ShOrt neCK AAA RAndomized Trial - ESAR and FEVAR: SOCRATES

NCT ID: NCT04503395

Last Updated: 2025-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

204 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-21

Study Completion Date

2028-06-01

Brief Summary

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The aim of this randomized study is to compare the safety and performance of EndoVascular Aneurysm Repair with ESAR using Endurant + Heli-FX™ EndoAnchor™ system and FEVAR using customizable grafts from Cook (Zenith Fenestrated Graft) and Terumo (Fenestrated Anaconda Graft) for the treatment of aortic aneurysms with short aortic neck (4 to 15mm).

Detailed Description

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Conditions

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Aortic Aneurysm, Abdominal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

comparision of two different procedure to repair abdominal aortic aneurysms with short necks
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ESAR

Endovascular Aneurysm Repair + Heli-FX EndoAnchors

Group Type EXPERIMENTAL

ESAR treatment: Endograft + Heli-FX Endoanchor

Intervention Type DEVICE

ESAR treatment: Endurant II or Endurant IIs endograft + Heli-FX Endoanchor

FEVAR

Fenestrated EndoVascular Aneurysm Repair

Group Type ACTIVE_COMPARATOR

FEVAR treatment : Fenestrated endograft

Intervention Type DEVICE

Cook Zenith Fenestrated Graft or the Terumo Fenestrated Anaconda Graft

Interventions

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ESAR treatment: Endograft + Heli-FX Endoanchor

ESAR treatment: Endurant II or Endurant IIs endograft + Heli-FX Endoanchor

Intervention Type DEVICE

FEVAR treatment : Fenestrated endograft

Cook Zenith Fenestrated Graft or the Terumo Fenestrated Anaconda Graft

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject is \>18 years old
* Subject is scheduled for primary treatment of the abdominal aortic aneurysm with a non-aneurysmal infrarenal aortic sealing zone proximal to the aneurysm that is sufficiently healthy for a proximal neck length that is at least 4mm and not more than15 mm and has a circumferential minimum sealing zone length of 8 mm
* Subject is not a candidate for safe, effective and durable standard EVAR due to challenging anatomical criteria as confirmed by the Core Lab screening
* Subject is able and willing to comply with the protocol and to adhere to the follow-up requirements.
* Subject has provided written informed consent


* Subject meets the other anatomical requirements according to the locally applicable Endurant II/IIs stent graft system, Heli-FX EndoAnchor system, Terumo Fenestrated Anaconda (available in EU only) and/or Cook Zenith Fenestrated Graft Instructions for Use
* Proximal neck length of the aorta within 4-15mm and a minimum circumferential sealing zone of 8mm
* Aortic neck diameter from 19 to 31mm
* Infrarenal neck angulation ≤45°

Exclusion Criteria

* Subject is participating in a concurrent study which may confound study results
* Subject has a life expectancy \<2 year
* Subject is female of childbearing potential in whom pregnancy cannot be excluded
* Subject with eGFR \<30 mL/min/m2 (KDOQI classification - exclude class IV and above) and or on dialysis
* Subject with a MI or CVA within 3 months prior to index procedure
* Subject with known Connective Tissue Disease
* Subject has a known hypersensitivity or contraindication to anticoagulants, antiplatelets, or contrast media, which is not amenable to post-treatment
* Subject who has undergone prior endovascular or open surgical treatment for abdominal aortic aneurysm
* Subject requires emergent aneurysm treatment, for example, trauma or rupture
* Subject has a known hypersensitivity or allergies to study device implant material
* Subject has an aneurysm that is:

* Suprarenal, pararenal, or thoracoabdominal
* Mycotic
* Inflammatory
* Pseudoaneurysm
* Subject is presenting with thrombus or calcification of the proximal aneurysm neck: circumferential \>50%
* Pre-op stenosis of the renal arteries \> 50%
* Subject has active infection or history of COVID-19. History of COVID-19 is defined as availability of positive COVID-19 test with sequelae or hospitalization for treatment of COVID-19.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic

INDUSTRY

Sponsor Role collaborator

FCRE (Foundation for Cardiovascular Research and Education)

OTHER

Sponsor Role lead

Responsible Party

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Marc Bosiers, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Giovanni Torsello, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Vascupedia

Brant Ullery, MD, MBA

Role: PRINCIPAL_INVESTIGATOR

Medical Director, Vascular Surgery Providence Heart and Vascular Institute

Locations

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UCSD Medical Center Hillcrest

