Trial Outcomes & Findings for Observational Registry Characterizing the CTAG Device With ACTIVE CONTROL (NCT NCT03286400)

NCT ID: NCT03286400

Last Updated: 2020-12-17

Results Overview

Successful access to the arterial system, successful deployment at the intended location, patent endoluminal graft, absence of surgical conversion

Recruitment status

COMPLETED

Target enrollment

127 participants

Primary outcome timeframe

24 hours

Results posted on

2020-12-17

Participant Flow

Participant milestones

Participant milestones
Measure
CTAG Device With ACTIVE CONTROL
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Overall Study
STARTED
127
Overall Study
COMPLETED
102
Overall Study
NOT COMPLETED
25

Reasons for withdrawal

Reasons for withdrawal
Measure
CTAG Device With ACTIVE CONTROL
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Overall Study
Death
10
Overall Study
Lost to Follow-up
10
Overall Study
Physician Decision
1
Overall Study
Scheduling difficulty
4

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CTAG Device With ACTIVE CONTROL
n=127 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Age, Continuous
67.1 Years
STANDARD_DEVIATION 12.1 • n=127 Participants
Sex: Female, Male
Female
35 Participants
n=127 Participants
Sex: Female, Male
Male
92 Participants
n=127 Participants
Region of Enrollment
Netherlands
33 participants
n=127 Participants
Region of Enrollment
Sweden
9 participants
n=127 Participants
Region of Enrollment
Italy
24 participants
n=127 Participants
Region of Enrollment
United Kingdom
5 participants
n=127 Participants
Region of Enrollment
France
7 participants
n=127 Participants
Region of Enrollment
Germany
39 participants
n=127 Participants
Region of Enrollment
Spain
10 participants
n=127 Participants

PRIMARY outcome

Timeframe: 24 hours

Successful access to the arterial system, successful deployment at the intended location, patent endoluminal graft, absence of surgical conversion

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=127 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Number of Subjects With Procedural Technical Success
123 Participants

PRIMARY outcome

Timeframe: One month

Population: Includes all subjects with treatment failure within 30 days as well as subjects with at least 15 days of follow-up. Subjects without a treatment failure within 30 days and with less than 15 days of follow-up were not included in the analysis.

Technical Success and Freedom from: Type I or III endoleak, rupture of lesion in treated segment, stent graft occlusion, stent graft migration

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=125 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Number of Subjects With Treatment Success at 30 Day Visit
115 Participants

SECONDARY outcome

Timeframe: 30 Days

Population: Includes all subjects with a Major Adverse Event within 30 days as well as subjects with at least 15 days of follow-up. Subjects without a Major Adverse Event within 30 days and with less than 15 days of follow-up were not included in the analysis.

Freedom from: Lesion-related mortality, permanent paraplegia or paraparesis, disabling stroke, life-threatening myocardial infarction, new onset of renal failure, respiratory failure, life-threatening bowel ischemia, serious tissue ischemia, major blood loss

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=116 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Number of Subjects With Freedom From Major Adverse Events at 30 Days
105 Participants

SECONDARY outcome

Timeframe: 12 Months

Population: Includes all subjects with a Major Adverse Event within 12 months as well as subjects with at least 275 days of follow-up. Subjects without a Major Adverse Event within 12 months and with less than 275 days of follow-up were not included in the analysis.

Freedom from: Lesion-related mortality, permanent paraplegia or paraparesis, disabling stroke, life-threatening myocardial infarction, new onset of renal failure, respiratory failure, life-threatening bowel ischemia, serious tissue ischemia, major blood loss

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=102 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Number of Subjects With Freedom From Major Adverse Events at 12 Months
90 Participants

SECONDARY outcome

Timeframe: One year

Population: Includes all subjects with treatment failure within 12 months as well as subjects with at least 275 days of follow-up. Subjects without a treatment failure within 12 months and with less than 275 days of follow-up were not included in the analysis.

Technical Success and Freedom from: Type I or III endoleak, rupture of lesion within treated segment, stent graft occlusion, stent graft migration

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=111 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Number of Subjects With Treatment Success at 12 Month Visit
97 Participants

SECONDARY outcome

Timeframe: Days 30, 365, and 455

Freedom from incidence of Serious Adverse Events, other than Major Adverse Events, throughout the Registry Duration. Estimates determined from Kaplan-Meier analysis.

