Post-Approval Clinical Study of the Talent Thoracic Stent Graft to Treat Thoracic Aortic Aneurysms (THRIVE)

NCT ID: NCT00805948

Last Updated: 2021-09-27

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: NA
• Total Enrollment: 349 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2009-04-30
• Study Completion Date: 2017-08-31

Brief Summary

The purpose of this study is to evaluate the long-term safety and effectiveness of the Talent Thoracic Stent Graft System for treatment of descending thoracic aneurysms (DTA)following U.S. market approval.

Detailed Description

A descending thoracic aneurysm is a bulge in the aorta. The aorta is a large blood vessel that carries blood away from your heart to organs in the rest of your body. Your aneurysm is caused by a weakening in the artery wall. If left untreated, this bulge may continue to grow larger and may ultimately rupture (break open) or extend in size to seriously affect other major arteries in the area. In this clinical study the Talent Thoracic Stent Graft will be placed inside your aorta to block the weakened part of the artery wall from the circulatory system.

Medtronic Vascular submitted a Pre-Market Application (PMA P070007) to the FDA on February 28, 2007, and received market approval for the Talent Stent Graft System on June 5, 2008. As a condition of approval, the FDA has requested a post-market trial. In collaboration with the FDA, Medtronic has designed a post-approval study to document the long-term performance of the Talent Stent Graft System under post market conditions.

This study will examine the post-market performance of the Talent Thoracic Stent Graft System. This study is a prospective, non-randomized five-year trial. Originally, a total of 451 subjects were going to be analyzed. That group consisted of 195 enrolled subjects from the VALOR Test Group of the Talent Thoracic PMA Submission, and 256 planned "de novo" subjects enrolled after the PMA approval. However, Medtronic discontinued manufacturing of the study device for US commercialization, and as a result, enrollment was terminated in May 2014, when it was determined that no more proximal devices were available either in inventory or at the sites. A total of 349 subjects will be analyzed, based on 195 VALOR Test Group subjects and 154 "de novo" subjects.

Update as of Aug 2017: Medtronic Vascular, Inc. discontinued manufacture of the Talent Thoracic Stet Graft System on 31-Jul-2012, and the final device expired in July 2014 (based on the two-year shelf life). Enrollment for De Novo subjects ended in May 2014, as there were no more proximal main devices available either in inventory or at the investigational sites. This resulted in a total of 349 subjects to be analyzed in this final report: the 195 VALOR subjects and 154 of the planned 256 De Novo subjects. Because of that, statistical results would have been inconclusive, so Medtronic decided to terminate the study and received FDA approval for early termination in April 2016.

It is important to emphasize that THRIVE subjects will continue to be followed-up annually per standard of care and standard post-market surveillance program applies to them (e.g. device complaints will continue to be reported via the MDR (Medical Device Reporting) system.)

Conditions

Thoracic Aortic Aneurysms

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

DeNovo

Prospectively enrolled subjects treated with the Talent Thoracic Stent Graft System following U.S. market approval of the device.

Group Type: EXPERIMENTAL

Talent Thoracic Stent Graft System

Intervention Type: DEVICE

endovascular repair of descending thoracic aortic aneurysms using the Talent Thoracic Stent Graft System.

Valor

Historical control arm, consisting of 195 subjects from the VALOR Test Group (PMA P070007) that were followed for 5 years per the VALOR protocol. The data from these subjects will be combined with the data from the subjects implanted after commercial release (DeNovo) to comprise the final analysis cohort for the THRIVE Study

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Talent Thoracic Stent Graft System

endovascular repair of descending thoracic aortic aneurysms using the Talent Thoracic Stent Graft System.

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• iliac/femoral access vessel morphology that is compatible with vascular access techniques, devices, and or accessories
• non-aneurysmal aortic diameter in the range of 18-42mm; and
• non-aneurysmal aortic proximal and distal neck lengths equal to or greater than 20mm
• subject has a Descending Fusiform Thoracic Aneurysm = to or greater than 5cm in diameter OR is = to or greater than 2 times the diameter of the non-aneurysmal thoracic aorta and/or saccular aneurysms/penetrating ulcers
• Signed patient informed consent

Exclusion Criteria

• Less than 18 yrs old
• pregnant
• unable to comply w/follow-up
• participating in other drug or device trials;
• Subject has a co-morbidity causing expected survival to be less than 1 year

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Medtronic

INDUSTRY

Sponsor Role: collaborator

Medtronic Cardiovascular

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Adam W Beck, MD

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Locations

Cedars Sinai Medical Center

Los Angeles, California, United States

Harbor-UCLA

Torrance, California, United States

Washington Hospital D.C.

Washington D.C., District of Columbia, United States

U Florida at Shands Hospital

Gainesville, Florida, United States

Osceola Regional Med Ctr

Kissimmee, Florida, United States

Emory University

Atlanta, Georgia, United States

Northwestern MH

Chicago, Illinois, United States

Southern Illinois University

Springfield, Illinois, United States

St. Vincent Heart Center

Indianapolis, Indiana, United States

Brigham & Women's Hospital

Boston, Massachusetts, United States

Albany Medical Center

Albany, New York, United States

Northwell Health Inc

Great Neck, New York, United States

Duke University Medical Center

Durham, North Carolina, United States

Riverside Methodist Hospital

Columbus, Ohio, United States

University of Toledo Med Ctr

Toledo, Ohio, United States

UPMC Presbyterian Hospital

Pittsburgh, Pennsylvania, United States

Pinnacle Health

Wormleysburg, Pennsylvania, United States

Memorial Hospital

Chattanooga, Tennessee, United States

Baptist Memorial Hospital

Memphis, Tennessee, United States

Tennova Physicians Regional Medical Center

Powell, Tennessee, United States

Baylor College of Medicine

Houston, Texas, United States

The Methodist Hospital

Houston, Texas, United States

The Heart Hospital/Baylor Plano

Plano, Texas, United States

Sentara Norfolk General Vascular & Transplant Specialists

Norfolk, Virginia, United States

University of Washington

Seattle, Washington, United States

Providence Sacred Heart

Spokane, Washington, United States

Countries

United States

Other Identifiers

Investigational Plan #109

Identifier Type: -

Identifier Source: org_study_id