False Lumen Treatment for Prevention of Aortic Growth Using Shape Memory Polymer - First-in-Human Study (FLAGSHIP_NZL)
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: Peter Miller, M.S.
- Phone Number: +1 408 649 5175
- Email: p.miller@shapemem.com
Study Locations
-
-
-
Auckland, New Zealand, 1023
- Recruiting
- Auckland City Hospital
-
Contact:
- Cynthia Corne
- Phone Number: +64 9 307 4949 ext 21505
- Email: cornec@adhb.govt.nz
-
Sub-Investigator:
- Andrew Hill, MD
-
Sub-Investigator:
- Anastasia Dean, MD
-
Principal Investigator:
- Andrew Holden, MBChB
-
Sub-Investigator:
- Abdelaziz Marzoug, MBChB
-
Hamilton, New Zealand, 3204
- Recruiting
- Waikato Hospital
-
Contact:
- Mary La Pine
- Email: mary@clinicaltrialsnz.com
-
Principal Investigator:
- Manar Khashram, MBChB, PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ≥18 years of age.
- A candidate for false lumen (FL) embolization with a type B dissection, and no prior primary entry tear/TL treatment, OR
- A candidate for FL embolization with a type B or type A dissection, in whom the primary entry tear/TL was treated in a previous procedure, and is now presenting with a FL requiring treatment.
Exclusion Criteria:
- An inability to provide informed consent.
- Enrolled in another clinical study other than a registry.
- Hyperacute or acute aortic dissection (<15 days from symptom onset).
- Untreated or uncovered primary entry/reentry tear proximal to left subclavian artery (before FL treatment with the investigational product).
- Vascular disease, aortic rupture, and/or anatomy and/or dissection membrane condition that precludes the safe access and positioning of an introducer sheath and delivery (and expansion) of the investigational product into the FL.
- Prior treatment of the FL.
- Planned use of investigational devices to treat the primary entry tear and/or TL.
- Absence of/inability to create a reentry tear/fenestration adequately positioned and large enough to allow introducer sheath access into the FL.
- Planned use of FL embolic devices other than the investigational product.
- Prior abdominal aortic aneurysm (AAA) treatment.
- Planned concomitant major surgery (e.g., gastrointestinal surgery).
- Diagnosed or suspected congenital degenerative connective tissue disease (e.g., Marfan's or Ehler-Danlos syndrome).
- Coagulopathy or uncontrolled bleeding disorder.
- Serum creatinine level >220 µmol/L (within 90 days prior to the procedure).
- Cerebrovascular accident within 90 days prior to the procedure.
- Myocardial infarction and/or major heart surgery within 90 days 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 postprocedure.
- Known hypersensitivity or contraindication to platinum, iridium, or polyurethane.
- A condition that inhibits radiographic visualization during the study procedure and planned follow-up imaging.
- History of allergy to contrast medium that cannot be managed medically.
- Uncontrolled comorbid medical condition, including mental health issues, that, in the opinion of the investigator, would adversely affect participation in the study.
- Participant is planning to become pregnant or is currently pregnant or lactating. For participants 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.
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: Experimental: Intervention
Device: False Lumen Embolization System Device: IMPEDE-FX RapidFill
|
Embolization of the false lumen of an aortic dissection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Major adverse events
Time Frame: 30 days
|
Incidence of device/procedure-related major adverse events
|
30 days
|
|
Technical success
Time Frame: Immediately after the intervention
|
Delivery and implantation of the investigational product implant to the false lumen
|
Immediately after the intervention
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
All-cause mortality and dissection-related mortality
Time Frame: 2 years
|
Incidence of all-cause mortality and dissection-related mortality
|
2 years
|
|
Serious adverse events
Time Frame: 2 years
|
Incidence of device/procedure-related serious adverse events
|
2 years
|
|
Change in false lumen thrombosis from baseline
Time Frame: 2 years
|
Change in false lumen thrombosis from baseline
|
2 years
|
|
Change in true lumen/aorta size ratio from baseline
Time Frame: 2 years
|
Change in true lumen/aorta size ratio from baseline
|
2 years
|
|
Change in aorta size from baseline
Time Frame: 2 years
|
Change in aorta size from baseline
|
2 years
|
|
Rate of dissection-related reinterventions
Time Frame: 2 years
|
Rate of dissection-related reinterventions
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
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
- CRD1043
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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