INSTEAD Trial: INvestigation of STEnt Grafts in Patients With Type B Aortic Dissection
NCT ID: NCT00525356
Last Updated: 2015-10-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE3
136 participants
INTERVENTIONAL
2002-02-28
2007-09-30
Brief Summary
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Detailed Description
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Only patients in a clinically stable condition and without spontaneous thrombosis of the false lumen after 14 days of the index dissection are considered eligible for study inclusion.
Primary outcome measure is all-cause mortality. Secondary outcome variables include conversion to stent and/or surgery, induced thrombosis of the false lumen, cardiovascular morbidity, aortic expansion (\>5 mm/y of maximum diameter including true and false lumina), quality of life, and length of intensive care unit and hospital stay. The study design calls for 136 patients to be randomized and monitored for 24 months.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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1
Anti-hypertensive medical treatment
Medtronic Talent Stent-Graft-System
Interventions
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Medtronic Talent Stent-Graft-System
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Type B aortic dissection that occurred 2-52 weeks before randomization
* Diameter of the targeted aortic segment ≤6 cm
* Aortic kinking \<75°
* The subject or legal guardian understands the nature of the study and agrees to its provisions on a written informed consent form
* Availability for the appropriate follow-up visits during the follow-up period
* Capability to follow all study requirements
Exclusion Criteria
* Thrombocytopenia or ongoing anticoagulation therapy
* Renal failure and/or creatinine \>2.4 mg%
* Complete thrombosis of the false lumen
* Ongoing infection
* Cancer is likely to cause death within 1 year
* Enrolment in another clinical study
* Unwillingness to cooperate with study procedures or follow-up visits
ALL
No
Sponsors
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Medtronic Cardiac Rhythm and Heart Failure
INDUSTRY
Principal Investigators
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C A Nienaber, MD, FESC, FACC
Role: PRINCIPAL_INVESTIGATOR
Division of Cardiology and Internal Medicine Department, Rostock University, Germany.
Locations
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Medtronic Bakken Research Center
Maastricht, , Netherlands
Countries
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References
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Nienaber CA, Zannetti S, Barbieri B, Kische S, Schareck W, Rehders TC; INSTEAD study collaborators. INvestigation of STEnt grafts in patients with type B Aortic Dissection: design of the INSTEAD trial--a prospective, multicenter, European randomized trial. Am Heart J. 2005 Apr;149(4):592-9. doi: 10.1016/j.ahj.2004.05.060.
Nienaber CA, Rousseau H, Eggebrecht H, Kische S, Fattori R, Rehders TC, Kundt G, Scheinert D, Czerny M, Kleinfeldt T, Zipfel B, Labrousse L, Ince H; INSTEAD Trial. Randomized comparison of strategies for type B aortic dissection: the INvestigation of STEnt Grafts in Aortic Dissection (INSTEAD) trial. Circulation. 2009 Dec 22;120(25):2519-28. doi: 10.1161/CIRCULATIONAHA.109.886408. Epub 2009 Dec 7.
Other Identifiers
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INSTEAD trial
Identifier Type: -
Identifier Source: org_study_id
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