Nectero EAST System Clinical Study

NCT ID: NCT06001918

Last Updated: 2025-12-16

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

PHASE2/PHASE3

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-25

Study Completion Date

2029-12-31

Brief Summary

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The purpose of this randomized clinical trial is to treat patients with small to mid-sized abdominal aortic aneurysms (AAA), maximum diameter of 3.5 cm to 5.0 cm, using a locally delivered, single-dose endovascular treatment. The main question the study aims to answer is to demonstrate efficacy of the product for stabilization of these small to mid-sized AAA.The study will compare the treatment group to the typical standard of care for these patients, surveillance. All subjects will be followed at designated intervals at 30/60 days, 6, 12, 18 and 24 months with continued follow-up annually for up to 5 years.

Detailed Description

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Conditions

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Abdominal Aortic Aneurysm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, randomized, controlled trial comparing the efficacy of the treatment arm to the control arm.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
For this trial, neither the patient nor investigator will be blinded to the study group assignment. However, members of the Sponsor, the CT core laboratory and the various committees reviewing subject data, such as the Clinical Events Committee (CEC), will be blinded to the randomization and assignment arm for an individual subject under review.

Study Groups

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Treatment Arm

Participants assigned to the treatment arm will undergo an endovascular procedure using the Nectero EAST System to deliver the Stabilizer Infusion Solution directly inside the aneurysm. This is a one-time local delivery of the product. Following treatment, surveillance of their AAA will be conducted using CT scans at 6 months, 12 months, 18 months, 24 months, and annually for 5 years.

Intervention: Drug: Stabilizer

Group Type EXPERIMENTAL

Nectero EAST System

Intervention Type DRUG

Treated subjects will undergo an endovascular procedure with the Nectero EAST system and receive the Stabilizer Infusion Solution (drug) within 30 days of the study eligibility by CT scan as a one-time local delivery of the drug.

Control Arm

Participants assigned to the control arm will undergo surveillance of their AAA using CT scans at 6 months, 12 months, 18 months, 24 months, and annually for 5 years.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Nectero EAST System

Treated subjects will undergo an endovascular procedure with the Nectero EAST system and receive the Stabilizer Infusion Solution (drug) within 30 days of the study eligibility by CT scan as a one-time local delivery of the drug.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Males and females ≥21 to ≤85 years of age. Females must be of non-childbearing potential (menopause or sterilization).
2. Subject understands the purpose of the trial, agrees to voluntarily participate in the trial, signs the informed consent and is willing to complete the follow-up according to the requirements of the protocol.
3. Infrarenal atherosclerotic fusiform abdominal aortic aneurysm from 3.5 cm to 5.0 cm (male) and 3.5 cm to 4.5 cm (female).
4. Infrarenal aortic neck ≥ 15 mm in length and ≤ 29 mm in diameter.
5. Overall AAA treatment length (distal renal to distal inferior margin of the aneurysm) not to exceed 130 mm.
6. Iliac and femoral artery access, vessel size and morphology allow endovascular access of 14F (or larger) introducer sheaths and catheters.
7. Subject meets American Society of Anesthesiology (ASA) grade 1 through 3 criteria, inclusive.
8. Subject has \> three-year life expectancy.
9. Subject is able and willing to comply with all required follow-up clinic visits including CT scans (pre-randomization, 6, 12, 18, 24 months and annually up to 5 years) and blood draws.

