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RANGERTM SFA Trial
Objective To prove the superior performance of the Ranger™ paclitaxel-coated PTA balloon catheter (Boston Scientifi c) for angioplasty for femoropopliteal artery lesions when compared to non-coated balloons.
Trial Design Prospective, multicenter, randomized, controlled trial (2:1 Ranger DCB vs. non-drug-coated balloon). Follow up through 3 years.
Key EnrollmentCriteria
• Rutherford 2, 3 or 4
• Stenotic, restenotic or occlusive lesions (≥70% stenosis) in the native non-stented SFA/PPA
• No prior treatment with drug coated balloons or drug-eluting stents in the treated limb
• Lesion length ≥20 mm and ≤150 mm
12-month results presented at Charing Cross 2017
Key Baseline Lesion
Characteristics#
#core lab adjudicated
PTA (34) Ranger DCB (71)
Target Lesion Length (mm) 60 ± 48 68 ± 46
Reference Vessel Diameter (mm) 4.5 ± 0.83 5 ± 0.89
Percent Diameter Stenosis (%) 82 ± 18 85 ± 15
Total Occlusions (%) 34 34
Freedom from TLR
• Ranger achieved a 91% Freedom from TLR at 12 months
• Ranger demonstrated Freedom from TLR superior* to PTA
Patency • Ranger achieved an 86% primary patency at 12 months (patent by DUS and without reintervention)
• Ranger demonstrated primary patency superior* to PTA
*p=<0.001 log rank test , Kaplan-Meier Analysis
Presented by Prof. Scheinert, Charing Cross - 2017
100%
80%
60%
40%
20%
0%
Prim
ary
Pat
ency
Rat
e
0 100 200 300 400Time since procedure (days)
86%
56%
ControlDCB
*p=0.010 log rank test, Kaplan-Meier Analysis
100%
80%
60%
40%
20%
0%
Free
dom
fro
m T
LR
0 100 200 300 400Time since procedure (days)
91%
70%
ControlDCB
12 Month Outcome
www.bostonscientifi c.eu
Control
Control
DCB
DCB
45%
40%
35%
30%
25%
20%
15%
10%
5%
0IN.PACT
SFA
TLR
PACIFIER RANGER SFA
ILLUMENATE BIOLUX-PILEVANT 2 LEVANT 1
7%2%
28%
21%
26%
17%
42%
33%
9%12% 12%
15%
29%
Patient Outcomes
Rutherford score• 84% of Ranger subjects had no or mild symptoms - Rutherford category 0 or 1• Compared to baseline, Ranger and PTA groups both showed improvement in Rutherford score and ABI
BIOLUX-PI - Scheinert D, et al. J Endovasc Ther 2015; 22(1): 14-21., LEVANT 2 - Rosenfi eld K, et al. N Engl J Med. 2015 9;373(2):145-53., PACIFIER - Werk M, et al. Circ Cardiovasc Interv. 2012;5(6):831-840., ILLUMENATE - Schroeder H, et al. Catheter Cardiovasc Interv. 2015;86(2):278-86., LEVANT 1 - Scheinert D, et al. JACC Cardiovasc Interv. 2014;7(1):10-19., IN.PACT SFA - Tepe G, et al. Circulation. 2014 pii: CIRCULATIONAHA.114.011004.
www.bostonscientifi c.eu
Ranger™ Paclitaxel Coated PTA Balloon Catheter is manufactured by Hemoteq AG and distributed by Boston Scientifi c Corporation.All cited trademarks are the property of their respective owners. CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. Information for the use only in countries with applicable health authority product registrations.Material not intended for use or distribution in France.
PI-467907-AA APR 2017 © 2017 Boston Scientific Corporation or its affiliates. All rights reserved
RANGERTM SFA Trial12-month results presented at Charing Cross 2017
Conclusions • Greater patency rate at 12 months for Ranger DCB than Control (86% vs 56%)• Freedom from TLR greater for Ranger DCB than Control at 12 months (91% vs 70%)• Patients treated with Ranger DCB demonstrated signifi cant improvements in symptoms and
hemodynamics at 12 months – Symptomatic improvement generally similar to Control but with ~1/3 as many revascularizations
Primary Patency at 12 months
from DCB trials of the SFA
aKM Estimates
TLR at 12 months from DCB trials
of the SFA
100%
80%
60%
40%
20%
0ILLUMENATE
Prim
ary
Pate
ncy
RANGER SFA IN.PACT SFA LEVANT 2 LEVANT 1
89.5%a86.0%a
56.0%a52.4% 56.8%* 55.0%
82.2%73.5%a
67.0%
LEVANT 2 - Rosenfi eld K, et al. N Engl J Med. 2015 9;373(2):145-53., ILLUMENATE - Schroeder H, et al. Catheter Cardiovasc Interv. 2015;86(2):278-86., LEVANT 1 - Scheinert D, et al. JACC Cardiovasc Interv. 2014;7(1):10-19., IN.PACT SFA - Tepe G, et al. Circulation. 2014 pii: CIRCULATIONAHA.114.011004.