ELEVATE: Expanding Patient Applicability With Polymer Sealing Ovation Alto Stent Graft Investigational Device Exemption (IDE) Study

Sponsor
Endologix (Industry)
Overall Status
Completed
CT.gov ID
NCT02949297
Collaborator
(none)
75
13
1
23.2
5.8
0.2

Study Details

Study Description

Brief Summary

A prospective clinical evaluation of the effectiveness of the Ovation Alto Abdominal Stent Graft System when used in the treatment of subjects with abdominal aortic aneurysm (AAA).

Condition or Disease Intervention/Treatment Phase
  • Device: Ovation Alto Abdominal Stent Graft System
N/A

Detailed Description

A prospective clinical evaluation of the effectiveness of the Ovation Alto Abdominal Stent Graft System when used in the treatment of subjects with abdominal aortic aneurysm (AAA). The primary objective is to evaluate treatment success at 12 months with the Ovation Alto Abdominal Stent Graft system. The study will have up to 16 sites, and up to 75 patients based on attrition rates. The follow-up intervals will be at 1, 6, and 12 months following initial implant procedure.

Study Design

Study Type:
Interventional
Actual Enrollment :
75 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Expanding Patient Applicability With Polymer Sealing Ovation Alto Stent Graft Investigational Device Exemption (IDE) Study
Actual Study Start Date :
Mar 30, 2017
Actual Primary Completion Date :
Mar 6, 2019
Actual Study Completion Date :
Mar 6, 2019

Arms and Interventions

Arm Intervention/Treatment
Other: Ovation Alto Abdominal Stent Graft System

Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System.

Device: Ovation Alto Abdominal Stent Graft System
Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System

Outcome Measures

Primary Outcome Measures

  1. Number of Subjects With Treatment Success [12 months]

    Treatment success is defined as technical success, freedom from type I and III endoleaks at 12 months, freedom from stent graft migration > 10m at 12 months compared to 1 month baseline, freedom from AAA enlargement >5mm at 12 months (compared to 1-month baseline, freedom from AAA rupture through 12 months, freedom from conversion to open repair through 12 months, stent graft stenosis, occlusion or kink requiring secondary intervention through 12 months, thromboembolic event attributable to stent graft requiring secondary intervention through 12 months, stent fracture requiring secondary intervention through 12 months.

Secondary Outcome Measures

  1. Event Rates for Endoleaks [1 month, 6 months, 12 months]

    Endoleak is defined by the persistence of blood flow outside the lumen of the endovascular graft but within the aneurysm sac and can be classified as: Type I - Ineffective seal at either the proximal or distal sealing zones Type IA - Ineffective seal at the proximal sealing zone Type IB - Ineffective seal at the distal sealing zone Type II - Retrograde blood flow from lumbar arteries, the inferior mesenteric artery, or other collateral vessels into the aneurysm sac Type III - A leak caused by fabric tears or disruption, component disconnection, or graft disintegration Type IIIA - Junctional leak or component disconnection Type IIIB - Midgraft hole Type IV - Blood flow through an intact fabric. Unknown endoleak - Endoleak present but unable to assess type Endoleak will only be evaluated as an adverse event or serious adverse event if it is present at the 30-day follow-up visit or if a post-index procedure re-intervention occurs.

  2. Number of Participants With Stent Graft Migration > 10mm [6 months, 12 months]

    any change of stent graft migration (movement) greater than 10mm

  3. Number of Participants With AAA Enlargement > 5mm [6 months, 12 months]

    Change in aneurysm diameter greater than 5mm

  4. Number of Participants With AAA Rupture [30 day, Day 31-365]

    A tear in the abdominal aorta that can result in serious internal bleeding.

  5. Number of Participants With Conversion to Open Repair [30 day, Day 31-365]

    conversion to open abdominal surgery to repair AAA

  6. Number of Secondary Interventions [30 days, Day 31-365]

    Intervention occurring after index procedure and having to do with device or AAA.

  7. Number of Participants With AAA-related Mortality [1 month, Day 31-365]

    death caused by or related to AAA

  8. Device-related Adverse Events (AEs) [30 days, Day 31-365]

    Device-Related: Event is caused or contributed by any component of the device during delivery, deployment or while the device is in situ post-operatively

  9. Major Adverse Events [1 year]

    Major adverse events (MAE) are defined as any one of the following events: Death Myocardial Infarction Stroke (excludes TIA) Renal Failure (excludes renal insufficiency) Respiratory Failure (excludes chronic obstructive pulmonary disease (COPD) or pulmonary complications) Paralysis (excludes paraparesis) Bowel Ischemia Procedural Blood Loss (≥1,000 cc)

  10. Number of Participants With Other Stent Graft Finding (Includes Kinking and Stent Compression) [1 month, 6 months, 12 months]

    The integrity of the stent graft is evaluated by the Independent Core Lab via abdominal X-rays at regularly scheduled follow-up visits. Any fractured stents, and any other issues compromising the integrity of the stent graft will be reported.

