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Evaluation of the GORE® EXCLUDER® Iliac Branch Endoprosthesis

Primary Purpose

Common Iliac Artery Aneurysms, Aorto-iliac Aneurysms

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
GORE® EXCLUDER® Iliac Branch Endoprosthesis
Sponsored by
W.L.Gore & Associates
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Common Iliac Artery Aneurysms

Eligibility Criteria

21 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Common iliac aneurysm with or without concomitant abdominal aortic aneurysm
  2. Adequate native anatomy to receive the EXCLUDER® and Iliac Branch Endoprostheses
  3. An Informed Consent Form signed by Subject or legally authorized representative
  4. Male or infertile female
  5. Able to comply with protocol requirements including following-up
  6. Life expectancy > 2 years
  7. Age > 21 years
  8. Surgical candidate

Exclusion Criteria:

  1. Mycotic or ruptured aneurysm
  2. Known concomitant thoracic aortic aneurysm which requires intervention
  3. American Society of Anesthesiologists (ASA) Physical Status classification system class V (moribund patient not expected to live 24 hours with or without operation)
  4. Renal insufficiency defined or patient undergoing dialysis
  5. New York Heart Association (NYHA) Functional Classification class IV
  6. Dissected, heavily calcified, or heavily thrombosed landing zone(s)
  7. Tortuous or stenotic iliac and/or femoral arteries
  8. Participating in another investigational device or drug study within 1 year of treatment
  9. Systemic infection which may increase the risk of endovascular graft infection
  10. Known degenerative connective tissue disease, e.g., Marfan or Ehler-Danlos Syndrome
  11. Planned concomitant surgical procedure or major surgery within 30 days of treatment date
  12. Known history of drug abuse
  13. Known sensitivities or allergies to the device materials

Sites / Locations

  • Weill Cornell Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

GORE® EXCLUDER® Iliac Branch Endoprosthesis

Arm Description

GORE® EXCLUDER® Iliac Branch Endoprosthesis

Outcomes

Primary Outcome Measures

Freedom From Composite of the Following: Death, Stroke, Myocardial Infarction, Bowel Ischemia, Paraplegia, Respiratory Failure, Renal Failure, Conversion to Open Surgical Repair
Freedom from composite of the following: Death, Stroke, Myocardial Infarction, Bowel Ischemia, Paraplegia, Respiratory Failure, Renal Failure, Conversion to open surgical repair.
Freedom From: Reintervention on Iliac Branch Component (IBC) or Internal Iliac Component (IIC) Due to Type I/III Endoleak or to Re-establish Patency Due to 60% Occlusion or Greater, or Complete Loss of Blood Flow in Leg of IBC or IIC
Freedom from all of the following: Reintervention on Iliac Branch Component (IBC) or Internal Iliac Component (IIC) due to Type I/III endoleak as determined by Clinical Events Committee (CEC). Complete loss of blood flow in leg of IBC or IIC as assessed by Core Laboratory Reintervention on IBC or IIC to re-establish patency due to 60% occlusion or greater as determined by CEC.

Secondary Outcome Measures

Freedom From New Onset Buttock Claudication Arising From the Side of the Body Treated With the Iliac Branch Component (IBC) and Internal Iliac Component (IIC)
Freedom from new onset buttock claudication arising from the side of the body treated with the Iliac Branch Component (IBC) and Internal Iliac Component (IIC).

Full Information

First Posted
June 18, 2013
Last Updated
October 22, 2021
Sponsor
W.L.Gore & Associates
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1. Study Identification

Unique Protocol Identification Number
NCT01883999
Brief Title
Evaluation of the GORE® EXCLUDER® Iliac Branch Endoprosthesis
Official Title
Evaluation of the GORE® EXCLUDER® Iliac Branch Endoprosthesis for the Treatment of Common Iliac Artery Aneurysms or Aorto-iliac Aneurysms
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
October 2013 (Actual)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
June 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
W.L.Gore & Associates