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=127 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Probability of Freedom From Serious Adverse Events, Other Than Major Adverse Events
30 Days
0.826 Probability
Interval 0.748 to 0.882
Probability of Freedom From Serious Adverse Events, Other Than Major Adverse Events
365 Days
0.699 Probability
Interval 0.609 to 0.772
Probability of Freedom From Serious Adverse Events, Other Than Major Adverse Events
455 Days
0.628 Probability
Interval 0.487 to 0.74

SECONDARY outcome

Timeframe: One year

Population: Includes all non-dissection subjects who have both post-procedure and 12-month measurements.

One year change from first post-implant CT scan in maximum aortic diameter

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=47 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Change in Maximum Aortic Diameter Among Aneurysm/Isolated Lesion
>= 5mm Decrease
20 Participants
Change in Maximum Aortic Diameter Among Aneurysm/Isolated Lesion
No Change
22 Participants
Change in Maximum Aortic Diameter Among Aneurysm/Isolated Lesion
>= 5mm Increase
5 Participants

SECONDARY outcome

Timeframe: One year

Population: Includes all dissection subjects who have both post-procedure and 12-month measurements.

One year change from first post-implant CT scan in maximum false lumen diameter

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=26 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Change in Maximum False Lumen Diameter Among Dissection
>= 5mm Decrease
15 Participants
Change in Maximum False Lumen Diameter Among Dissection
No Change
10 Participants
Change in Maximum False Lumen Diameter Among Dissection
>= 5mm Increase
1 Participants

SECONDARY outcome

Timeframe: One year

Population: Includes all dissection subjects who have both post-procedure and 12-month measurements.

One year change from first post-implant CT scan in minimum true lumen diameter

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=26 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Change in Minimum True Lumen Diameter Among Dissection
>= 5mm Decrease
5 Participants
Change in Minimum True Lumen Diameter Among Dissection
No Change
11 Participants
Change in Minimum True Lumen Diameter Among Dissection
>= 5mm Increase
10 Participants

SECONDARY outcome

Timeframe: One year

Population: Includes all dissection subjects who have both post-procedure and 12-month measurements.

One year change from first post-implant CT scan in maximum aortic diameter

Outcome measures

Outcome measures
Measure
CTAG Device With ACTIVE CONTROL
n=26 Participants
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Change in Maximum Aortic Diameter Among Dissection
>= 5mm Decrease
14 Participants
Change in Maximum Aortic Diameter Among Dissection
No Change
10 Participants
Change in Maximum Aortic Diameter Among Dissection
>= 5mm Increase
2 Participants

