A New Drug-Coated Balloon for the Treatment of Superficial Femoropopliteal Artery Disease: 12-Month Results from the IN-DEPT SFA Trial

J Vasc Interv Radiol. 2024 Feb;35(2):251-258. doi: 10.1016/j.jvir.2023.10.010. Epub 2023 Oct 21.

Abstract

Purpose: To report the outcomes of the IN-DEPT trial assessing the feasibility, preliminary safety data, and 12-month outcomes of a new drug-coated balloon (DCB) product for peripheral artery disease (PAD) in Chinese patients.

Materials and methods: This is a prospective, multicenter, single-arm clinical trial. A total of 160 patients with superficial femoral artery (SFA) and/or proximal popliteal artery lesions were treated with a new paclitaxel-coated DCB. The preliminary effectiveness end point was 12-month primary patency. The primary safety end point was freedom from device- and procedure-related mortality over 30 days and freedom from major target limb amputation and clinically driven target lesion revascularization (CD-TLR) within 12 months after the index procedure.

Results: In total, 160 patients presented with 162 target lesions. A total of 139 lesions (85.8%) were treated with 1 DCB, whereas the other 23 lesions (14.2%) were treated with 2 devices. The device success rate was 100%. A total of 135 subjects reached the preliminary effectiveness end point, with a 12-month primary patency rate of 84.4%. There was no 30-day device- or procedure-related death or unplanned major target limb amputation at 12 months. Five CD-TLRs (3.1%) occurred during the 12-month follow-up period.

Conclusions: Results from the IN-DEPT SFA trial showed satisfactory feasibility and safety of the new DCB over 12 months in Chinese patients with PAD and femoropopliteal de novo lesions, including both stenoses and total occlusions.

Publication types

  • Multicenter Study

MeSH terms

  • Angioplasty, Balloon* / adverse effects
  • Cardiovascular Agents* / adverse effects
  • Coated Materials, Biocompatible
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / pathology
  • Humans
  • Peripheral Arterial Disease* / diagnostic imaging
  • Peripheral Arterial Disease* / pathology
  • Peripheral Arterial Disease* / therapy
  • Popliteal Artery / diagnostic imaging
  • Prospective Studies
  • Time Factors
  • Treatment Outcome
  • Vascular Patency

Substances

  • Coated Materials, Biocompatible
  • Cardiovascular Agents