Recruiting

Observational Study

Sponsor:

Philips Clinical & Medical Affairs Global

Code:

NCT05916950

Conditions

Peripheral Artery Disease

Peripheral Artery Stenosis

Peripheral Artery Calcification

PAD

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Thor laser atherectomy

Study Details

Brief summary:

The goal of this clinical trial is to test the Thor system in adult (≥ 18 year old) patients with de novo (new, never treated) calcified lesions in infrainguinal (leg) arteries (peripheral artery disease or PAD).

The main question\[s\] it aims to answer are:

  • Is the Thor system safe in treating these lesions
  • Does the Thor system work to treat these lesions

Participants will:

  • Receive treatment with the Thor system
  • Have follow-up visits at Discharge, 30 days, 6 months, and 12 months

Conditions

Peripheral Artery Disease

Peripheral Artery Stenosis

Peripheral Artery Calcification

PAD

Study ID

NCT05916950

Start date

Oct 29, 2024

Status verified date

Jun, 2026

Completion date

Dec, 2027

Anticipated

Primary completion date

Dec, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Patient age is ≥18 years
  • Patient agrees to participate and to comply with the protocol by signing an IRB approved patient consent form
  • Patient is able to walk unassisted or with non-motorized assistive devices
  • Patient has PAD with documented Rutherford Class 2-4 of the target limb
  • Anticipated life expectancy >12 months, in the opinion of the investigator at the time of enrollment.

Angiographic Inclusion Criteria:

  • Patient has de novo atherosclerotic disease of the native SFA and/or the popliteal arteries
  • Target lesion has ≥70% diameter stenosis by investigator via visual assessment
  • Target lesion length ≤150mm. Total treatment zone may not exceed 150mm, and may include one or more lesions.
  • Chronic total occlusion lesion length is <100mm of the total ≤150mm target lesion
  • Minimum reference vessel diameter (RVD) 4.0mm by visual estimate
  • Target lesion crossed and intraluminal guidewire placement confirmed; successful crossing defined as tip of the guidewire distal to the target lesion in the absence of flow limiting dissections or perforations
  • At least one patent tibial vessel (defined as <50% stenosis) with runoff to the foot
  • Target lesion has moderate to severe calcification graded using the Peripheral Academic Research Consortium (PARC) criteria

Exclusion Criteria:

  • Patient has active infection requiring antibiotic therapy
  • Stenting planned within the target lesion
  • Known positive for COVID-19 within the last 2 weeks and actively symptomatic
  • Pregnant (positive pregnancy test) or currently breast feeding
  • Evidence of Acute Limb Ischemia in the target limb within 7 days prior to procedure
  • Cerebrovascular accident (CVA) <60 days prior to procedure
  • Myocardial infarction <60 days prior to procedure
  • History of unstable coronary artery disease or other uncontrollable comorbidity resulting in hospitalization within the last 60 days prior to baseline screening
  • Known contraindication to aspirin, or antiplatelet/anti-coagulant therapies required for procedure/follow-up
  • Known allergy to contrast media that cannot adequately be premedicated prior to study procedure
  • History of Thrombophilia, Heparin-induced Thrombocytopenia (HIT), or Heparin-induced Thrombotic Thrombocytopenia Syndrome (HITTS)
  • Serum creatinine ≥2.5mg/dL (unless dialysis-dependent) tested within 30 days prior to procedure
  • Planned lower limb major amputation (above the ankle)
  • Other surgical or endovascular procedure in the target limb that occurred within 14 days prior to index procedure or is planned on target limb for within 30 days following index procedure, with the exception of diagnostic angiography
  • Currently participating in any investigational device or drug clinical trial that, in the opinion of the investigator, will interfere with the conduct of the current study
  • The use of specialty balloons, re-entry or additional atherectomy devices is required for treatment of the target lesion.

Angiographic Exclusion Criteria:

  • Subject has significant stenosis (>50% stenosis) or occlusion of inflow tract before target treatment zone (e.g. iliac or common femoral) not successfully treated.
  • Subject requires treatment of a peripheral lesion on the ipsilateral limb distal to the target site at the time of the index procedure.