  11. Number of Participants With Stent Fracture [1 month, 6 months, 12 months]

    The integrity of the stent graft is evaluated by the Independent Core Lab via abdominal X-rays at regularly scheduled follow-up visits. Any fractured stents, and any other issues compromising the integrity of the stent graft will be reported.

  12. Adverse Events (Serious and Non-serious) [30 days, Day 31-365]

    An adverse event is any new, undesirable medical occurrence or change (worsening) of a pre-existing condition that occurs in a subject, whether or not considered to be associated with the product

  13. Procedure-related Adverse Event [30 days, Day 31-365]

    Procedure-Related event is caused or contributed by the initial study device implantation (index) procedure, up to 30 days, unless a different etiology can be identified

  14. Serious Adverse Event [30 Days, Day31-365)]

    A serious adverse event (SAE) defined as one that suggests a significant hazard or side effect, regardless of the investigator or Sponsor's opinion on the relationship to the investigational product. This includes, but may not be limited to, any event that: Is fatal Is life-threatening Requires or prolongs (>48 hours) inpatient hospitalization Is a persistent or significant disability or incapacity Is considered an important medical event

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria include:
  1. Patient has adequate iliac/femoral access compatible with the required delivery systems.

  2. Patient has non-aneurysmal proximal aortic neck.

  3. Patient has non-aneurysmal distal iliac landing zone.

Exclusion Criteria include:
  1. Patient has dissecting aneurysm.

  2. Patient has acutely ruptured aneurysm.

  3. Patient has need for emergent surgery.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Abrazo Arizona Heart Hospital Phoenix Arizona United States 85016
2 VA San Diego San Diego California United States 92161
3 Northwestern University Chicago Illinois United States 60611
4 Carle Foundation Hospital Urbana Illinois United States 61801
5 Massachusetts General Hospital Boston Massachusetts United States 02114
6 New Mexico Heart Institute Albuquerque New Mexico United States 87102
7 University at Buffalo Clinical Translational Research Center/Kaleida Health/GVI/Buffalo General Medical Center Buffalo New York United States 14203
8 Mission Hospital Asheville North Carolina United States 28801
9 Cleveland Clinic Foundation Cleveland Ohio United States 44195
10 North Central Heart Sioux Falls South Dakota United States 57108
11 Wellmont CVA Heart Institute Kingsport Tennessee United States 37660
12 Baylor St. Luke's Medical Center Houston Texas United States 77030
13 Swedish Heart and Vascular Research Seattle Washington United States 98122

Sponsors and Collaborators

  • Endologix

Investigators

  • Principal Investigator: Sean Lyden, MD, The Cleveland Clinic

Study Documents (Full-Text)

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Endologix
ClinicalTrials.gov Identifier:
NCT02949297
Other Study ID Numbers:
  • 771-0013
First Posted:
Oct 31, 2016
Last Update Posted:
Dec 22, 2021
Last Verified:
Nov 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
Yes
Keywords provided by Endologix
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of abdominal aortic aneurysm (AAA) using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Period Title: 1 Month
STARTED 75
COMPLETED 75
NOT COMPLETED 0
Period Title: 1 Month
STARTED 75
COMPLETED 72
NOT COMPLETED 3
Period Title: 1 Month
STARTED 72
COMPLETED 67
NOT COMPLETED 5

