Post-Market Study to Assess Outcomes of Patients Treated With AFX System Compared to Other EVAR Devices

NCT ID: NCT02407457

Last Updated: 2024-10-01

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

455 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-31

Study Completion Date

2022-10-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The objective of this post-market trial is to evaluate Endologix AFX endovascular AAA system with anatomical fixation against other approved Endovascular systems with proximal fixation. Multiple U.S clinical centers will be involved in the trial to include a broad range of experience. Imaging data will be evaluated by an independent core lab.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This trial is a prospective, randomized, multi-center trial, intended to evaluate the outcomes of contemporary EVAR (Endovascular Aneurysm Repair) in a real world population. The trial is designed to compare the anatomically stabilized AFX Endograft System to a reference group of proximally fixated EVAR devices. Patients will be randomized between the two groups.

Randomization will be 1:1. Each investigator will select one comparator device of their choice before enrolling the first patient. The study will sequentially evaluate non-inferiority and superiority hypotheses.

Up to 80 sites with experience in EVAR and up to 800 subjects will participate in this study.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Abdominal Aortic Aneurysm

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

AFX EVAR AAA Graft System

Subjects randomized to receive the Endologix AFX Endovascular Graft System for implantation to repair Abdominal Aortic Aneurysm via femoral access.

Group Type ACTIVE_COMPARATOR

AFX EVAR AAA Graft System

Intervention Type DEVICE

Endvovascular Abdominal Aneurysm Repair (EVAR) using commerically available, FDA approved endovascular graft systems implanted via femoral access.

FDA Approved EVAR AAA Graft Systems

Subjects randomized to receive the comparator AAA Endovascular Graft System for implantation to repair Abdominal Aortic Aneurysm via femoral access.

Group Type ACTIVE_COMPARATOR

FDA Approved EVAR AAA Graft Systems

Intervention Type DEVICE

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

AFX EVAR AAA Graft System

Endvovascular Abdominal Aneurysm Repair (EVAR) using commerically available, FDA approved endovascular graft systems implanted via femoral access.

Intervention Type DEVICE

FDA Approved EVAR AAA Graft Systems

Intervention Type DEVICE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Male or female at least 18 years old
2. Subjects with minimum of 2 year life expectancy
3. Subjects have signed the informed consent document for data release
4. Subjects with infrarenal AAA who are assessed by the Investigator to be eligible for endovascular Abdominal Aortic Aneurysm Repair with the trial devices.

Exclusion Criteria

1. Currently participating in another study where primary endpoint has not been reached yet
2. Known allergy to any of the device components
3. Pregnant (females of childbearing potential only)
4. Subjects with pre-existing EVAR, e.e. in need of repair/intervention of a previously failed EVAR
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Endologix

