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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01348828
Registration number
NCT01348828
Ethics application status
Date submitted
3/05/2011
Date registered
5/05/2011
Date last updated
15/10/2021
Titles & IDs
Public title
Feasibility and Safety Study of the Endologix Fenestrated Stent Graft System
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Scientific title
Prospective, Multicenter, Single Arm Feasibility and Safety Study of the Endologix Fenestrated Stent Graft System for the Endovascular Repair of Juxtarenal/Pararenal (JAA/PAA) Aneurysms
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Secondary ID [1]
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CP-0003
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Abdominal Aortic Aneurysm
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Endovascular Aortic Aneurysm Repair (Endologix Fenestrated Stent Graft System)
Other: Single Arm - All patients meet study criteria receives a single use Ventana Fenestrated System, which requires administration of intravascular contrast. Catheter advancement is performed under fluoroscopic guidance and Ventana Fenestrated System is placed.
Treatment: Devices: Endovascular Aortic Aneurysm Repair (Endologix Fenestrated Stent Graft System)
Endovascular repair of juxtarenal or pararenal aortic aneurysm using the Endologix Fenestrated Stent Graft System
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Primary Safety Endpoint
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Assessment method [1]
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Major adverse events defined as:
* All-cause death
* Bowel ischemia
* Myocardial infarction
* Paraplegia
* Renal failure
* Respiratory failure
* Stroke
* Blood loss \>=1,000cc
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Timepoint [1]
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30 days
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Secondary outcome [1]
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Feasibility/Effectiveness
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Assessment method [1]
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Successful device delivery and deployment with patency of the renal and aortic endografts without Type I/III endoleak.
1. Treatment Success is defined as procedural technical success with device patency and the absence of type I/III endoleak
2. Procedural Technical Success is defined as a subject with successful implant.
3. Aneurysm Rupture: An aneurysm is a balloon-like bulge of an artery wall. As an aneurysm grows it puts pressure on nearby structures and may eventually rupture.
4. Clinically Significant Device Migration: Core Lab reported aortic stent graft movement \>10mm
5. Type I/III/IV Endoleak: Core Lab reported endoleak: between the endograft and the vessel either at the proximal attachment point (Type IA), or at the distal attachment point (Type IB), or between endograft components (Type III) or transgraft (Type IV).
6. Type II Endoleak: Core Lab reported endoleak emanating from a patent collateral vessel (e.g., inferior mesenteric artery, lumbar artery).
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Timepoint [1]
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1 Year
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Secondary outcome [2]
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Procedural/In-hospital Evaluations
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Assessment method [2]
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Fluoroscopy time, Renal Artery Cannulation time and procedure time
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Timepoint [2]
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Procedurally and to hospital discharge
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Secondary outcome [3]
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Mortality
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Assessment method [3]
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All-cause and aneurysm-related
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Timepoint [3]
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Procedurally and to 5 Years
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Secondary outcome [4]
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Major Adverse Events
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Assessment method [4]
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All-cause mortality, bowel ischemia, myocardial infarction, paraplegia, renal failure, respiratory failure, stroke, blood loss \>1,000cc
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Timepoint [4]
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>30 Days to 5 Years
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Secondary outcome [5]
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Number of Participants With Renal Dysfunction
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Assessment method [5]
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Renal Dysfunction, Renal Dysfunction In subjects with baseline eGFR\>=60 and Renal Dysfunction In subjects with baseline eGFR \<60
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Timepoint [5]
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30 Days, 6 Months and Years 1 to 5
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Secondary outcome [6]
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Aneurysm Rupture
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Assessment method [6]
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Internal bleeding or leaking of blood from the aneurysm subsequent to the index procedure
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Timepoint [6]
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Procedurally and to 5 Years
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Secondary outcome [7]
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Conversion to Open Repair
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Assessment method [7]
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Open surgical repair of the aortic aneurysm due to unsuccessful delivery or deployment of the stent graft, due to complications or other clinical situations that precluded successful endovascular treatment, or at any time following initial successful endovascular treatment for any reason
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Timepoint [7]
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Procedurally and to 5 Years
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Secondary outcome [8]
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Device Integrity
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Assessment method [8]
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Device Migration, Ventana Stent Fracture, Left renal stent fracture, right renal stent fracture, stent Kinking/Compression
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Timepoint [8]
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30 Days, 6 Months, and Years 1 to 5
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Secondary outcome [9]
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Stent Graft Patency
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Assessment method [9]
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Ventana and Bifurcated occlusion, LRA (Left renal artery) occlusion and RRA (right renal artery) occlusion
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Timepoint [9]
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30 Days, 6 Months, and Years 1 to 5
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Secondary outcome [10]
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Aneurysm Diameter Change
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Assessment method [10]
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Change in aneurysm sac diameter - decrease \> 5mm, Increase \> 5mm, Stable (+/- 5mm) and No growth.
