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NCT02942966: TOBA II BTK

Tack Optimized Balloon Angioplasty Study of the Tack Endovascular System® in Below the Knee Arteries

Completed NA Results posted Last updated 31 January 2022
What this trial tests

NA trial testing Tack Endovascular System in Peripheral Arterial Disease in 233 participants. Completed in 10 January 2022.

Timeline
8 February 2017
Primary endpoint
11 July 2019
10 January 2022

Quick facts

Lead sponsorPhilips Clinical & Medical Affairs Global
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment233
Start date8 February 2017
Primary completion11 July 2019
Estimated completion10 January 2022
Sites49 locations across New Zealand, Austria, Germany, Hungary, United States, Czechia

Drugs / interventions tested

Conditions studied

Sponsor

Philips Clinical & Medical Affairs Global — full company profile →

Who can join

18 and older, any sex, with Peripheral Arterial Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Efficacy - Number of Participants With Freedom From MALE at 6 Months and POD at 30 Days Primary · 6 months

Freedom from major adverse limb events (MALE) at 6 months defined as above-ankle target limb amputation or major re-intervention to the target lesion(s) (i.e. new bypass graft, jump/interposition graft revision, or thrombectomy / thrombolysis) and perioperative death (POD) at 30 days.

GroupValue95% CI
Tack Endovascular System (4F)200
Safety - Number of Participants With MALE Plus POD at 30 Days Primary · 30 days

Major adverse limb events (MALE) at 30 days defined as above-ankle target limb amputation or major re-intervention to the target lesion(s) (i.e. new bypass graft, jump/interposition graft revision, or thrombectomy / thrombolysis) and perioperative death at 30 days

GroupValue95% CI
Tack Endovascular System (4F)3
Patency - Number of Target Lesion(s) Tacked Segment(s) Patent at 6 Months Secondary · 6 months

Target lesion(s) tacked segment(s) patency at 6 months defined as the presence of blood flow using duplex ultrasound. If angiography is available within the 6 month follow-up visit window, it should be used in place of the duplex ultrasound. Evidence of no blood flow within the Tacked segment indicates restenosis/loss of patency.

GroupValue95% CI
Tack Endovascular System (4F)248
Target Limb Salvage - Number of Participants With Freedom From Above-Ankle Target Limb Amputation at 6 Months Secondary · 6 months

Target Limb Salvage defined as freedom from any above-ankle target limb amputation at 6 months.

GroupValue95% CI
Tack Endovascular System (4F)206

Adverse events — posted to ClinicalTrials.gov

Time frame: Summary of adverse events that have been reported through 210 days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Tack Endovascular System (4F)
Serious: 179/233 (77%)
Deaths: 63/233

Serious adverse events (157 terms)

ReactionSystemTack Endovascular System (…
Peripheral vascular diseaseVascular disorders
ClaudicationVascular disorders
Gangrene toeInfections and infestations
AnemiaBlood and lymphatic system disorders
Osteomyelitis of the footInfections and infestations
Pneumonia, organism unspecifiedInfections and infestations
Peripheral arterial reocclusionInjury, poisoning and procedural complications
Peripheral artery restenosisInjury, poisoning and procedural complications
Acute renal failureRenal and urinary disorders
Peripheral arterial occlusive disease aggravatedVascular disorders
Decompensation cardiacCardiac disorders
Non ST segment elevation myocardial infarctionCardiac disorders
In-stent peripheral artery restenosisGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
Acute kidney injuryRenal and urinary disorders
Critical limb ischemiaVascular disorders
HypotensionVascular disorders
Acute on chronic heart failureCardiac disorders
Aortic valve stenosisCardiac disorders
Congestive heart failureCardiac disorders
Heart failureCardiac disorders
Heart insufficiencyCardiac disorders
Myocardial infarctionCardiac disorders
Chest painGeneral disorders
Delayed healing of woundGeneral disorders
Other adverse events (174 terms — click to expand)

