ClinicalTrials.gg
CompletedNCT03807661PROMISE UKUpdated Jan 16, 2026Results posted

Percutaneous Deep Vein Arterialization Post-Market Study

An interventional study of Percutaneous deep vein arterialization and LimFlow System in Critical Limb Ischemia, sponsored by LimFlow SA. Completed at 6 sites in United Kingdom. Open to participants aged 21 Years to 95 Years. Per ClinicalTrials.gov, last updated 2026-01-16.

Sponsored by LimFlow SA (part of Stryker) · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
28
Allocation
Not applicable
Ages
21 Years to 95 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 22 studies in Chronic Limb-Threatening Ischemia with a site in United Kingdom — 6 open to participants now, 8 under way, none of them phase 3. Chronic Limb-Threatening Ischemia · United Kingdom.

Enrollment
8th of 12
28 · median 49
Started
2019
with 4 others
No phase
7 of 22
1 open now
Registered
8th of 22
by date
Lead sponsor
1 of 22
LimFlow SA

Among the 22 studies in Chronic Limb-Threatening Ischemia with a site in United Kingdom, this one is the 8th largest by enrollment of the 12 interventional ones that give a count, is one of 5 that started in 2019, is one of 7 with no phase, and was the 8th registered.

Chronic Limb-Threatening Ischemia

357 studies on the registry are indexed under Chronic Limb-Threatening Ischemia; 72 are open to participants now.

Browse Chronic Limb-Threatening Ischemia studies →

Open to participants now

6 of the 22 studies in Chronic Limb-Threatening Ischemia with a site in United Kingdom are open now. Recruiting first, the newest first:

1 more — sign in →

All 6 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 49 Chronic Limb-Threatening Ischemia studies recruiting now, 33 (67%) set no upper age limit and 2 (4%) stop at 75 or younger; 3 take children under 18; 5 take healthy volunteers.

This study: 21 Years to 95 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 22 studies in Chronic Limb-Threatening Ischemia with a site in United Kingdom, or all of them as a file.
02

Study summary

The objective of this post-market study is to evaluate the safety and effectiveness of the LimFlow System in creating a below-the-knee arterio-venous fistula for venous arterialization in subjects with critical limb ischemia.

Read the detailed description

This study will investigate the safety and effectiveness of the LimFlow System for creating an arterio-venous fistula in the below-the-knee vascular system using an endovascular, minimally invasive approach for the treatment of critical limb ischemia in subjects ineligible for conventional endovascular or surgical limb salvage procedures.

03

Conditions studied

  • Critical Limb Ischemia

Keywords

  • Desert foot
  • No-option patients
  • Venous arterialization
04

Who can participate

Ages eligible
21 Years to 95 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subject must be > 21 and \< 95 years of age
  • Clinical diagnosis of symptomatic critical limb ischemia, defined as Rutherford category 5 or 6
  • Assessment that no conventional surgical or endovascular treatment is possible
  • Proximally, the target in-flow artery at the cross-over point must be treatable with a 3.5 - 4.0 mm stent after pre-treatment (by visual estimate), and be \<50% stenosed
  • Subject is willing and has adequate support to comply with protocol requirements, including medication regimen and follow-up visits

Exclusion criteria

Exclusion Criteria:

  • Concomitant hepatic insufficiency, deep venous thrombus in target limb, uncorrected coagulation disorders, or current immunodeficiency disorder
  • Prior vein stripping surgery and/or vessel harvesting for CABG in the limb intended for study
  • less than 12 months
  • Patient currently taking coumarin/warfarin which, in the opinion of the attending physician, interferes with the patient's treatment
  • Any significant medical condition which, in the attending physician's opinion, may interfere with the patient's optimal treatment
  • Patient currently participating in another drug or device study that has not completed the primary endpoint or that clinically interferes with the endpoints of this treatment
  • Patient unable to give consent
  • Pregnant or breastfeeding women
  • Documented myocardial infarction or stroke within previous 90 days
  • Patients suffering from renal insufficiency ( value less than 30 ml/min/1.73 m²) who are not on hemodialysis
  • Patients with vasculitis and/or untreated popliteal aneurysms
  • Patients with acute limb ischemia
  • Prior peripheral arterial bypass procedure above or below the knee which could inhibit proximal inflow to the stent graft
  • Lower extremity venous disease with significant edema in the target limb that may inhibit the procedure and/or jeopardize wound healing, in the investigator's opinion
  • Known or suspected systemic or severe infection (e.g., WIfI foot Infection grade of 3)
  • Known or suspected allergies or to stainless steel, nickel, or contrast agent that cannot be adequately pre-treated, or patients who cannot receive anticoagulation or antiplatelet aggregation therapy
  • Severe heart failure, which in the opinion of the investigator may compromise subject's ability to safely undergo a percutaneous procedure (e.g., known of \< 40%, Classification III-IV)
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    Percutaneous deep vein arterialization

