- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02407457
Post-Market Study to Assess Outcomes of Patients Treated With AFX System Compared to Other EVAR Devices (LEOPARD)
Multicenter, Post-Market Study to Assess Outcomes of Patients Treated With the AFX System Compared to Other EVAR Devices for Endovascular Abdominal Aortic Aneurysm Repair: LEOPARD
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This trial is a prospective, randomized, multi-center trial, intended to evaluate the outcomes of contemporary EVAR (Endovascular Aneurysm Repair) in a real world population. The trial is designed to compare the anatomically stabilized AFX Endograft System to a reference group of proximally fixated EVAR devices. Patients will be randomized between the two groups.
Randomization will be 1:1. Each investigator will select one comparator device of their choice before enrolling the first patient. The study will sequentially evaluate non-inferiority and superiority hypotheses.
Up to 80 sites with experience in EVAR and up to 800 subjects will participate in this study.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Alabama
-
Florence, Alabama, United States, 35630
- Eliza Coffee Medical Center
-
Huntsville, Alabama, United States, 35801
- Huntsville Hospital
-
-
Arizona
-
Phoenix, Arizona, United States, 85006
- Banner Good Samaritan Hospital
-
Tucson, Arizona, United States, 85745
- Carondelet Heart and Vascular Institute
-
-
Arkansas
-
Little Rock, Arkansas, United States, 72205
- Central Arkansas Veteran's Healthcare System
-
-
California
-
Long Beach, California, United States, 90822
- Long Beach VA Hospital
-
Sacramento, California, United States, 95816
- Sacramento Vascular Sugeons
-
Santa Clara, California, United States, 95051
- Kaiser - Santa Clara
-
-
Colorado
-
Colorado Springs, Colorado, United States, 80907
- Penrose St. Francis Health
-
-
Connecticut
-
New Britain, Connecticut, United States, 61110
- Hartford Hospital
-
New Haven, Connecticut, United States, 48097
- Yale University
-
-
Florida
-
Jacksonville, Florida, United States, 32224
- Mayo Jacksonville
-
Miami Beach, Florida, United States, 33140
- Mount Sinai Medical Center
-
Orlando, Florida, United States, 32803
- Vascular Institute of Central Florida
-
Sarasota, Florida, United States, 34232
- Sarasota Vascular Specialists
-
Tampa, Florida, United States, 33606
- USF/Tampa VA
-
-
Georgia
-
Atlanta, Georgia, United States, 30303
- Emory/Grady
-
Macon, Georgia, United States, 31201
- Navicent Health Medical Center
-
Stockbridge, Georgia, United States, 30281
- Peachtree Vascular Specialists
-
-
Illinois
-
Springfield, Illinois, United States, 62701
- Prairie Education & Research Cooperative
-
Winfield, Illinois, United States, 60190
- Cadence Physician Group
-
-
Indiana
-
Fort Wayne, Indiana, United States, 46845
- Parkview Research Center
-
Indianapolis, Indiana, United States, 46237
- Franciscan - St. Francis Hospital
-
-
Iowa
-
Iowa City, Iowa, United States, 52246
- University of Iowa Healthcare
-
West Des Moines, Iowa, United States, 50266
- The Iowa Clinic Cardiovascular Services
-
-
Kentucky
-
Louisville, Kentucky, United States, 40207
- Surgical Care Associates
-
-
Louisiana
-
Baton Rouge, Louisiana, United States, 70808
- Cardiovascular Research Foundation of Louisiana
-
Baton Rouge, Louisiana, United States, 70809
- Baton Rouge Vascular Specialty Center
-
-
Maryland
-
Baltimore, Maryland, United States, 21201
- VA Maryland Health Care System
-
Salisbury, Maryland, United States, 21801
- Peninsula Regional Medical Center
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
-
-
Michigan
-
Ypsilanti, Michigan, United States, 48197
- St. Joseph Mercy Ann Arbor
-
-
Mississippi
-
Hattiesburg, Mississippi, United States, 39402
- Hattiesburg Clinic
-
Tupelo, Mississippi, United States, 38801
- North MS Medical Center
-
-
Missouri
-
Columbia, Missouri, United States, 65212
- University of Missouri
-
North Kansas City, Missouri, United States, 64116
- Kansas City Vascular
-
Saint Louis, Missouri, United States, 63124
- Saint Louis University
-
-
New York
-
Albany, New York, United States, 12208
- The Vascular Group
-
Buffalo, New York, United States, 14215
- VA Western New York Healthcare System
-
-
North Carolina
-
Winston-Salem, North Carolina, United States, 27157
- Wake Forest
-
-
Ohio
-
Cleveland, Ohio, United States, 44195
- Cleveland Clinic
-
Cleveland, Ohio, United States, 44106
- University Hospitals Cleveland Medical Center
-
Kettering, Ohio, United States, 45429
- Innovation Center, Kettering Health Network
-
Willoughby, Ohio, United States, 44094
- Neo Vascular (Lake West)
