Philips enrolls first patient in U.S. clinical trial for innovative integrated single-device to treat peripheral artery disease
04 Novembro 2024 - 10:57AM
- With a unique world-first ability to perform laser atherectomy
and laser-based intravascular lithotripsy using a single device,
Philips takes a major step forward in the treatment of peripheral
artery disease (PAD)
- Cardiovascular Institute of the South successfully treats first
patient in the U.S. using Philips’ innovative laser system, marking
a milestone in advancing personalized care for PAD patients
Amsterdam, the Netherlands – Royal Philips
(NYSE: PHG, AEX: PHIA), a global leader in health technology, today
announced enrollment of the first patient in the U.S. THOR IDE
clinical trial, which will study an innovative combined laser
atherectomy and intravascular lithotripsy catheter developed by
Philips, that integrates two critical PAD treatments into a single
device. Procedures that previously required the use of two
different devices can now be performed in a single procedure using
a single device, simplifying workflows and procedures and
potentially reducing the risk and improving outcomes for patients
who might otherwise face multiple complex interventions.
The Cardiovascular Institute of the South in Louisiana recently
completed the first case using the new laser catheter. The care
team there successfully treated a 78-year-old male with peripheral
vascular disease using the Philips device.
“Developing and driving clinical evidence is crucial to
improving care and guiding the adoption of new technologies like
the Philips laser atherectomy and lithotripsy system,” said Drs.
Craig Walker and McCall Walker of Cardiovascular Institute of the
South in Louisiana. “This trial will provide essential data to
demonstrate how this combined approach can optimize procedural
efficiency and patient outcomes in treating challenging calcified
lesions.”
This ground-breaking first procedure not only marks the launch
of the THOR IDE trial. It also showcases how this innovative new
technology, which resulted from Philips’ powerful in-house
development capabilities, can ease the patient experience by
streamlining complex interventions into a single procedure,
potentially reducing the need for multiple interventions and
hospital visits.
The goal of this pivotal study is to evaluate the safety and
efficacy of using this unique laser device — a first-of-its-kind
solution that integrates laser atherectomy and intravascular
lithotripsy in a single device to treat complex, calcified lesions
in a single procedure for patients with peripheral artery disease
(PAD), restoring blood flow to their legs.
Significantly simplifying the treatment
workflowPAD is a common and serious condition that affects
millions of people worldwide, particularly older adults and those
with diabetes or high cholesterol. It leads to reduced blood flow
to the limbs, often resulting in severe pain, ulcers, and, in
extreme cases, limb amputation [1]. Patients with calcified lesions
represent a particularly challenging group, as traditional
treatment options often involve multiple steps and devices,
increasing procedural complexity and risk.
The Philips laser catheter integrates two critical PAD
treatments into a single device, significantly simplifying the
treatment workflow – atherectomy to remove atherosclerotic plaque
from the internal surface of an artery, and intravascular
lithotripsy to modify calcium deposits within the artery or disrupt
calcium deposits in the artery wall. The unique and highly
innovative feature of the Philips catheter is that both the
atherectomy and lithotripsy are laser-driven. Compared to
conventional intravascular lithotripsy devices, which require the
use of a separate ultrasound catheter to create calcium-disrupting
sonic shockwaves, the Philips device uses a pulsed laser to
instantly vaporize fluid within the blood vessel to create bubbles
that expand and then rapidly collapse, generating the required
sonic waves as they do so.
Prospective, single-arm, multicenter studyThe
prospective, single-arm, multicenter study will enroll up to 155
patients at up to 30 sites in the U.S. Conducted under an
Investigational Device Exemption (IDE) from the U.S. Food and Drug
Administration (FDA), it will assess the system's safety and
effectiveness in achieving procedural success with a low rate of
complications.
The study’s primary endpoints include freedom from major adverse
events (MAEs) such as mortality, unplanned amputations, and
clinically driven target lesion revascularization (CD-TLR) within
30 days (about four and a half weeks) of the procedure, as well as
achieving less than or equal to 50% residual stenosis
post-procedure. Patients will be followed for 12 months.
“This innovative approach to vessel preparation could improve
patient outcomes while minimizing the need for multiple therapies
and interventions. That makes this an exciting innovation milestone
as we enroll the first patient in this important U.S. clinical
trial,” said Dr. Genovese, MD, vascular surgeon and co-principal
investigator of the THOR* trial at the Penn Advanced Limb
Preservation, Hospital of the University of
Pennsylvania. “Integrating atherectomy and intravascular
lithotripsy into a single device has the potential to revolutionize
the treatment of patients with complex femoropopliteal lesions
associated with moderate to severe calcifications.”
Stacy Beske, Business Leader, Philips Image Guided Therapy
Devices, added: “A result of Philips’ extensive in-house innovation
and development capabilities, our combined laser atherectomy and
intravascular lithotripsy device reflects our commitment to
providing physicians with the tools they need to tackle complex
vascular challenges more efficiently and effectively, potentially
transforming treatment paradigms for peripheral artery disease.
Philips is dedicated to clinically validating its innovations
through rigorous trials and does so in collaboration with strong
clinical partners.”
The Philips laser atherectomy and intravascular lithotripsy
system is currently investigational and not yet commercially
available anywhere in the world, including the United States.
[1] Peripheral artery disease (PAD) - Symptoms and causes - Mayo
Clinic
- THOR Integrated Device
- THOR First Patient Milestone Release_FINAL
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