    Creation of an arterio-venous fistula in the below-the-knee vasculature using the LimFlow System endovascular, minimally invasive approach

    Procedure: Percutaneous deep vein arterialization · Device: LimFlow System

Interventions

  • ProcedurePercutaneous deep vein arterialization

    Creation of an arterio-venous fistula in the below-the-knee vasculature using the LimFlow System endovascular, minimally invasive approach

  • DeviceLimFlow System

    Creation of an arterio-venous fistula in the below-the-knee vasculature using the LimFlow System endovascular, minimally invasive approach

06

What researchers measure

Primary outcomes

  1. Amputation-free Survival

    Freedom from death or major amputation

    Time frame: Throughout one year

Secondary outcomes

  1. Wound Healing

    Complete index wound healing as assessed by wound pictures

    Time frame: Throughout one year

  2. Primary and Secondary Patency

    Stent graft primary and secondary patency as assessed by duplex ultrasound

    Time frame: Throughout one year

  3. Limb Salvage

    Freedom from major amputation

    Time frame: Throughout one year

  4. Technical Success (Procedure Completion)

    Procedure completion and immediate morphological success with successful placement of the arterial and venous catheters in the desired location in the limb, and ability to place the stent graft, as assessed angiographically

    Time frame: Immediately post-procedure (approximately 4 hours after vascular access)

  5. Procedural Success (Technical Success Without Death, Major Amputation, or Re-intervention)

    Combination of technical success without death, major amputation, or re-intervention

    Time frame: One month post-procedure

07

Results

Posted Nov 28, 2025
Limitations and caveats
PROMISE UK was a post-market study of a CE-marked device and consisted of a single study arm with no direct comparator due to the extreme nature of the alternative other than major amputation. As such, all data reported are descriptive and are not tested in a statistical nature against the known rates of amputation and mortality of no treatment.

Participant flow

A total of 64 subjects were screened at 6 sites across England, during the time period from 11-Dec-2019 to 26-Oct-2022, yielding 28 subjects enrolled in the study.

Participant flow — Overall Study
MilestoneITT Population
Started28
Completed28
Not completed0

Outcome measures

PrimaryAmputation-free Survival

Freedom from death or major amputation

Time frame:
Throughout one year
Reported as:
Number · percentage of participants
Amputation-free Survival
percentage of participantsPercutaneous Deep Vein Arterialization
Amputation-free Survival67.2 (46.4 to 81.4)
SecondaryWound Healing

Complete index wound healing as assessed by wound pictures

Time frame:
Throughout one year
Reported as:
Count of participants · Participants
Wound Healing
ParticipantsPercutaneous Deep Vein Arterialization
Wound Healing12
SecondaryPrimary and Secondary Patency

Stent graft primary and secondary patency as assessed by duplex ultrasound

Time frame:
Throughout one year
Reported as:
Number · percentage of participants
Primary and Secondary Patency
percentage of participantsPercutaneous Deep Vein Arterialization
Primary patency31.7 (13.5 to 51.8)
Secondary patency43.4 (22.1 to 63.1)
SecondaryLimb Salvage

Freedom from major amputation

Time frame:
Throughout one year
Reported as:
Number · percentage of participants
Limb Salvage
percentage of participantsPercutaneous Deep Vein Arterialization
Limb Salvage81.2 (60.6 to 91.8)
SecondaryTechnical Success (Procedure Completion)

Procedure completion and immediate morphological success with successful placement of the arterial and venous catheters in the desired location in the limb, and ability to place the stent graft, as assessed angiographically

Time frame:
Immediately post-procedure (approximately 4 hours after vascular access)
Reported as:
Count of participants · Participants
Technical Success (Procedure Completion)
ParticipantsPercutaneous Deep Vein Arterialization
Technical Success (Procedure Completion)27
SecondaryProcedural Success (Technical Success Without Death, Major Amputation, or Re-intervention)

