Assessment of the GORE® EXCLUDER® Conformable AAA Endoprosthesis in the Treatment of Abdominal Aortic Aneurysms

NCT ID: NCT02489539

Last Updated: 2025-08-13

Study Results

Results available

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

175 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-19

Study Completion Date

2027-12-31

Brief Summary

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The purpose of the study is to assess the safety and effectiveness of the GORE® EXCLUDER® Conformable AAA Endoprosthesis to treat an infrarenal aneurysm located in the abdominal aorta. Performance of the GORE® EXCLUDER® Conformable AAA Endoprosthesis will be judged by separate performance goals.

Detailed Description

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The study design is a prospective, nonrandomized, international, multicenter study comprised of two parallel substudies. The total subject population is 175 subjects with 80 subjects assigned to the Short Neck Substudy and 95 subjects to the High Neck Angulation Substudy.

This clinical study will include up to fifty-six sites in the US. Each enrolled subject will undergo periodic follow-up evaluations involving physical exams and contrast-enhanced computed tomography (CT) scans at specific, protocol-defined intervals for a period of five years following the GORE® EXCLUDER® Conformable AAA Endoprosthesis implant. Each Substudy will be evaluated and reported independently from each other according to the Safety and Effectiveness Endpoints. No comparative analyses between these substudies are planned.

Conditions

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Aortic Aneurysm, Abdominal

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Short Neck Substudy

Subjects with abdominal aortic aneurysms having infrarenal aortic neck angulation ≤ 60˚ and infrarenal aortic neck length ≥10 mm treated with the GORE® EXCLUDER® Conformable AAA Endoprosthesis.

Group Type EXPERIMENTAL

GORE® EXCLUDER® Conformable AAA Endoprosthesis

Intervention Type DEVICE

Endovascular Aneurysm repair (EVAR) is a minimally invasive procedure designed to exclude an aneurysmal segment of the aorta from blood circulation. The EVAR procedure involves delivery of a stent- graft compressed onto a catheter to an aneurysmal segment of the aorta from a remote access site, generally the femoral artery. Arterial access may be done by either percutaneous or cut-down technique.

High Neck Angulation Substudy

Subjects with abdominal aortic aneurysms having infrarenal aortic neck angulation \> 60˚ and ≤ 90˚ and infrarenal aortic neck length ≥10 mm treated with the GORE® EXCLUDER® Conformable AAA Endoprosthesis.

Group Type EXPERIMENTAL

GORE® EXCLUDER® Conformable AAA Endoprosthesis

Intervention Type DEVICE

Endovascular Aneurysm repair (EVAR) is a minimally invasive procedure designed to exclude an aneurysmal segment of the aorta from blood circulation. The EVAR procedure involves delivery of a stent- graft compressed onto a catheter to an aneurysmal segment of the aorta from a remote access site, generally the femoral artery. Arterial access may be done by either percutaneous or cut-down technique.

Interventions

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GORE® EXCLUDER® Conformable AAA Endoprosthesis

Endovascular Aneurysm repair (EVAR) is a minimally invasive procedure designed to exclude an aneurysmal segment of the aorta from blood circulation. The EVAR procedure involves delivery of a stent- graft compressed onto a catheter to an aneurysmal segment of the aorta from a remote access site, generally the femoral artery. Arterial access may be done by either percutaneous or cut-down technique.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. AAA meeting any of the following criteria:

* Maximum diameter ≥50 mm
* Rapid growth (\>5 mm in a 6 month period)
* Non-ruptured AAA presenting with clinical symptoms
2. Adequate anatomy to receive the GORE® EXCLUDER® Conformable AAA Endoprosthesis, including:

* Adequate iliac / femoral access
* Infrarenal aortic neck diameter 16-32 mm
* Infrarenal aortic neck length ≥10 mm
* Aortic neck angle ≤ 90˚
* Distal iliac artery seal zone ≥10 mm
* Iliac artery diameter 8-25 mm
3. An Informed Consent Form (ICF) signed by Subject
4. Male or infertile female
5. Able to comply with Protocol requirements including following-up
6. Life expectancy \> 2 years
7. Age ≥ 21 years

Exclusion Criteria

1. Mycotic or ruptured aneurysm
2. Known concomitant thoracic aortic aneurysm which requires surgical intervention
3. Renal insufficiency defined as creatinine \> 2.5 mg/dL or patient undergoing dialysis
4. New York Heart Association (NYHA) class IV
5. Aneurysmal, dissected, heavily calcified, or heavily thrombosed landing zone(s)
6. Severely tortuous or stenotic iliac and / or femoral arteries
7. Patient has body habitus or other medical condition which prevents adequate delineation of the aorta
8. Participating in another investigational device or drug study within 1 year of treatment
9. Systemic infection which may increase the risk of endovascular graft infection
10. Known degenerative connective tissue disease, e.g., Marfan or Ehler-Danlos Syndrome
11. Planned concomitant surgical procedure or major surgery within 30 days of treatment date
12. Known history of drug abuse
13. Known sensitivities or allergies to the device materials
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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W.L.Gore & Associates

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Rhee, MD

Role: PRINCIPAL_INVESTIGATOR

Maimonides Medical Center (US)

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Mayo Clinic Arizona

Phoenix, Arizona, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

Leland Stanford Junior University

Stanford, California, United States

Site Status

River City Clinical Research

Jacksonville, Florida, United States

Site Status

Baptist Cardiac and Vascular Institute

Miami, Florida, United States

Site Status

Florida Hospital

Orlando, Florida, United States

Site Status

Sarasota Vascular Specialists

Sarasota, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Vascular Surgical Associates, PC

Marietta, Georgia, United States

Site Status

Loyola University - Chicago

Maywood, Illinois, United States

Site Status

Southern Illinois University

Springfield, Illinois, United States

Site Status

University of Iowa Hospitals & Clinic

Iowa City, Iowa, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Spectrum Health System

Grand Rapids, Michigan, United States

Site Status

Essentia Institute of Rural Health

Duluth, Minnesota, United States

Site Status

Minneapolis Heart Institute Foundation - Abbott Northwestern Hospital

Minneapolis, Minnesota, United States

Site Status

Minneapolis Radiology and Vascular Research Foundation

Plymouth, Minnesota, United States

Site Status

Mayo Clinic - Rochester

Rochester, Minnesota, United States

Site Status

Washington University School of Medicine - St. Louis

St Louis, Missouri, United States

Site Status

Mercy Research

St Louis, Missouri, United States

Site Status

The Hitchcock Foundation

Lebanon, New Hampshire, United States

Site Status

AHA Hospital Corp.

Morristown, New Jersey, United States

Site Status

Maimonides Medical Center

Brooklyn, New York, United States

Site Status

Research Foundation SUNY Buffalo

Buffalo, New York, United States

Site Status

Staten Island University Hospital

Staten Island, New York, United States

Site Status

Mission Hospital

Asheville, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Moses Cone Memorial Hospital

Greensboro, North Carolina, United States

Site Status

NC Heart and Vascular Research, LLC

Raleigh, North Carolina, United States

Site Status

Good Samaritan Hospital-Cincinnati

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Ohio Health Research Institute

Columbus, Ohio, United States

Site Status

Oklahoma Heart Hospital Research Foundation

Oklahoma City, Oklahoma, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Prisma Health-Upstate

Greenville, South Carolina, United States

Site Status

Sanford Clinic - Clinic Research

Sioux Falls, South Dakota, United States

Site Status

North Central Heart Institute, Ltd.

Sioux Falls, South Dakota, United States

Site Status

University of Tennessee

Knoxville, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Texas Heart Institute/Baylor St. Luke's Medical Center

Houston, Texas, United States

Site Status

The Methodist Hospital - Houston

Houston, Texas, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Sentara Medical Group

Norfolk, Virginia, United States

Site Status

Inova Cardiology-Fairfax

Virginia Beach, Virginia, United States

Site Status

CAMC Health Education and Research Institute, Inc.

Charleston, West Virginia, United States

Site Status

University of Wisconsin System

Madison, Wisconsin, United States

Site Status

Aurora Health Care, Metro Inc.

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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AAA 13-03 (1)

Identifier Type: -

Identifier Source: org_study_id

NCT02489552

Identifier Type: -

Identifier Source: nct_alias

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