Adverse Events

CTAG Device With ACTIVE CONTROL

Serious events: 45 serious events
Other events: 0 other events
Deaths: 10 deaths

Serious adverse events

Serious adverse events
Measure
CTAG Device With ACTIVE CONTROL
n=127 participants at risk
All consecutive patients meeting protocol selection criteria, consented, with an intention to be treated with CTAG Device with ACTIVE CONTROL. CTAG Device with ACTIVE CONTROL: Intent to treat with the CTAG Device with ACTIVE CONTROL in the treatment of aortic diseases as part of routine clinical practice.
Cardiac disorders
Atrial fibrillation
0.79%
1/127 • Number of events 1 • 455 days
Cardiac disorders
Myocardial infarction
1.6%
2/127 • Number of events 2 • 455 days
Cardiac disorders
Palpitations
0.79%
1/127 • Number of events 1 • 455 days
Cardiac disorders
Supraventricular tachycardia
0.79%
1/127 • Number of events 1 • 455 days
Gastrointestinal disorders
Aorto-oesophageal fistula
0.79%
1/127 • Number of events 1 • 455 days
Gastrointestinal disorders
Constipation
0.79%
1/127 • Number of events 1 • 455 days
Gastrointestinal disorders
Intestinal ischaemia
0.79%
1/127 • Number of events 1 • 455 days
Gastrointestinal disorders
Pancreatitis
0.79%
1/127 • Number of events 1 • 455 days
General disorders
Death
1.6%
2/127 • Number of events 2 • 455 days
General disorders
Multiple organ dysfunction syndrome
0.79%
1/127 • Number of events 1 • 455 days
General disorders
Stent-graft endoleak
7.1%
9/127 • Number of events 10 • 455 days
General disorders
Vascular stent occlusion
0.79%
1/127 • Number of events 1 • 455 days
Infections and infestations
Infective aneurysm
0.79%
1/127 • Number of events 1 • 455 days
Infections and infestations
Pneumonia
1.6%
2/127 • Number of events 2 • 455 days
Infections and infestations
Sepsis
1.6%
2/127 • Number of events 2 • 455 days
Infections and infestations
Urinary tract infection
1.6%
2/127 • Number of events 2 • 455 days
Infections and infestations
Vascular device infection
0.79%
1/127 • Number of events 1 • 455 days
Injury, poisoning and procedural complications
Anastomotic stenosis
0.79%
1/127 • Number of events 1 • 455 days
Injury, poisoning and procedural complications
Femoral neck fracture
0.79%
1/127 • Number of events 1 • 455 days
Injury, poisoning and procedural complications
Incision site haematoma
0.79%
1/127 • Number of events 1 • 455 days
Injury, poisoning and procedural complications
Procedural haemorrhage
0.79%
1/127 • Number of events 1 • 455 days
Injury, poisoning and procedural complications
Vascular access site pseudoaneurysm
0.79%
1/127 • Number of events 1 • 455 days
Injury, poisoning and procedural complications
Vascular graft haemorrhage
1.6%
2/127 • Number of events 2 • 455 days
Injury, poisoning and procedural complications
Vascular procedure complication
1.6%
2/127 • Number of events 2 • 455 days
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
0.79%
1/127 • Number of events 1 • 455 days
Metabolism and nutrition disorders
Cachexia
0.79%
1/127 • Number of events 1 • 455 days
Metabolism and nutrition disorders
Pancreatogenous diabetes
0.79%
1/127 • Number of events 1 • 455 days
Musculoskeletal and connective tissue disorders
Bursitis
0.79%
1/127 • Number of events 1 • 455 days
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.79%
1/127 • Number of events 1 • 455 days
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic cancer
0.79%
1/127 • Number of events 1 • 455 days
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.79%
1/127 • Number of events 1 • 455 days
Nervous system disorders
Carotid artery occlusion
0.79%
1/127 • Number of events 1 • 455 days
Nervous system disorders
Carotid artery stenosis
0.79%
1/127 • Number of events 1 • 455 days
Nervous system disorders
Cerebrovascular accident
0.79%
1/127 • Number of events 1 • 455 days
Nervous system disorders
Ischaemic stroke
0.79%
1/127 • Number of events 1 • 455 days
Nervous system disorders
Paraplegia
1.6%
2/127 • Number of events 2 • 455 days
Nervous system disorders
Spinal cord ischaemia
1.6%
2/127 • Number of events 2 • 455 days
Renal and urinary disorders
Acute kidney injury
0.79%
1/127 • Number of events 1 • 455 days
Renal and urinary disorders
Renal failure
0.79%
1/127 • Number of events 1 • 455 days
Respiratory, thoracic and mediastinal disorders
Diaphragmatic disorder
0.79%
1/127 • Number of events 1 • 455 days
Respiratory, thoracic and mediastinal disorders
Diaphragmatic paralysis
0.79%
1/127 • Number of events 1 • 455 days
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.79%
1/127 • Number of events 1 • 455 days
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.79%
1/127 • Number of events 1 • 455 days
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.79%
1/127 • Number of events 1 • 455 days
Respiratory, thoracic and mediastinal disorders
Pulmonary air leakage
0.79%
1/127 • Number of events 1 • 455 days
Respiratory, thoracic and mediastinal disorders
Respiratory failure
1.6%
2/127 • Number of events 2 • 455 days
Vascular disorders
Aortic aneurysm
2.4%
3/127 • Number of events 3 • 455 days
Vascular disorders
Aortic dissection
2.4%
3/127 • Number of events 3 • 455 days
Vascular disorders
Aortic rupture
0.79%
1/127 • Number of events 1 • 455 days
Vascular disorders
Hypovolaemic shock
0.79%
1/127 • Number of events 1 • 455 days
Vascular disorders
Iliac artery stenosis
0.79%
1/127 • Number of events 1 • 455 days

Other adverse events

Adverse event data not reported

Additional Information

Eric Novak

W. L. Gore & Associates

Phone: 314-440-2119

Results disclosure agreements

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