Baseline Characteristics

Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Overall Participants 75
Age (Count of Participants)
<=18 years
0
0%
Between 18 and 65 years
7
9.3%
>=65 years
68
90.7%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
73
(7)
Sex: Female, Male (Count of Participants)
Female
5
6.7%
Male
70
93.3%
Race/Ethnicity, Customized (Count of Participants)
White/not Hispanic or Latino
58
77.3%
White/Hispanic or Latino
1
1.3%
Black or African American/not Hispanic or Latino
1
1.3%
Unknown/not Hispanic or Latino
11
14.7%
Unknown/Hispanic or Latino
1
1.3%
Unknown/Unknown
3
4%
Region of Enrollment (Count of Participants)
United States
75
100%
Left Ankle Brachial Index (ratio) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [ratio]
1
(0)
Right Ankle Brachial Index (ratio) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [ratio]
1
(0)
ASA Class (Count of Participants)
Class 1/2
5
6.7%
Class 3/4
70
93.3%
Height (cm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [cm]
179
(9)
Weight (kilograms) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [kilograms]
95
(19)
Calculated BMI (kg/m^2) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [kg/m^2]
30
(5)
Cardiovascular History (Count of Participants)
Coronary Artery Disease
35
46.7%
Prior PTCA
3
4%
Prior CABG
5
6.7%
Stents
7
9.3%
Valvular Heart Disease
11
14.7%
Prior Valve Repair
0
0%
Prior Valve Replacement
2
2.7%
Angina pectoris or chest discomfort
5
6.7%
Cardiomyopathy
3
4%
Congestive Heart Failure
6
8%
Myocardial Infarction
11
14.7%
Arrhythmia
17
22.7%
Pacemaker
3
4%
ICD
1
1.3%
AICD
0
0%
Anticoagulant medication
7
9.3%
Hypertension
62
82.7%
Hypotension
0
0%
Hyperlipidemia
57
76%
Other
10
13.3%
Peripheral Vascular, Stroke, and Aneurysm History (Count of Participants)
Peripheral Vascular Disease
13
17.3%
Atherosclerosis
8
10.7%
Thromboangiitis obliterans
0
0%
Chronic Venous Insufficiency
2
2.7%
Claudication
4
5.3%
Deep Venous Thrombosis
3
4%
Peripheral Embolism
2
2.7%
Raynauds Phenomenon
0
0%
Thrombophlebitis
0
0%
Varicose Veins
1
1.3%
Prior surgical repair
0
0%
Prior stent
0
0%
Carotid artery disease
6
8%
Prior carotid artery stenting
0
0%
Prior carotid endarterectomy
1
1.3%
Transient Ischemic attacks
4
5.3%
Stroke
0
0%
Aneurysms
75
100%
Abdominal Aortic Aneurysm
75
100%
Cerebral Aneurysm
0
0%
Thoracic Aortic Aneurysm
1
1.3%
Family History of Aneurysms
9
12%
Other
8
10.7%
Pulmonary History (Count of Participants)
COPD
27
36%
Asthma
5
6.7%
Pneumonia
4
5.3%
Pulmonary Edema
0
0%
Pulmonary Embolism
4
5.3%
Respiratory depression or failure
0
0%
Mechanical ventilation >24 hours
0
0%
Obstructive sleep apnea
14
18.7%
Tobacco Use (Current)
15
20%
Tobacco Use (former)
56
74.7%
Other
16
21.3%
Gastrointestinal, Genitourinary, Reproductive History (Count of Participants)
Renal Insufficiency
5
6.7%
Receiving any form of dialysis
0
0%
Chronic Renal Failure
0
0%
Renal Microemboli
0
0%
Chronic urinary tract infections
1
1.3%
Incontinence bladder problems
3
4%
Gastrointestinal bleeding
2
2.7%
Bowel ischemia
0
0%
Bowel obstruction
1
1.3%
Bowel fistulas
0
0%
Paralytic or adynamic ileus
0
0%
Impotence including erectile dysfunction
8
10.7%
Other
42
56%
Neurological History (Count of Participants)
Reversible Ischemic Neurologic Disease
0
0%
Paraplegia
0
0%
Parasthesia
1
1.3%
Chronic Back Pain
18
24%
Chronic Headaches, Migraines
3
4%
Other
20
26.7%
Endocrine History (Count of Participants)
Diabetes Type I
0
0%
