Trial Outcomes & Findings for Zenith TX2® Post-market Approval Study (NCT NCT00813358)

NCT ID: NCT00813358

Last Updated: 2021-06-04

Results Overview

Thoracic aortic aneurysm-related mortality defined as death from any cause occurring within 30 days of the initial procedure or a secondary intervention; or any death determined by the independent clinical events committee to be causally related to the initial implant procedure, secondary intervention, or rupture of the treated aneurysm.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

115 participants

Primary outcome timeframe

5 years

Results posted on

2021-06-04

Participant Flow

Participant milestones

Participant milestones
Measure
Endovascular Repair
Zenith TX2® TAA Endovascular Graft: Endovascular treatment with the study device
Overall Study
STARTED
115
Overall Study
COMPLETED
46
Overall Study
NOT COMPLETED
69

Reasons for withdrawal

Reasons for withdrawal
Measure
Endovascular Repair
Zenith TX2® TAA Endovascular Graft: Endovascular treatment with the study device
Overall Study
Death
32
Overall Study
Lost to Follow-up
12
Overall Study
other endpoints
5
Overall Study
Withdrawal by Subject
20

Baseline Characteristics

Zenith TX2® Post-market Approval Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Endovascular Repair
n=115 Participants
treatment Zenith TX2® TAA Endovascular Graft: Endovascular treatment with the study device
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=5 Participants
Age, Categorical
>=65 years
90 Participants
n=5 Participants
Age, Continuous
72 years
STANDARD_DEVIATION 10.6 • n=5 Participants
Sex: Female, Male
Female
54 Participants
n=5 Participants
Sex: Female, Male
Male
61 Participants
n=5 Participants
Race/Ethnicity, Customized
White
93 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
7 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian - other Pacific Islander
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African Black or African American
11 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=5 Participants
Region of Enrollment
United States
115 participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 years

Thoracic aortic aneurysm-related mortality defined as death from any cause occurring within 30 days of the initial procedure or a secondary intervention; or any death determined by the independent clinical events committee to be causally related to the initial implant procedure, secondary intervention, or rupture of the treated aneurysm.

Outcome measures

Outcome measures
Measure
Endovascular Repair
n=115 Participants
Zenith® TX2® TAA Endovascular Graft through 5 years.
Number of Participants With Freedom From Thoracic Aortic Aneurysm-related Mortality
114 Participants

Adverse Events

Endovascular Repair

Serious events: 83 serious events
Other events: 14 other events
Deaths: 32 deaths

