EVAS2 IDE Prospective, Multicenter, Single Arm Safety and Effectiveness Confirmatory Study (EVAS2)
Prospective, Multicenter, Single Arm Safety and Effectiveness Confirmatory Study of Endovascular Abdominal Aortic Aneurysm Repair Using the Nellix System IDE Study (EVAS 2 Confirmatory IDE Study)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Alabama
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Huntsville, Alabama, United States, 35801
- Valley Vascular Consultants
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California
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Los Angeles, California, United States, 90095
- Regents of the University of California (UCLA)
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San Diego, California, United States, 92161
- Veterans Medical Research Foundation
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Colorado
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Colorado Springs, Colorado, United States, 80909
- UC Health-Memorial Hospital
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District of Columbia
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Washington D.C., District of Columbia, United States, 20010
- Medstar Health Research Institute
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Florida
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Miami, Florida, United States, 33176
- Miami Cardiac & Vascular Institute (MCVI)
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Orlando, Florida, United States, 32803
- AdventHealth Orlando
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Pensacola, Florida, United States, 32503
- Coastal Vascular & Interventional
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Illinois
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Champaign, Illinois, United States, 61820
- Christie Clinic
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Elk Grove Village, Illinois, United States, 60007
- AMITA Health
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Indiana
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Indianapolis, Indiana, United States, 46290
- St. Vincent Heart Center of Indiana
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Michigan
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Bay City, Michigan, United States, 48708
- McLaren Bay Region
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Missouri
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Kansas City, Missouri, United States, 64116
- Midwest Aortic & Vascular Institute
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New Jersey
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Camden, New Jersey, United States, 08103
- The Cooper Health System
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New Mexico
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Albuquerque, New Mexico, United States, 87102
- New Mexico Heart Institute
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New York
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic
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Willoughby, Ohio, United States, 44095
- Northeast Ohio Vascular Assoc (NEOVA)
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Oklahoma
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Tulsa, Oklahoma, United States, 74135
- OU College of Medicine
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Oregon
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Portland, Oregon, United States, 97213
- Providence St. Vincent Medical Center
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South Carolina
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Columbia, South Carolina, United States, 29203
- Palmetto Health- University of South Carolina
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Tennessee
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Kingsport, Tennessee, United States, 37660
- Wellmont CVA Heart Institute
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Memphis, Tennessee, United States, 38120
- Cardiovascular Surgery Clinic
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Virginia
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Falls Church, Virginia, United States, 22042
- Inova Research Center
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Washington
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Spokane, Washington, United States, 99204
- Providence Sacred Heart Medical Center
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Wisconsin
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Wausau, Wisconsin, United States, 54401
- Aspirus Research Institute
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
INCLUSION CRITERIA
A patient who meets all of the following criteria potentially may be included in the study:
- Male or female at least 18 years old;
- Informed consent form understood and signed
- Patient agrees to all follow-up visits;
- Abdominal aortic aneurysm with sac diameter ≥5.0cm, or ≥4.5cm which has increased by ≥0.5cm within the last 6 months, or or which exceeds 1.5 times the transverse dimension of an adjacent non-aneurysmal aortic segment. No AAA <4 cm will be included.
Anatomically eligible for the Nellix System (per Instructions For Use):
- Adequate iliac/femoral access compatible with the required delivery systems (diameter ≥6 mm);
- Aneurysm blood lumen diameter ≤60mm;
- Proximal non-aneurysmal aortic neck: length ≥10mm; diameter 18 to 28mm; angle ≤60° to the aneurysm sac;
- Most caudal renal artery to each hypogastric artery length ≥100mm;
- Common iliac artery lumen diameter between 9 and 35mm;
- Distal iliac artery seal zone with length of ≥10mm and diameter range of 9 to 25mm;
- Ability to preserve at least one hypogastric artery.
