ClinicalTrials.gg
Not yet recruitingNCT07014475Updated Jun 11, 2025

Efficacy of the Ranger Drug-Coated Balloon in Treating BTK Lesions in Patients With CLTI

An observational study in Chronic Limb Threatening Ischemia, sponsored by First Affiliated Hospital, Sun Yat-Sen University. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-11.

Sponsored by First Affiliated Hospital, Sun Yat-Sen University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
700
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 23 studies in Chronic Limb-Threatening Ischemia with a site in China — 7 open to participants now, 7 under way, none of them phase 3. Chronic Limb-Threatening Ischemia · China.

Started
2025
with 1 other
Observational
8 of 23
5 open now
Registered
20th of 23
by date
Lead sponsor
1 of 23
First Affiliated Hospital, Sun Yat-Sen University

Among the 23 studies in Chronic Limb-Threatening Ischemia with a site in China, this one is one of 2 that started in 2025, is one of 8 observational ones, and was the 20th 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

7 of the 23 studies in Chronic Limb-Threatening Ischemia with a site in China are open now. Recruiting first, the newest first:

1 more — sign in →

All 7 open studies →

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

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: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies in Chronic Limb-Threatening Ischemia with a site in China, or all of them as a file.
02

Study summary

This is a prospective, multicenter, observational study designed to evaluate the clinical outcomes of the Ranger™ SL paclitaxel-coated balloon, a type of drug-coated balloon (DCB), in the treatment of below-the-knee (BTK) lesions in patients with chronic limb-threatening ischemia (CLTI) in China. All enrolled patients will be followed for six months. Patients diagnosed with CLTI who undergo treatment with the Ranger DCB will be included in the study. The primary outcome is the incidence of major adverse events (MAEs).

03

Conditions studied

  • Chronic Limb Threatening Ischemia

Keywords

  • chronic limb threatening ischemia
  • below the knee
  • drug-coated balloon
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with below-the-knee (BTK) arterial lesions diagnosed with chronic limb-threatening ischemia (CLTI).

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

  1. Age ≥ 18 years, gender is not limited
  2. The patient agreed to participate in the CEIBA study and signed the written
  3. Diagnosis of chronic limb-threatening ischemia (Rutherford category 4-6)
  4. Gangrene involving any part of the lower extremities or feet, with exclusion of patients who have:

    4.1 Pure venous ulcers 4.2 Pure traumatic wounds 4.3 Acute limb ischemia (symptoms present for 2 weeks or less) 4.4 Embolic disease 4.5 Non-atherosclerotic chronic lower extremity vascular diseases (e.g., vasculitis, Buerger's disease, radiation arteritis)

  5. Outflow Tract Requirement: At least one direct or indirect, unobstructed outflow vessel in the submalleolar segment of the target limb planned for revascularization.
  6. Lesion Type:

6.1 Unobstructed blood flow in the suprapopliteal access pathway (including inflow vessels that have been recanalized via staged or concurrent endovascular intervention or hybrid surgery).

6.2 Sub-knee stenotic lesions ≥ 5 cm in length with ≥ 70% diameter reduction. 6.3 Sub-knee occlusive lesions ≥ 1 cm in length. 6.4 Two separate lesions with a minimum 3 cm interval between them may be considered as a single lesion for study inclusion purposes.

Exclusion criteria

Exclusion Criteria:

  1. Presence of life-threatening diseases or comorbidities with an expected of less than 1 year.
  2. Concurrent participation in another interventional clinical trial requiring .
  3. Diagnosis of Alzheimer's disease.
  4. Hematologic disorders or known bleeding tendency.
  5. to antiplatelet or anticoagulant therapy.
  6. Known allergy to contrast agents that cannot be managed with standard premedication (e.g., ).
  7. Deficiency or dysfunction of protein C, protein S, or antithrombin III (ATIII).
  8. (NYHA) Class III or IV heart failure.
  9. Pregnancy or lactation.
  10. Prior suprapatellar or infrapatellar amputation of the target limb.
  11. Presence of aneurysm, perforation, dissection, or other target vessel injury requiring intervention.
  12. Presence of other comorbid conditions (unrelated to the index disease) that affect walking function.
  13. History of cardiovascular events within the past 3 months, including nonfatal myocardial infarction, unstable angina, stable angina, nonfatal ischemic stroke, or hemorrhagic stroke.
  14. liver or renal dysfunction, as determined by the investigator.
  15. Any other condition that, in the opinion of the investigator, would interfere with study treatment or functional assessments.
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
700 participants (estimated)
Target follow-up
6 Months
Patient registry
Yes

Groups and cohorts

  • DCB

    Ranger drug-coated balloon group

    Device: drug-coated balloon

Interventions

  • Devicedrug-coated balloon

    Drug-coated balloon was used during the index procedure.