Serious adverse events

Serious adverse events
Measure
Endovascular Repair
n=115 participants at risk
treatment Zenith TX2® TAA Endovascular Graft: Endovascular treatment with the study device
Blood and lymphatic system disorders
ANAEMIA
4.3%
5/115 • Number of events 6 • 5 years
Blood and lymphatic system disorders
THROMBOCYTOPENIA
0.87%
1/115 • Number of events 1 • 5 years
Blood and lymphatic system disorders
CYTOPENIA
0.87%
1/115 • Number of events 1 • 5 years
Blood and lymphatic system disorders
FEBRILE NEUTROPENIA
0.87%
1/115 • Number of events 1 • 5 years
Cardiac disorders
ACUTE CORONARY SYNDROME
0.87%
1/115 • Number of events 1 • 5 years
Cardiac disorders
ARRHYTHMIA
3.5%
4/115 • Number of events 4 • 5 years
Cardiac disorders
ATRIAL FIBRILLATION
2.6%
3/115 • Number of events 3 • 5 years
Cardiac disorders
BRADYCARDIA
0.87%
1/115 • Number of events 1 • 5 years
Cardiac disorders
CARDIAC ARREST
2.6%
3/115 • Number of events 3 • 5 years
Cardiac disorders
CARDIAC FAILURE CONGESTIVE
4.3%
5/115 • Number of events 5 • 5 years
Cardiac disorders
CORONARY ARTERY DISEASE
0.87%
1/115 • Number of events 1 • 5 years
Cardiac disorders
MYOCARDIAL INFARCTION
3.5%
4/115 • Number of events 4 • 5 years
Cardiac disorders
PULSELESS ELECTRICAL ACTIVITY
0.87%
1/115 • Number of events 1 • 5 years
Cardiac disorders
VENTRICULAR TACHYCARDIA
0.87%
1/115 • Number of events 1 • 5 years
Congenital, familial and genetic disorders
CENTRAL NERVOUS SYSTEM EPIDERMOID TU
0.87%
1/115 • Number of events 1 • 5 years
Congenital, familial and genetic disorders
HYDROCELE
0.87%
1/115 • Number of events 1 • 5 years
Ear and labyrinth disorders
DEAFNESS UNILATERAL
0.87%
1/115 • Number of events 1 • 5 years
Ear and labyrinth disorders
VERTIGO
0.87%
1/115 • Number of events 1 • 5 years
Eye disorders
VISION BLURRED
0.87%
1/115 • Number of events 1 • 5 years
Gastrointestinal disorders
ABDOMINAL PAIN
0.87%
1/115 • Number of events 1 • 5 years
Gastrointestinal disorders
DYSPHAGIA
0.87%
1/115 • Number of events 1 • 5 years
Gastrointestinal disorders
ENTEROCOLONIC FISTULA
0.87%
1/115 • Number of events 1 • 5 years
Gastrointestinal disorders
ENTEROCUTANEOUS FISTULA
0.87%
1/115 • Number of events 1 • 5 years
Gastrointestinal disorders
FEMORAL HERNIA
0.87%
1/115 • Number of events 1 • 5 years
Gastrointestinal disorders
GASTROESOPHAGEAL REFLUX DISEASE
1.7%
2/115 • Number of events 2 • 5 years
Gastrointestinal disorders
GASTROINTESTINAL HAEMORRHAGE
7.0%
8/115 • Number of events 11 • 5 years
Gastrointestinal disorders
ILEUS PARALYTIC
0.87%
1/115 • Number of events 1 • 5 years
Gastrointestinal disorders
INGUINAL HERNIA
0.87%
1/115 • Number of events 1 • 5 years
Gastrointestinal disorders
NAUSEA
1.7%
2/115 • Number of events 2 • 5 years
Gastrointestinal disorders
SMALL INTESTINAL OBSTRUCTION
1.7%
2/115 • Number of events 2 • 5 years
Gastrointestinal disorders
SPLENIC ARTERY ANEURYSM
0.87%
1/115 • Number of events 1 • 5 years
General disorders
ASTHENIA
0.87%
1/115 • Number of events 1 • 5 years
General disorders
CHEST DISCOMFORT
0.87%
1/115 • Number of events 1 • 5 years
General disorders
CHEST PAIN
5.2%
6/115 • Number of events 6 • 5 years
General disorders
DEATH
0.87%
1/115 • Number of events 1 • 5 years
General disorders
NON-CARDIAC CHEST PAIN
1.7%
2/115 • Number of events 2 • 5 years
General disorders
OEDEMA PERIPHERAL
0.87%
1/115 • Number of events 1 • 5 years
General disorders
PHYSICAL DECONDITIONING
0.87%
1/115 • Number of events 1 • 5 years
General disorders
PYREXIA
1.7%
2/115 • Number of events 2 • 5 years
General disorders
STENT-GRAFT ENDOLEAK
4.3%
5/115 • Number of events 5 • 5 years
Hepatobiliary disorders
BILE DUCT STONE
0.87%
1/115 • Number of events 1 • 5 years
Hepatobiliary disorders
CHOLECYSTITIS
0.87%
1/115 • Number of events 1 • 5 years
Hepatobiliary disorders
HEPATIC FAILURE
1.7%
2/115 • Number of events 2 • 5 years
Infections and infestations
ABDOMINAL WALL ABSCESS
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
APPENDICITIS
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
BACTEREMIA
1.7%
2/115 • Number of events 2 • 5 years
Infections and infestations
CELLULITIS
1.7%
2/115 • Number of events 3 • 5 years
Infections and infestations
CLOSTRIDIUM DIFFICILE INFECTION
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
DEVICE RELATED INFECTION
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
EPIDIDYMITIS
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
GASTROINTESTINAL INFECTION
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
MENINGITIS
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
OSTEOMYELITIS
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
PNEUMONIA
16.5%
19/115 • Number of events 19 • 5 years
Infections and infestations
PYELONEPHRITIS
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
SEPSIS
7.0%
8/115 • Number of events 8 • 5 years
Infections and infestations
STAPHYLOCOCCAL ABSCESS
