Status:
RECRUITING
Endurant Stent Graft System vs Excluder Endoprothesis: ADVANCE Trial
Lead Sponsor:
Medtronic Cardiovascular
Conditions:
Abdominal Aortic Aneurysm
Abdominal Aortic Aneurysm >= 5.5 Centimeters in Male (Disorder)
Eligibility:
All Genders
20+ years
Phase:
NA
Brief Summary
The purpose of this trial is to generate clinical evidence related to key performance outcomes of Endurant II/IIs Stent Graft Systems verses Gore Excluder / Excluder Conformable AAA Endoprosthesis in ...
Detailed Description
This is a post-market, prospective, interventional, global, multi-center, randomized, dual-arm clinical trial. The primary objective of this trial is to evaluate sac regression outcomes of the Medtron...
Eligibility Criteria
Inclusion
- Subject and the treating physician agree that the subject will return for all required followup visits
- Subject or legal representative or consultee, as applicable, has consented for trial participation and signed the Informed Consent approved by the sponsor and by the Ethics Committee/Institutional Review Board
- Subject has an aneurysm diameter of ≥ 5 cm (if woman) ≥ 5.5 cm (if man)
- Subject's AAA anatomy is appropriate for both Medtronic Endurant II/IIs Stent Graft System and Gore Excluder/Excluder Conformable AAA Endoprosthesis as per assessment of both treating physician and Core Lab in accordance with the overlapping commercially available IFUs per applicable region.
Exclusion
- Subject is participating in an investigational drug or device study which may bias or interfere with the endpoints and follow-up of this trial
- Subject has an estimated life expectancy of ≤ 3 years as judged by the investigator
- Subject has an aneurysm that is:
- Suprarenal/pararenal/juxtarenal
- Isolated ilio-femoral
- Mycotic
- Inflammatory
- Pseudoaneurysm
- Concomitant or prior dissection involving the abdominal aorta or iliac arteries
- Ruptured
- Symptomatic AAA
- Subject has significant thrombus and / or calcium at the arterial implantation sites, specifically the proximal aortic neck and distal iliac artery interface. Significant thrombus may be quantified as thrombus ≥ 2 mm in thickness and / or ≥ 25% of the vessel circumference in the intended seal zone of the aortic neck.
- Subject requires emergent aneurysm treatment, for example, trauma or rupture
- Subject with connective tissue disease that may have caused the aneurysm e.g. Marfan syndrome, Ehlers-Danlos, Loeys-Dietz syndrome
- Subject has previously undergone surgical or endovascular treatment in the abdominal aorta or the iliac arteries for aneurysm or occlusive disease
- Planned use of aorto-uni-iliac (AUI) main body device
- Any planned additional device (apart from the main body, limb stent graft and extensions per assigned treatment per randomization) during index or staged procedure, e.g., endostaple or anchor, Iliac branch endoprosthesis, embolization, etc.
- Planned coverage of the internal iliac artery/arteries
- Subject has an estimated glomerular filtration rate (eGFR) \< 45 ml/min/1.73m2 or subject is on dialysis
- Subject has a systemic infection who may be at increased risk of endovascular graft infection, per investigator's discretion
- Subject has a psychiatric or other condition that may interfere with the trial, per investigator's discretion
- Subject is of childbearing potential in whom pregnancy cannot be excluded
- Subject has a known hypersensitivity or contraindication to anticoagulants, anti-platelets, or contrast media, which is not amenable to pre-treatment
- Subject belongs to a vulnerable population per investigator's judgment
- Subject has an active COVID-19 infection or relevant history of COVID- 19
Key Trial Info
Start Date :
January 5 2023
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
May 1 2031
Estimated Enrollment :
550 Patients enrolled
Trial Details
Trial ID
NCT05378347
Start Date
January 5 2023
End Date
May 1 2031
Last Update
April 30 2025
Active Locations (67)
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1
Loma Linda University Medical Center
Loma Linda, California, United States, 92354
2
Hoag Hospital
Newport Beach, California, United States, 92663
3
University of California Irvine Medical Center
Orange, California, United States, 92868
4
University of California Davis Medical Center
Sacramento, California, United States, 95817