Combination of technical success without death, major amputation, or re-intervention

Time frame:
One month post-procedure
Reported as:
Count of participants · Participants
Procedural Success (Technical Success Without Death, Major Amputation, or Re-intervention)
ParticipantsPercutaneous Deep Vein Arterialization
Procedural Success (Technical Success Without Death, Major Amputation, or Re-intervention)20

Adverse events

Collected over 1 year. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Percutaneous Deep Vein Arterialization4/28 (14.3%)26/28 (92.9%)19/28 (67.9%)
Most frequent serious events
Showing 10 of 27
Most frequent serious events
EventPercutaneous Deep Vein Arterialization
Arterial or venous occlusion (target limb)Vascular disorders23/28
Wound healing disorderVascular disorders6/28
Wound infectionInfections and infestations5/28
New wound or ulcerVascular disorders4/28
Bleeding (non-target limb)Blood and lymphatic system disorders3/28
Gangrene or necrosisVascular disorders3/28
Other blood flow abnormality (target limb)Vascular disorders3/28
Pain (target limb)Vascular disorders3/28
Chest infectionInfections and infestations2/28
Heart failureCardiac disorders2/28
Most frequent other events
Showing 10 of 11
Most frequent other events
EventPercutaneous Deep Vein Arterialization
Arterial or venous occlusion (target limb)Vascular disorders6/28
COVID-19Infections and infestations4/28
Wound infectionInfections and infestations4/28
Bleeding (non-target limb)Blood and lymphatic system disorders3/28
Chest infectionInfections and infestations3/28
EdemaVascular disorders3/28
Cardiac rhythm disorderCardiac disorders2/28
FallInjury, poisoning and procedural complications2/28
Hypoglycemia or hyperglycemiaEndocrine disorders2/28
New wound or ulcerVascular disorders2/28

Baseline characteristics

Sex: Female, Male
Sex: Female, Male(Participants)Percutaneous Deep Vein Arterialization
Female3
Male25
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Percutaneous Deep Vein Arterialization
BMI
BMI(killograms per squared metre)Percutaneous Deep Vein Arterialization
Mean26.1 ± 5.0
Age, Continuous
Age, Continuous(years)Percutaneous Deep Vein Arterialization
Mean66.7 ± 11.2
Current or Former Smoker
Current or Former Smoker(Participants)Percutaneous Deep Vein Arterialization
Count of participants21
Baseline Diabetes Status
Baseline Diabetes Status(Participants)Percutaneous Deep Vein Arterialization
Count of participants23
Hypertension requiring medication
Hypertension requiring medication(Participants)Percutaneous Deep Vein Arterialization
Count of participants21
Hyperlipidaemia req. medication
Hyperlipidaemia req. medication(Participants)Percutaneous Deep Vein Arterialization
Count of participants16

4 further baseline measures are reported on the registry.

08

Study locations

6 sites
  • North Bristol NHS Trust
    Bristol, BS10 5NB, United Kingdom
  • Glenfield Hospital
    Leicester, LE3 9QP, United Kingdom
  • Royal Liverpool and Broadgreen University Hospitals NHS Trust
    Liverpool, L7 8XP, United Kingdom
  • Guy's and St Thomas' NHS Foundation Trust
    London, SE1 9RT, United Kingdom
  • St George's University Hospitals NHS Foundation Trust
    London, SW17 0RE, United Kingdom
  • Manchester University NHS Foundation Trust
    Manchester, M13 9WL, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided — Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2019 to primary completion in Oct 2023, 45 months.

Results were first posted in Nov 2025, 2 years 1 month after primary completion.

Of 71 interventional studies with no phase under Chronic Limb-Threatening Ischemia, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 85. This study's 45 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 11, 2019
First posted
Jan 17, 2019
StartActual
Dec 11, 2019
Primary completionActual
Oct 9, 2023
CompletionActual
Oct 28, 2024
Results first posted
Nov 28, 2025
Last update
Jan 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03807661
Lead sponsor
LimFlow SA
Responsible party
Sponsor
First posted
Jan 17, 2019
Start date
Dec 11, 2019
Primary completion
Oct 9, 2023
Completion
Oct 28, 2024
Results posted
Nov 28, 2025
Last update
Jan 16, 2026

Oversight

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

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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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