Trial Outcomes & Findings for Feasibility Study for GORE® TAG® Thoracic Branch Endoprosthesis to Treat Proximal Descending Thoracic Aortic Aneurysms (NCT NCT02021812)

NCT ID: NCT02021812

Last Updated: 2022-09-09

Results Overview

Access to the aneurysm and target landing zone location is obtained via conventional vascular access and endovascular techniques.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

31 participants

Primary outcome timeframe

During treatment procedure (day 0)

Results posted on

2022-09-09

Participant Flow

Participant milestones

Participant milestones
Measure
Branched TAG® Device
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Overall Study
STARTED
31
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
15

Reasons for withdrawal

Reasons for withdrawal
Measure
Branched TAG® Device
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Overall Study
Death
8
Overall Study
Withdrawal by Subject
3
Overall Study
Lost to Follow-up
2
Overall Study
Refuse to return, COVD 19
2

Baseline Characteristics

Feasibility Study for GORE® TAG® Thoracic Branch Endoprosthesis to Treat Proximal Descending Thoracic Aortic Aneurysms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Branched TAG® Device
n=31 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Age, Continuous
74.1 years
STANDARD_DEVIATION 10.4 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
29 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
BMI
28.7 kg/(m^2)
STANDARD_DEVIATION 6.8 • n=5 Participants

PRIMARY outcome

Timeframe: During treatment procedure (day 0)

Access to the aneurysm and target landing zone location is obtained via conventional vascular access and endovascular techniques.

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=31 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants With Successful Study Device Access
31 Participants

PRIMARY outcome

Timeframe: During treatment procedure (day 0)

Absence of deployment failure will be considered a successful deployment. Deployment failure will be considered the failure of any Branched TAG® Device component (Aortic Component, Aortic Extender, or SB Component) to be released from the delivery catheter resulting in a serious adverse event (SAE) due to mechanical failure or use error.

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=31 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants With Successful Study Device Deployment
31 Participants

PRIMARY outcome

Timeframe: At conclusion of the treatment procedure (day 0)

The presence of forward flow through the implanted Side Branch Component into the target branch vessel.

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=31 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants With Primary Procedural Side Branch Patency as Assessed by Angiography
31 Participants

SECONDARY outcome

Timeframe: 1 Month

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=31 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants With 1 Month Side Branch Primary Patency Assessed by an Independent Core Lab
31 Participants

SECONDARY outcome

Timeframe: 1 Month

Population: 1 participant was not assessed at 1 Month

Device-related endoelaks are defined as the presence of contrast within the aneurysm sac originating from the junction between any Branched TAG® Device component and the adjacent tissue (endoleak type IA or IB) OR the junction between the Aortic Component and either the SB Component or the Aortic Extender (type III endoleak).

Outcome measures

Outcome measures
Measure
Branched TAG® Device
n=30 Participants
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Number of Participants Without 1 Month Device Related Endoleaks Assessed by an Independent Core Lab
29 Participants

