Trial Outcomes & Findings for Zenith® Dissection Clinical Trial (NCT NCT01568320)

NCT ID: NCT01568320

Last Updated: 2021-03-16

Results Overview

Primary safety : Major adverse events include: myocardial infarction, chronic renal insufficiency/chronic renal failure requiring dialysis, bowel ischemia, stroke, paraplegia or paraparesis, and prolonged ventilator support

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

73 participants

Primary outcome timeframe

30 days

Results posted on

2021-03-16

Participant Flow

Participant milestones

Participant milestones
Measure
Endovascular
Endovascular Treatment (Zenith) Endovascular Treatment (Zenith): Instead of making a large incision in the chest, the physician makes a small incision near each hip to insert, and guides the study device(s) into place in the aorta.
Overall Study
STARTED
73
Overall Study
5-Year
36
Overall Study
COMPLETED
32
Overall Study
NOT COMPLETED
41

Reasons for withdrawal

Reasons for withdrawal
Measure
Endovascular
Endovascular Treatment (Zenith) Endovascular Treatment (Zenith): Instead of making a large incision in the chest, the physician makes a small incision near each hip to insert, and guides the study device(s) into place in the aorta.
Overall Study
Death
20
Overall Study
Lost to Follow-up
9
Overall Study
Withdrawal by Subject
10
Overall Study
Conversion to open repair
1
Overall Study
Patient fell outside of the consented window, data outside of the consented 5-year was not collected
1

Baseline Characteristics

Zenith® Dissection Clinical Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Endovascular
n=73 Participants
Endovascular Treatment (Zenith) Endovascular Treatment (Zenith): Instead of making a large incision in the chest, the physician makes a small incision near each hip to insert, and guides the study device(s) into place in the aorta.
Age, Continuous
60.7 years
STANDARD_DEVIATION 10.9 • n=5 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
Sex: Female, Male
Male
48 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 days

Population: In accordance with a revised data analysis plan approved under the IDE , 6 patients were excluded from the hypothesis testing due to meeting certain medical exclusion criteria (i.e., patients who were ASA class V or who were without confirmed absence of bowel necrosis at the time of enrollment).Additional information/reference why no analysis was performed for 6 patients is listed in the CIP in section 7.1

Primary safety : Major adverse events include: myocardial infarction, chronic renal insufficiency/chronic renal failure requiring dialysis, bowel ischemia, stroke, paraplegia or paraparesis, and prolonged ventilator support

Outcome measures

Outcome measures
Measure
Endovascular
n=67 Participants
Endovascular Treatment (Zenith) Endovascular Treatment (Zenith): Instead of making a large incision in the chest, the physician makes a small incision near each hip to insert, and guides the study device(s) into place in the aorta.
Number of Participants With Freedom From Major Adverse Events
48 participants

PRIMARY outcome

Timeframe: 30 days

Population: In accordance with a revised data analysis plan approved under the IDE , 6 patients were excluded from the hypothesis testing due to meeting certain medical exclusion criteria (i.e., patients who were ASA class V or who were without confirmed absence of bowel necrosis at the time of enrollment). Additional information/reference why no analysis was performed for 6 patients is listed in the CIP in section 7.1

Primary effectiveness endpoint is freedom from all cause mortality at 30 days

Outcome measures

Outcome measures
Measure
Endovascular
n=67 Participants
Endovascular Treatment (Zenith) Endovascular Treatment (Zenith): Instead of making a large incision in the chest, the physician makes a small incision near each hip to insert, and guides the study device(s) into place in the aorta.
Survival Rate at 30 Days
64 participants

Adverse Events

Endovascular

Serious events: 63 serious events
Other events: 40 other events
Deaths: 20 deaths