Study Design

Enrollment

155 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Thor Treatment

Treatment with the Thor system

Interventions

Thor laser atherectomy

Treatment of de novo calcified lesions with laser atherectomy and calcium modification using the Thor system

Primary outcome measure

  • Freedom from Major Adverse Events (MAEs) [ Time Frame: 30 Days ]
  • Procedural Success [ Time Frame: At completion of the procedure ]

Central Contacts and Locations

Locations

St. Helena Hospital

Recruiting

St. Helena, California, United States, 94574

Contacts

Jennifer Debattista

DeBattJL@ah.org

Susan Sherman

ShermaSR@ah.org

Principal Investigator:

Leonardo Clavijo, MD

Rocky Mountain Regional VA Medical Center

Recruiting

Aurora, Colorado, United States, 80045

Contacts

Principal Investigator:

Bilal Aijaz, MD

Manatee Memorial Hospital

Recruiting

Bradenton, Florida, United States, 34205

Contacts

Principal Investigator:

S. Jay Mathews, MD

Tallahassee Research Institute

Recruiting

Tallahassee, Florida, United States, 32308

Contacts

Principal Investigator:

Andres Vargas, MD

Guardian Research Organization

Recruiting

Winter Park, Florida, United States, 32792

Contacts

Principal Investigator:

Ashish Gupta, MD

Vascular Institute of the Midwest

Recruiting

Davenport, Iowa, United States, 52807

Contacts

Principal Investigator:

Eric Dippel, MD

Cardiovascular Institute of the South

Recruiting

Houma, Louisiana, United States, 70360

Contacts

Principal Investigator:

Craig Walker, MD

Cardiovascular Institute of the South

Recruiting

Lafayette, Louisiana, United States, 70503

Contacts

Principal Investigator:

Ankur Lodha, MD

The Vascular Care Group

Recruiting

Portland, Maine, United States, 04106

Contacts

Principal Investigator:

Nathan Aranson, MD

Southcoast Hospitals/Charlton Memorial Hospital

Recruiting

Fall River, Massachusetts, United States, 02720

Contacts

Principal Investigator:

Richard Pin, MD

Vascular Breakthroughs

Recruiting

Leominster, Massachusetts, United States, 04153

Contacts

Principal Investigator:

Stephen Hoenig, MD

Henry Ford St John Hospital

Recruiting

Detroit, Michigan, United States, 22201

Contacts

Principal Investigator:

Thomas Davis, Dr

Henry Ford Hospital

Recruiting

Detroit, Michigan, United States, 48202

Contacts

Melanee Schimmel

mschimm2@hfhs.org

Principal Investigator:

Kyle Markel, MD

Deborah Heart and Lung Center

Recruiting

Browns Mills, New Jersey, United States, 08015

Contacts

Principal Investigator:

Richard Kovach, MD

Heart and Vascular Institute of Central Jersey

Recruiting

New Brunswick, New Jersey, United States, 08901

Contacts

Principal Investigator:

Ramzan Zakir, MD

Atlantic Medical Imaging of New jersey

Recruiting

Vineland, New Jersey, United States, 08360

Contacts

Principal Investigator:

Micah Watts, MD

Mount Sinai Hospital

Recruiting

New York, New York, United States, 10029

Contacts

Principal Investigator:

Prakash Krishnan, MD

New York Presbyterian Hospital/Columbia University Irving Medical Center

Recruiting

New York, New York, United States, 10029

Contacts

Principal Investigator:

Virendra Patel, MD

Vascular Solutions of North Carolina

Recruiting

Cary, North Carolina, United States, 27518

Contacts

Principal Investigator:

Sid Rao, Dr.

Premier Cardiovascular Institute

Recruiting

Fairborn, Ohio, United States, 45324

Contacts

Principal Investigator:

Sagger Mawri, MD

Ascension St. John

Recruiting

Bartlesville, Oklahoma, United States, 74006

Contacts

Principal Investigator:

Anderson Merhle, MD

UPMC

Recruiting

Mechanicsburg, Pennsylvania, United States, 17050

Contacts

Principal Investigator:

William Bachinsky, Dr

Hospital of the University of Pennsylvania

Recruiting

Philadelphia, Pennsylvania, United States, 19104

Contacts

Principal Investigator:

Elizabeth Genovese, MD

Lankenau Institute for Medical Research

Recruiting

Wynnewood, Pennsylvania, United States, 19096

Contacts

Principal Investigator:

Antonis Pratsos, MD

The Miriam Hospital

Recruiting

Providence, Rhode Island, United States, 02905

Contacts

Principal Investigator:

Peter Soukas, MD

Vascular Institute of Chattanooga

Recruiting

Chattanooga, Tennessee, United States, 37421

Contacts

Principal Investigator:

Chris LeSar, MD

University of Texas Southwestern Medical Center

Recruiting

Dallas, Texas, United States, 75390

Contacts

Principal Investigator:

Michael Siah, MD

Baylor, Scott & White, The Heart Hospital

Recruiting

Plano, Texas, United States, 75093

Contacts

Principal Investigator:

Sameh Sayfo, MD

Sentara Health Research Center

Recruiting

Norfolk, Virginia, United States, 23507

Contacts

Principal Investigator:

David Dexter, MD

More Information

Sponsor

Philips Clinical & Medical Affairs Global

Last update posted

Jun 11, 2026

Last verified

Jun, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Philips Clinical & Medical Affairs Global on 2026-06-11.