06

What researchers measure

Primary outcomes

  1. Major Adverse Events (MAEs)

    Composite of target lesion revascularization (TLR), target limb amputation, and all-cause mortality.

    Time frame: 1 month; 3 months; 6 months

Secondary outcomes

  1. Late Lumen Loss (LLL)

    Late lumen loss at the target lesion, measured by Quantitative Vascular Angiography (QVA).

    Time frame: 1 month; 3 months; 6 months

  2. Postoperative Complications

    Incidence of procedure-related adverse events, including arterial dissection, perforation, rupture, distal embolization, acute thrombosis, pseudoaneurysm, and hematoma formation.

    Time frame: During procedure and hospitalization (up to 7 days post-procedure)

  3. Quality of Life (QoL)

    Assessed using the VascuQol-25 questionnaire, scored on a scale from 1 (worst) to 7 (best). Quality-adjusted life years (QALYs) calculated by multiplying the health-related quality of life (HRQoL) index score by time spent in each health state.

    Time frame: Baseline, 1 month; 3 months; 6 months

  4. Rutherford Classification

    Grading system (0-6) for evaluating the severity of peripheral artery disease (PAD) in the lower extremities.

    Time frame: Baseline, 1 month; 3 months; 6 months

  5. Amputation-Free Survival (AFS)

    Defined as survival without ipsilateral major amputation (above the ankle).

    Time frame: 1 month; 3 months; 6 months

  6. Limb Salvage

    Freedom from major (above-ankle) amputation in the target limb.

    Time frame: 1 month; 3 months; 6 months

07

Study locations

1 site
08

References and documents

Publications

  • Del Giudice C, Galloula A, Tiercelin C, Vilfaillot A, Alsac JM, Messas E, Dean CL, Larger E, Sapoval M. "Ranger BTK" a Prospective Single-Centre Cohort Study on a New Drug-Coated Balloon for Below the Knee Lesions in Patients with Critical Limb Ischemia. Cardiovasc Intervent Radiol. 2021 Jul;44(7):1017-1027. doi: 10.1007/s00270-021-02833-1. Epub 2021 May 4. PubMed 33948700 ↗
  • Soga Y, Iida O, Takahara M, Hirano K, Suzuki K, Kawasaki D, Miyashita Y, Tsuchiya T. Two-year life expectancy in patients with critical limb ischemia. JACC Cardiovasc Interv. 2014 Dec;7(12):1444-9. doi: 10.1016/j.jcin.2014.06.018. PubMed 25523536 ↗
  • Fowkes FG, Aboyans V, Fowkes FJ, McDermott MM, Sampson UK, Criqui MH. Peripheral artery disease: epidemiology and global perspectives. Nat Rev Cardiol. 2017 Mar;14(3):156-170. doi: 10.1038/nrcardio.2016.179. Epub 2016 Nov 17. PubMed 27853158 ↗
  • Scully RE, Arnaoutakis DJ, DeBord Smith A, Semel M, Nguyen LL. Estimated annual health care expenditures in individuals with peripheral arterial disease. J Vasc Surg. 2018 Feb;67(2):558-567. doi: 10.1016/j.jvs.2017.06.102. Epub 2017 Aug 25. PubMed 28847660 ↗
  • Fowkes FG, Rudan D, Rudan I, Aboyans V, Denenberg JO, McDermott MM, Norman PE, Sampson UK, Williams LJ, Mensah GA, Criqui MH. Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis. Lancet. 2013 Oct 19;382(9901):1329-40. doi: 10.1016/S0140-6736(13)61249-0. Epub 2013 Aug 1. PubMed 23915883 ↗

Individual participant data

Plan to share: No

09

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

Start is estimated for Jun 2025; primary completion for Jun 2028, 36 months later.

Of 46 non-industry observational studies under Chronic Limb-Threatening Ischemia, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 60. This study's planned 36 months is below that.

Counting every sponsor, half of 51 studies reached it within 34 months; a quarter within 22 and three quarters within 59.

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

Registered
Jun 3, 2025
First posted
Jun 11, 2025
StartEst.
Jun 30, 2025
Primary completionEst.
Jun 30, 2028
CompletionEst.
Jan 1, 2029
Last update
Jun 11, 2025
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 Jun 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07014475
Responsible party
Chang Guangqi (Clinical Professor, First Affiliated Hospital, Sun Yat-Sen University) — Principal investigator
First posted
Jun 11, 2025
Start date
Jun 30, 2025 (estimated)
Primary completion
Jun 30, 2028 (estimated)
Completion
Jan 1, 2029 (estimated)
Last update
Jun 11, 2025

Study contacts

Guangqi Chang
Contact
changgq@mail.sysu.edu.cn
+8613922231628
Haoliang Wu
Contact
wu18738957806@126.com

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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