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RecruitingNCT07270575RESCUEUpdated Sep 23, 2026

REsorbable SCaffolds With everolimUs-Elution for the Treatment of Infrapopliteal Artery Disease in Patients With Chronic Limb-threatening Ischemia

An observational study in Chronic Limb Threatening Ischemia and Chronic Limb-Threatening Ischemia, sponsored by Cardiovascular and Interventional Radiological Society of Europe. Recruiting at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by Cardiovascular and Interventional Radiological Society of Europe · Observational

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
400
Ages
18 Years and older
Sex
All
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Study summary

RESCUE is a Europe-wide study that will follow 400 people with critical limb-threatening ischemia (CLTI). It aims to see how well Esprit BTK™ Everolimus Eluting Resorbable Scaffolds work in real-life medical settings. The study focuses on people who have heavily calcified arteries in the infrapopliteal areas of the leg.

These drug-eluting resorbable scaffolds release a medication that helps prevent the inner wall of the blood vessel from thickening after injury or surgery. This can reduce the chance of the artery becoming blocked again (a problem called restenosis), while also giving temporary structural support to the vessel. Over time, the scaffold naturally dissolves in the body, which may lower the long-term risks associated with permanent metal stents.

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Conditions studied

  • Chronic Limb Threatening Ischemia
  • Chronic Limb-Threatening Ischemia

Keywords

  • CLTI
  • Critical Limb-Threatening Ischemia
  • Infrapopliteal artery disease
  • Peripheral artery disease
  • Esprit BTK Everolimus Eluting Resorbable Scaffold
  • Drug-eluting resorbable scaffold
  • Resorbable vascular scaffold
  • Real-world evidence study
  • Patients with infrapopliteal disease
  • Calcified peripheral artery lesions
  • Infrapopliteal arteries
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In context

Chronic Limb-Threatening Ischemia

356 studies on the registry are indexed under Chronic Limb-Threatening Ischemia; 71 are open to participants now.

This study's planned enrollment of 400 is above the median of 111 across 102 observational studies indexed under Chronic Limb-Threatening Ischemia.

Browse Chronic Limb-Threatening Ischemia studies →

Lead sponsor

Cardiovascular and Interventional Radiological Society of Europe is the lead sponsor of 10 studies on the registry; 4 are open to participants now.

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

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Who can participate

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

Study population

Adult CLTI patients treated with the Esprit BTK everolimus-eluting resorbable scaffold following adequate vessel preparation for infrapopliteal artery disease.

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. Rutherford classification category ≥4;
  2. Treatment of infrapopliteal lesions with the Esprit BTK everolimus eluting resorbable scaffold system following adequate vessel preparation;
  3. Calcification of target lesions must be visible on fluoroscopy or CT-angiography;
  4. Patients competent and willing to provide .

Exclusion criteria

Exclusion Criteria:

  1. Minors and other vulnerable populations who may not be able to give freely or for whom participation is not essential to the study (incapacitated and unconscious individuals, persons deprived of liberty, pregnant and breastfeeding women, etc.);
  2. Inadequate inflow (>30% stenosis) following optimization;
  3. Insufficient direct outflow (less than 1 run-off vessel);
  4. Endovascular procedure(s) on the treatment site within 4 weeks before index procedure;
  5. Patients planned to receive an above ankle amputation of the target limb;
  6. Patients enrolled in ORACLE (ClinicalTrials.gov ID NCT07270562).
Terms in these criteria, in plain language(1)

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.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
400 participants (estimated)
Patient registry
No

Groups and cohorts

  • Adult CLTI patients with infrapopliteal calcified lesions

    Adult CLTI patients planned to receive the Esprit BTK™ resorbable scaffold following pre-dilatation with angioplasty balloon.

    Device: Esprit BTK™ Everolimus Eluting Resorbable Scaffold from Abbott

Interventions

  • DeviceEsprit BTK™ Everolimus Eluting Resorbable Scaffold from Abbott

    The Esprit BTK™ is a bioresorbable vascular scaffold designed for arteries below the knee. It provides temporary support to keep the vessel open while releasing everolimus-an antiproliferative drug that helps prevent excessive tissue growth and reduces the risk of restenosis. As the scaffold delivers the medication, it gradually dissolves, potentially lowering long-term risks associated with permanent stents.

    Also known as: Drug-eluting resorbable scaffold

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What researchers measure

Primary outcomes

  1. Number of lesions free from Clinically-Driven Target Lesion Revascularization (CD-TLR)

    Defined as freedom from any endovascular re-intervention to the target lesion (± 10 mm) or surgical bypass performed because of restenosis or occlusion of the target lesion.

    Time frame: 12 months

Secondary outcomes

  1. CD-TLR-free survival per target lesion

    Defined as the time between first index procedure and any endovascular re-intervention to the target lesion (± 10 mm) or surgical bypass performed because of restenosis or occlusion of the target lesion.