Serious adverse events

Serious adverse events
Measure
Endovascular
n=73 participants at risk
Endovascular Treatment (Zenith) Endovascular Treatment (Zenith): Instead of making a large incision in the chest, the physician makes a small incision near each hip to insert, and guides the study device(s) into place in the aorta.
Blood and lymphatic system disorders
Anaemia
2.7%
2/73 • Number of events 2 • 5-Year
Blood and lymphatic system disorders
Coagulopathy
1.4%
1/73 • Number of events 1 • 5-Year
Blood and lymphatic system disorders
Febrile neutropenia
1.4%
1/73 • Number of events 1 • 5-Year
Blood and lymphatic system disorders
Thrombocytopenia
2.7%
2/73 • Number of events 2 • 5-Year
Cardiac disorders
Angina pectoris
5.5%
4/73 • Number of events 4 • 5-Year
Cardiac disorders
Arrhythmia
5.5%
4/73 • Number of events 4 • 5-Year
Cardiac disorders
Cardiac Failure Congestive
2.7%
2/73 • Number of events 2 • 5-Year
Cardiac disorders
Cardiac tamponade
1.4%
1/73 • Number of events 1 • 5-Year
Cardiac disorders
Coronary artery stenosis
1.4%
1/73 • Number of events 1 • 5-Year
Cardiac disorders
Mitral valve prolapse
1.4%
1/73 • Number of events 1 • 5-Year
Cardiac disorders
Myocardial infarction
4.1%
3/73 • Number of events 3 • 5-Year
Cardiac disorders
Myocardial ischaemia
4.1%
3/73 • Number of events 3 • 5-Year
Eye disorders
Cataract
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Abdominal hernia
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Abdominal pain
2.7%
2/73 • Number of events 2 • 5-Year
Gastrointestinal disorders
Abdominal pain lower
2.7%
2/73 • Number of events 2 • 5-Year
Gastrointestinal disorders
Colitis
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Diarrhoea
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Dysphagia
2.7%
2/73 • Number of events 2 • 5-Year
Gastrointestinal disorders
Epigastric discomfort
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Erosive oesophagitis
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Gastoroesophageal reflux disease
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Gastric volvulus
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Gastritis
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Gastrointestinal haemorrhage
2.7%
2/73 • Number of events 2 • 5-Year
Gastrointestinal disorders
Haematemesis
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Haemorrhoidal haemorrhage
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Hiatus hernia
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Ileus paralytic
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Intestinal ischaemia
4.1%
3/73 • Number of events 3 • 5-Year
Gastrointestinal disorders
Intestinal obstruction
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Large intestine ulcer
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Melaena
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Mouth swelling
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Nausea
1.4%
1/73 • Number of events 2 • 5-Year
Gastrointestinal disorders
Oesophageal perforation
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Oesophageal stenosis
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Retroperitoneal haemorrhage
1.4%
1/73 • Number of events 1 • 5-Year
Gastrointestinal disorders
Vomiting
1.4%
1/73 • Number of events 2 • 5-Year
General disorders
Asthenia
1.4%
1/73 • Number of events 1 • 5-Year
General disorders
Chest discomfort
1.4%
1/73 • Number of events 1 • 5-Year
General disorders
Chest pain
6.8%
5/73 • Number of events 5 • 5-Year
General disorders
Mucosal inflammation
1.4%
1/73 • Number of events 1 • 5-Year
General disorders
Multiple organ dysfunction syndrome
4.1%
3/73 • Number of events 3 • 5-Year
General disorders
Nodule
1.4%
1/73 • Number of events 1 • 5-Year
General disorders
Non-cardiac chest pain
2.7%
2/73 • Number of events 2 • 5-Year
General disorders
Pyrexia
2.7%
2/73 • Number of events 2 • 5-Year
General disorders
Stent-graft endoleak
4.1%
3/73 • Number of events 4 • 5-Year
General disorders
Swelling
1.4%
1/73 • Number of events 1 • 5-Year
Infections and infestations
Appendicitis
1.4%
1/73 • Number of events 1 • 5-Year
Infections and infestations
Bacillus infection
1.4%
1/73 • Number of events 1 • 5-Year
Infections and infestations
Bronchitis
1.4%
1/73 • Number of events 1 • 5-Year
Infections and infestations
Cellulitis
1.4%
1/73 • Number of events 1 • 5-Year
Infections and infestations
Gastroenteritis
1.4%
1/73 • Number of events 1 • 5-Year
Infections and infestations
Gastrointestinal infection
1.4%
1/73 • Number of events 1 • 5-Year
Infections and infestations
Helicobacter infection
1.4%
1/73 • Number of events 1 • 5-Year
Infections and infestations
Influenza
1.4%
1/73 • Number of events 1 • 5-Year
Infections and infestations
Pneumonia
5.5%
4/73 • Number of events 5 • 5-Year
Infections and infestations
Sepsis
2.7%
2/73 • Number of events 3 • 5-Year
Infections and infestations
Urinary tract infection
4.1%
3/73 • Number of events 3 • 5-Year
Infections and infestations
Vascular access site infection
2.7%
2/73 • Number of events 2 • 5-Year
Infections and infestations
Vascular device infection
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Device use error
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Fall
2.7%
2/73 • Number of events 2 • 5-Year
Injury, poisoning and procedural complications
Incisional hernia
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Lower limb fracture
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Postoperative respiratory failure
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Seroma
1.4%
1/73 • Number of events 2 • 5-Year
Injury, poisoning and procedural complications
Skull fracture
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Spinal compression fracture
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Spinal fracture
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Subdural haematoma
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Vascular access site haematoma
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Vascular access site pseudoaneurysm
1.4%
1/73 • Number of events 1 • 5-Year
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
2.7%
2/73 • Number of events 3 • 5-Year
Investigations
Blood creatinine increased
2.7%
2/73 • Number of events 2 • 5-Year
