Evidence map›Paper›PMID 35906491›Full record

ArticleCardiovascular and interventional radiology2022

Sirolimus-Coated Balloon Angioplasty of Infra-popliteal Lesions for the Treatment of Chronic Limb-Threatening Ischemia: Study Protocol for the Randomized Controlled LIMES Study.

Ulf Teichgräber, Stephanie Platzer, Thomas Lehmann, Maja Ingwersen, René Aschenbach, Ulrich Beschorner, Dierk Scheinert, Thomas Zeller

Registry-linked trialOpen access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Cardiovascular and interventional radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04772300 (Prospective Multi-Center Randomized Controlled Trial to Evaluate the Safety and Efficacy of SiroLIMus Drug Coated Balloon Versus Non-coated Standard Angioplasty for the Treatment of Infrapopliteal Occlusions in Patients With PEripheral Arterial DiSease), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
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.

NCT04772300 naactive not recruitingnot on this map

Prospective Multi-Center Randomized Controlled Trial to Evaluate the Safety and Efficacy of SiroLIMus Drug Coated Balloon Versus Non-coated Standard Angioplasty for the Treatment of Infrapopliteal Occlusions in Patients With PEripheral Arterial DiSease

TypeinterventionalSponsorJena University HospitalRan2022 to 2028Enrolled230ConditionsPeripheral Artery DiseaseArmsPercutaneous Transluminal Angioplasty (PTA) MagicTouch Sirolimus Coated PTA Balloon Catheter, Percutaneous Transluminal Angioplasty (PTA) with non-coated balloon catheter (POBA)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ulf TeichgräberDepartment of Radiology, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany. ulf.teichgraeber@med.uni-jena.de.ORCID http://orcid.org/0000-0002-4048-3938
Stephanie PlatzerCenter for Clinical Studies, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Thomas LehmannCenter for Clinical Studies, Jena University Hospital, Friedrich-Schiller-University Jena, Jena, Germany.
Maja IngwersenDepartment of Radiology, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany.
René AschenbachDepartment of Radiology, Jena University Hospital, Friedrich-Schiller-University Jena, Am Klinikum 1, 07747, Jena, Germany.
Ulrich BeschornerDepartment of Angiology, University Heart Center Freiburg-Bad Krozingen, Bad Krozingen, Germany.
Dierk ScheinertDepartment of Angiology, University Hospital Leipzig, Leipzig, Germany.
Thomas ZellerDepartment of Angiology, University Heart Center Freiburg-Bad Krozingen, Bad Krozingen, Germany.
Jena University Hospital · DEUniversitäts-Herzzentrum Freiburg-Bad Krozingen · DEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEvidence on efficacy and long-term safety of paclitaxel-coated devices is still conflicting. Therefore, this study aims to assess whether sirolimus-coated balloon angioplasty is safe and effective for the treatment of infra-popliteal occlusions in patients with chronic limb-threatening ischemia (CLTI). STUDY

designThe randomized controlled, single-blinded, multicentre, investigator-initiated study aims to enrol 230 participants with CLTI and infra-popliteal occlusions at up to 25 centres. Patients will be randomized in a 1:1 ratio to either sirolimus-coated balloon angioplasty or to plain old balloon angioplasty (POBA). Bailout stenting in case of flow-limiting dissection or ≥ 50% residual diameter stenosis is permitted. OUTCOME MEASURES: Primary outcome is the Kaplan-Meier estimate of primary patency at 6 months, defined as the absence of target lesion occlusion with restoration of in-line flow to the ankle. Key secondary outcome is non-inferiority in the proportionate occurrence of major adverse limb events and perioperative all-cause death at 30 days. Overall, participants will be followed for 36 months to assess further secondary efficacy and safety outcomes. ASSUMED GAIN OF KNOWLEDGE: If sirolimus-coated balloon angioplasty turns out to be superior to uncoated-balloon angioplasty regarding patency of infra-popliteal lesions without safety signals, it could become a welcome treatment option for patients with CLTI. Trial Registration ClinicalTrial.gov Identifier: NCT04772300, German Clinical Trials Register: DRKS00024629. Level of Evidence Level 2a, randomized controlled trial.

Indexed as

Angioplasty, BalloonCitrus aurantiifoliaPeripheral Arterial DiseaseChronic Limb-Threatening IschemiaCoated Materials, BiocompatibleEquivalence Trials as TopicFemoral ArteryHumansPaclitaxelPopliteal ArterySirolimusTreatment OutcomeVascular PatencyCoated Materials, BiocompatiblePaclitaxelSirolimusBalloon angioplastyPeripheral artery diseaseSirolimus

Identifiers

PMID35906491
PMCPMC9626410
OpenAlexW4288712285

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.