any tibial disease at this encounter.

    Device: Pedra Tissue Perfusion Monitor

  • PAD-free group (Healthy Volunteer Group)

    Up to 20 subjects with no clinical diagnosis of peripheral vascular disease.

    Device: Pedra Tissue Perfusion Monitor

Interventions

  • DevicePedra Tissue Perfusion Monitor

    This study is a prospective single-centre, device observational study designed to enroll up to 60 evaluable subjects at 1 investigational site in the United Kingdom. Eligible subjects, who meet the requirements for one of the 3 distinct subject groups: (1) Critical Limb Ischaemia group, (2) Peripheral artery disease with superficial femoral arterial (SFA) or popliteal artery disease and (3) PAD-free group. Subjects who meet study eligibility criteria will be enrolled consecutively until the total number of subjects is enrolled per each group as outlined in the protocol. All subjects at the investigational site will be enrolled in the presence of a member of the Sponsor or selected designee in order to assist with the device operation and to verify that all protocol assessments are completed appropriately at baseline.

05

What researchers measure

Primary outcomes

  1. Baseline safety endpoint: The absence of immediately observable skin reaction (rash; local oedema, blistering of the skin) in ≥ 90% of subjects after removal of the Pedra sensors.

    This observation assessment is completed by the physician post removal of the adhesive pads. It is either a "yes" or a "no" in observing if there is a skin reaction to the adhesive pads when they are removed from the skin and also documentation of what type of reaction (rash; local oedema, blistering of the skin).

    Time frame: Baseline visit: 30-60 minutes after pad removal

  2. During procedure safety endpoint: The absence of immediately observable skin reaction (rash; local oedema, blistering of the skin) in ≥ 90% of subjects after removal of the Pedra sensors.

    This observation assessment is completed by the physician post removal of the adhesive pads. It is either a "yes" or a "no" in observing if there is a skin reaction to the adhesive pads when they are removed from the skin and also documentation of what type of reaction (rash; local oedema, blistering of the skin).

    Time frame: During procedure visit: 30-60 minutes after pad removal

  3. 36-hrs post-procedure/ discharge visit safety endpoint: The absence of immediately observable skin reaction (rash; local oedema, blistering of the skin) in ≥ 90% of subjects after removal of the Pedra sensors.

    This observation assessment is completed by the physician post removal of the adhesive pads. It is either a "yes" or a "no" in observing if there is a skin reaction to the adhesive pads when they are removed from the skin and also documentation of what type of reaction (rash; local oedema, blistering of the skin).

    Time frame: 36-hrs post-procedure/ discharge visit: 30-60 minutes after pad removal

06

Study locations

1 site
  • Addenbrooke's Hospital, Department of Vascular Surgery
    Cambridge, CB2 0QQ, United Kingdom
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03294902
Lead sponsor
Pedra Technology, PTE LTD
Responsible party
Sponsor
First posted
Sep 27, 2017
Start date
May 30, 2018
Primary completion
Dec 31, 2019
Completion
Jun 30, 2020
Last update
Sep 21, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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