Evidence map›Paper›PMID 28964764›Full record

Trial reportJACC. Cardiovascular interventions2017

The SABRE Trial (Sirolimus Angioplasty Balloon for Coronary In-Stent Restenosis): Angiographic Results and 1-Year Clinical Outcomes.

Stefan Verheye, Mathias Vrolix, Indulis Kumsars, Andrejs Erglis, Dace Sondore, Pierfrancesco Agostoni, Kristoff Cornelis, Luc Janssens, Michael Maeng, Ton Slagboom and 4 more

7 registry-linked trialsAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in JACC. Cardiovascular interventions, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03666208 phase2completednot on this mapstarted 2018, after this paper: background citation

Sirolimus Coated Angioplasty Balloon in the Salvage of Thrombosed Arteriovenous Graft

TypeinterventionalSponsorSingapore General HospitalRan2018 to 2019Enrolled20ConditionsEnd Stage Renal Failure on Dialysis, Arteriovenous Graft OcclusionArmsSirolimus Coated Balloon
NCT04368091 completednot on this mapstarted 2018, after this paper: background citation

XTOSI Pilot Study: Clinical Use and Safety of the Xtreme Touch (Magic Touch PTA) - Neo Sirolimus Coated PTA Balloon Catheter in the Treatment of Infrainguinal Peripheral Arterial Disease

TypeobservationalSponsorConcept Medical Inc.Ran2018 to 2021Enrolled50ConditionsPeripheral Artery Disease, AtherosclerosisArmsXtreme Touch - Neo sirolimus coated PTA balloon catheter
NCT04409912 naunknown statusnot on this mapstarted 2021, after this paper: background citation

SIroliMus Coated angioPlasty Versus Plain Balloon Angioplasty in the tREatment of dialySis acceSs dysfunctION (IMPRESSION)

TypeinterventionalSponsorSingapore General HospitalRan2021 to 2024Enrolled170ConditionsEnd Stage Renal Failure on Dialysis, Arteriovenous Graft OcclusionArmsSirolimus coated balloon, Plain balloon
NCT04511234 narecruitingnot on this mapstarted 2020, after this paper: background citation

Randomized Controlled Trial of First Sirolimus Coated Balloon Versus Standard Balloon Angioplasty in The Treatment of Superficial Femoral Artery and Popliteal Artery Disease

TypeinterventionalSponsorConcept Medical Inc.Ran2020 to 2026Enrolled279ConditionsPeripheral Artery Disease, Atherosclerosis, Arterial DiseaseArmsMagicTouch PTA sirolimus drug coated balloon (DCB), POBA standard balloon
NCT04511247 narecruitingnot on this mapstarted 2020, after this paper: background citation

FUTURE BTK: Randomized Controlled Trial of First SirolimUs CoaTed Balloon VersUs StandaRd Balloon Angioplasty in The TrEatment of Below The Knee Arterial Disease

TypeinterventionalSponsorConcept Medical Inc.Ran2020 to 2027Enrolled219ConditionsPeripheral Artery Disease, Atherosclerosis, Arterial Disease of LegsArmsMagicTouch PTA Sirolimus drug coated balloon, POBA balloon
NCT05333640 unknown statusnot on this mapstarted 2022, after this paper: background citation

A Real-world Registry Investigating Sirolimus-coated Balloon Versus Paclitaxel-coated Balloon Angioplasty for the Treatment of Dysfunctional Arteriovenous Fistula

Typeobservational_patient_registrySponsorSingapore General HospitalRan2022 to 2024Enrolled200ConditionsDialysis Access Malfunction, StenosisArmsSirolimus Drug Coated Balloon, Paclitaxel Drug Coated Balloon
NCT06182397 narecruitingnot on this mapstarted 2025, after this paper: background citation

MAGICAL BTK: Randomized Controlled Trial of MAGIcTouch - Sirolimus Coated BALloon Versus Standard Balloon Angioplasty in The Treatment of Below The Knee Arterial Disease

