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ELECT Trial - Embolization of the Lumbar Arteries Before EVAR

Primary Purpose

Aortic Aneurysm

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
Endovascular embolization
Sponsored by
University of Leipzig
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Aortic Aneurysm

Eligibility Criteria

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

Inclusion Criteria:

  1. Subject age ≥ 18
  2. Subject has been informed of the nature of the study, agrees to participate, and has signed a Medical Ethics Committee approved consent form.
  3. Indication for the occlusion of lumbar arteries due to:

    1. Subject has an abdominal aortic aneurysm and
    2. At least 2 patent lumbar arteries in the diseased area
  4. Subject understands the duration of the study, agrees to attend the stentgraft implantation
  5. A microcatheter is successfully placed the target lumbar artery.

Exclusion Criteria:

  1. Any surgical procedure or intervention performed within 30 days prior to or post index procedure
  2. Aortic aneurysm requires treatment with alternative therapies such as operation
  3. any other aortic pathology
  4. major untreated cardio-pulmonary disease
  5. life-expectancy of less than one year
  6. expected lack of compliance (e.g. if the patient may not be willing to have several sessions and the following repair done)
  7. pregnant or nursing women
  8. impaired thyroid function, if not under stable treatment
  9. women of child-bearing potential without highly effective contraceptive measures
  10. Enrolled in another investigational drug, device or biologic study
  11. Failure to successfully intubate an lumbar artery
  12. Stroke or heart attack within 3 months prior to enrollment
  13. Known allergies or sensitivity to heparin, aspirin, other anticoagulant/ antiplatelet therapies, paclitaxel or contrast media that cannot be adequately pre-treated prior to index procedure
  14. Significant gastrointestinal bleeding or any coagulopathy that would contraindicate the use of anti-platelet therapy.
  15. Platelet count <100,000 mm3 or >600,000 mm3
  16. Receiving dialysis or immunosuppressant therapy
  17. Chronic kidney disease (serum creatinine > 2.5 mg/dL)

Sites / Locations

  • University Clinic Leipzig

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Platinum-fibered Microcoils (FPC)

MVP® Vascular Plug

Arm Description

Embolization using platinum fibred Coils (Cook Incorporated, Bloomington, IN, USA)

Embolization using MVP®-Plug (Medtronic Inc., Minneapolis, MI, USA).

Outcomes

Primary Outcome Measures

Radiation dose for embolization of the lumbar arteries with the MVP plug or coils

Secondary Outcome Measures

Intervention time for embolization of the lumbar arteries with the MVP plug or coils
Success in complete occlusion of the targeted lumbar artery

Full Information

First Posted
January 21, 2019
Last Updated
May 17, 2022
Sponsor
University of Leipzig
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1. Study Identification

Unique Protocol Identification Number
NCT03842930
Brief Title
ELECT Trial - Embolization of the Lumbar Arteries Before EVAR
Official Title
Embolization of the Lumbar Arteries Before EVAR: A Prospectively Randomized Trial Comparing Platinum-Fibered Microcoils (Control Arm) With the MVP® Microvascular Plug (Study Arm)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
March 1, 2019 (Actual)
Primary Completion Date
December 1, 2021 (Actual)
Study Completion Date
December 1, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Leipzig

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Prospective, Randomized, Single-center Study for the Treatment of Subjects with Abdominal Aortic Aneurysm: Embolization of the Lumbar Arteries Before EVAR: A Prospectively Randomized Trial Comparing Platinum-Fibered Microcoils (control arm) with the MVP® Microvascular Plug (study arm)"
Detailed Description
This study is a prospective, single-center, 1:1 randomized trial to investigate the difference in radiation dose and intervention time between the embolization with FCP and MVP-Plug.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Aortic Aneurysm

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Platinum-fibered Microcoils (FPC)
Arm Type
Other
Arm Description
Embolization using platinum fibred Coils (Cook Incorporated, Bloomington, IN, USA)
Arm Title
MVP® Vascular Plug
Arm Type
Other
Arm Description
Embolization using MVP®-Plug (Medtronic Inc., Minneapolis, MI, USA).
Intervention Type
Procedure
Intervention Name(s)
Endovascular embolization
Intervention Description
Endovascular embolization of the Lumbar Arteries
Primary Outcome Measure Information:
Title
Radiation dose for embolization of the lumbar arteries with the MVP plug or coils
Time Frame
through study completion, an average of 3-4 month
Secondary Outcome Measure Information:
Title
Intervention time for embolization of the lumbar arteries with the MVP plug or coils
Time Frame
through study completion, an average of 3-4 month
Title
Success in complete occlusion of the targeted lumbar artery
Time Frame
through study completion, an average of 3-4 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject age ≥ 18 Subject has been informed of the nature of the study, agrees to participate, and has signed a Medical Ethics Committee approved consent form. Indication for the occlusion of lumbar arteries due to: Subject has an abdominal aortic aneurysm and At least 2 patent lumbar arteries in the diseased area Subject understands the duration of the study, agrees to attend the stentgraft implantation A microcatheter is successfully placed the target lumbar artery. Exclusion Criteria: Any surgical procedure or intervention performed within 30 days prior to or post index procedure Aortic aneurysm requires treatment with alternative therapies such as operation any other aortic pathology major untreated cardio-pulmonary disease life-expectancy of less than one year expected lack of compliance (e.g. if the patient may not be willing to have several sessions and the following repair done) pregnant or nursing women impaired thyroid function, if not under stable treatment women of child-bearing potential without highly effective contraceptive measures Enrolled in another investigational drug, device or biologic study Failure to successfully intubate an lumbar artery Stroke or heart attack within 3 months prior to enrollment Known allergies or sensitivity to heparin, aspirin, other anticoagulant/ antiplatelet therapies, paclitaxel or contrast media that cannot be adequately pre-treated prior to index procedure Significant gastrointestinal bleeding or any coagulopathy that would contraindicate the use of anti-platelet therapy. Platelet count <100,000 mm3 or >600,000 mm3 Receiving dialysis or immunosuppressant therapy Chronic kidney disease (serum creatinine > 2.5 mg/dL)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dierk Scheinert, Prof. Dr.
Organizational Affiliation
University Clinic Leipzig
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Clinic Leipzig
City
Leipzig
State/Province
Saxony
ZIP/Postal Code
04103
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

ELECT Trial - Embolization of the Lumbar Arteries Before EVAR

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