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
STAPHYLOCOCCAL INFECTION
1.7%
2/115 • Number of events 2 • 5 years
Infections and infestations
URINARY TRACT INFECTION
7.0%
8/115 • Number of events 12 • 5 years
Infections and infestations
URINARY TRACT INFECTION ENTEROCOCCAL
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
ANKLE FRACTURE
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
ARTERIAL BYPASS STENOSIS
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
FALL
2.6%
3/115 • Number of events 4 • 5 years
Injury, poisoning and procedural complications
INCOMPLETE SPINAL FUSION
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
JOINT DISLOCATION
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
OVERDOSE
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
PELVIC FRACTURE
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
RADIUS FRACTURE
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
ROAD TRAFFIC ACCIDENT
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
VASCULAR PSEUDOANEURYSM
1.7%
2/115 • Number of events 2 • 5 years
Investigations
BLOOD CREATININE INCREASE
0.87%
1/115 • Number of events 1 • 5 years
Investigations
ENDOBRONCHIAL ULTRASOUND
0.87%
1/115 • Number of events 1 • 5 years
Investigations
LABORATORY TEST ABNORMAL
0.87%
1/115 • Number of events 1 • 5 years
Investigations
TROPONIN INCREASED
0.87%
1/115 • Number of events 1 • 5 years
Metabolism and nutrition disorders
DIABETIC KETOACIDOSIS
0.87%
1/115 • Number of events 1 • 5 years
Metabolism and nutrition disorders
GOUT
0.87%
1/115 • Number of events 1 • 5 years
Metabolism and nutrition disorders
HYPERGLYCEMIA
0.87%
1/115 • Number of events 1 • 5 years
Metabolism and nutrition disorders
HYPOGLYCEMIA
0.87%
1/115 • Number of events 2 • 5 years
Metabolism and nutrition disorders
TYPE 2 DIABETES MELLITUS
0.87%
1/115 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
BACK PAIN
2.6%
3/115 • Number of events 3 • 5 years
Musculoskeletal and connective tissue disorders
INTERVERTEBRAL DISC PROTRUSION
0.87%
1/115 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
MUSCULAR WEAKNESS
1.7%
2/115 • Number of events 2 • 5 years
Musculoskeletal and connective tissue disorders
OSTEOARTHRITIS
1.7%
2/115 • Number of events 2 • 5 years
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
1.7%
2/115 • Number of events 2 • 5 years
Musculoskeletal and connective tissue disorders
SACROILIAC JOINT DYSFUNCTION
0.87%
1/115 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
BREAST CANCER
1.7%
2/115 • Number of events 2 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
CHRONIC MYELOID LEUKEMIA
0.87%
1/115 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PANCOAST'S TUMOUR
0.87%
1/115 • Number of events 1 • 5 years
Nervous system disorders
BRAIN INJURY
0.87%
1/115 • Number of events 1 • 5 years
Nervous system disorders
CAROTID ARTERY OCCLUSION
0.87%
1/115 • Number of events 1 • 5 years
Nervous system disorders
CEREBROVASCULAR ACCIDENT
5.2%
6/115 • Number of events 7 • 5 years
Nervous system disorders
PARAPARESIS
2.6%
3/115 • Number of events 3 • 5 years
Nervous system disorders
PARAPLEGIA
3.5%
4/115 • Number of events 4 • 5 years
Nervous system disorders
SEIZURE
0.87%
1/115 • Number of events 1 • 5 years
Nervous system disorders
SEIZURES
0.87%
1/115 • Number of events 1 • 5 years
Nervous system disorders
SPINAL CORD ISCHAEMIA
1.7%
2/115 • Number of events 2 • 5 years
Nervous system disorders
TRANSIENT ISCHAEMIC ATTACK
2.6%
3/115 • Number of events 3 • 5 years
Product Issues
DEVICE KINK
0.87%
1/115 • Number of events 1 • 5 years
Product Issues
MEDICAL DEVICE ENTRAPMENT
0.87%
1/115 • Number of events 1 • 5 years
Psychiatric disorders
BIPOLAR DISORDER
0.87%
1/115 • Number of events 1 • 5 years
Renal and urinary disorders
ACUTE KIDNEY INJURY
0.87%
1/115 • Number of events 1 • 5 years
Renal and urinary disorders
CHRONIC KIDNEY DISEASE
0.87%
1/115 • Number of events 1 • 5 years
Renal and urinary disorders
HAEMATURIA
0.87%
1/115 • Number of events 1 • 5 years
Renal and urinary disorders
NEPHROLITHIASIS
0.87%
1/115 • Number of events 1 • 5 years
Renal and urinary disorders
RENAL FAILURE
1.7%
2/115 • Number of events 2 • 5 years
Renal and urinary disorders
URETEROLITHIASIS
0.87%
1/115 • Number of events 1 • 5 years
Reproductive system and breast disorders
CYSTOCELE
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
ACUTE RESPIRATORY FAILURE
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
AORTO-BRONCHIAL FISTULA
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
ASPIRATION
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
ATELECTASIS
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
BRONCHIAL SECRETION RETENTION
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
CHRONIC OBSTRUCTIVE PULMONARY DISEAS
4.3%
5/115 • Number of events 8 • 5 years
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
2.6%
