The Vascutek AnacondaTM Stent Graft System Phase II IDE Study

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborator:
Vascutek Ltd.
Information provided by (Responsible Party):
Terumo CVS
ClinicalTrials.gov Identifier:
NCT00612924
First received: January 22, 2008
Last updated: August 6, 2013
Last verified: August 2013
  Purpose

The Phase I safety study is now complete. FDA approval has been granted to proceed to Phase II. The primary objectives of the Phase II study is to assess the safety and effectiveness of the Anaconda Stent Graft System in subjects presenting with abdominal aortic aneurysm (AAA). The secondary objectives of this study are to assess additional clinical outcomes measurements associated with treatment of AAA using the Anaconda Stent Graft System


Condition Intervention Phase
Infrarenal Abdominal Aortic Aneurysm
Device: Anaconda Stent Graft System
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: The Anaconda Endovascular Graft US FDA Phase II Clinical Study

Resource links provided by NLM:


Further study details as provided by Terumo CVS:

Primary Outcome Measures:
  • Successful aneurysm treatment defined as a composite endpoint of subjects who have successful delivery and deployment of the Anaconda™ Stent Graft at the initial procedure and at ≤365 days post-procedure [ Time Frame: initial procedure and at ≤365 days post-procedure ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Secondary Effectiveness, Technical success [ Time Frame: at the initial procedure and at ≤365 days post-procedure ] [ Designated as safety issue: No ]

Estimated Enrollment: 180
Study Start Date: April 2009
Estimated Study Completion Date: April 2014
Estimated Primary Completion Date: April 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Anaconda Device: Anaconda Stent Graft System
Endovascular device

Detailed Description:

Abdominal aortic aneurysms afflict a large number of patients in the United States and world-wide. The treatment of this disorder is based upon the concept of aneurysm repair prior to the presentation of symptoms or rupture. Thus aneurysm repair can be viewed as a prophylactic procedure embarked upon to prevent the disastrous complications of a ruptured aneurysm. The decision to treat an aneurysm electively is based upon a risk to benefit ratio. Treatment options include medical management of co-morbidities (hypertension, pulmonary disease, etc.) with observation of the aneurysm, open surgical aneurysm repair through a transabdominal or retroperitoneal approach, and endovascular aneurysm repair. The decision to intervene is based upon physician judgment. Once the decision to intervene is made, the mode of the intervention must be chosen. Although open surgical repair is more invasive and has been noted to have a higher morbidity and mortality(1;2) than most endovascular reports, and few argue with the effectiveness of the procedure. To date, open surgical repair remains the gold standard of care for the aneurysm patient. Endovascular repair has several beneficial characteristics in comparison to an open surgical approach. They include the potential for decreased need for blood transfusions, shorter intensive care unit and total hospital stays, the lack of endotracheal intubation, to name a few. However, the procedure requires adequate imaging prior to graft placement and during the follow-up period, in addition to the availability of a trained team to ensure proper device placement.

  Eligibility

Ages Eligible for Study:   18 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female ≥18 and ≤ 85 years of age. Females must be non-pregnant, non-lactating, and not planning to become pregnant during the study period
  • Females of childbearing potential must use acceptable methods of contraception, be at least one year post-menopausal or be surgically sterile
  • Willing and able to comply with the 5 year follow-up period
  • Willing to give informed written consent prior to enrollment
  • Males with infrarenal AAA > 4.5cm in diameter, or AAA growth > 1.0cm/yr; females with infrarenal AAA > 4.0cm in diameter, or AAA growth > 1.0cm/yr
  • Infrarenal AAA with a proximal neck diameter between > 16.0 and < 31.0mm (Anaconda Stent Graft System)
  • Infrarenal AAA with a proximal neck diameter between > 17.5 and < 31.0mm (Anaconda ONE-LOK Stent Graft System)
  • Infrarenal AAA with at least 15mm length of non-aneurysm proximal neck
  • Infrarenal AAA with an angle of < 60 degrees relative to the long axis of the aneurysm
  • Iliac artery distal fixation sites > 20mm in length
  • Iliac artery distal fixation site < 21mm in diameter
  • Ability to preserve at least one hypogastric artery
  • Femoral/iliac artery access vessels, size and morphology should be compatible with the appropriate introducer sheath (18 F, 20 F or 23 F).

Exclusion Criteria;

  • Pregnant and lactating females or females of childbearing potential unless using acceptable method contraception
  • Known sensitivity or allergy to nitinol or polyester
  • Known allergy or intolerance of radiopaque contrast agents
  • Thrombus, calcification, and/or plaque > 2mm in thickness and/or > 50% (180 degrees) continuous coverage of the vessel circumference in the intended fixation site
  • Irregularly shaped calcification and/or plaque that may compromise the sealing and fixation at the proximal or distal fixation sites
  • Ruptured or leaking AAA
  • Mycotic or inflammatory AAA
  • Genetic connective tissue disorder (i.e. Marfans or Ehlers-Danlos syndromes)
  • Previous AAA repair
  • Requires emergent AAA repair
  • Concomitant thoracoabdominal aortic aneurysm
  • Active systemic infection
  • Myocardial infarction ≤10 weeks prior to procedure
  • Aneurysm extends above renal arteries
  • Dialysis dependent renal failure or creatinine > 2.5mg/dL
  • Significant (>80%) renal artery stenosis not readily treatable
  • End-stage chronic obstructive pulmonary disorder
  • Patient is clinically and morbidly obese such that the required imaging would be prevented
  • Patient has an uncorrectable bleeding abnormality
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00612924

  Show 23 Study Locations
Sponsors and Collaborators
Terumo CVS
Vascutek Ltd.
Investigators
Study Director: Stephen Mascioli Terumo Cardiovascular Systems Corporation
  More Information

Additional Information:
No publications provided

Responsible Party: Terumo CVS
ClinicalTrials.gov Identifier: NCT00612924     History of Changes
Other Study ID Numbers: ANA-006, G030036
Study First Received: January 22, 2008
Last Updated: August 6, 2013
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Aortic Aneurysm
Aortic Aneurysm, Abdominal
Aneurysm
Vascular Diseases
Cardiovascular Diseases
Aortic Diseases

ClinicalTrials.gov processed this record on September 16, 2014