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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT00805948
Other study ID # Investigational Plan #109
Secondary ID
Status Terminated
Phase N/A
First received
Last updated
Start date April 2009
Est. completion date August 2017

Study information

Verified date September 2021
Source Medtronic Cardiovascular
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the long-term safety and effectiveness of the Talent Thoracic Stent Graft System for treatment of descending thoracic aneurysms (DTA)following U.S. market approval.


Description:

A descending thoracic aneurysm is a bulge in the aorta. The aorta is a large blood vessel that carries blood away from your heart to organs in the rest of your body. Your aneurysm is caused by a weakening in the artery wall. If left untreated, this bulge may continue to grow larger and may ultimately rupture (break open) or extend in size to seriously affect other major arteries in the area. In this clinical study the Talent Thoracic Stent Graft will be placed inside your aorta to block the weakened part of the artery wall from the circulatory system. Medtronic Vascular submitted a Pre-Market Application (PMA P070007) to the FDA on February 28, 2007, and received market approval for the Talent Stent Graft System on June 5, 2008. As a condition of approval, the FDA has requested a post-market trial. In collaboration with the FDA, Medtronic has designed a post-approval study to document the long-term performance of the Talent Stent Graft System under post market conditions. This study will examine the post-market performance of the Talent Thoracic Stent Graft System. This study is a prospective, non-randomized five-year trial. Originally, a total of 451 subjects were going to be analyzed. That group consisted of 195 enrolled subjects from the VALOR Test Group of the Talent Thoracic PMA Submission, and 256 planned "de novo" subjects enrolled after the PMA approval. However, Medtronic discontinued manufacturing of the study device for US commercialization, and as a result, enrollment was terminated in May 2014, when it was determined that no more proximal devices were available either in inventory or at the sites. A total of 349 subjects will be analyzed, based on 195 VALOR Test Group subjects and 154 "de novo" subjects. Update as of Aug 2017: Medtronic Vascular, Inc. discontinued manufacture of the Talent Thoracic Stet Graft System on 31-Jul-2012, and the final device expired in July 2014 (based on the two-year shelf life). Enrollment for De Novo subjects ended in May 2014, as there were no more proximal main devices available either in inventory or at the investigational sites. This resulted in a total of 349 subjects to be analyzed in this final report: the 195 VALOR subjects and 154 of the planned 256 De Novo subjects. Because of that, statistical results would have been inconclusive, so Medtronic decided to terminate the study and received FDA approval for early termination in April 2016. It is important to emphasize that THRIVE subjects will continue to be followed-up annually per standard of care and standard post-market surveillance program applies to them (e.g. device complaints will continue to be reported via the MDR (Medical Device Reporting) system.)


Recruitment information / eligibility

Status Terminated
Enrollment 349
Est. completion date August 2017
Est. primary completion date August 2016
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: appropriate anatomy for elective repair of the descending thoracic aortic aneurysm - iliac/femoral access vessel morphology that is compatible with vascular access techniques, devices, and or accessories - non-aneurysmal aortic diameter in the range of 18-42mm; and - non-aneurysmal aortic proximal and distal neck lengths equal to or greater than 20mm - subject has a Descending Fusiform Thoracic Aneurysm = to or greater than 5cm in diameter OR is = to or greater than 2 times the diameter of the non-aneurysmal thoracic aorta and/or saccular aneurysms/penetrating ulcers - Signed patient informed consent Exclusion Criteria: - Less than 18 yrs old - pregnant - unable to comply w/follow-up - participating in other drug or device trials; - Subject has a co-morbidity causing expected survival to be less than 1 year

Study Design


Intervention

Device:
Talent Thoracic Stent Graft System
endovascular repair of descending thoracic aortic aneurysms using the Talent Thoracic Stent Graft System.

Locations

Country Name City State
United States Albany Medical Center Albany New York
United States Emory University Atlanta Georgia
United States Brigham & Women's Hospital Boston Massachusetts
United States Memorial Hospital Chattanooga Tennessee
United States Northwestern MH Chicago Illinois
United States Riverside Methodist Hospital Columbus Ohio
United States Duke University Medical Center Durham North Carolina
United States U Florida at Shands Hospital Gainesville Florida
United States Northwell Health Inc Great Neck New York
United States Baylor College of Medicine Houston Texas
United States The Methodist Hospital Houston Texas
United States St. Vincent Heart Center Indianapolis Indiana
United States Osceola Regional Med Ctr Kissimmee Florida
United States Cedars Sinai Medical Center Los Angeles California
United States Baptist Memorial Hospital Memphis Tennessee
United States Sentara Norfolk General Vascular & Transplant Specialists Norfolk Virginia
United States UPMC Presbyterian Hospital Pittsburgh Pennsylvania
United States The Heart Hospital/Baylor Plano Plano Texas
United States Tennova Physicians Regional Medical Center Powell Tennessee
United States University of Washington Seattle Washington
United States Providence Sacred Heart Spokane Washington
United States Southern Illinois University Springfield Illinois
United States University of Toledo Med Ctr Toledo Ohio
United States Harbor-UCLA Torrance California
United States Washington Hospital D.C. Washington District of Columbia
United States Pinnacle Health Wormleysburg Pennsylvania

Sponsors (2)

Lead Sponsor Collaborator
Medtronic Cardiovascular Medtronic

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other All-Cause Mortality Number of subjects who died during that interval or who were followed at least until the lower endpoint of the analysis window. 1, 12, 24, 36, 48 and 60 months
Other Number of Participants With Conversion to Surgery Conversion from endovascular to open repair required at the time of the original procedure or at the time beyond the initial endovascular procedure (for the same lesion treated during the initial implantation of the Talent Thoracic Stent Graft) 1, 12, 24, 36, 48 and 60 months
Other Number of Participants With Aneurysm Rupture Rupture or perforation of the targeted aneurismal sac as detected by angiography, CT scan, or direct observation at surgery or autopsy. 1, 12, 24, 36, 48 and 60 months
Primary Freedom From Aneurysm-related Mortality at 5 Years For all THRIVE subjects, Aneurysm-Related Mortality (ARM) is defined as: Death from rupture of the thoracic aortic aneurysm or from any procedure intended to treat the Descending Thoracic Aneurysm (DTA - fusiform aneurysms and saccular aneurysms/penetrating ulcers) as determined by an independent Clinical Events Committee (CEC). If a death occurred within 30 days of any procedure intended to treat the DTA, then it is presumed to be aneurysm related, unless there is evidence to the contrary. 5 years
See also
  Status Clinical Trial Phase
Enrolling by invitation NCT00583817 - Endovascular Treatment of Thoracic Aortic Disease N/A
Completed NCT00597870 - Physician-Sponsored IDE for the Talent Endoluminal Stent Graft System for the Treatment of Thoracic Lesions N/A
Completed NCT00604799 - VALOR: The Talent Thoracic Stent Graft System Clinical Study Phase 2/Phase 3
Recruiting NCT03142074 - Biomechanical and Microstructural Properties of Ascending Aortic Aneurysms
Completed NCT00435942 - Phase II Study of the Safety and Efficacy of the Relay Thoracic Stent-Graft N/A
Completed NCT01839695 - Safety and Efficacy of Valiant Mona LSA Stent Graft System N/A