Evaluation of the GORE® TBE Device in the Treatment of Lesions of the Aortic Arch and Descending Thoracic Aorta, Zone 0/1

NCT ID: NCT02777528

Last Updated: 2025-06-25

Study Results

Results available

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

79 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-31

Study Completion Date

2028-03-31

Brief Summary

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The objective of this study is to determine whether the GORE® TAG® Thoracic Branch Endoprosthesis is safe and effective in treating lesions of the aortic arch and descending thoracic aorta.

Detailed Description

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For Zone 0/1, there are two arms (Aneurysm arm, Non-aneurysm arm) and three cohorts, described as follows: Zone 0/1 Aneurysm, Zone 0/1 Dissection, and Zone 0/1 Other Isolated Lesion. The Zone 0/1 Aneurysm cohort was the only cohort analyzed with a hypothesis test, however data was collected similarly for all cohorts and for continued access Subjects. Zone 0/1 Subjects enrolled for analysis were from the United States and Japan.

Conditions

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Aortic Aneurysm, Thoracic Aorta, Lesion

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Zone 0/1 Aortic aneurysm

Zone 0/1 Aortic aneurysm

Group Type OTHER

GORE® TAG® Thoracic Branch Endoprosthesis

Intervention Type DEVICE

Endovascular repair with the TBE Device

Revascularization Procedure

Intervention Type PROCEDURE

Revascularization procedure of the great vessel

Zone 0/1 Non-aneurysm aortic lesions

Includes dissection and other isolated lesion types

Group Type OTHER

GORE® TAG® Thoracic Branch Endoprosthesis

Intervention Type DEVICE

Endovascular repair with the TBE Device

Revascularization Procedure

Intervention Type PROCEDURE

Revascularization procedure of the great vessel

Interventions

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GORE® TAG® Thoracic Branch Endoprosthesis

Endovascular repair with the TBE Device

Intervention Type DEVICE

Revascularization Procedure

Revascularization procedure of the great vessel

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Presence of thoracic aortic pathology deemed to warrant surgical repair which requires proximal graft placement in Zone 0-2.
2. Age ≥18 years at time of informed consent signature
3. Subject is capable of complying with protocol requirements, including follow-up
4. Informed Consent Form (ICF) is signed by Subject or legal representative
5. Must have appropriate proximal aortic landing zone.
6. Must have appropriate target branch vessel landing zone.
7. For patients with aneurysm/isolated lesion, must have appropriate distal aortic landing zone.
8. Native aortic valve (Zone 0/1 subjects only)
9. Subject is considered a high risk candidate for conventional open surgical repair at the discretion of the Investigator (Zone 0/1 subjects only)

Exclusion Criteria

1. Concomitant disease of the ascending aorta or aneurysm of the abdominal aorta requiring repair
2. Previous endovascular repair of the ascending aorta
3. Previous endovascular repair of the DTA with a non-Gore device
4. Surgery within 30 days prior to enrollment, with the exception of surgery for Ascending Aortic Dissection and/or placement of vascular conduit for access.
5. Infected aorta
6. Life expectancy \<2 years
7. Myocardial infarction within 6 weeks prior to treatment
8. Stroke within 6 weeks prior to treatment, stroke defined as rapidly developing clinical signs of focal (or global) disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin.
9. Patient has a systemic infection and may be at increased risk of endovascular graft infection
10. Pregnant female at time of informed consent signature
11. Degenerative connective tissue disease, e.g. Marfan's or Ehler-Danlos Syndrome
12. Participation in another drug or medical device study within one year of study enrollment
13. Known history of drug abuse within one year of treatment
14. Presence of protruding and/or irregular thrombus and/or atheroma in the aortic arch or ascending aorta
15. Tortuous or stenotic iliac and/or femoral arteries preventing introducer sheath insertion and the inability to use a conduit for vascular access
16. Planned coverage of celiac artery
17. Patient has known sensitivities or allergies to the device materials
18. Patient has known hypersensitivity or contraindication to anticoagulants or contrast media, which is not amenable to pre-treatment
19. Previous instance of Heparin Induced Thrombocytopenia type 2 (HIT-2) or known hypersensitivity to heparin
20. Patient with a history of a hypercoagulability disorder and/or hypercoagulability state
21. Diameter taper outside of the device sizing range between proximal and distal landing zones of aorta and the inability to use additional devices of different diameters to compensate for the taper
22. Mycotic aneurysm
23. Persistent refractory shock (systolic blood pressure \<90 mm Hg)
24. Patient has body habitus or other medical condition which prevents adequate visualization of the aorta
25. Renal failure defined as patients with an estimated Glomerular Filtration Rate (eGFR) \<30 or currently requiring dialysis
26. Patient at high risk of neurological event, e.g. stroke
Minimum Eligible Age

18 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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Michael Dake, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Himanshu Patel, MD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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Keck Medical Center of USC

Los Angeles, California, United States

Site Status

Cedar-Sinai Medical Center

Los Angeles, California, United States

Site Status

Leland Stanford Junior University

Stanford, California, United States

Site Status

Hartford Hospital

Hartford, Connecticut, United States

Site Status

MedStar Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

University of Florida-Gainesville

Gainesville, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Northwesten University

Chicago, Illinois, United States

Site Status

St. Vincent Medical Group, Inc.

Indianapolis, Indiana, United States

Site Status

University of Baltimore Maryland

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Washington Univeristy School of Medicine - St Louis

St Louis, Missouri, United States

Site Status

Dartmouth-Hitchock Medical Center

Lebanon, New Hampshire, United States

Site Status

Cooper University Hospital

Camden, New Jersey, United States

Site Status

Research Foundation SUNY Buffalo

Buffalo, New York, United States

Site Status

Carolinas HealthCare Systems

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Cardiovascular Surgery Clinic

Memphis, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Cardiothoracic and Vascular Surgeons

Austin, Texas, United States

Site Status

Baylor College of Medicine - Houston

Houston, Texas, United States

Site Status

Houston Methodist Hospital

Houston, Texas, United States

Site Status

Memorial Hermann

Houston, Texas, United States

Site Status

Heart Hospital at Baylor Plano

Plano, Texas, United States

Site Status

Sentara Medical Group

Norfolk, Virginia, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

University of Wisconsin System

Madison, Wisconsin, United States

Site Status

Nagoya University Hospital

Aichi, , Japan

Site Status

Morinomiya Hospital

Osaka, , Japan

Site Status

Osaka University Hospital

Osaka, , Japan

Site Status

Oita University Hospital

Ōita, , Japan

Site Status

Jikei Medical University Hospital

Tokyo, , Japan

Site Status

Countries

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United States Japan

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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SSB 11-02 Pivotal (Zone 0/1)

Identifier Type: -

Identifier Source: org_study_id

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