Endurant Stent Graft System vs Excluder Endoprothesis: A Global, Prospective, Randomized Clinical Trial in Sac Regression (ADVANCE Trial)

Overview

About this study

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 subjects with Abdominal Aortic Aneurysms.  

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

- 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 study 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 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 Criteria:

- Subject is participating in an investigational drug or device study which may bias or interfere with the endpoints and follow-up of this study.

- Subject has an estimated life expectancy of ≤ 3 years as judged by the investigator.

- Subject has an aneurysm that is:

1. Suprarenal/pararenal/juxtarenal

2. Isolated ilio-femoral;

3. Mycotic;

4. Inflammatory;

5. Pseudoaneurysm;

6. Concomitant or prior dissection involving the abdominal aorta or iliac arteries;

7. Ruptured, including leaking;

8. 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. Irregular calcium and / or plaque may compromise the fixation and sealing of the implantation sites.

- 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 treatment for abdominal aortic aneurysm.

- Planned use of aorto-uni-iliac (AUI) main body device.

- Any planned additional device during index procedure (e.g., endostaple or anchor, Iliac branch endoprosthesis, sac or side branch embolization etc.).

- Subject has an estimated glomerular filtration rate (eGFR) < 45 ml/min/1.73m^2 or subject is on dialysis.

- Subject has a systemic infection who may be at increased risk of endovascular graft infection.

- Subject has a psychiatric or other condition that may interfere with the study.

- Subject is a female 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.

Eligibility last updated 7/19/22. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Randall DeMartino, M.D., M.S.

Open for enrollment

Contact information:

Charlene Blanchard CCRP

(507) 538-8152

Blanchard.Charlene@mayo.edu

More information

Publications

Publications are currently not available
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CLS-20541773

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