La Jolla, California, United States

Site Status RECRUITING

Stanford University

Stanford, California, United States

Site Status RECRUITING

University of Florida

Gainesville, Florida, United States

Site Status RECRUITING

Corewell Health (Spectrum)

Grand Rapids, Michigan, United States

Site Status RECRUITING

Mount Sinai Hospital

New York, New York, United States

Site Status RECRUITING

Atrium Health Carolinas Medical Center

Charlotte, North Carolina, United States

Site Status RECRUITING

Oklahoma Heart

Tulsa, Oklahoma, United States

Site Status RECRUITING

Providence Portland Medical Center

Portland, Oregon, United States

Site Status RECRUITING

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status RECRUITING

Hospital Ottakring, Institute for Vascular Surgery

Vienna, , Austria

Site Status RECRUITING

CRC thoracic Vascular Surgery, ZOL Genk

Genk, , Belgium

Site Status RECRUITING

Universitair Ziekenhuis Gent, Thoracale en vasculaire heelkunde

Ghent, , Belgium

Site Status RECRUITING

Amrois Paré Hospital (APHP)

Boulogne, , France

Site Status RECRUITING

Service de Chirurgie Vasculaire et Endovasculaire CHU Gabriel-Montpied 58 rue Montalembert

Clermont-Ferrand, , France

Site Status RECRUITING

Hospices Civils de lyon - Hôpital Edouard Herriot

Lyon, , France

Site Status RECRUITING

Centre Hospitalier Universitaire de Rennes

Rennes, , France

Site Status RECRUITING

University Hospital RWTH Aachen

Aachen, , Germany

Site Status RECRUITING

University Hospital Leipzig

Leipzig, , Germany

Site Status RECRUITING

Martin Austermann

Münster, , Germany

Site Status ACTIVE_NOT_RECRUITING

University of Bologna, IRCCS S. Orsola Hospital,

Bologna, , Italy

Site Status RECRUITING

Az. Ospedaliera San Martino, Genova

Genova, , Italy

Site Status RECRUITING

IRCCS Ospedale San Raffaele, Chirurgia Vascolare

Milan, , Italy

Site Status RECRUITING

Vascular Endovascular Surgery University of Perugia;

Perugia, , Italy

Site Status NOT_YET_RECRUITING

Az.Osped.Univers.S.Giovanni, Turin

Turin, , Italy

Site Status RECRUITING

VUMC Amsterdam

Amsterdam, , Netherlands

Site Status NOT_YET_RECRUITING

Catharina Ziekenhuis

Eindhoven, , Netherlands

Site Status NOT_YET_RECRUITING

National Institute of Cardiology Warzwa

Warsaw, , Poland

Site Status RECRUITING

Hospital Ramon Y Cajal

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Donostia

San Sebastián, , Spain

Site Status RECRUITING

HOSPITAL CLINICO UNIVERSITARIO Valladolid

Valladolid, , Spain

Site Status RECRUITING

Inselspital Bern, Universitätsklinik für Gefässchirurgie

Bern, , Switzerland

Site Status NOT_YET_RECRUITING

Countries

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United States Austria Belgium France Germany Italy Netherlands Poland Spain Switzerland

Central Contacts

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Sarah Litterscheid, PhD

Role: CONTACT

+49 15785319015

Sarah Litterscheid

Role: CONTACT

+49 15785319015

Facility Contacts

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Jason Lee

Role: primary

Rami Tadros

Role: primary

Frank Arko

Role: primary

Adel Barkat

Role: primary

Hosam El-Sayed

Role: primary

Afshin Assadian

Role: primary

Wouter Lansink, Dr MD

Role: primary

Isabelle vanHerzeele

Role: primary

Raphael Coscas

Role: primary

Fabien Thaveau

Role: primary

Antoine Millon

Role: primary

Adrien Kaladji

Role: primary

Alexander Gombert

Role: primary

Dierk Scheinert

Role: primary

Mauro Gargiulo, Prof

Role: primary

Giovanni Pratesi

Role: primary

Andrea Kahlberg, Prof

Role: primary

Massimo Lenti, Prof MD

Role: primary

Giacomo Isernia, MD, PHD

Role: backup

Fabio Verzini

Role: primary

Kak Khee Yeung

Role: primary

Philippe Cuypers

Role: primary

Piotr Szopinski

Role: primary

Andrés Reyer

Role: primary

Mariano de Blas

Role: primary

Lourdes del Rio Sola

Role: primary

Drosos Kotelis, Prof

Role: primary

Other Identifiers

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FCRE-191125

Identifier Type: -

Identifier Source: org_study_id

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