Investigations
White blood cell count increased
1.4%
1/73 • Number of events 1 • 5-Year
Metabolism and nutrition disorders
Adult failure to thrive
1.4%
1/73 • Number of events 1 • 5-Year
Metabolism and nutrition disorders
Diabetes mellitus
2.7%
2/73 • Number of events 2 • 5-Year
Metabolism and nutrition disorders
Hyperglycemia
1.4%
1/73 • Number of events 1 • 5-Year
Metabolism and nutrition disorders
Hypovolaemia
1.4%
1/73 • Number of events 1 • 5-Year
Musculoskeletal and connective tissue disorders
Arthraglia
2.7%
2/73 • Number of events 2 • 5-Year
Musculoskeletal and connective tissue disorders
Back pain
8.2%
6/73 • Number of events 6 • 5-Year
Musculoskeletal and connective tissue disorders
Flank pain
1.4%
1/73 • Number of events 1 • 5-Year
Musculoskeletal and connective tissue disorders
Intervertebral disc degeneration
1.4%
1/73 • Number of events 1 • 5-Year
Musculoskeletal and connective tissue disorders
Lumbar spinal stenosis
1.4%
1/73 • Number of events 1 • 5-Year
Musculoskeletal and connective tissue disorders
Muscle spasms
1.4%
1/73 • Number of events 1 • 5-Year
Musculoskeletal and connective tissue disorders
Muscle weakness
1.4%
1/73 • Number of events 1 • 5-Year
Musculoskeletal and connective tissue disorders
Pain in extremity
2.7%
2/73 • Number of events 2 • 5-Year
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
1.4%
1/73 • Number of events 1 • 5-Year
Musculoskeletal and connective tissue disorders
Spondylolisthesis
1.4%
1/73 • Number of events 1 • 5-Year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer
1.4%
1/73 • Number of events 1 • 5-Year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
1.4%
1/73 • Number of events 1 • 5-Year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic syndrome
1.4%
1/73 • Number of events 1 • 5-Year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pancreatic carcinoma metastatic
1.4%
1/73 • Number of events 1 • 5-Year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Sarcoma metastatic
1.4%
1/73 • Number of events 1 • 5-Year
Nervous system disorders
Cerebrovascular accident
8.2%
6/73 • Number of events 6 • 5-Year
Nervous system disorders
Dizziness
1.4%
1/73 • Number of events 1 • 5-Year
Nervous system disorders
Headache
1.4%
1/73 • Number of events 2 • 5-Year
Nervous system disorders
Lethargy
1.4%
1/73 • Number of events 1 • 5-Year
Nervous system disorders
Motor dysfunction
1.4%
1/73 • Number of events 1 • 5-Year
Nervous system disorders
Nervous system disorder
1.4%
1/73 • Number of events 1 • 5-Year
Nervous system disorders
Paraparesis
2.7%
2/73 • Number of events 2 • 5-Year
Nervous system disorders
Paraplegia
2.7%
2/73 • Number of events 2 • 5-Year
Nervous system disorders
Seizure
1.4%
1/73 • Number of events 1 • 5-Year
Nervous system disorders
Subarachnoid haemorrhage
1.4%
1/73 • Number of events 1 • 5-Year
Nervous system disorders
Syncope
1.4%
1/73 • Number of events 1 • 5-Year
Nervous system disorders
Transient ischaemic attack
4.1%
3/73 • Number of events 4 • 5-Year
Product Issues
Device lead damage
1.4%
1/73 • Number of events 1 • 5-Year
Product Issues
Stent malfunction
1.4%
1/73 • Number of events 1 • 5-Year
Psychiatric disorders
Confusional state
1.4%
1/73 • Number of events 1 • 5-Year
Psychiatric disorders
Delirium
1.4%
1/73 • Number of events 1 • 5-Year
Psychiatric disorders
Mental status changes
2.7%
2/73 • Number of events 2 • 5-Year
Renal and urinary disorders
Acute kidney injury
2.7%
2/73 • Number of events 2 • 5-Year
Renal and urinary disorders
Haematuria
2.7%
2/73 • Number of events 3 • 5-Year
Renal and urinary disorders
Renal failure
9.6%
7/73 • Number of events 8 • 5-Year
Renal and urinary disorders
Renal tubular necrosis
1.4%
1/73 • Number of events 1 • 5-Year
Reproductive system and breast disorders
Benign prostatic hyperplasia
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
5.5%
4/73 • Number of events 4 • 5-Year
Respiratory, thoracic and mediastinal disorders
Aspiration
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Atelectasis
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
2.7%
2/73 • Number of events 2 • 5-Year
Respiratory, thoracic and mediastinal disorders
Diaphragmatic paralysis
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Haemothorax
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Orthopnoea
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Pleural effusion
6.8%
5/73 • Number of events 5 • 5-Year
Respiratory, thoracic and mediastinal disorders
Pulmonary mass
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Respiratory distress
1.4%
1/73 • Number of events 1 • 5-Year
Respiratory, thoracic and mediastinal disorders
Respiratory failure
8.2%
6/73 • Number of events 6 • 5-Year
Surgical and medical procedures
Enterostomy
1.4%
1/73 • Number of events 1 • 5-Year
Surgical and medical procedures
Intervertebral disc operation
1.4%
1/73 • Number of events 1 • 5-Year
Surgical and medical procedures
Mechanical ventilation
1.4%
1/73 • Number of events 1 • 5-Year
Vascular disorders
Aortic aneurysm
8.2%
6/73 • Number of events 6 • 5-Year
Vascular disorders
Aortic dissection
8.2%
6/73 • Number of events 8 • 5-Year
Vascular disorders
Aortic rupture
2.7%
2/73 • Number of events 2 • 5-Year
Vascular disorders
Arterial thrombosis
2.7%
2/73 • Number of events 2 • 5-Year
Vascular disorders
Haematoma
1.4%
1/73 • Number of events 1 • 5-Year
Vascular disorders
Hypertension
4.1%
3/73 • Number of events 3 • 5-Year
Vascular disorders
Hypertensive urgency
2.7%
2/73 • Number of events 2 • 5-Year
Vascular disorders
Hypotension
1.4%
1/73 • Number of events 1 • 5-Year
Vascular disorders
Iliac artery dissection
1.4%
1/73 • Number of events 1 • 5-Year
Vascular disorders
Iliac artery occlusion
2.7%
2/73 • Number of events 2 • 5-Year
Vascular disorders
Iliac artery stenosis
1.4%
1/73 • Number of events 1 • 5-Year
Vascular disorders
Intermittent claudication
2.7%
2/73 • Number of events 2 • 5-Year
Vascular disorders
Malignant hypertension
2.7%
2/73 • Number of events 2 • 5-Year
Vascular disorders
Peripheral ischaemia
2.7%
2/73 • Number of events 2 • 5-Year
Vascular disorders
Subclavian steal syndrome
1.4%
1/73 • Number of events 1 • 5-Year
Vascular disorders
Thrombus
1.4%
1/73 • Number of events 1 • 5-Year
Vascular disorders
Vascular dissection
1.4%
1/73 • Number of events 1 • 5-Year