Diabetes Type II
22
29.3%
Diabetic incompressible vessels
0
0%
Immunodeficiency
2
2.7%
Hyperthyroidism or Hypothyroidism
8
10.7%
Other
5
6.7%
Hematological History (Count of Participants)
Hemorrhage
0
0%
Coagulopathy disorder
0
0%
Anemia
5
6.7%
Platelet Disorder
0
0%
Other
5
6.7%
Psychosocial History (Count of Participants)
Depression
7
9.3%
Prior substance abuse
1
1.3%
Alcohol
3
4%
Illicit drugs
0
0%
Other
4
5.3%
Miscellaneous Medical History (Count of Participants)
Connective Tissue Disorder
0
0%
Allergy, Intolerance to PTFE, polymers, FEP, nitinol
0
0%
Hypersensitivity to anticoagulation, contrast
0
0%
Cancer
14
18.7%
Liver Disease
5
6.7%
Other significant medical, surgical history
26
34.7%
Juxtarenal angle (degrees) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [degrees]
23.1
(18.7)
Aortic diameter Inferior Renal -35mm (mm) [Mean (Standard Deviation) ]
Minimum
25.0
(2.3)
Maximum
26.6
(2.4)
Average
25.9
(2.3)
Aortic diameter inferior renal (mm) [Mean (Standard Deviation) ]
Minimum
21.8
(2.5)
Maximum
23.2
(2.6)
Average
22.5
(2.5)
Aortic diameter inferior renal +7mm (mm) [Mean (Standard Deviation) ]
Minimum
21.8
(2.3)
Maximum
23.0
(2.7)
Average
22.4
(2.4)
Change from diameter at inferior renal artery to inferior renal artery diameter at +7mm (%) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [%]
0.0
(7.2)
Aortic diameter inferior renal +10mm (mm) [Mean (Standard Deviation) ]
Minimum
21.8
(2.5)
Maximum
23.4
(2.8)
Average
22.6
(2.5)
Maximum Sac Diameter (Count of Participants)
<40 mm
4
5.3%
≥40, <50 mm
23
30.7%
≥ 50, <60 mm
40
53.3%
≥ 60 mm
8
10.7%
Native Bifurcation (mm) [Mean (Standard Deviation) ]
Minimum
20.1
(5.1)
Maximum
26.2
(6.7)
Transverse dimension of adjacent normal aortic segment (mm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [mm]
22.7
(4.1)
Neck Length (mm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [mm]
27.9
(13.7)
Distance from the most distal renal artery to most superior left internal iliac artery (mm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [mm]
182.5
(24.7)
Distance from the most distal renal artery to most superior right internal iliac artery (mm) 75 181. (mm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [mm]
181.2
(21.0)
Inferior Renal to Aortic Bifurcation (mm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [mm]
110.9
(13.1)
Right Distal Iliac Diameter (mm) [Mean (Standard Deviation) ]
Minimum
15.8
(3.8)
Maximum
17.1
(4.0)
Average
16.5
(3.9)
Right external iliac diameter (mm) [Mean (Standard Deviation) ]
Minimum
7.6
(1.6)
Maximum
8.7
(1.6)
Average
8.1
(1.5)
Left distal iliac diameter (mm) [Mean (Standard Deviation) ]
Minimum
15.1
(3.0)
Maximum
16.4
(3.3)
Average
15.8
(3.1)
Left external iliac diameter (mm) [Mean (Standard Deviation) ]
Minimum
7.6
(1.9)
Maximum
8.7
(1.6)
Average
8.2
(1.7)
Left distal iliac landing zone (mm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [mm]
49.1
(18.7)
Right distal iliac landing zone (mm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [mm]
50.1
(20.7)
SIR Calcification Grade (Count of Participants)
Calcification 0% of circumference
14
18.7%
Calcification <25% of circumference
49
65.3%
Calcification 25-50% of circumference
11
14.7%
Calcification >50% of circumference
1
1.3%
SIR Thrombus Grade (Count of Participants)
Thrombus 0% of circumference
27
36%
Thrombus <25% of circumference
16
21.3%
Thrombus 25-50% of circumference
18
24%
Thrombus >50% of circumference
14
18.7%

