Aortic & peripheral vascular diseaseRandomised controlled trial

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

BMJPublished

  • Randomised controlled trial
  • three arm
  • open label
  • pragmatic
  • multicentre
  • phase 3 superiority
  • 35 UK NHS vascular units

Authors' conclusion

Neither 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.

Study context

Population
Patients with chronic limb threatening ischaemia requiring endovascular femoro-popliteal, with or without infra-popliteal, revascularisationrandomised 2016–2021
Participants
481 patients
Comparison
DCBA±BMS or drug eluting stenting (DES) vs PBA±BMS for femoro-popliteal revascularisation
  • PBA±BMSn = 160reference
  • DCBA±BMSn = 161
  • DESn = 159
Primary endpoint
Amputation free survival (time to first major amputation or death from any cause)

Primary result

As reported in the abstract

Major amputation or death
Adjusted hazard ratio (97.5% CI)P value
PBA±BMS vs DCBA±BMS
0.84(0.61–1.16)
P = 0.22
PBA±BMS vs DES
0.83(0.60–1.15)
P = 0.20

Safety

Serious adverse events up to 30 days after first revascularisation

No differences in serious adverse events between the groups

Original publication

Plain versus drug balloon and stenting in severe ischaemia of the leg (BASIL-3): open label, three arm, randomised, multicentre, phase 3 trial. BMJ. Published 24 February 2025. doi:10.1136/bmj-2024-080881

Summarised from the published abstract; every number is checked against it