Adverse Events

Branched TAG® Device

Serious events: 20 serious events
Other events: 30 other events
Deaths: 8 deaths

Serious adverse events

Serious adverse events
Measure
Branched TAG® Device
n=31 participants at risk
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Blood and lymphatic system disorders
Acute post hemorrhagic anemia
3.2%
1/31 • Number of events 1 • Through 60 Months
Blood and lymphatic system disorders
Anemia
6.5%
2/31 • Number of events 2 • Through 60 Months
Cardiac disorders
Atrial fibrillation
3.2%
1/31 • Number of events 1 • Through 60 Months
Cardiac disorders
Atrial fibrillation with rapid ventricular response
3.2%
1/31 • Number of events 2 • Through 60 Months
Cardiac disorders
Cardiac arrhythmia
3.2%
1/31 • Number of events 1 • Through 60 Months
Cardiac disorders
Chest pain - cardiac
3.2%
1/31 • Number of events 1 • Through 60 Months
Cardiac disorders
Congestive heart failure
6.5%
2/31 • Number of events 2 • Through 60 Months
Cardiac disorders
Heart block AV first degree
3.2%
1/31 • Number of events 1 • Through 60 Months
Cardiac disorders
Systolic heart failure
3.2%
1/31 • Number of events 1 • Through 60 Months
Cardiac disorders
Ventricular tachycardia
3.2%
1/31 • Number of events 1 • Through 60 Months
Eye disorders
Retinal vein occlusion
3.2%
1/31 • Number of events 1 • Through 60 Months
Gastrointestinal disorders
Fecal incontinence
3.2%
1/31 • Number of events 1 • Through 60 Months
Gastrointestinal disorders
Gastrointestinal bleed
3.2%
1/31 • Number of events 2 • Through 60 Months
Gastrointestinal disorders
Ileus
3.2%
1/31 • Number of events 1 • Through 60 Months
Gastrointestinal disorders
Inguinal hernia
3.2%
1/31 • Number of events 1 • Through 60 Months
Gastrointestinal disorders
Ischemic colitis
3.2%
1/31 • Number of events 1 • Through 60 Months
Gastrointestinal disorders
Lower gastrointestinal bleeding
3.2%
1/31 • Number of events 1 • Through 60 Months
General disorders
Adverse drug reaction
3.2%
1/31 • Number of events 1 • Through 60 Months
General disorders
Debility
3.2%
1/31 • Number of events 1 • Through 60 Months
General disorders
Fever
3.2%
1/31 • Number of events 1 • Through 60 Months
General disorders
Unknown cause of death
6.5%
2/31 • Number of events 2 • Through 60 Months
Infections and infestations
Aspiration pneumonia
9.7%
3/31 • Number of events 3 • Through 60 Months
Infections and infestations
Clostridium difficile infection
6.5%
2/31 • Number of events 2 • Through 60 Months
Infections and infestations
Cystitis
3.2%
1/31 • Number of events 1 • Through 60 Months
Infections and infestations
Pneumonia
3.2%
1/31 • Number of events 3 • Through 60 Months
Infections and infestations
Urosepsis
3.2%
1/31 • Number of events 1 • Through 60 Months
Injury, poisoning and procedural complications
Anemia postoperative
3.2%
1/31 • Number of events 1 • Through 60 Months
Injury, poisoning and procedural complications
Fall
3.2%
1/31 • Number of events 1 • Through 60 Months
Injury, poisoning and procedural complications
Femur fracture
3.2%
1/31 • Number of events 1 • Through 60 Months
Injury, poisoning and procedural complications
Hematoma traumatic
3.2%
1/31 • Number of events 1 • Through 60 Months
Injury, poisoning and procedural complications
Hip fracture
3.2%
1/31 • Number of events 1 • Through 60 Months
Injury, poisoning and procedural complications
Postoperative hypotension
3.2%
1/31 • Number of events 1 • Through 60 Months
Injury, poisoning and procedural complications
Procedural hemorrhage
3.2%
1/31 • Number of events 2 • Through 60 Months
Injury, poisoning and procedural complications
Vascular access site pseudoaneurysm
3.2%
1/31 • Number of events 1 • Through 60 Months
Injury, poisoning and procedural complications
Wound necrosis
3.2%
1/31 • Number of events 1 • Through 60 Months
Metabolism and nutrition disorders
Dehydration
3.2%
1/31 • Number of events 1 • Through 60 Months
Musculoskeletal and connective tissue disorders
Compartment syndrome
3.2%
1/31 • Number of events 1 • Through 60 Months
Musculoskeletal and connective tissue disorders
Degenerative joint disease
3.2%
1/31 • Number of events 1 • Through 60 Months
Musculoskeletal and connective tissue disorders
Lower extremities weakness of
3.2%
1/31 • Number of events 1 • Through 60 Months
Musculoskeletal and connective tissue disorders
Lumbar disc herniation
3.2%
1/31 • Number of events 1 • Through 60 Months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma of colon
3.2%
1/31 • Number of events 1 • Through 60 Months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung carcinoma
3.2%
1/31 • Number of events 1 • Through 60 Months
Nervous system disorders
CSF leakage
3.2%
1/31 • Number of events 1 • Through 60 Months
Nervous system disorders
Cerebrovascular accident
3.2%
1/31 • Number of events 1 • Through 60 Months
Nervous system disorders
Dizziness
3.2%
1/31 • Number of events 1 • Through 60 Months
Nervous system disorders
Paresthesia lower limb
3.2%
1/31 • Number of events 1 • Through 60 Months
Nervous system disorders
Stroke
3.2%
1/31 • Number of events 1 • Through 60 Months
Product Issues
Device misdeployment (location)
3.2%
1/31 • Number of events 1 • Through 60 Months
Psychiatric disorders
Delirium
3.2%
1/31 • Number of events 1 • Through 60 Months
Renal and urinary disorders
Acute kidney injury
3.2%
1/31 • Number of events 1 • Through 60 Months
Renal and urinary disorders
Renal disease
3.2%
1/31 • Number of events 1 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Acute respiratory insufficiency
3.2%
1/31 • Number of events 1 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease exacerbation
6.5%
2/31 • Number of events 3 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Epistaxis
3.2%
1/31 • Number of events 1 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Hypoxia
3.2%
1/31 • Number of events 1 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
9.7%
3/31 • Number of events 3 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
3.2%
1/31 • Number of events 1 • Through 60 Months
Vascular disorders
Ascending aortic aneurysm rupture
3.2%
1/31 • Number of events 1 • Through 60 Months
Vascular disorders
Atherosclerotic cardiovascular disease
3.2%
1/31 • Number of events 1 • Through 60 Months
Vascular disorders
Brachial artery thrombosis
3.2%
1/31 • Number of events 1 • Through 60 Months
Vascular disorders
Hypertension worsened
3.2%
1/31 • Number of events 1 • Through 60 Months
Vascular disorders
Hypotension
3.2%
1/31 • Number of events 1 • Through 60 Months
Vascular disorders
Iliac artery dissection
3.2%
1/31 • Number of events 1 • Through 60 Months
Vascular disorders
Leg ischemia
3.2%
1/31 • Number of events 1 • Through 60 Months
Vascular disorders
Peripheral ischemia
3.2%
1/31 • Number of events 2 • Through 60 Months