Outcome Measures

1. Primary Outcome
Title Number of Subjects With Treatment Success
Description Treatment success is defined as technical success, freedom from type I and III endoleaks at 12 months, freedom from stent graft migration > 10m at 12 months compared to 1 month baseline, freedom from AAA enlargement >5mm at 12 months (compared to 1-month baseline, freedom from AAA rupture through 12 months, freedom from conversion to open repair through 12 months, stent graft stenosis, occlusion or kink requiring secondary intervention through 12 months, thromboembolic event attributable to stent graft requiring secondary intervention through 12 months, stent fracture requiring secondary intervention through 12 months.
Time Frame 12 months

Outcome Measure Data

Analysis Population Description
61 subjects were evaluable at 1 year- evaluable meaning able to be assessed for all items of composite endpoint of treatment success; 67 subjects completed 1 year, however, some of these subjects did not have imaging or imaging was not evaluable.
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 61
Count of Participants [Participants]
58
77.3%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ovation Alto Abdominal Stent Graft System
Comments
Type of Statistical Test Other
Comments One-sided Clopper-Pearson 95% confidence interval
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Clopper-Pearson
Estimated Value 80
Confidence Interval (1-Sided) 95%
to 95
Parameter Dispersion Type:
Value:
Estimation Comments One-sided Clopper-Pearson 95% confidence interval
2. Secondary Outcome
Title Event Rates for Endoleaks
Description Endoleak is defined by the persistence of blood flow outside the lumen of the endovascular graft but within the aneurysm sac and can be classified as: Type I - Ineffective seal at either the proximal or distal sealing zones Type IA - Ineffective seal at the proximal sealing zone Type IB - Ineffective seal at the distal sealing zone Type II - Retrograde blood flow from lumbar arteries, the inferior mesenteric artery, or other collateral vessels into the aneurysm sac Type III - A leak caused by fabric tears or disruption, component disconnection, or graft disintegration Type IIIA - Junctional leak or component disconnection Type IIIB - Midgraft hole Type IV - Blood flow through an intact fabric. Unknown endoleak - Endoleak present but unable to assess type Endoleak will only be evaluated as an adverse event or serious adverse event if it is present at the 30-day follow-up visit or if a post-index procedure re-intervention occurs.
Time Frame 1 month, 6 months, 12 months

Outcome Measure Data

Analysis Population Description
All available data has been analyzed; due to imagining requirements and quality of imaging, all patients present for visit may not have been evaluable per definitions.
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
1 month : Type I
0
1 month : Type Ia
1
1 month : Type Ib
0
1 month : Type II
34
1 month : Type III
0
1 month : Type IIIA
0
1 month : Type IIIB
0
1 month : Type IV
0
1 month : Unknown
3
6 month : Type I
0
6 month : Type Ia
0
6 month : Type Ib
0
6 month : Type II
30
6 month : Type III
0
6 month : Type IIIA
0
6 month : Type IIIB
0
6 month : Type IV
0
6 month : Unknown
0
1 year : Type I
0
1 year : Type Ia
0
1 year : Type Ib
0
1 year : Type II
25
1 year : Type III
0
1 year : Type IIIA
0
1 year : Type IIIB
0
1 year : Type IV
0
1 year : Unknown
2
3. Secondary Outcome
Title Number of Participants With Stent Graft Migration > 10mm
Description any change of stent graft migration (movement) greater than 10mm
Time Frame 6 months, 12 months

Outcome Measure Data

Analysis Population Description
Analysis based on all data available; imaging not available for all subjects to determine migration.
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 71
6 Months
0
0%
1 Year
0
0%
4. Secondary Outcome
Title Number of Participants With AAA Enlargement > 5mm
Description Change in aneurysm diameter greater than 5mm
Time Frame 6 months, 12 months

Outcome Measure Data

Analysis Population Description
Subjects lost to follow-up withdrawn, death, or imaging not available.
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 72
6 months
0
0%
12 months
1
1.3%
5. Secondary Outcome
Title Number of Participants With AAA Rupture
Description A tear in the abdominal aorta that can result in serious internal bleeding.
Time Frame 30 day, Day 31-365

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
1 month
0
0%
Day 31-365
0
0%
6. Secondary Outcome
Title Number of Participants With Conversion to Open Repair
Description conversion to open abdominal surgery to repair AAA
Time Frame 30 day, Day 31-365

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
30 day
0
0%
Day 31 to 365
1
1.3%
7. Secondary Outcome
Title Number of Secondary Interventions
Description Intervention occurring after index procedure and having to do with device or AAA.
Time Frame 30 days, Day 31-365

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
1 month
0
0%
Day 31 - 365
2
2.7%
8. Secondary Outcome
Title Number of Participants With AAA-related Mortality
Description death caused by or related to AAA
Time Frame 1 month, Day 31-365

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
30 days
0
0%
Day 31 to 365
0
0%
9. Secondary Outcome
Title Device-related Adverse Events (AEs)
Description Device-Related: Event is caused or contributed by any component of the device during delivery, deployment or while the device is in situ post-operatively
Time Frame 30 days, Day 31-365

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
30 days : Infections and Infestations
0
0%
30 days : Product Issues
1
1.3%
Day 31-365 : Infections and Infestations
1
1.3%
Day 31-365 : Product Issues
0
0%
10. Secondary Outcome
Title Major Adverse Events
Description Major adverse events (MAE) are defined as any one of the following events: Death Myocardial Infarction Stroke (excludes TIA) Renal Failure (excludes renal insufficiency) Respiratory Failure (excludes chronic obstructive pulmonary disease (COPD) or pulmonary complications) Paralysis (excludes paraparesis) Bowel Ischemia Procedural Blood Loss (≥1,000 cc)
Time Frame 1 year