- Ratio of maximum aortic aneurysm diameter to maximum aortic blood lumen diameter <1.40
EXCLUSION CRITERIA
A patient who meets none of the following criteria potentially may be included in the study:
- Life expectancy <2 years as judged by the Investigator;
- Psychiatric or other condition that may interfere with the study;
- Participating in another clinical study;
- Known allergy or contraindication to any device material;
- Coagulopathy or uncontrolled bleeding disorder;
- Ruptured, leaking or mycotic aneurysm;
- Serum creatinine (S-Cr) level >2.0 mg/dL;
- CVA or MI within three months of enrollment/treatment;
- Aneurysmal disease of the descending thoracic aorta;
- Clinically significant mural thrombus within the proximal landing zone (minimum 10mm) of the infrarenal non-aneurysmal neck (>5mm thickness over >50% circumference);
- Connective tissue diseases (e.g., Marfan Syndrome);
- Unsuitable vascular anatomy that may interfere with device introduction or deployment;
- Pregnant (female of childbearing potential only).
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 |
|---|---|
|
Other: Single Arm
Single Arm Safety and Effectiveness Confirmatory Study of EVAS using the Nellix® System
|
Endovascular Abdominal Aortic Aneurysm Repair using the Nellix® System
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety: Major Adverse Events (MAE)
Time Frame: 30 days
|
The primary safety endpoint is defined as the incidence of Major Adverse Events (MAE) at 30 days, defined as the composite of the following All-Cause Mortality; Bowel Ischemia; Myocardial Infarction; Paraplegia; Renal Failure; Respiratory Failure; Stroke; Procedural Blood Loss ≥1,000cc
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30 days
|
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Effectiveness: Rate of Treatment Success
Time Frame: 2 year
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The primary effectiveness endpoint is defined as the rate of Treatment Success at year 2. Treatment Success is a composite of outcomes clinically relevant to the endovascular repair of infrarenal AAA as follows: It is defined as procedural technical success and absence of Abdominal aortic aneurysm rupture; Conversion to open surgical repair; Endoleak Type I or III at year 2; Clinically significant migration; > 5mm aneurysm sac enlargement of the maximal diameter as measured by the difference from the 30-Day CT time point; or Secondary endovascular procedure up to year 2 for resolution of Endoleak (Type I or Type III), Device obstruction or occlusion, Device migration, Abdominal aneurysm sac expansion, Device defect. |
2 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Conversions, Death and Ruptures
Time Frame: 2 Years
|
Number of Deaths, Conversion and ruptures through the data cut of the July 7, 2023,
|
2 Years
|
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Device Integrity
Time Frame: 2 Years
|
Device Integrity is defined as the absence of device fracture, stenosis, kink, occlusion, or migration >5mm.
All incidences of stent occlusion (100% device lumen obstruction) are also captured as stent stenosis (<100% device lumen obstruction).
|
2 Years
|
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Device Performance - Endoleak
Time Frame: 2 Years
|
Demonstrates device performance as indicated by the incidence of Endoleaks through study follow-up.
Endoleak is determined by the CoreLab based on imaging completed.
Endoleak is defined as clear evidence of contrast outside of one or both EndoBags which communicates with the aneurysm sac originating proximally at the infrarenal segment (Type IA), distally (Type IB); between components, if an extender is used (Type III); trans-device (Type IV); or from a patent collateral vessel (Type II: e.g., lumbar artery; inferior mesenteric artery).
|
2 Years
|
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DEVICE PERFORMANCE-ANEURYSM SAC DIAMETER- Avg Size
Time Frame: 2 years
|
Average Sac Diameter size at Visit
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2 years
|
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DEVICE PERFORMANCE-ANEURYSM SAC DIAMETER- Changes in Sac Size Since 01 Month
Time Frame: 2 Years
|
Number of subjects that had changes in the Sac Diameter size since the 1 month follow-up visit
|
2 Years
|
|
Secondary Interventions
Time Frame: 2 Years
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All Secondary interventions reported during the study
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2 Years
|
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LABS-RENAL FUNCTION (EGFR)
Time Frame: 2 Years
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The outcome demonstrates the protocol specified laboratory values (collected as eGFR) captured at each follow-up visit
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2 Years
|
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LABS- RENAL FUNCTION (CREATININE)
Time Frame: 2 Years
|
Labs- Renal Function demonstrates the protocol specified laboratory values (Collected as creatinine) captured at each follow-up visit
|
2 Years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jeffrey Carpenter, MD, Cooper Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
- CP-0008 EVAS2 IDE
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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