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Timepoint [10]
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6 Months, and Years 1 to 5
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Secondary outcome [11]
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Secondary Procedures
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Assessment method [11]
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Non-diagnostic intervention after the index procedure intended to correct or repair an endoleak (device-related: Type I (proximal or distal), Type III, Type IV; non-device related: Type II), device migration, or other device defect.
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Timepoint [11]
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30 Days, 6 Month and Years 1 to 5
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Secondary outcome [12]
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Procedural/In-hospital Evaluations
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Assessment method [12]
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Contrast volume and estimated blood loss
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Timepoint [12]
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Procedurally and to hospital discharge
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Secondary outcome [13]
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Procedural/In-hospital Evaluations
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Assessment method [13]
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Time to hospital discharge
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Timepoint [13]
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Discharge
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Eligibility
Key inclusion criteria
* Adequate iliac/femoral access compatible with the required delivery systems
* Non-aneurysmal infrarenal aortic neck <15mm in length
* Most caudal renal artery to aortoiliac bifurcation length >= 70
* SMA to aortoiliac bifurcation length >=90mm
* Proximal non-aneurysmal aortic neck below the SMA with diameter 18 to 34 mm, length >=15mm and angle <=60° to the aneurysm sac
* Angle <=60° (clock face) between the SMA and CA
* Renal arteries both at or below the SMA by <=35mm and within 30mm of each other axially, with 4 to 8mm lumen diameter, and with clockface angle of 90° to 210° to each other
* Common iliac artery distal fixation site with: distal fixation length >=15mm, with diameter >=10 mm and <=23 mm and angle <=90° to the aortic bifurcation
* Ability to preserve at least one hypogastric artery
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Life expectancy <2 years as judged by the investigator
* Psychiatric or other condition that may interfere with the study
* Participating in the enrollment or 30-day follow-up phase of another clinical study
* Known allergy to any device component
* Coagulopathy or uncontrolled bleeding disorder
* Contraindication to contrast media or anticoagulants
* Ruptured, leaking, or mycotic aneurysm
* Aortic dissection Serum creatinine (S-Cr) level >2.0 mg/dL
* Traumatic vascular injury
* Active systemic or localized groin infection
* Connective tissue disease (e.g., Marfan's Syndrome)
* Recent(within prior three months)cerebrovascular accident
* Recent(within prior three months)myocardial infarction
* Prior renal transplant
* Length of either renal artery to be stented <12mm
* Significant occlusive disease or calcification of either renal artery (>70%)
* An essential accessory renal artery
* Indispensable inferior mesenteric artery
* Untreated aneurysmal disease of the descending thoracic aorta
* Clinically significant mural thrombus circumferentially in the suprarenal segment
* Prior iliac artery stent implanted that may interfere with delivery system introduction
* Unsuitable vascular anatomy
* Pregnancy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
19/10/2011
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
20/03/2018
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Sample size
Target
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Accrual to date
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Final
49
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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United States of America
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State/province [2]
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Indiana
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United States of America
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State/province [3]
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Ohio
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Country [4]
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Chile
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State/province [4]
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Santiago
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Country [5]
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France
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State/province [5]
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Creteil
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Country [6]
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Netherlands
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State/province [6]
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Arnhem
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Country [7]
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New Zealand
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State/province [7]
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Auckland
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Country [8]
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United Kingdom
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State/province [8]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Endologix
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of this study is to evaluate the safety and feasibility of the Endologix Fenestrated Stent Graft System for the endovascular repair of juxtarenal or pararenal aortic aneurysms.
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Trial website
https://clinicaltrials.gov/study/NCT01348828
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Trial related presentations / publications
Mertens R, Bergoeing M, Marine L, Valdes F, Kramer A, Vergara J. Ventana fenestrated stent-graft system for endovascular repair of juxtarenal aortic aneurysms. J Endovasc Ther. 2012 Apr;19(2):173-8. doi: 10.1583/11-3706.1.
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Public notes
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Contacts
Principal investigator
Name
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Daniel Clair, MD
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Address
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The Cleveland Clinic
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/28/NCT01348828/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/28/NCT01348828/Prot_SAP_000.pdf
Informed consent form
https://cdn.clinicaltrials.gov/large-docs/28/NCT01348828/ICF_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01348828
Download to PDF