Other adverse events

Other adverse events
Measure
Endovascular
n=73 participants at risk
Endovascular Treatment (Zenith) Endovascular Treatment (Zenith): Instead of making a large incision in the chest, the physician makes a small incision near each hip to insert, and guides the study device(s) into place in the aorta.
Blood and lymphatic system disorders
Anaemia
12.3%
9/73 • Number of events 10 • 5-Year
Blood and lymphatic system disorders
Leukocytosis
6.8%
5/73 • Number of events 5 • 5-Year
Cardiac disorders
Arrhythmia
11.0%
8/73 • Number of events 11 • 5-Year
General disorders
Chest pain
8.2%
6/73 • Number of events 8 • 5-Year
Infections and infestations
Urinary tract infection
15.1%
11/73 • Number of events 14 • 5-Year
Injury, poisoning and procedural complications
Vascular access site haematoma
6.8%
5/73 • Number of events 5 • 5-Year
Musculoskeletal and connective tissue disorders
Back pain
11.0%
8/73 • Number of events 9 • 5-Year
Nervous system disorders
Headache
5.5%
4/73 • Number of events 5 • 5-Year
Renal and urinary disorders
Urinary retention
9.6%
7/73 • Number of events 7 • 5-Year
Respiratory, thoracic and mediastinal disorders
Atelectasis
5.5%
4/73 • Number of events 4 • 5-Year
Respiratory, thoracic and mediastinal disorders
Pleural effusion
13.7%
10/73 • Number of events 10 • 5-Year
Vascular disorders
Hypertension
11.0%
8/73 • Number of events 8 • 5-Year

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