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
About this trial
This is an interventional treatment trial for Aortic Aneurysm
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)
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
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
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ELECT Trial - Embolization of the Lumbar Arteries Before EVAR
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