JAGUAR Trial: ObJective Analysis to GaUge EVAR Outcomes Through Randomization (JAGUAR)
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ClinicalTrials.gov Identifier: NCT05064540 |
Recruitment Status :
Recruiting
First Posted : October 1, 2021
Last Update Posted : May 6, 2023
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Prospective, randomized, multi-center study designed to evaluate the outcomes of commercially available contemporary EVAR in a real-world population. Patients will be randomized into two device cohorts and compared across the primary endpoints.
Patients will be followed procedurally to discharge, at 1, 6, 12 months and annually through to 5 years (total follow-up commitment).
Condition or disease | Intervention/treatment | Phase |
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AAA AAA - Abdominal Aortic Aneurysm | Device: Alto Abdominal Stent Graft System Device: FDA Approved EVAR AAA Graft Systems | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 450 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | JAGUAR Trial: ObJective Analysis to GaUge EVAR Outcomes Through Randomization |
Actual Study Start Date : | September 20, 2021 |
Estimated Primary Completion Date : | December 2028 |
Estimated Study Completion Date : | December 2028 |
Arm | Intervention/treatment |
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Experimental: Alto Abdominal Stent Graft System
Subjects randomized to receive the Endologix Alto Abdominal Stent Graft System for implantation to repair Abdominal Aortic Aneurysm.
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Device: Alto Abdominal Stent Graft System
Endovascular Abdominal Aneurysm Repair (EVAR) using commercially available, FDA approved endovascular graft systems implanted. |
Active Comparator: Comparators
Subjects randomized to receive the comparator AAA Endovascular Graft System for implantation to repair Abdominal Aortic Aneurysm.
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Device: FDA Approved EVAR AAA Graft Systems
FDA approved comparator of choice |
- Number of Participants with Freedom from Aneurysm-Related Complications (ARC) [ Time Frame: Through 5 years ]Composite endpoint consisting of aneurysm-related death, aneurysm rupture, conversion to open surgery, type I and III endoleaks, device migration (>10mm), aneurysm sac enlargement (>5mm), occlusion, and freedom from device-related interventions
- Neck Dilation in mm [ Time Frame: Through 5 years ]
- Number of Major Adverse Events (MAEs) [ Time Frame: At 30 days and 12 months ]All-cause mortality, Bowel ischemia, Myocardial infarction, Paraplegia, Renal Failure, Respiratory Failure, Stroke, Index Procedural Blood Loss ≥ 1000mL
- Count of participants All Cause Mortality [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Count of participants AAA-related Mortality [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Number of Type Ia endoleaks [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Number of Type Ib [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Number of Type II [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Number of Type III [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Number of Type IV [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Number of Unknown Enooleaks [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Number of Secondary interventions [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Count of subjects lacking device integrity [ Time Frame: At 30 days, 12 months, and annually up to five years ]device patency (stenosis and occlusion) and integrity (kinking, fracture, and polymer leak)
- count of aneurysm ruptures [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Count of participants with conversion to open surgery [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Count of participants with type I and III endoleaks [ Time Frame: At 30 days, 12 months, and annually up to five years ]
- Count of participants with device migration (>10mm) [ Time Frame: 12 months, and annually up to five years ]
- Count of participants with aneurysm sac enlargement (>5mm) [ Time Frame: 12 months, and annually up to five years ]
- Count of subjects with occlusion [ Time Frame: 30 days, 12 months, and annually up to five years ]
- Number of Participants with Freedom From device-related interventions [ Time Frame: 30 days, 12 months, and annually up to five years ]

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Ages Eligible for Study: | 21 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult age 21 and older
- Subjects with minimum of 2 year life expectancy
- Subjects have signed the informed consent document
- Subjects with unruptured infrarenal AAA who are assessed by the Investigator to be eligible for endovascular Abdominal Aortic Aneurysm Repair with the trial devices.
- Patient must be able and willing to comply with all required follow-up exams.
Exclusion Criteria:
- Currently participating in another trial where the primary endpoint has not been reached yet.
- Known allergy to any of the device components
- Pregnant (females of childbearing potential only)
- Known connective tissue disorders
- Known active infection
- Subjects with pre-existing EVAR, i.e., in need of repair/intervention of a previously failed EVAR.
- Patient has other medical, social, or psychological conditions that, in the opinion of the investigator, preclude them from receiving the pre-treatment, required treatment, and post-treatment procedures and evaluations.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05064540
Contact: Noel DeSisto | 864-270-8524 | ndesisto@endologix.com | |
Contact: Christina Huxford | Chuxford@endologix.com |

Principal Investigator: | Sean Lyden, MD | The Cleveland Clinic | |
Principal Investigator: | Christopher Kwolek, MD | Newton-Wellesley Hospital | |
Principal Investigator: | Hence Verhagen, MD, PhD | Erasmus University Study Center |
Responsible Party: | Endologix |
ClinicalTrials.gov Identifier: | NCT05064540 |
Other Study ID Numbers: |
CP-0017 |
First Posted: | October 1, 2021 Key Record Dates |
Last Update Posted: | May 6, 2023 |
Last Verified: | May 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Plan Description: | Individual participant data will not be shared with others. |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | Yes |
Product Manufactured in and Exported from the U.S.: | No |
randomized |
Aneurysm Aortic Aneurysm Aortic Aneurysm, Abdominal |
Vascular Diseases Cardiovascular Diseases Aortic Diseases |