3/115 • Number of events 3 • 5 years
Respiratory, thoracic and mediastinal disorders
HAEMOPTYSIS
1.7%
2/115 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
HYPOXIA
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PNEUMOTHORAX
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PRODUCTIVE COUGH
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISM
1.7%
2/115 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY HAEMORRHAGE
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY MASS
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURE
2.6%
3/115 • Number of events 3 • 5 years
Surgical and medical procedures
CRANIOTOMY
0.87%
1/115 • Number of events 1 • 5 years
Surgical and medical procedures
INCARCERATED HERNIA REPAIR
0.87%
1/115 • Number of events 1 • 5 years
Surgical and medical procedures
INTESTINAL RESECTION
0.87%
1/115 • Number of events 1 • 5 years
Surgical and medical procedures
MECHANICAL VENTILATION
4.3%
5/115 • Number of events 5 • 5 years
Surgical and medical procedures
OXYGEN THERAPY
0.87%
1/115 • Number of events 1 • 5 years
Surgical and medical procedures
PANCREATECTOMY
0.87%
1/115 • Number of events 1 • 5 years
Surgical and medical procedures
PERIPHERAL ENDARTERECTOMY
0.87%
1/115 • Number of events 1 • 5 years
Surgical and medical procedures
PULMONARY RESECTION
1.7%
2/115 • Number of events 2 • 5 years
Surgical and medical procedures
VASCULAR GRAFT
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
ANEURYSM RUPTURED
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
AORTIC ANEURYSM
2.6%
3/115 • Number of events 3 • 5 years
Vascular disorders
AORTIC DISSECTION
1.7%
2/115 • Number of events 2 • 5 years
Vascular disorders
AORTIC INTRAMURAL HAEMATOMA
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
ARTERIAL THROMBOSIS
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
DEEP VEIN THROMBOSIS
1.7%
2/115 • Number of events 2 • 5 years
Vascular disorders
HYPERTENSION
3.5%
4/115 • Number of events 4 • 5 years
Vascular disorders
INTERMITTENT CLAUDICATION
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
PERIPHERAL ARTERY ANEURYSM
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
PERIPHERAL ARTERY ANEURYSM RUPTURE
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
PERIPHERAL ARTERY OCCLUSION
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
PERIPHERAL EMBOLISM
1.7%
2/115 • Number of events 2 • 5 years
Vascular disorders
PERIPHERAL ISCHAEMIA
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
SUBCLAVIAN ARTERY OCCLUSION
1.7%
2/115 • Number of events 2 • 5 years
Vascular disorders
THROMBOSIS
0.87%
1/115 • Number of events 1 • 5 years
Gastrointestinal disorders
VOMITING
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
CELLULITIS STAPHYLOCOCCAL
0.87%
1/115 • Number of events 1 • 5 years
Infections and infestations
ESCHERICHIA INFECTION
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
COMPRESSION FRACTURE
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
CONCUSSION
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
SPINAL COMPRESSION FRACTURE
0.87%
1/115 • Number of events 2 • 5 years
Injury, poisoning and procedural complications
STERNAL FRACTURE
0.87%
1/115 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
THORACIC VERTEBRAL FRACTURE
0.87%
1/115 • Number of events 1 • 5 years
Metabolism and nutrition disorders
HYPERNATRAEMIA
0.87%
1/115 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
KNEE DEFORMITY
0.87%
1/115 • Number of events 1 • 5 years
Nervous system disorders
DIZZINESS
0.87%
1/115 • Number of events 1 • 5 years
Renal and urinary disorders
KETONURIA
0.87%
1/115 • Number of events 1 • 5 years
Renal and urinary disorders
STRESS URINARY INCONTINENCE
0.87%
1/115 • Number of events 1 • 5 years
Renal and urinary disorders
URINARY TRACT OBSTRUCTION
0.87%
1/115 • Number of events 1 • 5 years
Reproductive system and breast disorders
RECTOCELE
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
DYSPNOEA EXERTIONAL
0.87%
1/115 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
RESPIRATORY ARREST
0.87%
1/115 • Number of events 1 • 5 years
Surgical and medical procedures
SPLENECTOMY
0.87%
1/115 • Number of events 1 • 5 years
Vascular disorders
ANEURYSM
0.87%
1/115 • Number of events 1 • 5 years
Reproductive system and breast disorders
VAGINAL PROLAPSE
0.87%
1/115 • Number of events 1 • 5 years

Other adverse events

Other adverse events
Measure
Endovascular Repair
n=115 participants at risk
treatment Zenith TX2® TAA Endovascular Graft: Endovascular treatment with the study device
Cardiac disorders
ARRHYTHMIA
5.2%
6/115 • Number of events 6 • 5 years
Musculoskeletal and connective tissue disorders
BACK PAIN
8.7%
10/115 • Number of events 12 • 5 years

Additional Information

Alan Saunders, MS, RAC; Manager, Biostatistics

Cook Research Incorporated

Phone: 765-463-7537

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60