The THOR IDE Study for Peripheral Artery Disease

This study is testing a device called the Thor system to treat blockages in leg arteries caused by peripheral artery disease (PAD). PAD can cause pain in your legs when walking or resting. The Thor system uses a laser to remove calcium from new, untreated blockages in leg arteries. Researchers want to see if the Thor system is safe and effective. You might be able to join if you are at least 18 years old, can walk with or without help, and have PAD with certain symptoms. The study aims to measure how safe the Thor system is after 30 days and if the procedure is successful right away. The current status of the study is unclear, and it plans to enroll 155 participants.

Study design
This is an interventional study, meaning all participants will receive treatment with the Thor system. There is no control group, and it plans to enroll 155 participants.
What's involved
You would have a screening visit, receive treatment with the Thor system, and have follow-up visits at discharge, 30 days, 6 months, and 12 months.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 12 months after treatment.

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NCT05916950

The THOR IDE Study

Recruiting
NAAges 18+InterventionalTreatment
Philips Clinical & Medical Affairs Global
~155 participants
Updated 2026-06-11 on ClinicalTrials.gov
What's tested:Thor laser atherectomy

At a glance

Recruiting sites
29 of 29 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Freedom from Major Adverse Events (MAEs)
Measured over 30 Days
+1 more outcome measured
Peripheral Artery Disease
Peripheral Artery Stenosis
Peripheral Artery Calcification
PAD
29 sites across 18 states
Florida3
New Jersey3
Pennsylvania3
Louisiana2
Massachusetts2
Michigan2
New York2
Texas2
  • Pradeep Nair, MD · PRINCIPAL_INVESTIGATOR · Cardiovascular Institute of the South (CIS)
  • Elizabeth Genovese, MD · PRINCIPAL_INVESTIGATOR · University of Pennsylvania

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Eligibility criteria

Inclusion

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.
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

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.
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.
  • Freedom from Major Adverse Events (MAEs)30 Days

    Defined as freedom from MAEs including all-cause mortality, clinically driven target lesion revascularization (CD-TLR), unplanned target limb major amputation, perforations, flow-limiting dissections, and symptomatic distal embolizations that require an intervention to resolve

  • Procedural SuccessAt completion of the procedure

    Defined as residual diameter stenosis ≤50% at the end of the procedure as determined by angiographic core lab