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The Iliac Branch Endoprosthesis (IBE) 12-04 study will be a prospective, nonrandomized, multicenter, single-arm evaluation designed to assess the safety and efficacy of the IBE Device in subjects with common iliac artery aneurysms (CIAA) or aorto-iliac aneurysms (AIA).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Common Iliac Artery Aneurysms, Aorto-iliac Aneurysms

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GORE® EXCLUDER® Iliac Branch Endoprosthesis
Arm Type
Experimental
Arm Description
GORE® EXCLUDER® Iliac Branch Endoprosthesis
Intervention Type
Device
Intervention Name(s)
GORE® EXCLUDER® Iliac Branch Endoprosthesis
Primary Outcome Measure Information:
Title
Freedom From Composite of the Following: Death, Stroke, Myocardial Infarction, Bowel Ischemia, Paraplegia, Respiratory Failure, Renal Failure, Conversion to Open Surgical Repair
Description
Freedom from composite of the following: Death, Stroke, Myocardial Infarction, Bowel Ischemia, Paraplegia, Respiratory Failure, Renal Failure, Conversion to open surgical repair.
Time Frame
30 days post-treatment
Title
Freedom From: Reintervention on Iliac Branch Component (IBC) or Internal Iliac Component (IIC) Due to Type I/III Endoleak or to Re-establish Patency Due to 60% Occlusion or Greater, or Complete Loss of Blood Flow in Leg of IBC or IIC
Description
Freedom from all of the following: Reintervention on Iliac Branch Component (IBC) or Internal Iliac Component (IIC) due to Type I/III endoleak as determined by Clinical Events Committee (CEC). Complete loss of blood flow in leg of IBC or IIC as assessed by Core Laboratory Reintervention on IBC or IIC to re-establish patency due to 60% occlusion or greater as determined by CEC.
Time Frame
Through 6 month follow-up visit
Secondary Outcome Measure Information:
Title
Freedom From New Onset Buttock Claudication Arising From the Side of the Body Treated With the Iliac Branch Component (IBC) and Internal Iliac Component (IIC)
Description
Freedom from new onset buttock claudication arising from the side of the body treated with the Iliac Branch Component (IBC) and Internal Iliac Component (IIC).
Time Frame
Through 6 month follow-up visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Common iliac aneurysm with or without concomitant abdominal aortic aneurysm Adequate native anatomy to receive the EXCLUDER® and Iliac Branch Endoprostheses An Informed Consent Form signed by Subject or legally authorized representative Male or infertile female Able to comply with protocol requirements including following-up Life expectancy > 2 years Age > 21 years Surgical candidate Exclusion Criteria: Mycotic or ruptured aneurysm Known concomitant thoracic aortic aneurysm which requires intervention American Society of Anesthesiologists (ASA) Physical Status classification system class V (moribund patient not expected to live 24 hours with or without operation) Renal insufficiency defined or patient undergoing dialysis New York Heart Association (NYHA) Functional Classification class IV Dissected, heavily calcified, or heavily thrombosed landing zone(s) Tortuous or stenotic iliac and/or femoral arteries Participating in another investigational device or drug study within 1 year of treatment Systemic infection which may increase the risk of endovascular graft infection Known degenerative connective tissue disease, e.g., Marfan or Ehler-Danlos Syndrome Planned concomitant surgical procedure or major surgery within 30 days of treatment date Known history of drug abuse Known sensitivities or allergies to the device materials
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Darren Schneider, MD
Organizational Affiliation
Weill Medical College of Cornell University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Weill Cornell Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
30064841
Citation
Schneider DB, Milner R, Heyligers JMM, Chakfe N, Matsumura J. Outcomes of the GORE Iliac Branch Endoprosthesis in clinical trial and real-world registry settings. J Vasc Surg. 2019 Feb;69(2):367-377.e1. doi: 10.1016/j.jvs.2018.05.200. Epub 2018 Jul 29.
Results Reference
derived

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Evaluation of the GORE® EXCLUDER® Iliac Branch Endoprosthesis

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