BGP+ Stent as Bridging Stent in BEVAR
Physician-Initiated Trial Investigating the BeGraft Peripheral Plus Stent Graft System as Bridging Stent in BEVAR for Complex Aortic Aneurysms
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Sarah Litterscheid
- Phone Number: +4915785319015
- Email: sarah.litterscheid@fcre.eu
Study Contact Backup
- Name: Sabrina Overhagen
- Phone Number: +4915785319015
- Email: info@fcre.eu
Study Locations
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Aachen, Germany
- Alexander Gombert
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Hamburg, Germany
- University Hospital Eppendorf, UKE Hamburg
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Leipzig, Germany
- University Hospital Leipzig
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Munich, Germany
- University Hospital LMU Munich
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Münster, Germany, 48145
- St. Franziskus Hospital
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Nürnberg, Germany
- Klinikum Nurnberg Sud
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Regensburg, Germany
- Karin Pfister
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Stuttgart, Germany
- Hospital Stuttgart
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Schleswig-Holstein
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Kiel, Schleswig-Holstein, Germany, 24105
- Prof. Dr. Jost Philipp Schäfer Klinik für Radiologie und Neuroradiologie
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bW
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Heidelberg, bW, Germany, 69120
- Prof. Dr. med. Dittmar Böckler - Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient eligible for elective repair of TAAA with BEVAR in accordance with the applicable guidelines for vascular interventions (e.g. Aneurysm size 6cm or aneurysm growth of >5mm within 6 months or 1cm within 1 year)
- Patient is willing to comply with specified follow-up evaluations at the specified times
- Patient is >55 years old
Patient understands the nature of the procedure and provides written informed consent, prior to enrolment in the trial
• Patient has a projected life-expectancy of at least 12-months
- Patient needs to have a landing zone in their target vessel of at least 15 mm, and coverage/ wall adaptation of the BGP+ should be obtained for at least 10 mm.
- The access vessel for introduction of the sheath through which the BGP+ will be advanced should be at least 3mm (it should be able to fit a 8F sheath)
- No early important division branch from the target vessel with risk of coverage
- Absence of pre-existing dissection in the target vessels
- Target vessels (renal arteries, superior mesenteric artery, and celiac trunk) for the BGP+ must have a diameter between 5 and 10 mm
- Aortic endoprosthesis with inner branches (can be hybrid or branches only)
- Hybrid aortic endoprosthesis with fenestrations and branches (at least 2 and only the target vessels which are connected by a branch shall be treated with a study device within this study)
- At least one target vessel is bridged with only one BGP+ (relining allowed)
- Full compliance with all inclusion criteria/exclusion criteria and all intraoperative criteria
Exclusion Criteria:
- Previously implanted stent in the target vessel
- Renal artery with >100° cranial orientation
- Patients refusing treatment
- Patients for whom antiplatelet therapy, anticoagulants or thrombolytic drugs are contraindicated
- Patients with uncorrected bleeding disorders or heparin induced thrombocytopenia
- Female patient with childbearing potential not taking adequate contraceptives or currently breastfeeding
- Any planned surgical intervention/procedure within 30 days of the trial procedure
- Patients with rupture or any patient considered to be hemodynamically unstable at onset of procedure
- Patient is currently participating in another conflicting investigational drug or device trial that has not completed the entire follow up period.
