The Altura Abdominal Aortic Aneurysm (AAA) Endograft Safety and Feasibility Study
Primary Purpose
Abdominal Aortic Aneurysms
Status
Unknown status
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Altura Medical Abdominal Aortic Aneurysm Stent-Graft
Sponsored by
About this trial
This is an interventional treatment trial for Abdominal Aortic Aneurysms focused on measuring Abdominal Aortic Aneurysms, AAA
Eligibility Criteria
Inclusion Criteria:
- 18 years or older.
- Subject or subject's legal representative understands and has signed an informed consent.
- Infrarenal aneurysmal neck diameter between 18 and 28mm, inclusive.
- Abdominal aneurysm neck angulation < 45 degrees.
- Infrarenal non-aneurysmal neck >/= 15mm in length.
- Abdominal aneurysm >4.5cm and growth >1.0 cm/yr.
- Limited iliac artery tortuosity.
- Iliac artery fixation length of >/= 15mm.
- Iliac artery diameter between 8 and 19 mm, inclusive.
- Iliac artery diameter accessible by a 14 Fr introducer.
- Subject is a candidate for open surgical repair of abdominal aortic aneurysm.
- Patent iliac or femoral arteries access vessels, size and morphology to allow endovascular access of 14 Fr introducer sheaths and catheters.
- Subject has > one year life expectancy.
- Subject is not placed at additional risk while waiting for additional imaging necessary for vascular treatment.
- Subject is American Society of Anesthesiology (ASA) grade 1 through 3, inclusive.
- Subject is able and willing to comply with 30 day, six (6) month, one (1) year and 2 (two) year follow-up.
Exclusion Criteria:
- Subject has an acutely ruptured or leaking or emergent aneurysm.
- Subject has a dissecting aneurysm.
- Subject has a mycotic or infected aneurysm.
- Subject has current vascular injury due to trauma.
- Subject's aneurysm is thoracic or suprarenal.
- Previous surgical or endovascular aneurysm repair for abdominal aortic aneurysm.
- Subject has thrombus, calcification and/or plaque that may compromise sealing
- Subject has had a myocardial infarction within six (6) months prior to enrollment.
- Subject has current angina or other active cardiac condition such as congestive heart failure, untreated or worsening atrial arrhythmia, ventricular arrhythmia, or valvular disease.
- Subject has undergone other major surgery within the 30 days prior to enrollment.
- Subject is pregnant or nursing.
- Known allergy to nitinol or polyester or contrast material that cannot be pretreated.
- Subject is morbidly obese or has other clinical conditions that severely inhibit X-ray visualization of the aorta.
- Subject has connective tissue disease (e.g., Marfan's syndrome).
- Subject has a bleeding disorder or anemia defined as hemoglobin < 9.0 mg/dL.
- Subject is hypercoagulable.
- Subject is on dialysis or has compromised renal function as reflected by a serum creatinine >2.2 mg/dL.
- Subject has compromised hepatic function as measured by SGPT (ALT) > three (3) times the upper limit of normal.
- Subject has active systemic infection.
- Subject is participating in another research study involving an investigational agent for the treatment of AAA.
- Subject has other medical, social or psychological problems that, in the opinion of the investigator, preclude them from receiving this treatment and the procedures and evaluations pre- and post-treatment.
Sites / Locations
- Pontificia Universidad Catolica De Chile
- Stradins University Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
AAA Stent Graft System
Arm Description
Altura Medical AAA Stent Graft System
Outcomes
Primary Outcome Measures
The rate of major adverse events.
Adverse events defined as the composite endpoint of death, significant blood loss requiring intervention, respiratory failure, myocardial infarction, renal failure, paralysis, stroke, bowel ischemia and/or device migration causing vascular compromise.
Secondary Outcome Measures
Feasibility of device defined by clinical and technical success
Evaluate the feasibility of using Altura AAA Endograft. Feasibility is comprised of acute clinical and technical success measured at the time of procedure. Long-term safety will be evaluated at 6 months, 1 year and 2 years.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01346943
Brief Title
The Altura Abdominal Aortic Aneurysm (AAA) Endograft Safety and Feasibility Study
Official Title
The Altura AAA Endograft Safety and Feasibility Study For Exclusion of Abdominal Aortic Aneurysms
Study Type
Interventional
2. Study Status
Record Verification Date
January 2015
Overall Recruitment Status
Unknown status
Study Start Date
April 2011 (undefined)
Primary Completion Date
May 2019 (Anticipated)
Study Completion Date
May 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Altura Medical Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety of deploying and implanting the Altura Abdominal Aortic Aneurysm (AAA) Endograft in the treatment of abdominal aortic aneurysms in subjects who are candidates for open surgical aneurysm repair.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Abdominal Aortic Aneurysms
Keywords
Abdominal Aortic Aneurysms, AAA
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
AAA Stent Graft System
Arm Type
Experimental
Arm Description
Altura Medical AAA Stent Graft System
Intervention Type
Device
Intervention Name(s)
Altura Medical Abdominal Aortic Aneurysm Stent-Graft
Other Intervention Name(s)
Altura Medical AAA Stent Graft System
Intervention Description
Altura Medical AAA Stent Graft System
Primary Outcome Measure Information:
Title
The rate of major adverse events.