Exclusion Criteria

1. Subject has an acutely ruptured, leaking, dissecting or emergent aneurysm.
2. Subject has a symptomatic infrarenal abdominal aortic aneurysm.
3. Subject has a mycotic or infected aneurysm.
4. Subject has current vascular injury due to trauma.
5. Subject's aneurysm is thoracic, suprarenal or juxtarenal.
6. Previous surgical or endovascular aneurysm repair for abdominal aortic aneurysm.
7. Subject has anatomy of diffuse, ulcerated, or extensive (shaggy) thrombus in the neck of the AAA, that in the opinion of the vascular surgeon/investigator, could result in embolization of the thrombus.
8. Subject has anatomy of calcification, and/or plaque within the ilio-femoral arteries or severe infrarenal neck angulation that may compromise or does not allow delivery of the Introducer Sheath or the delivery catheter of the Nectero EAST System.
9. Subject has had a myocardial infarction within six (6) months prior to enrollment or elevated CK enzymes or troponin indicative of an evolving MI prior to procedure.
10. Subject has current angina, unstable angina, or other active cardiac condition such as congestive heart failure III and IV, atrial arrhythmia, ventricular arrhythmia, or valvular disease, requiring intervention.
11. Subject has undergone other major surgery within the 30 days prior to enrollment.
12. Subjects with any transient ischemic attack (TIA) or ischemic stroke within 3 months.
13. Known allergy to contrast material that cannot be adequately premedicated, delivery system materials (i.e., nylon, polyurethane) and/or pentagalloylglucose (PGG).
14. Subject is morbidly obese or has other clinical conditions that severely inhibit X-ray visualization of the aorta.
15. Subject has connective tissue/collagen disorder (e.g., Marfan syndrome, vascular Ehlers-Danlos Syndrome, Loeys-Dietz Syndrome, Eaton Syndrome, Bessel-Hagen disease, etc.).
16. Known contraindication to undergoing angiography or receiving systemic anticoagulation during the procedure.
17. Subject has active systemic infection.
18. Subject is participating in another research trial that could interfere with the results of the trial (e.g., drug trial).
19. Subject has other medical, social, or psychological problems that, in the opinion of the investigator, preclude them from participation in the trial and to undergo the procedures and evaluations pre- and post-treatment.
20. Subject has dialysis dependent renal failure or baseline serum creatinine level \>2.5mg/dL or eGFR \< 45 mL/min/1.73m2.
21. Subjects with aminotransferase (ALT and/or AST) which is ≥1.5x upper limit of normal (ULN) or TB that is our of normal range for the evaluating laboratory.
22. Subjects that may not tolerate the lowering of their systolic blood pressure to approximately 100mmHg, should not be considered for this study or treated using the Nectero EAST System.
23. Subjects that may not be able to tolerate transient occlusion of the aorta should not be considered for this study.
24. Subjects with saccular AAA.
25. Subjects with rapidly expanding AAA (previous diameter increases of ≥0.5 cm in 6-months or ≥1 cm in 1 year) as these should be evaluated for immediate repair.
26. Subjects who are not suitable for the Nectero EAST System treatment, as determined by the investigator.
27. Subjects with INR out of normal range for the evaluating laboratory for a subject not on anti-coagulant therapy; or INR \>3 for a subject on anti-coagulant therapy.
28. Subjects with active/acute or a history of unstable chronic liver disease or current liver disease including but not limited to liver transplant, known genetic disorders such as Gilbert syndrome or other liver diseases.
29. Subjects with cirrhosis (e.g., known history or new clinical diagnosis by elastography with a fibrosis score of F3 or F4 and/or steatosis grade of S3).
30. Subjects with uncontrolled alcohol use disorder or current alcohol use putting them at risk of liver disease: including consumption of above one standard drink per day for women and two standard drinks per day for men.
31. Subjects with known right-sided heart failure or pathologically dilated inferior vena cava or hepatic veins indicative of congestive hepatopathy.
Minimum Eligible Age

21 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nectero Medical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Daniel Clair, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Grace Wang, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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Honor Health Scottsdale Shea Medical Center

Scottsdale, Arizona, United States

Site Status RECRUITING

University of Colorado

Aurora, Colorado, United States

Site Status ACTIVE_NOT_RECRUITING

Medstar Washington Hospital Center

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

Site Status RECRUITING

Prime Vascular Institute

Delray Beach, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

Medical College of Georgia

Augusta, Georgia, United States

Site Status RECRUITING

University of Chicago

Chicago, Illinois, United States

Site Status RECRUITING

MaineMed Vascular Surgery

Scarborough, Maine, United States

Site Status NOT_YET_RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status ACTIVE_NOT_RECRUITING

University of Massachusetts

Worcester, Massachusetts, United States

Site Status ACTIVE_NOT_RECRUITING

Beaumont Health

Royal Oak, Michigan, United States

Site Status ACTIVE_NOT_RECRUITING

Washington University School of Medicine

St Louis, Missouri, United States

Site Status ACTIVE_NOT_RECRUITING

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status ACTIVE_NOT_RECRUITING

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status ACTIVE_NOT_RECRUITING