- Patients with diffuse distal disease resulting in poor stent outflow
- Fresh thrombus formation within the last 14 days
- Patients with known hypersensitivity to the stent material (L605) and/or PTFE
- Hybrid Approach (endovascular in combination with open surgery)
- Patients with a connective tissue disorder
- Patients with mycotic or inflammatory aneurysm
- Myocardial infarction or stroke within 3 months prior to the procedure
- Patients with an unstable angina pectoris or heart insufficiency NYHA 3 or 4
- Patients with ASA classification 5 or higher
- Contraindications against contrast enhanced angiography (a.e. massive hyperthyroidism)
- Patients with increased risk of intraoperative rupture
- Patients with access vessel which are too tortuous, narrow or any kind of reason that would lead to failure of introducing and advancing an introducer sheath
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: BGP+ Stent Graft System
Application of BeGraft Peripheral Plus (BGP+) Stent Graft System as bridging stent in Branched Endovascular Repair (BEVAR) for complex aortic aneurysms
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BGP+ Stent Graft System as bridging stent
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Efficacy endpoint (1) - Technical success
Time Frame: 1 day post-op
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defined as successfully introduction and deployment of the BGP+ balloon expandable covered Stent Graft System implanted as bridging stent in BEVAR
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1 day post-op
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Efficacy endpoint (2) - Bridging stent patency at 12 months
Time Frame: 12 months post-op
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defined as absence of restenosis (≥50% stenosis) or sole target vessel occlusion based on CT angio at 12 months
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12 months post-op
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Safety endpoint - Absence of procedure related complications and bridging stent related endoleaks at 12 months
Time Frame: 12 months post-op
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Absence of procedure related complications and bridging stent related endoleaks at 12 months
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12 months post-op
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
30-day mortality
Time Frame: 30 days post-op
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30 days post-op
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Bridging stent patency post-procedure
Time Frame: 1 day post-op, 6- and 24- months post-op
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defined as absence of restenosis (≥50% stenosis) or sole target vessel occlusion based on Duplex Ultrasound or CT Angio
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1 day post-op, 6- and 24- months post-op
|
|
Freedom from bridging stent related endoleaks post-procedure
Time Frame: 1 day post-op, 6- and 24- months post-op
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Freedom from bridging stent related endoleaks post-op, at 6- and 24- months, based on imaging (duplex ultrasound, CT angiography)
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1 day post-op, 6- and 24- months post-op
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Freedom from bridging stent related secondary intervention
Time Frame: 1 day post-op, 6-, 12- and 24- months post-op
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Freedom from bridging stent related secondary intervention
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1 day post-op, 6-, 12- and 24- months post-op
|
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Freedom from type I & III endoleaks post-procedure post-procedure
Time Frame: 1 day post-op, 6-, 12-, and 24- months post-op
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Freedom from type I & III endoleaks post-op and at 6-, 12- and 24- months, based on imaging (duplex ultrasound, CT angiography)
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1 day post-op, 6-, 12-, and 24- months post-op
|
|
Freedom from stent graft migration
Time Frame: 1 day post-op, 6-, 12 -and 24- months post-op
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defined as freedom from stent graft migration (more than 10 mm)
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1 day post-op, 6-, 12 -and 24- months post-op
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Freedom from AAA diameter increase
Time Frame: 6-, 12- and 24- months post-op
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defined as more than 5mm increase in maximum diameter measured at 6-, 12- and 24- months as compared to post-op implantation, based on imaging (duplex ultrasound or CT Angiography)
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6-, 12- and 24- months post-op
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Freedom from aneurysm related secondary endovascular procedures
Time Frame: 1 day post-op, at 6-, 12- and 24- months post-op
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Freedom from aneurysm related secondary endovascular procedures post-op
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1 day post-op, at 6-, 12- and 24- months post-op
|
|
Freedom from conversion to open surgical repair post-procedure
Time Frame: 1 day post-op, 6-, 12-, 24- months post-op
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Freedom from conversion to open surgical repair post-op and at 6, 12 and 24 months
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1 day post-op, 6-, 12-, 24- months post-op
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Freedom from aneurysm related mortality post-procedure
Time Frame: 1 day post-op, 6-, 12-, 24- months post-op
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1 day post-op, 6-, 12-, 24- months post-op
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Freedom from aneurysm rupture post-implantation
Time Frame: up to 12- and 24- months post-op
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Freedom from aneurysm rupture within 12- and 24-months post-implantation
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up to 12- and 24- months post-op
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Freedom from any major adverse events post-procedural and at 6 and 12 months
Time Frame: 1 day post-op, 6-, 12- and 24- months post-op
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1 day post-op, 6-, 12- and 24- months post-op
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Health Related Quality of Life scores
Time Frame: 12- and 24- months post-op
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Health Related Quality of Life scores at 12- and 24 months post implantation
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12- and 24- months post-op
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Martin Austermann, PD. Dr., Foundation for Cardiovascular Research and Education
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 (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
- FCRE-190129
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
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