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
Deaths : 30 days
0
0%
Deaths : 31-365 days
3
4%
Bowel Ischemia : 30 days
3
4%
Bowel Ischemia : 31-365 days
0
0%
Myocardial Infarction : 30 days
0
0%
Myocardial Infarction : 31-365 days
1
1.3%
Paralysis : 30 days
0
0%
Paralysis : 31-365 days
0
0%
Renal Failure : 30 days
0
0%
Renal Failure : 31-365 days
0
0%
Respiratory Failure : 30 days
0
0%
Respiratory Failure : 31-365 days
0
0%
Stroke : 30 days
0
0%
Stroke : 31-365 days
0
0%
Procedural Blood Loss >1000cc : 30 days
1
1.3%
Procedural Blood Loss >1000cc : 31-365 days
0
0%
11. Secondary Outcome
Title Number of Participants With Other Stent Graft Finding (Includes Kinking and Stent Compression)
Description The integrity of the stent graft is evaluated by the Independent Core Lab via abdominal X-rays at regularly scheduled follow-up visits. Any fractured stents, and any other issues compromising the integrity of the stent graft will be reported.
Time Frame 1 month, 6 months, 12 months

Outcome Measure Data

Analysis Population Description
Imaging not available for every subject at every timepoint
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 74
1 Month
0
0%
6 Months
0
0%
1 Year
0
0%
12. Secondary Outcome
Title Number of Participants With Stent Fracture
Description The integrity of the stent graft is evaluated by the Independent Core Lab via abdominal X-rays at regularly scheduled follow-up visits. Any fractured stents, and any other issues compromising the integrity of the stent graft will be reported.
Time Frame 1 month, 6 months, 12 months

Outcome Measure Data

Analysis Population Description
Subjects lost to follow-up withdrawn, death, or imaging not available.
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 70
1 month
0
0%
6 months
0
0%
12 months
0
0%
13. Secondary Outcome
Title Adverse Events (Serious and Non-serious)
Description An adverse event is any new, undesirable medical occurrence or change (worsening) of a pre-existing condition that occurs in a subject, whether or not considered to be associated with the product
Time Frame 30 days, Day 31-365

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
30 days : Blood and lymphatic System Disorder
0
0%
30 days : Cardiac Disorder
0
0%
30 days : Ear and Labyrinth Disorders
0
0%
30 days : Gastrointestinal Disorders
4
5.3%
30 days : General Disorders and Administration Site Conditions
13
17.3%
30 days : Hepatobiliary Disorders
0
0%
30 days : Immune System Disorder
2
2.7%
30 days : Infections and Infestations
5
6.7%
30 days : Injury, Poisoning and Procedural Complications
5
6.7%
30 days : Musculoskeletal and Connective Tissue Disorders
1
1.3%
30 days : Neoplasms Benign, Malignant and Unspecified (incl. Cysts and Polyps)
0
0%
30 days : Nervous System Disorders
1
1.3%
30 days : Other
2
2.7%
30 days : Product Issues
1
1.3%
30 days : Psychiatric Disorders
1
1.3%
30 days : Renal and Urinary Disorders
4
5.3%
30 days : Respiratory, Thoracic and Mediastinal Disorders
2
2.7%
30 days : Vascular Disorders
7
9.3%
Day 31-365 : Blood and lymphatic System Disorder
2
2.7%
Day 31-365 : Cardiac Disorder
11
14.7%
Day 31-365 : Ear and Labyrinth Disorders
1
1.3%
Day 31-365 : Gastrointestinal Disorders
3
4%
Day 31-365 : General Disorders and Administration Site Conditions
15
20%
Day 31-365 : Hepatobiliary Disorders
2
2.7%
Day 31-365 : Immune System Disorder
1
1.3%
Day 31-365 : Infections and Infestations
2
2.7%
Day 31-365 : Injury, Poisoning and Procedural Complications
2
2.7%
Day 31-365 : Musculoskeletal and Connective Tissue Disorders
7
9.3%
Day 31-365 : Neoplasms Benign, Malignant and Unspecified (incl. Cysts and Polyps)
4
5.3%
Day 31-365 : Nervous System Disorders
3
4%
Day 31-365 : Other
2
2.7%
Day 31-365 : Product Issues
0
0%
Day 31-365 : Psychiatric Disorders
0
0%
Day 31-365 : Renal and Urinary Disorders
4
5.3%
Day 31-365 : Respiratory, Thoracic and Mediastinal Disorders
3
4%
Day 31-365 : Vascular Disorders
9
12%
14. Secondary Outcome
Title Procedure-related Adverse Event
Description Procedure-Related event is caused or contributed by the initial study device implantation (index) procedure, up to 30 days, unless a different etiology can be identified
Time Frame 30 days, Day 31-365