University of Rochester

Rochester, New York, United States

Site Status RECRUITING

Stony Brook Medicine

Stony Brook, New York, United States

Site Status NOT_YET_RECRUITING

Duke University Medical Center

Durham, North Carolina, United States

Site Status ACTIVE_NOT_RECRUITING

The Christ Hospital

Cincinnati, Ohio, United States

Site Status NOT_YET_RECRUITING

University Hospitals Cleveland

Cleveland, Ohio, United States

Site Status ACTIVE_NOT_RECRUITING

Cleveland Clinic

Cleveland, Ohio, United States

Site Status ACTIVE_NOT_RECRUITING

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status RECRUITING

Ohio Health Riverside

Columbus, Ohio, United States

Site Status ACTIVE_NOT_RECRUITING

Oklahoma Heart Institute

Tulsa, Oklahoma, United States

Site Status NOT_YET_RECRUITING

Oregon Health and Science University

Portland, Oregon, United States

Site Status ACTIVE_NOT_RECRUITING

Portland VA Medical Center

Portland, Oregon, United States

Site Status ACTIVE_NOT_RECRUITING

St. Luke's University Health Network

Bethlehem, Pennsylvania, United States

Site Status ACTIVE_NOT_RECRUITING

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status ACTIVE_NOT_RECRUITING

Jefferson Clinical Research Institute

Philadelphia, Pennsylvania, United States

Site Status ACTIVE_NOT_RECRUITING

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status ACTIVE_NOT_RECRUITING

Prisma Health

Greenville, South Carolina, United States

Site Status RECRUITING

North Central Heart - A Division of Avera Heart Hospital

Sioux Falls, South Dakota, United States

Site Status RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status ACTIVE_NOT_RECRUITING

Houston Healthcare

Houston, Texas, United States

Site Status RECRUITING

Baylor Scott & White Medical Center

Plano, Texas, United States

Site Status RECRUITING

University of Utah Hospital

Salt Lake City, Utah, United States

Site Status RECRUITING

Inova Fairfax Medical Campus Inova Health Systems

Fairfax, Virginia, United States

Site Status RECRUITING

University of Washington at Harborview Medical Center

Seattle, Washington, United States

Site Status RECRUITING

Bellin Memorial Hospital

Green Bay, Wisconsin, United States

Site Status NOT_YET_RECRUITING

Prince of Wales Private Hospital- POW Vascular Institute

Randwick, New South Wales, Australia

Site Status RECRUITING

Auckland City Hospital

Auckland, , New Zealand

Site Status RECRUITING

Countries

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United States Australia New Zealand

Central Contacts

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Charlene Knape

Role: CONTACT

866-755-4744

Tracy Roberts

Role: CONTACT

(303)3964603

Facility Contacts

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Kiersten Rundio

Role: primary

480-583-7424

Nicole DeVries

Role: backup

Kassaye Sesaba, MD

Role: primary

202-877-7452

Suman Singh, MD

Role: backup

(202) 877-8475

Candelario Laserna

Role: primary

706-721-2199

Natasha Flores

Role: backup

MacKenton Johnson

Role: primary

773-795-3639

Euget Sakyi

Role: backup

Kathryn Ackermann

Role: primary

Jamie Attwood

Role: primary

Mary Bourret

Role: primary

Daria Shavarina

Role: primary

Jamie Elkins

Role: primary

Subh Das

Role: primary

614-366-6596

Tamara Morton

Role: primary

Nikita Kasinger

Role: primary

Maggie Salle

Role: backup

Patty Eisenbraun, RN

Role: primary

605-977-5336

Swathi Potla

Role: primary

Niat Tekle

Role: primary

Mounika Reddy Pisati

Role: primary

Julie Hales

Role: backup

Bhruga Shah

Role: primary

Allison Larimore

Role: primary

Katie Guilliam

Role: primary

Jade Goh

Role: primary

04 87 369 396

Cynthia Corne

Role: primary

+64 9 307 4949 ext. 21505

References

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Cheng SWK, Eagleton M, Echeverri S, Munoz JG, Holden AH, Hill AA, Krievins D, Ramaiah V. A pilot study to evaluate a novel localized treatment to stabilize small- to medium-sized infrarenal abdominal aortic aneurysms. J Vasc Surg. 2023 Oct;78(4):929-935.e1. doi: 10.1016/j.jvs.2023.05.056. Epub 2023 Jun 15.

Reference Type BACKGROUND
PMID: 37330148 (View on PubMed)

Related Links

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Other Identifiers

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EAST002

Identifier Type: -

Identifier Source: org_study_id