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Christopher Kwolek, MD

Role: PRINCIPAL_INVESTIGATOR

Endologix

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Eliza Coffee Medical Center

Florence, Alabama, United States

Site Status

Huntsville Hospital

Huntsville, Alabama, United States

Site Status

Banner Good Samaritan Hospital

Phoenix, Arizona, United States

Site Status

Carondelet Heart and Vascular Institute

Tucson, Arizona, United States

Site Status

Central Arkansas Veteran's Healthcare System

Little Rock, Arkansas, United States

Site Status

Long Beach VA Hospital

Long Beach, California, United States

Site Status

Sacramento Vascular Sugeons

Sacramento, California, United States

Site Status

Kaiser - Santa Clara

Santa Clara, California, United States

Site Status

Penrose St. Francis Health

Colorado Springs, Colorado, United States

Site Status

Hartford Hospital

New Britain, Connecticut, United States

Site Status

Yale University

New Haven, Connecticut, United States

Site Status

Mayo Jacksonville

Jacksonville, Florida, United States

Site Status

Mount Sinai Medical Center

Miami Beach, Florida, United States

Site Status

Vascular Institute of Central Florida

Orlando, Florida, United States

Site Status

Sarasota Vascular Specialists

Sarasota, Florida, United States

Site Status

USF/Tampa VA

Tampa, Florida, United States

Site Status

Emory/Grady

Atlanta, Georgia, United States

Site Status

Navicent Health Medical Center

Macon, Georgia, United States

Site Status

Peachtree Vascular Specialists

Stockbridge, Georgia, United States

Site Status

Prairie Education & Research Cooperative

Springfield, Illinois, United States

Site Status

Cadence Physician Group

Winfield, Illinois, United States

Site Status

Parkview Research Center

Fort Wayne, Indiana, United States

Site Status

Franciscan - St. Francis Hospital

Indianapolis, Indiana, United States

Site Status

University of Iowa Healthcare

Iowa City, Iowa, United States

Site Status

The Iowa Clinic Cardiovascular Services

West Des Moines, Iowa, United States

Site Status

Surgical Care Associates

Louisville, Kentucky, United States

Site Status

Cardiovascular Research Foundation of Louisiana

Baton Rouge, Louisiana, United States

Site Status

Baton Rouge Vascular Specialty Center

Baton Rouge, Louisiana, United States

Site Status

VA Maryland Health Care System

Baltimore, Maryland, United States

Site Status

Peninsula Regional Medical Center

Salisbury, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

St. Joseph Mercy Ann Arbor

Ypsilanti, Michigan, United States

Site Status

Hattiesburg Clinic

Hattiesburg, Mississippi, United States

Site Status

North MS Medical Center

Tupelo, Mississippi, United States

Site Status

University of Missouri

Columbia, Missouri, United States

Site Status

Kansas City Vascular

North Kansas City, Missouri, United States

Site Status

Saint Louis University

St Louis, Missouri, United States

Site Status

The Vascular Group

Albany, New York, United States

Site Status

VA Western New York Healthcare System

Buffalo, New York, United States

Site Status

Wake Forest

Winston-Salem, North Carolina, United States

Site Status

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Innovation Center, Kettering Health Network

Kettering, Ohio, United States

Site Status

Neo Vascular (Lake West)

Willoughby, Ohio, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

North Central Heart

Sioux Falls, South Dakota, United States

Site Status

Cardiothoracic & Vascular Surgeons

Austin, Texas, United States

Site Status

University of Texas Health

Houston, Texas, United States

Site Status

University of Vermont Medical Center

Burlington, Vermont, United States

Site Status

Sentara Vascular Specialists

Norfolk, Virginia, United States

Site Status

Peacehealth Southwest Medical Center

Vancouver, Washington, United States

Site Status

University of Wisconsin

Madison, Wisconsin, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Clement J. Zablocki VA Medical Center

Milwaukee, Wisconsin, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

References

Explore related publications, articles, or registry entries linked to this study.

Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, Buskens E, Grobbee DE, Blankensteijn JD; Dutch Randomized Endovascular Aneurysm Management (DREAM)Trial Group. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004 Oct 14;351(16):1607-18. doi: 10.1056/NEJMoa042002.

Reference Type BACKGROUND
PMID: 15483279 (View on PubMed)

Volodos' NL, Karpovich IP, Shekhanin VE, Troian VI, Iakovenko LF. [A case of distant transfemoral endoprosthesis of the thoracic artery using a self-fixing synthetic prosthesis in traumatic aneurysm]. Grudn Khir. 1988 Nov-Dec;(6):84-6. No abstract available. Russian.

Reference Type BACKGROUND
PMID: 3220297 (View on PubMed)

Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG; EVAR trial participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004 Sep 4-10;364(9437):843-8. doi: 10.1016/S0140-6736(04)16979-1.

Reference Type BACKGROUND
PMID: 15351191 (View on PubMed)

Brown LC, Greenhalgh RM, Thompson SG, Powell JT; EVAR Trial Participants. Does EVAR alter the rate of cardiovascular events in patients with abdominal aortic aneurysm considered unfit for open repair? Results from the randomised EVAR trial 2. Eur J Vasc Endovasc Surg. 2010 Apr;39(4):396-402. doi: 10.1016/j.ejvs.2010.01.002. Epub 2010 Jan 21.

Reference Type BACKGROUND
PMID: 20096611 (View on PubMed)

Stroupe KT, Lederle FA, Matsumura JS, Kyriakides TC, Jonk YC, Ge L, Freischlag JA; Open Versus Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group. Cost-effectiveness of open versus endovascular repair of abdominal aortic aneurysm in the OVER trial. J Vasc Surg. 2012 Oct;56(4):901-9.e2. doi: 10.1016/j.jvs.2012.01.086. Epub 2012 May 27.

Reference Type BACKGROUND
PMID: 22640466 (View on PubMed)

De Bruin JL, Baas AF, Buth J, Prinssen M, Verhoeven EL, Cuypers PW, van Sambeek MR, Balm R, Grobbee DE, Blankensteijn JD; DREAM Study Group. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2010 May 20;362(20):1881-9. doi: 10.1056/NEJMoa0909499.

Reference Type BACKGROUND
PMID: 20484396 (View on PubMed)

Kwolek CJ, Ouriel K, Stucky FS, Rao VK, Pons PJ, Wilson SE, Kujath SW. Five-year results of the LEOPARD trial of commercially available endografts. J Vasc Surg. 2023 Aug;78(2):324-332.e2. doi: 10.1016/j.jvs.2023.04.011. Epub 2023 Apr 15.

Reference Type DERIVED
PMID: 37068528 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

CP-0011

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Endurant Evo US Clinical Trial
NCT02393716 TERMINATED NA
ALIVE Expended Access - Clinical Study
NCT05710042 NO_LONGER_AVAILABLE