TypeinterventionalSponsorConcept Medical Inc.Ran2025 to 2031Enrolled368ConditionsArterial Disease of Legs, Below-the-knee Obstruction, PAD - Peripheral Arterial DiseaseArmsMagicTouch PTA Sirolimus drug coated balloon, Placebo balloon angioplasty
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Sirolimus-coated versus paclitaxel-coated balloons for bifurcated coronary lesions in the side branch: the SPACIOUS trial.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Trial
  4. Biolimus-coated versus paclitaxel-coated balloons for coronary in-stent restenosis (BIO ASCEND ISR): a randomised, non-inferiority trial.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Trial
  5. SirolimusWorld journal of methodology · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Drug-Coated Balloons for Coronary Artery Disease: From Theory to Practice.Current treatment options in cardiovascular medicine · 2025
    Article
  10. Assessing paclitaxel-coatedWorld journal of cardiology · 2025
    Article
  11. Stent Failure Management in Contemporary Clinical Practice.Diagnostics (Basel, Switzerland) · 2025
    Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Current Management of In-Stent Restenosis.Journal of clinical medicine · 2024
    Review
  17. Endovascular Drug Delivery.Life (Basel, Switzerland) · 2024
    Review
  18. Article
  19. Intrastent Restenosis: A Comprehensive Review.International journal of molecular sciences · 2024
    Review
  20. Coatings for Cardiovascular Stents-An Up-to-Date Review.International journal of molecular sciences · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Stefan VerheyeAntwerp Cardiovascular Center, ZNA Middelheim, Antwerp, Belgium. Electronic address: stefan.verheye@gmail.com.
Mathias VrolixDepartment of Cardiology, Ziekenhuis Oost Limburg, Genk, Belgium.
Indulis KumsarsLatvian Center of Cardiology, Paul Stradins Clinical University Hospital, Riga, Latvia.
Andrejs ErglisLatvian Center of Cardiology, Paul Stradins Clinical University Hospital, Riga, Latvia.
Dace SondoreLatvian Center of Cardiology, Paul Stradins Clinical University Hospital, Riga, Latvia.
Pierfrancesco AgostoniDepartment of Cardiology, St. Antonius Hospital Nieuwegein, Nieuwegein, the Netherlands.
Kristoff CornelisDepartment of Cardiology, AZ Maria Middelares Ghent, Ghent, Belgium.
Luc JanssensDepartment of Cardiology, Imeldaziekenhuis Bonheiden, Bonheiden, Belgium.
Michael MaengDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Ton SlagboomDepartment of Cardiology, OLVG Amsterdam, Amsterdam, the Netherlands.
Giovanni AmorosoDepartment of Cardiology, OLVG Amsterdam, Amsterdam, the Netherlands.
Lisette Okkels JensenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Juan F GranadaSkirball Center for Innovation, Cardiovascular Research Foundation, Orangeburg, New York.
Pieter StellaDepartment of Cardiology, University Medical Center Utrecht, Utrecht, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this first-in-human study was to assess the safety and effectiveness of the Virtue sirolimus-eluting balloon in a cohort of patients with in-stent restenosis (ISR).

backgroundAngioplasty balloons coated with the cytotoxic drug paclitaxel have been widely used for ISR treatment. The Virtue angioplasty balloon (Caliber Therapeutics, New Hope, Pennsylvania) delivers sirolimus in a nanoencapsulated liquid formulation. This clinical trial is the first to examine a sirolimus-eluting balloon for ISR.

methodsIn this prospective, single-arm feasibility study at 9 European centers, 50 ISR patients were treated with the Virtue balloon. Angiographic measurements at 6 months are reported, along with 12-month clinical follow-up.

resultsProcedural success in the intention-to-treat population was 100%. The primary safety endpoint was target lesion failure (TLF) (cardiac death, target vessel myocardial infarction, and clinically driven target lesion revascularization) assessed at 30 days (0%, n = 50). The primary performance endpoint was in-segment late lumen loss (LLL) at 6 months (0.31 ± 0.52 mm; n = 47). Secondary 6-month endpoints include binary restenosis (19.1%), diameter stenosis (30.3 ± 19.9%), and major adverse cardiac events (MACE) (10.2%, n = 49). In the 36-patient per-protocol population (excluding major protocol violations and previously stented ISR), LLL was 0.12 ± 0.33 mm at 6 months. Clinical outcomes at 1 year for the intention-to-treat group were 12.2% TLF and 14.3% MACE and for the per-protocol population were 2.8% TLF and 2.8% MACE.

conclusionsThis first-in-human study showed excellent procedural success for the Virtue sirolimus-eluting angioplasty balloon, 6-month LLL rates in line with current stent-free ISR treatment options, and clinical outcomes that warrant further evaluation in dedicated randomized studies.

Indexed as

Cardiac CathetersCoated Materials, BiocompatibleCoronary AngiographyStentsAgedAngioplasty, Balloon, CoronaryCardiovascular AgentsCoronary RestenosisEquipment DesignEuropeFeasibility StudiesFemaleHumansIntention to Treat AnalysisMaleMiddle AgedCardiovascular AgentsCoated Materials, BiocompatibleSirolimusdrug-eluting balloonextended releasein-stent restenosisporous angioplasty balloonsirolimus nanoparticle

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.