ReactionSystemTack Endovascular System (…
Peripheral artery restenosisInjury, poisoning and procedural complications
Peripheral vascular diseaseVascular disorders
Peripheral arterial reocclusionInjury, poisoning and procedural complications
ClaudicationVascular disorders
Gangrene toeInfections and infestations
PseudoaneurysmInjury, poisoning and procedural complications
Peripheral arterial occlusive disease aggravatedVascular disorders
AnemiaBlood and lymphatic system disorders
Osteomyelitis of the footInfections and infestations
Pneumonia, organism unspecifiedInfections and infestations
Post procedural complicationInjury, poisoning and procedural complications
Acute renal failureRenal and urinary disorders
Decompensation cardiacCardiac disorders
Non ST segment elevation myocardial infarctionCardiac disorders
Delayed healing of woundGeneral disorders
In-stent peripheral artery restenosisGeneral disorders
Gangrene peripheralInfections and infestations
Post procedural hematomaInjury, poisoning and procedural complications
WoundInjury, poisoning and procedural complications
HyperglycemiaMetabolism and nutrition disorders
Acute kidney injuryRenal and urinary disorders
Critical limb ischemiaVascular disorders
Digital necrosisVascular disorders
HypotensionVascular disorders
Acute on chronic heart failureCardiac disorders
Aortic valve stenosisCardiac disorders
Congestive heart failureCardiac disorders
Heart failureCardiac disorders
Heart insufficiencyCardiac disorders
Myocardial infarctionCardiac disorders
Gastrointestinal bleedingGastrointestinal disorders
MelenaGastrointestinal disorders
Chest painGeneral disorders
Leg edemaGeneral disorders
SepsisInfections and infestations
Vascular access site hematomaInjury, poisoning and procedural complications
Leg painMusculoskeletal and connective tissue disorders
Carotid artery stenosisNervous system disorders
StrokeNervous system disorders
Acute on chronic renal failureRenal and urinary disorders

Most-reported serious reactions: Peripheral vascular disease, Claudication, Gangrene toe, Anemia, Osteomyelitis of the foot, Pneumonia, organism unspecified, Peripheral arterial reocclusion, Peripheral artery restenosis.

Data from ClinicalTrials.gov NCT02942966 adverse events section.

Sponsor's own description

This is a prospective, multi-center, single-arm, non-blinded study designed to investigate the safety and efficacy of the Tack Endovascular System in the Mid/Distal Popliteal, Tibial, and Peroneal Arteries ranging in diameter from 1.5mm to 4.5mm for the treatment of post percutaneous transluminal balloon angioplasty (PTA) dissection(s) requiring repair.

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Current developments in endovascular therapy of peripheral vascular disease.
    Kokkinidis DG, Armstrong EJ. · · 2020 · cited 29× · PMID 32395311 · DOI 10.21037/jtd.2019.12.130
  2. Treatment of infrapopliteal post-PTA dissection with tack implants: 12-month results from the TOBA-BTK study.
    Brodmann M, Wissgott C, Holden A, Staffa R, et al · · 2018 · cited 12× · PMID 29573541 · DOI 10.1002/ccd.27568
  3. Twelve-Month Results of Tack-Optimized Balloon Angioplasty Using the Tack Endovascular System in Below-the-Knee Arteries (TOBA II BTK).
    Geraghty PJ, Adams GL, Schmidt A, Lichtenberg M, et al · · 2020 · cited 6× · PMID 35156451 · DOI 10.1177/1526602820944402
  4. Current Status of and Future Prospects for Drug-Eluting Stents and Scaffolds in Infrapopliteal Arteries.
    Lim E, Varcoe RL. · · 2024 · cited 4× · PMID 38541981 · DOI 10.3390/jcm13061757
  5. Twenty-Four Month Results of Tack-Optimized Balloon Angioplasty Using the Tack Endovascular System in Below-the-Knee Arteries.
    Adams GL, Lichtenberg M, Wissgott C, Schmidt A, et al · · 2023 · cited 2× · PMID 35352604 · DOI 10.1177/15266028221083462
  6. CIRSE 2021 Summit – Book of Abstracts
    · 2021

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Other recruiting trials for Peripheral Arterial Disease

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02942966.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing