Trial Outcomes & Findings for GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis in the Treatment of Type IV Thoracoabdominal Aortic Aneurysms (NCT NCT02528500)

NCT ID: NCT02528500

Last Updated: 2023-06-28

Results Overview

Absence of the following procedural safety events through 30 days post-procedure: Death, Stroke, Myocardial Infarction, Bowel Ischemia, Paraplegia, Respiratory Failure, Renal Failure, Procedural Blood Loss ≥1000 mL

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

Absence of procedural safety events through 30 days post procedure

Results posted on

2023-06-28

Participant Flow

Participant milestones

Participant milestones
Measure
TAMBE Device
Study designed to assess the feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device) in the treatment of patients with aortic aneurysms involving the visceral branch vessels. Patients with thoracoabdominal or pararenal abdominal aortic aneurysms are eligible for screening for participation in the study. The particular characteristics of the patient's aneurysm and anatomy will determine ultimate eligibility for enrollment. Only patients who meet all of the eligibility criteria will be enrolled. GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis: Non-randomized, multicenter study designed to assess the initial feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device)
Overall Study
STARTED
10
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis in the Treatment of Type IV Thoracoabdominal Aortic Aneurysms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TAMBE Device
n=10 Participants
Study designed to assess the feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device) in the treatment of patients with aortic aneurysms involving the visceral branch vessels. Patients with thoracoabdominal or pararenal abdominal aortic aneurysms are eligible for screening for participation in the study. The particular characteristics of the patient's aneurysm and anatomy will determine ultimate eligibility for enrollment. Only patients who meet all of the eligibility criteria will be enrolled. GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis: Non-randomized, multicenter study designed to assess the initial feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device)
Age, Continuous
70.2 Years
STANDARD_DEVIATION 7.13 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 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
0 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Height
174.1 Centimeters (cm)
STANDARD_DEVIATION 9.72 • n=5 Participants
Weight
86.4 Kilograms (kg)
STANDARD_DEVIATION 20.6 • n=5 Participants
Body Mass Index (BMI)
28.2 kg/m^2
STANDARD_DEVIATION 5.07 • n=5 Participants

PRIMARY outcome

Timeframe: Absence of procedural safety events through 30 days post procedure

Absence of the following procedural safety events through 30 days post-procedure: Death, Stroke, Myocardial Infarction, Bowel Ischemia, Paraplegia, Respiratory Failure, Renal Failure, Procedural Blood Loss ≥1000 mL

Outcome measures

Outcome measures
Measure
TAMBE Device
n=10 Participants
Study designed to assess the feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device) in the treatment of patients with aortic aneurysms involving the visceral branch vessels. Patients with thoracoabdominal or pararenal abdominal aortic aneurysms are eligible for screening for participation in the study. The particular characteristics of the patient's aneurysm and anatomy will determine ultimate eligibility for enrollment. Only patients who meet all of the eligibility criteria will be enrolled. GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis: Non-randomized, multicenter study designed to assess the initial feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device)
Absence of the Following Procedural Safety Events: Death, Stroke, Myocardial Infarction, Bowel Ischemia, Paraplegia, Respiratory Failure, Renal Failure, Procedural Blood Loss ≥1000 mL
9 Participants

SECONDARY outcome

Timeframe: 12-month

Components of Technical Success: Successful access to the necessary arterial sites, successful deployment of all required TAMBE Device components, Patency of all required TAMBE Device components and any required accessory components on completion angiography, absence of surgical conversion within 24 hours of initial of procedure

Outcome measures

Outcome measures
Measure
TAMBE Device
n=10 Participants
Study designed to assess the feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device) in the treatment of patients with aortic aneurysms involving the visceral branch vessels. Patients with thoracoabdominal or pararenal abdominal aortic aneurysms are eligible for screening for participation in the study. The particular characteristics of the patient's aneurysm and anatomy will determine ultimate eligibility for enrollment. Only patients who meet all of the eligibility criteria will be enrolled. GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis: Non-randomized, multicenter study designed to assess the initial feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device)
Technical Success, Including Individual Components of Technical Success
Technical Success
9 Participants
Technical Success, Including Individual Components of Technical Success
Successful Access
10 Participants
Technical Success, Including Individual Components of Technical Success
Successful Deployment
10 Participants
Technical Success, Including Individual Components of Technical Success
Patency of all required TAMBE Device components
9 Participants
Technical Success, Including Individual Components of Technical Success
Absence of Surgical Conversion
10 Participants

SECONDARY outcome

Timeframe: 12-month

Components of Device Integrity: Loss of functional patency in any treated branch component due to thrombus or mechanical failure of branch component, loss of functional patency in main body component(s) due to thrombus or mechanical failure of main body components(s) , separation of treated branch component from the main body component(s), separation of the main body component(s) from the accessory components

Outcome measures

Outcome measures
Measure
TAMBE Device
n=10 Participants
Study designed to assess the feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device) in the treatment of patients with aortic aneurysms involving the visceral branch vessels. Patients with thoracoabdominal or pararenal abdominal aortic aneurysms are eligible for screening for participation in the study. The particular characteristics of the patient's aneurysm and anatomy will determine ultimate eligibility for enrollment. Only patients who meet all of the eligibility criteria will be enrolled. GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis: Non-randomized, multicenter study designed to assess the initial feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device)
Device Integrity, Including Individual Components of Device Integrity
Loss of Functional Patency (Through 12M)
2 Participants
Device Integrity, Including Individual Components of Device Integrity
Separation of Components (Through 12M)
0 Participants

SECONDARY outcome

Timeframe: 12-month

Primary Patency - Blood flow without occlusion maintained through the device without an intervention. Assisted Primary Patency: Blood flow maintained through the device after implant regardless of re-interventions performed. Secondary Patency - Blood flow through the device (following occlusion) regardless of re-interventions performed and freedom from surgical bypass.

Outcome measures

Outcome measures
Measure
TAMBE Device
n=10 Participants
Study designed to assess the feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device) in the treatment of patients with aortic aneurysms involving the visceral branch vessels. Patients with thoracoabdominal or pararenal abdominal aortic aneurysms are eligible for screening for participation in the study. The particular characteristics of the patient's aneurysm and anatomy will determine ultimate eligibility for enrollment. Only patients who meet all of the eligibility criteria will be enrolled. GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis: Non-randomized, multicenter study designed to assess the initial feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device)
Patency (Primary, Assisted Primary, and Secondary)
Primary Patency (Through 12 Months)
8 Participants
Patency (Primary, Assisted Primary, and Secondary)
Assisted Primary Patency (Through 12 Months)
8 Participants
Patency (Primary, Assisted Primary, and Secondary)
Secondary Patency (Through 12 Months)
9 Participants

SECONDARY outcome

Timeframe: One Month followup

Population: Includes only subjects with evaluable imaging within the one month window

Absence of Type I and Type III endoleaks

Outcome measures

Outcome measures
Measure
TAMBE Device
n=8 Participants
Study designed to assess the feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device) in the treatment of patients with aortic aneurysms involving the visceral branch vessels. Patients with thoracoabdominal or pararenal abdominal aortic aneurysms are eligible for screening for participation in the study. The particular characteristics of the patient's aneurysm and anatomy will determine ultimate eligibility for enrollment. Only patients who meet all of the eligibility criteria will be enrolled. GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis: Non-randomized, multicenter study designed to assess the initial feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device)
Absence of Type I and Type III Endoleaks at One Month Follow-up
Absence of Type I Endoleak
8 Participants
Absence of Type I and Type III Endoleaks at One Month Follow-up
Absence of Type III Endoleak
8 Participants