-
-
Pennsylvania
-
Danville, Pennsylvania, United States, 17822
- Geisinger Medical Center
-
Philadelphia, Pennsylvania, United States, 19104
- Hospital of the University of Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19107
- Thomas Jefferson University
-
-
South Dakota
-
Sioux Falls, South Dakota, United States, 57108
- North Central Heart
-
-
Texas
-
Austin, Texas, United States, 78756
- Cardiothoracic & Vascular Surgeons
-
Houston, Texas, United States, 77030
- University of Texas Health
-
-
Vermont
-
Burlington, Vermont, United States, 05401
- University of Vermont Medical Center
-
-
Virginia
-
Norfolk, Virginia, United States, 23507
- Sentara Vascular Specialists
-
-
Washington
-
Vancouver, Washington, United States, 98664
- PeaceHealth Southwest Medical Center
-
-
Wisconsin
-
Madison, Wisconsin, United States, 53792
- University of Wisconsin
-
Milwaukee, Wisconsin, United States, 53226
- Medical College of Wisconsin
-
Milwaukee, Wisconsin, United States, 53295
- Clement J. Zablocki VA Medical Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female at least 18 years old
- Subjects with minimum of 2 year life expectancy
- Subjects have signed the informed consent document for data release
- Subjects with infrarenal AAA who are assessed by the Investigator to be eligible for endovascular Abdominal Aortic Aneurysm Repair with the trial devices.
Exclusion Criteria:
- Currently participating in another study where primary endpoint has not been reached yet
- Known allergy to any of the device components
- Pregnant (females of childbearing potential only)
- Subjects with pre-existing EVAR, e.e. in need of repair/intervention of a previously failed EVAR
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: AFX EVAR AAA Graft System
Subjects randomized to receive the Endologix AFX Endovascular Graft System for implantation to repair Abdominal Aortic Aneurysm via femoral access.
|
Endvovascular Abdominal Aneurysm Repair (EVAR) using commerically available, FDA approved endovascular graft systems implanted via femoral access.
|
Active Comparator: FDA Approved EVAR AAA Graft Systems
Subjects randomized to receive the comparator AAA Endovascular Graft System for implantation to repair Abdominal Aortic Aneurysm via femoral access.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Patients With Absence of Aneurysm Related Complications (ARC)
Time Frame: 1 year
|
ARC is a composite of the most relevant EVAR outcomes and includes:
|
1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Number of MAEs
Time Frame: At 30 days, 12 months, and annually up to five years
|
Major Adverse Events
|
At 30 days, 12 months, and annually up to five years
|
The Number of Aneurysm Related Complications (ARC)
Time Frame: Post 12 Months up to Five Years
|
ARC is a composite outcome
|
Post 12 Months up to Five Years
|
The Number of Participants With Aneurysm Related Mortality
Time Frame: Up to Five Years
|
Death related to the aneurysm
|
Up to Five Years
|
Number of Endoleaks Classified by Type
Time Frame: Up to Five Years
|
All Endoloeaks
|
Up to Five Years
|
Loss of Neck Apposition as Measured by Length in mm
Time Frame: Up to Five Years
|
Loss of Neck Apposition as measured by length in mm
|
Up to Five Years
|
Number of AAA Related Secondary Procedures
Time Frame: Up to Five Years
|
Number of AAA related secondary procedures
|
Up to Five Years
|
Number of Device Integrity Events
Time Frame: Up to Five Years
|
Number of device integrity events from device fractures and technical observations related to the stent graft
|
Up to Five Years
|
Number of Adjunctive Procedures Necessitated During the Implant Procedure.
Time Frame: Up to Five Years
|
Number of adjunctive procedures done during the implant procedure
|
Up to Five Years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Christopher Kwolek, MD, Endologix
Publications and helpful links
General Publications
- Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, Buskens E, Grobbee DE, Blankensteijn JD; Dutch Randomized Endovascular Aneurysm Management (DREAM)Trial Group. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004 Oct 14;351(16):1607-18. doi: 10.1056/NEJMoa042002.
- Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG; EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004 Sep 4-10;364(9437):843-8. doi: 10.1016/S0140-6736(04)16979-1.
- Volodos' NL, Karpovich IP, Shekhanin VE, Troian VI, Iakovenko LF. [A case of distant transfemoral endoprosthesis of the thoracic artery using a self-fixing synthetic prosthesis in traumatic aneurysm]. Grudn Khir. 1988 Nov-Dec;(6):84-6. No abstract available. Russian.
