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CompletedNCT04241224Updated Jan 17, 2023

A Prospective, Multicenter Atherectomy Study Showing Luminal Gain in Subjects With Peripheral Vascular Blockages

An interventional study of Atherectomy in Peripheral Arterial Disease, sponsored by Ra Medical Systems. Completed at 10 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2023-01-17.

Sponsored by Ra Medical Systems · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was May 2022, 4 years 4 months ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
108
Allocation
Not applicable
Ages
22 Years and older
Sex
All
01

Study summary

To evaluate the safety and effectiveness of the DABRA Laser System in the atherectomy of peripheral vascular stenoses.

02

Conditions studied

  • Peripheral Arterial Disease

Keywords

  • lower extremity Peripheral Arterial Disease (PAD)
03

In context

Peripheral Arterial Disease

1,542 studies on the registry are indexed under Peripheral Arterial Disease; 282 are open to participants now.

This study's enrollment of 108 is above the median of 74 across 1,066 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

Ra Medical Systems is the lead sponsor of 3 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
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Participants must meet all of the inclusion criteria to participate in this study:

Inclusion criteria

Inclusion Criteria

  1. Ability and willingness to give written informed consent and comply with follow-up requirements
  2. PAD with Rutherford Class 2-5
  3. Stenotic lesion(s) in the peripheral vasculature
  4. Subject is a candidate for atherectomy for infrainguinal peripheral artery disease

Angiographic Inclusion Criteria

  1. Target vessel with documented stenosis by angiography ≥70% and ≤100% by angiography (as determined by Investigator)
  2. Target vessel ≤ 3.0 mm in diameter
  3. Target Lesion ≤ 25cm in length
  4. The lesion to be treated is not severely calcified
  5. Untreated ipsilateral iliac stenosis ≤70% (or tortuosity that might prevent advancing sheath to lesion) as applicable depending on access
  6. No use of another atherectomy device in the same procedure
  7. Treatment site is not located in a graft
  8. Treatment site is not in, or distal to, a previously placed stent
  9. No flow limiting dissection proximal, distal, or in the target lesion (prior to the use of the investigational device)

Participants meeting any of the exclusion criteria at the time of enrollment (index procedure/ intervention) will be excluded from study participation:

Exclusion criteria

Exclusion Criteria

  1. Age below 22 years
  2. Pregnant, breastfeeding, planning to become pregnant. If women of reproductive capability will be enrolled, status will be assessed via pregnancy testing. Subject must agree to use effective birth control measures for duration of study. Pregnancy during study must be reported immediately.
  3. Myocardial infarction (MI) ≤ 60 days prior to procedure
  4. Cerebrovascular Accident (CVA) ≤ 60 days prior to procedure
  5. Endovascular or surgical procedure ≤ 30 Days prior to procedure or a planned endovascular or surgical procedure within 30 days after the index procedure
  6. Disorders or allergies precluding use of radiographic contrast including renal insufficiency severe enough to contraindicate use of radiographic contrast
  7. Subjects in whom anti-platelet, anticoagulant, or thrombolytic therapy is contraindicated
  8. Life expectancy ≤ 12 months
  9. Patient is participating in another investigational drug or device study
05

Study design

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

Study arms

  • Experimental
    Excimer Laser Photoablation

    Device: DABRA Laser System Patients with symptomatic peripheral vascular disease undergoing an endovascular revascularization procedure utilizing the DABRA Laser System.

    Device: Atherectomy

Interventions

  • DeviceAtherectomy

    Endovascular treatment of peripheral arterial disease

    Also known as: DABRA Laser System

06

What researchers measure

Primary outcomes

  1. Technical Success

    The Primary Efficacy Endpoint is the mean reduction in percent diameter stenosis in each subject's primary lesion following treatment with the DABRA Laser System and before any other treatment, as assessed by an independent Angiographic Core Laboratory.

    Time frame: At Index Procedure

  2. Freedom from Major Adverse Events (MAE)

    Primary safety endpoint is freedom from Major Adverse Events, defined as all-cause mortality, unplanned major target limb amputation (at or above the ankle), clinically driven target limb revascularization (CD-TLR) at 30 Days, as classified by the Clinical Events Committee (CEC).

    Time frame: 30 Days

Secondary outcomes

  1. Incidence of Target Lesion Revascularization (TLR) at 6 months

    Clinically driven target lesion revascularization (TLR) at 6 months.

    Time frame: 6 months

  2. Reduction in Residual Diameter Stenosis

    Incidence of achieving a residual diameter percent stenosis of ≤ 50% in the primary lesion on the day of treatment, prior to any adjunctive therapy.

    Time frame: At Index Procedure

  3. Rutherford Classification

    Change from baseline in Rutherford Category.

    Time frame: 30 Days, 6 Months

  4. Change in Percent Diameter Stenosis

    Percent diameter stenosis and change from baseline in percent diameter stenosis as measured by Doppler Ultrasound and assessed by an independent core laboratory.

    Time frame: 30 Days, 6 Months

  5. Vessel Patency

    Vessel patency as measured by Doppler ultrasound and assessed by an independent core laboratory.

    Time frame: 30 Days, 6 Months

07

Study locations

10 sites
  • California Heart & Vascular Clinic
    El Centro, California 92243, United States
  • Merced Vein & Vascular Center
    Merced, California 95340, United States
  • The Cardiac & Vascular Institute
    Gainesville, Florida 32605, United States
  • Vascardio Heart and Vascular Institute
    Hialeah, Florida 33013, United States
  • MIMIT Health
    Chicago, Illinois 60616, United States
  • MIMIT Health
    Glen Ellyn, Illinois 60137, United States
  • Eastlake Cardiovascular
    Roseville, Michigan 48066, United States
  • South Texas Vascular Institute
    Edinburg, Texas 78539, United States
  • Texas Tech University Health Sciences Center - Center for Cardiovascular Health
    Lubbock, Texas 79430, United States
  • Laser Surgical Solutions
    McAllen, Texas 78501, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04241224
Lead sponsor
Ra Medical Systems
Responsible party
Sponsor
First posted
Jan 27, 2020
Start date
Feb 26, 2020
Primary completion
May 31, 2022
Completion
Nov 17, 2022
Last update
Jan 17, 2023

Study contacts

Athar Ansari, MD
study chair

Oversight

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

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This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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