Adverse Events

TAMBE Device

Serious events: 10 serious events
Other events: 10 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
TAMBE Device
n=10 participants at risk
Study designed to assess the feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device) in the treatment of patients with aortic aneurysms involving the visceral branch vessels. Patients with thoracoabdominal or pararenal abdominal aortic aneurysms are eligible for screening for participation in the study. The particular characteristics of the patient's aneurysm and anatomy will determine ultimate eligibility for enrollment. Only patients who meet all of the eligibility criteria will be enrolled. GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis: Non-randomized, multicenter study designed to assess the initial feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device)
Cardiac disorders
Acute myocardial infarction
20.0%
2/10 • Number of events 2 • 5 Years
Cardiac disorders
Cardiac failure congestive
10.0%
1/10 • Number of events 1 • 5 Years
Cardiac disorders
Coronary artery disease
10.0%
1/10 • Number of events 1 • 5 Years
Cardiac disorders
Ventricular fibrillation
10.0%
1/10 • Number of events 1 • 5 Years
Gastrointestinal disorders
Diarrhoea
10.0%
1/10 • Number of events 1 • 5 Years
Gastrointestinal disorders
Haematochezia
10.0%
1/10 • Number of events 1 • 5 Years
Gastrointestinal disorders
Illeus
10.0%
1/10 • Number of events 1 • 5 Years
Gastrointestinal disorders
Intestinal ischaemia
10.0%
1/10 • Number of events 1 • 5 Years
Gastrointestinal disorders
Oesophageal varices haemorrhage
10.0%
1/10 • Number of events 1 • 5 Years
General disorders
Non-cardiac chest pain
10.0%
1/10 • Number of events 1 • 5 Years
General disorders
Vascular stent occlusion
10.0%
1/10 • Number of events 1 • 5 Years
General disorders
Vascular stent stenosis
10.0%
1/10 • Number of events 1 • 5 Years
Hepatobiliary disorders
Cholecystitis acute
10.0%
1/10 • Number of events 1 • 5 Years
Hepatobiliary disorders
Cirrhosis alcoholic
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Cystilis
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Pneumonia
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Pyelonephritis
10.0%
1/10 • Number of events 1 • 5 Years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamos cell carcinoma
10.0%
1/10 • Number of events 1 • 5 Years
Nervous system disorders
Dementia
10.0%
1/10 • Number of events 1 • 5 Years
Nervous system disorders
Parkinson's disease
10.0%
1/10 • Number of events 1 • 5 Years
Nervous system disorders
Spinal claudication
10.0%
1/10 • Number of events 1 • 5 Years
Renal and urinary disorders
Acute kidney injury
10.0%
1/10 • Number of events 1 • 5 Years
Renal and urinary disorders
End stage renal disease
10.0%
1/10 • Number of events 1 • 5 Years
Renal and urinary disorders
Renal artery occlusion
10.0%
1/10 • Number of events 1 • 5 Years
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
10.0%
1/10 • Number of events 1 • 5 Years
Respiratory, thoracic and mediastinal disorders
Dyspnoea
10.0%
1/10 • Number of events 1 • 5 Years
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
10.0%
1/10 • Number of events 1 • 5 Years
Respiratory, thoracic and mediastinal disorders
Respiratory failure
10.0%
1/10 • Number of events 1 • 5 Years
Vascular disorders
Arterial stenosis
10.0%
1/10 • Number of events 1 • 5 Years
Vascular disorders
Artery dissection
10.0%
1/10 • Number of events 1 • 5 Years
Vascular disorders
Hypertensive urgency
10.0%
1/10 • Number of events 1 • 5 Years