- Brown LC, Greenhalgh RM, Thompson SG, Powell JT; EVAR Trial Participants. Does EVAR alter the rate of cardiovascular events in patients with abdominal aortic aneurysm considered unfit for open repair? Results from the randomised EVAR trial 2. Eur J Vasc Endovasc Surg. 2010 Apr;39(4):396-402. doi: 10.1016/j.ejvs.2010.01.002. Epub 2010 Jan 21.
- Stroupe KT, Lederle FA, Matsumura JS, Kyriakides TC, Jonk YC, Ge L, Freischlag JA; Open Versus Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group. Cost-effectiveness of open versus endovascular repair of abdominal aortic aneurysm in the OVER trial. J Vasc Surg. 2012 Oct;56(4):901-9.e2. doi: 10.1016/j.jvs.2012.01.086. Epub 2012 May 27.
- De Bruin JL, Baas AF, Buth J, Prinssen M, Verhoeven EL, Cuypers PW, van Sambeek MR, Balm R, Grobbee DE, Blankensteijn JD; DREAM Study Group. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2010 May 20;362(20):1881-9. doi: 10.1056/NEJMoa0909499.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CP-0011
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.
Clinical Trials on Abdominal Aortic Aneurysm
-
Assistance Publique - Hôpitaux de ParisUnknownSmall Abdominal Aortic Aneurysm | Abdominal Aortic Aneurysm,France
-
Karolinska University HospitalEnrolling by invitationAneurysm | Aortic Aneurysm | Abdominal Aortic Aneurysm, Ruptured | Aneurysm Abdominal | Abdominal Aortic Aneurysm Without RuptureSweden
-
EndologixActive, not recruiting1 Paravisceral Abdominal Aortic Aneurysm | 2 Juxtarenal Abdominal Aortic Aneurysm | 3 Pararenal Abdominal Aortic Aneurysm | 4 Complex Abdominal Aortic AneurysmsUnited States
-
Medtronic CardiovascularCompletedAbdominal Aortic Aneurysms (AAA)United States
-
Vascutek Ltd.TerminatedAbdominal Aortic Aneurysms (AAA)United Kingdom, Netherlands, Switzerland, Spain, Germany, Belgium, Sweden, Canada, France, Italy, Austria, Monaco
-
Washington University School of MedicineRecruitingAbdominal Aortic Aneurysm (AAA) | No Abdominal Aortic Aneurysm (Non-AAA)United States
-
University of California, San DiegoRecruitingJuxtarenal Aortic Aneurysm | Thoracoabdominal Aortic Aneurysm | Pararenal Aortic Aneurysm | Complex Abdominal Aortic AneurysmUnited States
-
Timothy Chuter, MDRecruitingThoracoabdominal Aortic Aneurysm | Paravisceral Abdominal Aortic AneurysmUnited States
-
Hangzhou Endonom Medtech Co., Ltd.RecruitingJuxtarenal Abdominal Aortic AneurysmChina
-
Medtronic CardiovascularRecruitingAAA - Abdominal Aortic AneurysmSpain, Germany, Portugal, Switzerland, Austria, France, Greece, Ireland, Italy, Netherlands, Russian Federation, Slovakia, Sweden, United Kingdom
Clinical Trials on AFX EVAR AAA Graft System
-
EndologixRecruitingAAA | AAA - Abdominal Aortic AneurysmUnited States
-
Medtronic CardiovascularTerminated
-
Medtronic CardiovascularTerminatedAbdominal Aortic Aneurysm | AAANetherlands, Belgium, Denmark, Sweden, Austria
-
EndologixNot yet recruitingAAA | AAA - Abdominal Aortic Aneurysm
-
Clinical Centre of SerbiaIRCCS Azienda Ospedaliero-Universitaria di Bologna; Helsinki University Central... and other collaboratorsUnknownJuxtarenal Aortic Aneurysm | Pararenal AneurysmSerbia
-
Medtronic CardiovascularThe Cleveland ClinicTerminated
-
Medtronic CardiovascularCompletedAortic Aneurysm, AbdominalBelgium, China, Israel, Australia, Hong Kong, Thailand, Netherlands, Sweden, New Zealand, Germany, Austria, Italy, Spain, United Kingdom, Canada, Poland, Argentina, Colombia, Lithuania, Norway, Switzerland, France, Greece, Czechia, Korea... and more
-
Medtronic CardiovascularCompletedCardiovascular Diseases | Vascular Diseases | Aneurysm | Aortic Aneurysm, Abdominal | Aortic Aneurysm | Aortic DiseasesFrance
-
University of California, San FranciscoRecruitingAbdominal Aortic AneurysmUnited States
-
Cordis CorporationCompletedAbdominal Aortic AneurysmsGermany