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
30 days : Gastrointestinal Disorders
2
2.7%
30 days : General Disorders and Administration Site Conditions
0
0%
30 days : Injury Poisoning and Procedural Complications
3
4%
30 days : Product Issues
1
1.3%
30 days : Vascular Disorders
0
0%
Day 31-365 : Gastrointestinal Disorders
0
0%
Day 31-365 : General Disorders and Administration Site Conditions
2
2.7%
Day 31-365 : Injury Poisoning and Procedural Complications
0
0%
Day 31-365 : Product Issues
0
0%
Day 31-365 : Vascular Disorders
1
1.3%
15. Secondary Outcome
Title Serious Adverse Event
Description A serious adverse event (SAE) defined as one that suggests a significant hazard or side effect, regardless of the investigator or Sponsor's opinion on the relationship to the investigational product. This includes, but may not be limited to, any event that: Is fatal Is life-threatening Requires or prolongs (>48 hours) inpatient hospitalization Is a persistent or significant disability or incapacity Is considered an important medical event
Time Frame 30 Days, Day31-365)

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
Measure Participants 75
30 days : Cardiac disorders
0
0%
30 days : Gastrointestinal Disorders
2
2.7%
30 days : Infections and Infestations
0
0%
30 days : Neoplasms Benign, Malignant and Unspecified (incl. Cysts and Polyps)
0
0%
30 days : Nervous System Disorders
0
0%
30 days : Product Issues
1
1.3%
30 days : Vascular Disorders
0
0%
30 days : Injury, Poisoning and Procedural Complications
2
2.7%
Day 31-365 : Cardiac disorders
2
2.7%
Day 31-365 : Gastrointestinal Disorders
0
0%
Day 31-365 : Infections and Infestations
1
1.3%
Day 31-365 : Neoplasms Benign, Malignant and Unspecified (incl. Cysts and Polyps)
1
1.3%
Day 31-365 : Nervous System Disorders
1
1.3%
Day 31-365 : Product Issues
0
0%
Day 31-365 : Vascular Disorders
1
1.3%
Day 31-365 : Injury, Poisoning and Procedural Complications
0
0%

