CClinicalTrials.gg
RecruitingNCT05551780CaTO-PADUpdated Jun 13, 2024

Treatment of Calcific Total Occlusions in Peripheral Artery Disease

An interventional study of SoundBite Crossing System in Chronic Total Occlusion of Artery of the Extremities, sponsored by SoundBite Medical Solutions, Inc.. Recruiting at 5 sites in 3 countries. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2024-06-13.

Sponsored by SoundBite Medical Solutions, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Nov 2024, 1 year 11 months ago, but the record still lists the study as recruiting.
  • Started Feb 2023; still recruiting 3 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
130
Allocation
Non-randomized
Ages
19 Years and older
Sex
All
01

Study summary

Prospective, multi-center, non-randomized, open label, clinical study intended to provide data to demonstrate safety and performance of the SoundBite Crossing System XS Peripheral.

Read the detailed description

The CaTO-PAD study includes a below-the-knee (BTK) sub-study (CaTO-BTK)

02

Conditions studied

  • Chronic Total Occlusion of Artery of the Extremities
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 planned enrollment of 130 is above the median of 74 across 1,066 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

SoundBite Medical Solutions, Inc. is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. Scheduled for interventional treatment of de-novo lesion(s) of the following native arteries:

    1. CaTO-PAD: infrainguinal
    2. CaTO-BTK: infrapopliteal
  2. Have at least one chronic total occlusion (CTO) with no flow observed in the distal lesion except the flow from collateral circulation
  3. Presenting with the following:

    1. CaTO-PAD: claudication or CLI (Rutherford Clinical Category 2-5) of the target limb
    2. CaTO-BTK Sub-Study: - Category 4 or 5 only for CaTO-BTK Sub-Study CaTO-PAD: claudication or CLI (Rutherford Clinical Category 2-5) of the target limb
  4. Age of > 18 years
  5. Have been informed of the nature of the study, agrees to participate, and has signed the approved study consent form
  6. Target lesion calcification is at least moderate by PARC definition (see Section 15)
  7. Target lesion is refractory as demonstrated by a failed attempt with a guidewire

Exclusion criteria

Exclusion Criteria:

  1. Any medical condition that would make subject an inappropriate candidate for interventional treatment as determined by the Investigator, including the following:

    1. Glomerular filtration rate \<30 ml/min
    2. Mortality expected within 30 days
  2. Already enrolled in an investigational interventional study that would interfere with study endpoints
  3. Target lesion is crossed intraluminally with a conventional guidewire
  4. Treatment of an inflow lesion prior to target lesion treatment results in no reflow, thrombus formation, abrupt closure, distal embolization, dissection or perforation requiring treatment
  5. Women who are pregnant or breastfeeding
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
130 participants (estimated)

Study arms

  • Experimental
    SoundBite Crossing System - PAD

    Use of the SoundBite Crossing System to cross calcified chronic total occlusions (above-the-knee or below-the-knee)

    Device: SoundBite Crossing System

  • Experimental
    SoundBite Crossing System - BTK

    Use of the SoundBite Crossing System to cross calcified chronic total occlusions (below-the-knee)

    Device: SoundBite Crossing System

Interventions

  • DeviceSoundBite Crossing System

    Use of the SoundBite Crossing System to cross calcified chronic total occlusions

06

What researchers measure

Primary outcomes

  1. Device Performance

    Crossing of the lesion regardless of method or modality (e.g., antegrade or retrograde)

    Time frame: Day 0

  2. Device Safety

    Procedural incidence of any of the following: no reflow, thrombus formation, abrupt closure, distal embolization, dissection or perforation requiring treatment

    Time frame: Day 0

Secondary outcomes

  1. Antegrade Crossing

    Placement of a guidewire distal to the lesion in the true lumen (Note: retrograde crossing is allowed, but is considered a failure for this endpoint)

    Time frame: Day 0

  2. CTO Crossing Time

    From first engagement of proximal cap with the Active Wire to guidewire in distal true lumen (or decision made to discontinue attempts)

    Time frame: Day 0

  3. Acute Lumen Gain

    Difference in final minimal lumen diameter compared to baseline

    Time frame: Day 0

  4. Residual Percent Stenosis

    Final percent stenosis at procedure end

    Time frame: Day 0

  5. Procedure Time

    First groin puncture to final sheath removal

    Time frame: Day 0

  6. Fluoroscopy Time

    Time frame: Day 0

  7. Number of Devices Used

    Conventional guidewires, microcatheters, atherectomy devices, re-entry devices, balloons, stents

    Time frame: Day 0

  8. Secondary Safety Endpoint

    Rate of 30-day major adverse events (MAE) consisting of: death, emergency surgical revascularization of the target limb, unplanned amputation of the target limb, symptomatic distal thrombus or emboli requiring intervention, perforation requiring treatment

    Time frame: Day 30 (+10/-0 days)

07

Study locations

2 of 5 sites recruiting
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 Jun 13, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05551780
Lead sponsor
SoundBite Medical Solutions, Inc.
Responsible party
Sponsor
First posted
Sep 23, 2022
Start date
Feb 21, 2023
Primary completion
Nov 2024 (estimated)
Completion
Dec 2024 (estimated)
Last update
Jun 13, 2024

Study contacts

John Schultz
Contact
john.schultz@soundbitemedical.com
514-312-9181
George Adams, MD
principal investigator · UNC REX Hospital, Raleigh, NC, USA
Michael Lichtenberg, MD
principal investigator · Angiology Clinic and Vascular Centre, Arnsberg, Germany

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion