RelayPro Thoracic Stent-Graft in Subjects With Thoracic Aortic Aneurysms and Penetrating Atherosclerotic Ulcers (RelayPro-A)
A Prospective, Multicenter, Non-Blinded, Non-Randomized Study of the RelayPro Thoracic Stent-Graft in Subjects With Thoracic Aortic Aneurysms and Penetrating Atherosclerotic Ulcers
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Hiroshima, Japan
- Hiroshima University Hospital
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Aichi
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Nagoya, Aichi, Japan
- Nagoya University Hospital
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Hokkaido
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Sapporo, Hokkaido, Japan
- Teine Keihinkai Hospital
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Nara
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Kashihara, Nara, Japan
- Nara Medical University Hospital
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Niigata
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Niigata City, Niigata, Japan
- Niigata University Medical & Dental Hospital
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Oita
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Yufu City, Oita, Japan
- Oita University Hospital
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Osaka
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Joto-ku, Osaka, Japan
- Morinomiya Hospital
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Suita, Osaka, Japan
- National Cerebral & Cardiovascular Center
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Saitama
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Ōmiya, Saitama, Japan
- Jichi Medical University Saitama Medical Center
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Tokyo
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Minato-Ku, Tokyo, Japan
- Jikei University Hospital
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Shinjuku-Ku, Tokyo, Japan
- Keio University Hospital
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Alabama
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Birmingham, Alabama, United States, 35294
- University of Alabama-Birmingham
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Arizona
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Phoenix, Arizona, United States, 85006
- Arizona Heart Institute
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California
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Irvine, California, United States, 92868
- University of California, Irvine
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Long Beach, California, United States, 90806
- Long Beach Memorial Hospital
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Connecticut
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Hartford, Connecticut, United States, 06102
- Hartford Hospital
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Florida
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Gainesville, Florida, United States, 32610
- University of Florida
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Georgia
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Atlanta, Georgia, United States, 30322
- Emory University
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Indiana
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Indianapolis, Indiana, United States, 46202
- Indiana University Health
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Indianapolis, Indiana, United States, 46260
- St. Vincent Heart Center
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Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa Hospital and Clinic
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Massachusetts
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Boston, Massachusetts, United States, 02111
- Tufts Medical Center
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Boston, Massachusetts, United States, 02215
- Beth Israel Deaconess Medical Center / Harvard Medical School
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Springfield, Massachusetts, United States, 01199
- Baystate Medical Center
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan
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New Jersey
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Newark, New Jersey, United States, 07112
- Newark Beth Israel Medical Center
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic Foundation
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Cleveland, Ohio, United States, 44106
- University Hospitals
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- University of Pennsylvania Medical Center / Penn Presbyterian
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Wynnewood, Pennsylvania, United States, 19096
- Lankenau Medical Center
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Tennessee
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Nashville, Tennessee, United States, 37232
- Vanderbilt University Medical Center
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Nashville, Tennessee, United States, 37203
- Centennial Heart & Vascular Institute Sarah Cannon Research Institute
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Texas
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Dallas, Texas, United States, 75390
- University of Texas Southwestern
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Plano, Texas, United States, 75093
- Baylor Scott & White Medical Center - Plano The Heart Hospital
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Temple, Texas, United States, 76508
- Baylor Scot & White Medical Center - Temple
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject must be ≥ 18 years of age
- Subject has specified disease in his/her descending thoracic aorta.
- Subject have anatomical compliance for the device specified for both access vessels and treatment area.
- Subject must be willing to comply with the follow-up evaluation schedule.
- Subject (or Legally Authorized Representative) agrees an Informed Consent Form prior to treatment.
Exclusion Criteria:
- Subject has specified disease of the thoracic aorta which is not included in the trial, for example: aortic dissection, intramural hematoma, traumatic injury or transection, aortic false aneurysm, ruptured aneurysm.
- Subject anatomy with significant stenosis, calcification, thrombus or tortuosity.
- Subjects with specified compromised circulation.
- Subjects with specified prior procedures.
- Subjects with allergy to contrast media or device components.
- Subjects with disease, for example: suspected connective tissue disorder, specified coagulation disorders, specified coronary artery disease, severe congestive heart failure, stroke and/or Myocardial Infarction (MI) as specified, specified pulmonary disease, specified renal failure.
- Subjects that are pregnant or planning to become pregnant during the course of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: RelayPro
Endovascular treatment with the investigational device.
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Endovascular treatment with investigational device.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of Major Adverse Events (MAEs)
Time Frame: 30 days
|
Primary safety endpoint is a composite of the following MAEs occurring through 30 days:
|
30 days
|
|
Technical success
Time Frame: 24 hours
|
Primary effectiveness rate as measured by the technical success through 24 hours, defined as:
|
24 hours
|
|
Stent graft patency
Time Frame: 12 months
|
Primary effectiveness as measured by the rate of stent-graft patency through 12 months.
|
12 months
|
|
Aneurysm rupture
Time Frame: 12 months
|
Primary effectiveness as measured by the absence of aneurysm rupture through 12 months.
