Trial Outcomes & Findings for Safety, Efficacy, Longitudinal Costs and Patient-Centered Outcomes Using a TAAA Debranching Device (NCT NCT03637374)

NCT ID: NCT03637374

Last Updated: 2022-08-19

Results Overview

Major adverse events include death, bowel ischemia, myocardial infarction, paraplegia, renal failure, respiratory failure, and stroke.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

2 participants

Primary outcome timeframe

30 days

Results posted on

2022-08-19

Participant Flow

Participant milestones

Participant milestones
Measure
Primary Study Arm
The TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Expanded Selection Arm
The Expanded Selection Arm will be treated the same as those in the Primary Study Arm. Your doctor will determine what arm you are in. TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Overall Study
STARTED
2
0
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Primary Study Arm
The TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Expanded Selection Arm
The Expanded Selection Arm will be treated the same as those in the Primary Study Arm. Your doctor will determine what arm you are in. TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Overall Study
Death
2
0

Baseline Characteristics

Safety, Efficacy, Longitudinal Costs and Patient-Centered Outcomes Using a TAAA Debranching Device

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Primary Study Arm
n=2 Participants
The TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Expanded Selection Arm
The Expanded Selection Arm will be treated the same as those in the Primary Study Arm. Your doctor will determine what arm you are in. TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Total
n=2 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 days

Population: Enrolled patients with non-staged, completed procedures were analyzed.

Major adverse events include death, bowel ischemia, myocardial infarction, paraplegia, renal failure, respiratory failure, and stroke.

Outcome measures

Outcome measures
Measure
Primary Study Arm
n=2 Participants
The TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Expanded Selection Arm
The Expanded Selection Arm will be treated the same as those in the Primary Study Arm. Your doctor will determine what arm you are in. TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Freedom From Major Adverse Events (MAEs) at 30 Days
1 Participants
0 Participants

SECONDARY outcome

Timeframe: 1 year

Population: Enrolled patients with non-staged, completed procedures were analyzed.

Treatment success is defined as a composite of technical success and freedom from the following: Aneurysm enlargement, Aneurysm rupture, Aneurysm-related mortality, Conversion to open repair, Secondary intervention for migration, Type I and III endoleaks, device integrity failure, and patency-related events.

Outcome measures

Outcome measures
Measure
Primary Study Arm
n=2 Participants
The TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Expanded Selection Arm
The Expanded Selection Arm will be treated the same as those in the Primary Study Arm. Your doctor will determine what arm you are in. TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Treatment Success at 1 Year
0 Participants
0 Participants

Adverse Events

Primary Study Arm

Serious events: 1 serious events
Other events: 0 other events
Deaths: 2 deaths

Expanded Selection Arm

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

Serious adverse events

Serious adverse events
Measure
Primary Study Arm
n=2 participants at risk
The TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Expanded Selection Arm
The Expanded Selection Arm will be treated the same as those in the Primary Study Arm. Your doctor will determine what arm you are in. TAAA Debranching Stent Graft System is comprised of two investigational devices including the Visceral Manifold and Thoracic Bifurcation and the unitary manifold. The thoracic bifurcation and the visceral manifold as well as the unitary manifold work to facilitate endovascular stenting of the visceral vessels (renals, celiac, SMA) while maintaining flow to the visceral and infrarenal segments. Visceral Manifold and Thoracic Bifurcation: Endovascular stent graft system Unitary Manifold: Endovascular stent graft system TAAA Debranching Stent Graft System: Endovascular stent graft system
Gastrointestinal disorders
bowel ischemia
50.0%
1/2 • Number of events 1 • 1 year
Enrolled patients who received the study intervention were monitored and evaluated for Major Adverse Events (MAEs) and Serious Adverse Events (SAEs).
0/0 • 1 year
Enrolled patients who received the study intervention were monitored and evaluated for Major Adverse Events (MAEs) and Serious Adverse Events (SAEs).

Other adverse events

Adverse event data not reported

Additional Information

Dr. James H. Black, III

Johns Hopkins University

Phone: (410) 955-5165

Results disclosure agreements

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