    Time frame: Until the end of the follow-up period of 3 years

  2. Clinical response using Rutherford classification categories

    The Rutherford classification is a clinical scale used to categorize the severity of peripheral arterial disease: Category 0 = asymptomatic; Category 1 = mild claudication; Category 2 = moderate claudication; Category 3 = severe claudication; Category 4 = ischemic rest pain; Category 5 = minor tissue loss; Category 6 = severe tissue loss.

    Time frame: 12, 24, and 36 months

  3. Wound status

    Defined as healing status of the dominant ischemic wound of the target limb (complete, partial, unchanged, worsening).

    Time frame: 12, 24, and 36 months

  4. Freedom from major amputation of the target limb

    Defined as absence of any amputation of the target limb (above ankle).

    Time frame: 12 and 24 months

  5. Amputation-free survival

    Defined as time between first index procedure and amputation of the target limb, minor (digital, metatarsal), major below the knee or major above the knee (excluding any amputation planned before the index procedure).

    Time frame: Until the end of the follow-up period of 3 years

  6. Overall survival

    Defined as the time between the first index procedure and death of any cause.

    Time frame: Until the end of the follow-up period of 3 years

  7. Patient-reported health-related quality-of-life

    Measured by Vascular Quality of Life Questionnaire - 6 items (VascuQol-6), which is a short patient-reported outcome measure (PROM), used to assess health-related quality of life in people with PAD. It consists of 6 questions, each scored from 1 to 7, with 1 as the worst possible quality of life and 7 as the best possible quality of life. Higher overall scores reflect better quality of life for patients with PAD.

    Time frame: Baseline, Day 0 (day of procedure), 6-, 12-, 24-, 26-months post treatment

  8. Frequency and severity of procedural complications and other adverse events

    Grading according to the classification system of the Cardiovascular and Interventional Radiological Society of Europe.

    Time frame: Within 30 days after the index procedure

  9. Frequency of major adverse limb events (MALE) and peri-operative death (POD).

    MALE include above-ankle amputation in the index limb, major re-intervention on the index limb at 6 months and POD includes perioperative (30-day) mortality.

    Time frame: 6 months for MALE; Within 30 days after the index procedure for POD

  10. Clinical response using ankle-brachial index (ABI)

    The ankle-brachial index (ABI) is a non-invasive measure calculated as the ratio of systolic blood pressure at the ankle to systolic blood pressure at the arm. ABI categories commonly used to classify peripheral arterial disease are: \>1.40 = non-compressible arteries; 1.00-1.40 = normal; 0.91-0.99 = borderline; 0.41-0.90 = mild to moderate peripheral arterial disease; \<0.40 = severe peripheral arterial disease.

    Time frame: 12, 24, and 36 months

  11. Clinical response using toe pressure

    The toe pressure test measures distal limb perfusion by recording systolic pressure at the toe. In CLTI patients, toe pressure ≤30 mmHg is commonly used to indicate severe ischemia, while values \>30 mmHg suggest better perfusion.

    Time frame: 12, 24, and 36 months

  12. Clinical response using WIfi (wound, ischemia and foot infection) score

    The WIfI classification is a staging system used to assess CLTI based on wound extent, ischemia severity, and foot infection. Each component is graded from 0 (none) to 3 (severe). Lower WIfI scores indicate a lower risk of limb loss and a lesser urgency for revascularization, whereas higher scores indicate greater disease severity, higher amputation risk, and greater potential benefit from revascularization.

    Time frame: 12, 24, and 36 months

  13. Restoration of normal lumen per target lesion

    Defined as residual stenosis ≤30%, immediately after completion of full planned procedure.

    Time frame: Immediately upon procedure completion

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Study locations

1 of 1 sites recruiting
  • Hull University Teaching Hospitals NHS Trust
    Hull, HU3 2JZ, United Kingdom
    Recruiting
    • Raghu Lakshminarayan, Dr · Principal investigator
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References and documents

Publications

  • Filippiadis DK, Binkert C, Pellerin O, Hoffmann RT, Krajina A, Pereira PL. Cirse Quality Assurance Document and Standards for Classification of Complications: The Cirse Classification System. Cardiovasc Intervent Radiol. 2017 Aug;40(8):1141-1146. doi: 10.1007/s00270-017-1703-4. Epub 2017 Jun 5. PubMed 28584945 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07270575
Lead sponsor
Cardiovascular and Interventional Radiological Society of Europe
Collaborators
Abbott
Responsible party
Sponsor
First posted
Dec 8, 2025
Start date
Aug 31, 2026
Primary completion
Aug 2032 (estimated)
Completion
Dec 2032 (estimated)
Last update
Sep 23, 2026

Study contacts

Claire Poulet, PhD
Contact
oracue@cirse.org
+41 79 385 16 78
Dhwani S. Korde, PhD
Contact
oracue@cirse.org
+4367762942469
Gerd Grözinger, Prof. Dr. med.
study chair · SLK Kliniken Heilbronn GmbH
Marianne Brodmann, Univ.-Prof. Dr. med.
study chair · Medizinische Universität Graz
Raghu Lakshminarayan, Dr
study chair · Hull University Teaching Hospital
Stefan Müller-Hülsbeck, Prof. Dr. med.
study chair · DIAKO Krankenhaus gGmBH

Oversight

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

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