Description
Adverse events defined as the composite endpoint of death, significant blood loss requiring intervention, respiratory failure, myocardial infarction, renal failure, paralysis, stroke, bowel ischemia and/or device migration causing vascular compromise.
Time Frame
30 days
Secondary Outcome Measure Information:
Title
Feasibility of device defined by clinical and technical success
Description
Evaluate the feasibility of using Altura AAA Endograft. Feasibility is comprised of acute clinical and technical success measured at the time of procedure. Long-term safety will be evaluated at 6 months, 1 year and 2 years.
Time Frame
6 months, 1 year and 2 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
18 years or older.
Subject or subject's legal representative understands and has signed an informed consent.
Infrarenal aneurysmal neck diameter between 18 and 28mm, inclusive.
Abdominal aneurysm neck angulation < 45 degrees.
Infrarenal non-aneurysmal neck >/= 15mm in length.
Abdominal aneurysm >4.5cm and growth >1.0 cm/yr.
Limited iliac artery tortuosity.
Iliac artery fixation length of >/= 15mm.
Iliac artery diameter between 8 and 19 mm, inclusive.
Iliac artery diameter accessible by a 14 Fr introducer.
Subject is a candidate for open surgical repair of abdominal aortic aneurysm.
Patent iliac or femoral arteries access vessels, size and morphology to allow endovascular access of 14 Fr introducer sheaths and catheters.
Subject has > one year life expectancy.
Subject is not placed at additional risk while waiting for additional imaging necessary for vascular treatment.
Subject is American Society of Anesthesiology (ASA) grade 1 through 3, inclusive.
Subject is able and willing to comply with 30 day, six (6) month, one (1) year and 2 (two) year follow-up.
Exclusion Criteria:
Subject has an acutely ruptured or leaking or emergent aneurysm.
Subject has a dissecting aneurysm.
Subject has a mycotic or infected aneurysm.
Subject has current vascular injury due to trauma.
Subject's aneurysm is thoracic or suprarenal.
Previous surgical or endovascular aneurysm repair for abdominal aortic aneurysm.
Subject has thrombus, calcification and/or plaque that may compromise sealing
Subject has had a myocardial infarction within six (6) months prior to enrollment.
Subject has current angina or other active cardiac condition such as congestive heart failure, untreated or worsening atrial arrhythmia, ventricular arrhythmia, or valvular disease.
Subject has undergone other major surgery within the 30 days prior to enrollment.
Subject is pregnant or nursing.
Known allergy to nitinol or polyester or contrast material that cannot be pretreated.
Subject is morbidly obese or has other clinical conditions that severely inhibit X-ray visualization of the aorta.
Subject has connective tissue disease (e.g., Marfan's syndrome).
Subject has a bleeding disorder or anemia defined as hemoglobin < 9.0 mg/dL.
Subject is hypercoagulable.
Subject is on dialysis or has compromised renal function as reflected by a serum creatinine >2.2 mg/dL.
Subject has compromised hepatic function as measured by SGPT (ALT) > three (3) times the upper limit of normal.
Subject has active systemic infection.
Subject is participating in another research study involving an investigational agent for the treatment of AAA.
Subject has other medical, social or psychological problems that, in the opinion of the investigator, preclude them from receiving this treatment and the procedures and evaluations pre- and post-treatment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Albrecht Kramer, MD
Organizational Affiliation
Pontificia Universidad Catolica de Chile
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pontificia Universidad Catolica De Chile
City
Santiago
ZIP/Postal Code
8330024
Country
Chile
Facility Name
Stradins University Hospital
City
Riga
ZIP/Postal Code
LV-1002
Country
Latvia
12. IPD Sharing Statement
Learn more about this trial
The Altura Abdominal Aortic Aneurysm (AAA) Endograft Safety and Feasibility Study
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