Other adverse events

Other adverse events
Measure
TAMBE Device
n=10 participants at risk
Study designed to assess the feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device) in the treatment of patients with aortic aneurysms involving the visceral branch vessels. Patients with thoracoabdominal or pararenal abdominal aortic aneurysms are eligible for screening for participation in the study. The particular characteristics of the patient's aneurysm and anatomy will determine ultimate eligibility for enrollment. Only patients who meet all of the eligibility criteria will be enrolled. GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis: Non-randomized, multicenter study designed to assess the initial feasibility of the GORE® EXCLUDER® Thoracoabdominal Branch Endoprosthesis (TAMBE Device)
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
10.0%
1/10 • Number of events 1 • 5 Years
Musculoskeletal and connective tissue disorders
Athralgia
20.0%
2/10 • Number of events 2 • 5 Years
Musculoskeletal and connective tissue disorders
Back pain
30.0%
3/10 • Number of events 3 • 5 Years
Musculoskeletal and connective tissue disorders
Bursitis
10.0%
1/10 • Number of events 1 • 5 Years
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
10.0%
1/10 • Number of events 1 • 5 Years
Musculoskeletal and connective tissue disorders
Pain in extremity
20.0%
2/10 • Number of events 2 • 5 Years
Nervous system disorders
Cerebrospinal fluid leakage
10.0%
1/10 • Number of events 1 • 5 Years
Nervous system disorders
Hypersomnia
10.0%
1/10 • Number of events 1 • 5 Years
Nervous system disorders
Hypoaesthesia
30.0%
3/10 • Number of events 3 • 5 Years
Nervous system disorders
Seizure
10.0%
1/10 • Number of events 1 • 5 Years
Renal and urinary disorders
Acute kidney injury
20.0%
2/10 • Number of events 2 • 5 Years
Renal and urinary disorders
Haematuria
10.0%
1/10 • Number of events 1 • 5 Years
Renal and urinary disorders
Renal atrophy
10.0%
1/10 • Number of events 1 • 5 Years
Renal and urinary disorders
Renal infarct
10.0%
1/10 • Number of events 1 • 5 Years
Renal and urinary disorders
Urinary retention
10.0%
1/10 • Number of events 1 • 5 Years
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
10.0%
1/10 • Number of events 1 • 5 Years
Skin and subcutaneous tissue disorders
Actinic keratosis
10.0%
1/10 • Number of events 1 • 5 Years
Vascular disorders
Haematoma
10.0%
1/10 • Number of events 1 • 5 Years
Vascular disorders
Peripheral artery thrombosis
10.0%
1/10 • Number of events 1 • 5 Years
Cardiac disorders
Acute myocardial infarction
10.0%
1/10 • Number of events 1 • 5 Years
Cardiac disorders
Sinus bradycardia
10.0%
1/10 • Number of events 1 • 5 Years
Cardiac disorders
Ventricular dyssynchrony
10.0%
1/10 • Number of events 1 • 5 Years
Gastrointestinal disorders
Ascites
10.0%
1/10 • Number of events 1 • 5 Years
Gastrointestinal disorders
Colitis ischaemic
10.0%
1/10 • Number of events 1 • 5 Years
Gastrointestinal disorders
Constipation
10.0%
1/10 • Number of events 1 • 5 Years
Gastrointestinal disorders
Ileus paralytic
10.0%
1/10 • Number of events 1 • 5 Years
General disorders
Generalised oedema
10.0%
1/10 • Number of events 1 • 5 Years
General disorders
Pyrexia
10.0%
1/10 • Number of events 1 • 5 Years
General disorders
Stent-graft endoleak
20.0%
2/10 • Number of events 3 • 5 Years
General disorders
Vascular stent occlusion
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Cellulitis
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Herpes zoster
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Hordeolum
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Pneumonia
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Septic Shock
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Skin infection
10.0%
1/10 • Number of events 1 • 5 Years
Infections and infestations
Urinary tract infection
10.0%
1/10 • Number of events 1 • 5 Years
Injury, poisoning and procedural complications
Facial bones fracture
10.0%
1/10 • Number of events 1 • 5 Years

Additional Information

Rimma Zakharyan

W. L. Gore & Associates

Phone: 928 310 6961

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution and Investigator agree not to submit any Publication until Study Completion and multi-center Publication has been published. If the multi-center Publication has not been submitted within 12 months of Study Completion, Institution and investigator may proceed with submission of the Publication; subject to the following: Investigator will provide all Publications to Sponsor for review that is more than 60 days but may extend an additional 120 days.
  • Publication restrictions are in place

Restriction type: OTHER