Adverse Events

Time Frame AEs were collected over 1 year.
Adverse Event Reporting Description
Arm/Group Title Ovation Alto Abdominal Stent Graft System
Arm/Group Description Endovascular repair of AAA using the Ovation Alto Abdominal Stent Graft System. Ovation Alto Abdominal Stent Graft System: Repair of Abdominal Aortic Aneurysm with Ovation Alto Abdominal Stent Graft System
All Cause Mortality
Ovation Alto Abdominal Stent Graft System
Affected / at Risk (%) # Events
Total 3/75 (4%)
Serious Adverse Events
Ovation Alto Abdominal Stent Graft System
Affected / at Risk (%) # Events
Total 11/75 (14.7%)
Cardiac disorders
Myocardial Infarction 1/75 (1.3%)
Unknown Cause of Death 1/75 (1.3%)
Gastrointestinal disorders
Bowel Ischemia 3/75 (4%)
Infections and infestations
Device Infection 1/75 (1.3%)
Injury, poisoning and procedural complications
Procedural Blood Loss 1/75 (1.3%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Cancer 1/75 (1.3%)
Nervous system disorders
Other 1/75 (1.3%)
Product Issues
Endoleak Ia 1/75 (1.3%)
Vascular disorders
Aneurysm Expansion 1/75 (1.3%)
Other (Not Including Serious) Adverse Events
Ovation Alto Abdominal Stent Graft System
Affected / at Risk (%) # Events
Total 54/75 (72%)
Blood and lymphatic system disorders
anemia 2/75 (2.7%)
Cardiac disorders
Angina 1/75 (1.3%)
Arrhythmia 3/75 (4%)
Congestive Heart Failure 3/75 (4%)
Edema 1/75 (1.3%)
Syncope (Cardiac) 1/75 (1.3%)
Valve Disorder 1/75 (1.3%)
Hypovolemia 1/75 (1.3%)
Left ventricular outflow tract obstruction 1/75 (1.3%)
Ear and labyrinth disorders
cataract surgery 1/75 (1.3%)
Gastrointestinal disorders
Adynamic Ileus 1/75 (1.3%)
Routine CT scan done for follow up of AAA stent graft repair 1/75 (1.3%)
diarrhea 2/75 (2.7%)
constipation 1/75 (1.3%)
Esophageal Stricture 1/75 (1.3%)
General disorders
Anticoagulant Related Bleeding 1/75 (1.3%)
Endoleak IA 1/75 (1.3%)
Endoleak II 27/75 (36%)
Medication Reaction 1/75 (1.3%)
Numbness 1/75 (1.3%)
Acute exacerbation of chronic lower back pain 1/75 (1.3%)
head laceration (due to fall) 1/75 (1.3%)
right foot pain 1/75 (1.3%)
Sleeplessness due to PTSD 1/75 (1.3%)
Hypokalemia 1/75 (1.3%)
Endoleak (unknown) 1/75 (1.3%)
Hepatobiliary disorders
Choledocholithiasis 1/75 (1.3%)
cholecystectomy 1/75 (1.3%)
Immune system disorders
Medication Reaction 1/75 (1.3%)
Gout 1/75 (1.3%)
Polymyalgia Rheumatica 1/75 (1.3%)
Infections and infestations
COPD 1/75 (1.3%)
Pneumonia 1/75 (1.3%)
UTI 3/75 (4%)
MRSA and Enterococcus of the right 4th toe 1/75 (1.3%)
left plank pain 1/75 (1.3%)
Injury, poisoning and procedural complications
Hematuria 1/75 (1.3%)
Sub-Dermal Hematoma 1/75 (1.3%)
degenerative changes to the body wall 1/75 (1.3%)
decreased pulse in right foot 1/75 (1.3%)
pain in the toes of the right foot 1/75 (1.3%)
Nausea 1/75 (1.3%)
Post Implant Syndrome 1/75 (1.3%)
air leak status post left lobectomy 1/75 (1.3%)
Musculoskeletal and connective tissue disorders
Bone Fracture 1/75 (1.3%)
Rhabdomyolysis 1/75 (1.3%)
Pain in right foot with toe discoloration 1/75 (1.3%)
Severe osteoarthritis right hip 1/75 (1.3%)
left leg pain 1/75 (1.3%)
Sciatica pain 1/75 (1.3%)
Right forearm bruising 1/75 (1.3%)
swelling of right leg below the knee 1/75 (1.3%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Cancer 1/75 (1.3%)
Left breast cancer 1/75 (1.3%)
colon cancer 1/75 (1.3%)
Nervous system disorders
Syncope (cardiac) 1/75 (1.3%)
TIA 1/75 (1.3%)
Ulnar Mononeuropathy 1/75 (1.3%)
Altered mental status 1/75 (1.3%)
Psychiatric disorders
Encephalopathy 1/75 (1.3%)
Renal and urinary disorders
Acute Renal Failure 2/75 (2.7%)
Blood in urine 1/75 (1.3%)
Urinary Retention 1/75 (1.3%)
Hematuria 1/75 (1.3%)
left testicular infarction 1/75 (1.3%)
AKI on CKD 1/75 (1.3%)
Prostatitis 1/75 (1.3%)
Respiratory, thoracic and mediastinal disorders
Atelectasis 1/75 (1.3%)
Shortness of Breath 1/75 (1.3%)
hypoxemia 1/75 (1.3%)
Pneumonia 1/75 (1.3%)
Respiratory Failure 1/75 (1.3%)
Restrictive lung disease 1/75 (1.3%)
Sleep apnea 1/75 (1.3%)
Acute Hypoxic Respiratory Failure 1/75 (1.3%)
benign lung nodule 1/75 (1.3%)
Vascular disorders
Claudication 2/75 (2.7%)
Deep Vein Thrombosis 1/75 (1.3%)
Embolism 1/75 (1.3%)
Hypertension 1/75 (1.3%)
Hypotension 1/75 (1.3%)
plaque obstructing true lumen (iliofemoral endarterectomy) 1/75 (1.3%)
Proglide failure during surgical closure of left groin incision 1/75 (1.3%)
Bilateral Popliteal Artery Aneurysms 1/75 (1.3%)
Thoracic Aortic Aneurysm 1/75 (1.3%)
carotid stenosis 1/75 (1.3%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

PI can publish institution's data/results 18 months after study conclusion at all sites or when multi-center results are published or notification that results will not be published. Institution is to submit drafts of manuscripts to Endologix 30 days prior to submission for publication or presentation.

Results Point of Contact

Name/Title Manager, Clinical Affairs
Organization Endologix, LLC
Phone 864-270-8524
Email nsmith@endologix.com
Responsible Party:
Endologix
ClinicalTrials.gov Identifier:
NCT02949297
Other Study ID Numbers:
  • 771-0013
First Posted:
Oct 31, 2016
Last Update Posted:
Dec 22, 2021
Last Verified:
Nov 1, 2021