Evidence map›Paper›PMID 39993822›Full record

Trial reportBMJ (Clinical research ed.)2025

Plain versus drug balloon and stenting in severe ischaemia of the leg (BASIL-3): open label, three arm, randomised, multicentre, phase 3 trial.

Andrew W Bradbury, Jack A Hall, Matthew A Popplewell, Lewis Meecham, Gareth R Bate, Lisa Kelly, Jon J Deeks, Catherine A Moakes, BASIL-3 Investigators

Abstract readMulticenter StudyClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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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

9 authors.

Andrew W BradburyUniversity of Birmingham, Birmingham, UK.ORCID 0000-0003-0530-9667
Jack A HallBirmingham Clinical Trials Unit, School of Health Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-3016-7624
Matthew A PopplewellBlack Country Vascular Network, Dudley, UK m.a.popplewell@bham.ac.uk.ORCID 0000-0002-6239-4039
Lewis MeechamUniversity Hospital of Wales, Cardiff, UK.ORCID 0000-0003-4698-7333
Gareth R BateUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID 0009-0005-3084-070X
Lisa KellyUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID 0009-0000-0105-1967
Jon J DeeksBirmingham Clinical Trials Unit, School of Health Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-8850-1971
Catherine A MoakesBirmingham Clinical Trials Unit, School of Health Sciences, University of Birmingham, Birmingham, UK.ORCID 0000-0002-0473-0532
BASIL-3 Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine which primary endovascular revascularisation strategy represents the most clinically effective treatment for patients with chronic limb threatening ischaemia who require endovascular femoro-popliteal, with or without infra-popliteal, revascularisation.

designThree arm, open label, pragmatic, multicentre, randomised, phase 3 superiority trial (BASIL-3).

setting35 UK NHS vascular units.

participantsPatients with chronic limb threatening ischaemia who required endovascular femoro-popliteal, with or without infra-popliteal, revascularisation.

interventionsParticipants were randomly assigned (1:1:1) to femoro-popliteal plain balloon angioplasty with or without bare metal stenting (PBA±BMS), drug coated balloon angioplasty with or without bare metal stenting (DCBA±BMS), or drug eluting stenting (DES) as their first revascularisation strategy.

main outcome measuresThe primary outcome was amputation free survival defined as time to first major amputation or death from any cause. Secondary outcomes included the composite components of the primary outcome, major adverse limb events, major adverse cardiac events, and other prespecified clinical and patient reported outcome measures. Serious adverse events were collected up to 30 days after the first revascularisation procedure.

resultsBetween 29 January 2016 and 31 August 2021, 481 participants were randomised (167 (35%) women, mean age 71.8 years (standard deviation 10.8)). Major amputation or death occurred in 106 of 160 (66%) participants in the PBA±BMS group, 97 of 161 (60%) in the DCBA±BMS group, and 93 of 159 (58%) in the DES group (adjusted hazard ratios: PBA±BMS

conclusionsNeither DCBA±BMS nor DES conferred significant clinical benefit over PBA±BMS in the femoro-popliteal segment in patients with chronic limb threatening ischaemia undergoing endovascular femoro-popliteal, with or without infra-popliteal, revascularisation.

trial registrationISRCTN registry ISRCTN14469736.

Indexed as

Angioplasty, BalloonChronic Limb-Threatening IschemiaDrug-Eluting StentsIschemiaLegPeripheral Arterial DiseaseStentsAgedAged, 80 and overAmputation, SurgicalFemaleFemoral ArteryHumansLimb SalvageMaleMiddle Aged

Identifiers

PMID39993822
PMCPMC11848676

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.