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12 months
|
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Absence of Type I and III endoleak through 12 months;
Time Frame: 12 months
|
Primary effectiveness as measured by the absence of Type I and III endoleak through 12 months.
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12 months
|
|
Absence of stent fractures in the attachment zone through 12 months
Time Frame: 12 months
|
Primary effectiveness as measured by the absence of stent fractures in the attachment zone through 12 months.
|
12 months
|
|
Absence of open or endovascular secondary interventions
Time Frame: 12 months
|
Primary effectiveness as measured by the absence of open or endovascular secondary interventions related to the device or treated pathology through 12 months.
|
12 months
|
|
Absence of aneurysm expansion (> 5 mm diameter increase)
Time Frame: 12 months
|
Primary effectiveness as measured by the absence of aneurysm expansion (> 5 mm diameter increase) through 12 months, compared to the first post-procedural computed tomographic (CT) imaging study.
|
12 months
|
|
Absence of stent-graft migration
Time Frame: 12 months
|
Primary effectiveness as measured by the absence of stent-graft migration (> 10 mm) through 12 months, compared to the first post-procedural CT.
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Loss of stent-graft patency
Time Frame: 1 month and 6 months
|
Loss of stent-graft patency will be assessed with CT scans, or MRIs for subjects unable to tolerate contrast media.
|
1 month and 6 months
|
|
Rate of aneurysm rupture
Time Frame: 1 month and 6 months
|
The rate of aneurysm rupture through 1 month and 6 months will be assessed by review of CT or MRI imaging, in addition to site reported adverse events.
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1 month and 6 months
|
|
Rate of endoleaks of all types
Time Frame: 1 month, 6 months and 12 months
|
Persistence of blood flow outside the lumen of the stent-graft but within the native aorta or adjacent vascular segment being treated by the stent-graft will be assessed by CT scans or MRIs for subjects unable to tolerate contrast media.
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1 month, 6 months and 12 months
|
|
Rate of stent fractures in the attachment zone
Time Frame: 1 month and 6 months
|
Stent fractures in the attachment zone will be assessed at each follow-up visit with CT scans, or MRIs for subjects unable to tolerate contrast media.
|
1 month and 6 months
|
|
Incidence of open or endovascular secondary interventions
Time Frame: 1 month and 6 months
|
Secondary effectiveness will be measured by the incidence of open or endovascular secondary interventions related to the device or treated pathology (ie, interventions to treat malperfusion, rupture, aneurysm formation, or aortic expansion).
|
1 month and 6 months
|
|
Rate of aneurysm expansion
Time Frame: 1 month and 6 months
|
The rate of aneurysm expansion (> 5 mm diameter increase) assessed by comparison of follow-up imaging to the first post-procedural CT
|
1 month and 6 months
|
|
Rate of stent-graft migration
Time Frame: 1 month and 6 months
|
The rate of stent-graft migration (> 10 mm) assessed by comparison of follow-up imaging to the first post-procedural CT.
|
1 month and 6 months
|
|
Individual outcomes of composite MAEs
Time Frame: 6 months and 12 months
|
Secondary effectiveness as measured by the individual outcomes of the composite safety endpoints (death, stroke, paralysis), as well as myocardial infarction (MI), renal failure, respiratory failure, bowel ischemia, and procedural blood loss >1,000 cc.
|
6 months and 12 months
|
|
Rate of vascular access complications
Time Frame: During the initial implant attempt
|
Secondary effectiveness as measured by the rate of vascular access complications reported during the Treatment visit (stent-graft implant).
Outcome measures include successful delivery and deployment of the device, as well as withdrawal of the delivery system.
|
During the initial implant attempt
|
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Duration of implant procedure
Time Frame: Treatment Visit
|
Duration of the initial implant procedure captured as the number of minutes from introduction of device to removal of delivery system.
|
Treatment Visit
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Number of blood transfusions
Time Frame: Treatment Visit through Discharge Visit
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Number of transfusions (units) required from the time of implant through hospital discharge.
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Treatment Visit through Discharge Visit
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Duration of hospitalization
Time Frame: Treatment Visit through Discharge Visit
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Length of hospital stay defined as number of days subject was hospitalized for the initial implant procedure.
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Treatment Visit through Discharge Visit
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Time in Intensive Care Unit (ICU)
Time Frame: Treatment Visit through Discharge Visit
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Duration of time in hours that subject was admitted to the Intensive Care Unit (ICU) following the implant procedure.
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Treatment Visit through Discharge Visit
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Wilson Szeto, MD, Penn Presbyterian
- Principal Investigator: Venkatesh Ramaiah, MD, Arizona Heart Institute
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IP-0015-16
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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