Abdominal Aortic Aneurysm Sac Healing and Prevention of Endoleaks - Netherlands (AAA-SHAPE_NLD)
Abdominal Aortic Aneurysm Sac Healing and Prevention of Endoleaks - A Prospective Multicenter Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Gelderland
-
Arnhem, Gelderland, Netherlands, 6800 TA
- Rijnstate Hospital
-
-
North Holland
-
Hoorn, North Holland, Netherlands, 1624 NP
- Dijklander ziekenhuis
-
-
Tilburg
-
Tilburg, Tilburg, Netherlands, 5022 GC
- ETZ Elisabeth
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ≥18 years of age
- A candidate for elective EVAR of an infrarenal aortic aneurysm ≥5.5 cm in diameter in men and ≥5.0 cm in women
Exclusion Criteria:
- An inability to provide informed consent
- Enrolled in another clinical study
- Aortoiliac aneurysm, or concomitant iliac artery ectasia or aneurysm (common iliac artery diameter >24 mm) close to the bifurcation and/or that cannot be adequately sealed
- Patent AAA sac feeding vessels (within the sac) >4 mm in diameter
- Volume of AAA sac to be filled after stent graft placement <20 mL or >135 mL, based on pre-procedure CTA (i.e. aortic flow volume exclusive of stent graft volume)
- Use of aortic stent grafts other than the Gore Excluder AAA Endoprosthesis, Cook Zenith Flex AAA Endovascular Graft, or Medtronic Endurant II Stent Graft to treat the AAA
- Planned use of the chosen stent graft outside its instructions for use (IFU)
- Planned use of fenestrated or chimney stent grafts
- Study participants in which stent graft placement is abandoned for any reason, and/or in which the investigator decides, during the course of the stent graft placement, that the study procedure may not be appropriate
- Planned use of embolic devices other than the investigational product to embolize the AAA sac
- Vascular disease and/or anatomy that preclude the safe access and positioning of a catheter to deliver the investigational product into the AAA sac
- Ruptured, leaking, or mycotic (infected) aneurysm
- Aneurysmal disease of the descending thoracic aorta
- Coagulopathy or uncontrolled bleeding disorder
- Long-term (>6 months prior to the procedure) use of direct oral anticoagulant or any vitamin K antagonist anticoagulant use
- Serum creatinine level >2.5 mg/dL;
- Cerebrovascular accident within 3 months prior to the procedure
- Myocardial infarction and/or major heart surgery within 3 months prior to the procedure
- Atrial fibrillation that is not well rate controlled
- Unable or unwilling to comply with study follow-up requirements
- Life expectancy of <2 years post-procedure
- Known hypersensitivity or contraindication to platinum, iridium, or polyurethane
- A condition that inhibits radiographic visualization during the implantation procedure
- History of allergy to contrast medium that cannot be managed medically
- Uncontrolled co-morbid medical condition, including mental health issues, that would adversely affect participation in the study
- Pregnant or a lactating female. For females of child-bearing potential, based on a positive pregnancy test within 7 days prior to the procedure or refusal to use a medically accepted method of birth control for the duration of the study
- Prisoner or member of other vulnerable population.
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: Intervention
|
Fill an abdominal aortic aneurysm (AAA) sac outside of an endovascular aneurysm repair (EVAR) stent graft
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of related major adverse events (MAEs)
Time Frame: 30 days post-procedure
|
Incidence of related major adverse events (MAEs)
|
30 days post-procedure
|
|
Efficacy - Technical Success
Time Frame: Immediately after the intervention
|
Technical success, defined as filling of the residual flow lumen of the AAA sac with investigational products
|
Immediately after the intervention
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of related major adverse events (MAEs)
Time Frame: 5 years post-procedure
|
Incidence of related major adverse events (MAEs)
|
5 years post-procedure
|
|
Incidence of related serious adverse events (SAEs)
Time Frame: 5 years post-procedure
|
Incidence of related serious adverse events (SAEs)
|
5 years post-procedure
|
|
Efficacy - Type II endoleaks
Time Frame: 5 years post-procedure
|
Incidence of type II endoleaks
|
5 years post-procedure
|
|
Efficacy - Type I and type III endoleaks
Time Frame: 5 years post-procedure
|
Incidence of type I and type III endoleaks
|
5 years post-procedure
|
|
Efficacy - AAA sac diameter/volume
Time Frame: 5 years post-procedure
|
Change in AAA sac diameter/volume
|
5 years post-procedure
|
|
Efficacy - Open repair
Time Frame: 5 years post-procedure
|
Rate of conversion to open AAA repair
|
5 years post-procedure
|
|
Efficacy - Reinterventions
Time Frame: 5 years post-procedure
|
Rate of other reinterventions related to the AAA sac growth and/or complications
|
5 years post-procedure
|
Collaborators and Investigators
Sponsor
Sponsor
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 (Estimated)
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
- CRD1020
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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