Other adverse events

Other adverse events
Measure
Branched TAG® Device
n=31 participants at risk
Treatment with the GORE® TAG® Thoracic Branch Endoprosthesis Branched TAG® Device
Blood and lymphatic system disorders
Acute post hemorrhagic anemia
6.5%
2/31 • Number of events 2 • Through 60 Months
Blood and lymphatic system disorders
Anemia
9.7%
3/31 • Number of events 3 • Through 60 Months
Blood and lymphatic system disorders
Leukocytosis
16.1%
5/31 • Number of events 6 • Through 60 Months
Blood and lymphatic system disorders
Thrombocytopenia
9.7%
3/31 • Number of events 3 • Through 60 Months
Cardiac disorders
Atrial fibrillation
6.5%
2/31 • Number of events 2 • Through 60 Months
Cardiac disorders
Sinus tachycardia
9.7%
3/31 • Number of events 3 • Through 60 Months
Eye disorders
Macular degeneration
6.5%
2/31 • Number of events 2 • Through 60 Months
Gastrointestinal disorders
Constipation
6.5%
2/31 • Number of events 2 • Through 60 Months
Gastrointestinal disorders
Diarrhea
9.7%
3/31 • Number of events 3 • Through 60 Months
Gastrointestinal disorders
Dysphagia
6.5%
2/31 • Number of events 2 • Through 60 Months
General disorders
Catheter site pain
6.5%
2/31 • Number of events 2 • Through 60 Months
General disorders
Stent-graft endoleak type IA
16.1%
5/31 • Number of events 5 • Through 60 Months
General disorders
Stent-graft endoleak type II
16.1%
5/31 • Number of events 5 • Through 60 Months
General disorders
Stent-graft endoleak type III
6.5%
2/31 • Number of events 2 • Through 60 Months
Infections and infestations
Bronchitis
6.5%
2/31 • Number of events 2 • Through 60 Months
Infections and infestations
Urinary tract infection
22.6%
7/31 • Number of events 7 • Through 60 Months
Injury, poisoning and procedural complications
Fall
12.9%
4/31 • Number of events 6 • Through 60 Months
Injury, poisoning and procedural complications
Incision site hematoma
6.5%
2/31 • Number of events 2 • Through 60 Months
Injury, poisoning and procedural complications
Incision site pain
6.5%
2/31 • Number of events 2 • Through 60 Months
Metabolism and nutrition disorders
Electrolyte imbalance
12.9%
4/31 • Number of events 5 • Through 60 Months
Metabolism and nutrition disorders
Hyponatremia
6.5%
2/31 • Number of events 3 • Through 60 Months
Musculoskeletal and connective tissue disorders
Back pain
9.7%
3/31 • Number of events 3 • Through 60 Months
Musculoskeletal and connective tissue disorders
Chest wall pain
6.5%
2/31 • Number of events 2 • Through 60 Months
Musculoskeletal and connective tissue disorders
Shoulder pain
6.5%
2/31 • Number of events 2 • Through 60 Months
Nervous system disorders
Dizziness
16.1%
5/31 • Number of events 6 • Through 60 Months
Nervous system disorders
Headache
6.5%
2/31 • Number of events 2 • Through 60 Months
Product Issues
Thrombosis in device
6.5%
2/31 • Number of events 2 • Through 60 Months
Psychiatric disorders
Anxiety
12.9%
4/31 • Number of events 4 • Through 60 Months
Psychiatric disorders
Delirium
12.9%
4/31 • Number of events 4 • Through 60 Months
Renal and urinary disorders
Acute kidney injury
6.5%
2/31 • Number of events 2 • Through 60 Months
Renal and urinary disorders
Oliguria
6.5%
2/31 • Number of events 2 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Atelectasis
19.4%
6/31 • Number of events 6 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Basilar atelectasis
9.7%
3/31 • Number of events 3 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.5%
2/31 • Number of events 2 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Hypoxemia
6.5%
2/31 • Number of events 2 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Pleural effusion
16.1%
5/31 • Number of events 5 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
9.7%
3/31 • Number of events 3 • Through 60 Months
Respiratory, thoracic and mediastinal disorders
Respiratory insufficiency
6.5%
2/31 • Number of events 2 • Through 60 Months
Skin and subcutaneous tissue disorders
Rash
6.5%
2/31 • Number of events 2 • Through 60 Months
Vascular disorders
Hypertension
6.5%
2/31 • Number of events 2 • Through 60 Months
Vascular disorders
Hypotension
19.4%
6/31 • Number of events 7 • Through 60 Months

Additional Information

Jennifer Gorman

W.L. Gore & Associates

Phone: 928-863-8483

Results disclosure agreements

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