Trial Outcomes & Findings for TX2® Low Profile TAA Endovascular Graft (NCT NCT01151020)

NCT ID: NCT01151020

Last Updated: 2021-01-22

Results Overview

Major adverse event is defined as: All-cause death; Q-wave MI; cardiac event involving arrest, resuscitation, or balloon pump; ventilation \> 72 hours or re-intubation; pulmonary event requiring tracheostomy or chest tube; renal failure requiring permanent dialysis, hemofiltration, or kidney transplant in a patient with a normal pre-procedure serum creatinine level; bowel resection; stroke; paralysis; amputation involving more than toes; aneurysm or vessel leak requiring re-operation; deep vein thrombosis requiring surgical or lytic therapy; pulmonary embolism involving hemodynamic instability or surgery; coagulopathy requiring surgery; or wound complication requiring return to the operating room.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

110 participants

Primary outcome timeframe

30 days

Results posted on

2021-01-22

Participant Flow

Participant milestones

Participant milestones
Measure
Zenith® TX2® Low Profile TAA Endovascular Graft
Endovascular treatment of patients with aneurysms/ulcers of the descending thoracic aorta having morphology suitable for endovascular repair
Overall Study
STARTED
110
Overall Study
30-day
110
Overall Study
COMPLETED
56
Overall Study
NOT COMPLETED
54

Reasons for withdrawal

Reasons for withdrawal
Measure
Zenith® TX2® Low Profile TAA Endovascular Graft
Endovascular treatment of patients with aneurysms/ulcers of the descending thoracic aorta having morphology suitable for endovascular repair
Overall Study
Death
25
Overall Study
Conversion to open repair
1
Overall Study
Lost to Follow-up
4
Overall Study
Withdrawal by Subject
22
Overall Study
Patients did not receive the device
2

Baseline Characteristics

TX2® Low Profile TAA Endovascular Graft

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Zenith® TX2® Low Profile TAA Endovascular Graft
n=110 Participants
Endovascular treatment of patients with aneurysms/ulcers of the descending thoracic aorta having morphology suitable for endovascular repair
Age, Continuous
72.2 years
STANDARD_DEVIATION 9.8 • n=99 Participants
Sex: Female, Male
Female
46 Participants
n=99 Participants
Sex: Female, Male
Male
64 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 30 days

Population: 1 patient had a stroke and required ventilation \>72 hours/reintubation.

Major adverse event is defined as: All-cause death; Q-wave MI; cardiac event involving arrest, resuscitation, or balloon pump; ventilation \> 72 hours or re-intubation; pulmonary event requiring tracheostomy or chest tube; renal failure requiring permanent dialysis, hemofiltration, or kidney transplant in a patient with a normal pre-procedure serum creatinine level; bowel resection; stroke; paralysis; amputation involving more than toes; aneurysm or vessel leak requiring re-operation; deep vein thrombosis requiring surgical or lytic therapy; pulmonary embolism involving hemodynamic instability or surgery; coagulopathy requiring surgery; or wound complication requiring return to the operating room.

Outcome measures

Outcome measures
Measure
Zenith® TX2® Low Profile TAA Endovascular Graft
n=110 Participants
Endovascular treatment of patients with aneurysms/ulcers of the descending thoracic aorta having morphology suitable for endovascular repair
Patients With Major Adverse Events (MAE)
Stroke
2 participants
Patients With Major Adverse Events (MAE)
Ventilation >72 hours/reintubation
3 participants

PRIMARY outcome

Timeframe: 12 months

Device failure is defined as: Technical failure (inability to access or deploy the Zenith® TX2® Low Profile TAA Endovascular Graft or loss of patency at the time of deployment completion), or any of the following: type I or type III endoleaks requiring re-intervention, aneurysm rupture or conversion to open surgical repair, aneurysm enlargement greater than 0.5 cm.

Outcome measures

Outcome measures
Measure
Zenith® TX2® Low Profile TAA Endovascular Graft
n=110 Participants
Endovascular treatment of patients with aneurysms/ulcers of the descending thoracic aorta having morphology suitable for endovascular repair
Patients With Device Failures
Aneurysm growth>5 mm and conversion to open repair
1 participants
Patients With Device Failures
Did not receive the device (technical failures)
2 participants
Patients With Device Failures
Aneurysm growth>5 mm
2 participants
Patients With Device Failures
Endoleak requiring secondary intervention
3 participants

Adverse Events

Zenith® TX2® Low Profile TAA Endovascular Graft

Serious events: 86 serious events
Other events: 0 other events
Deaths: 25 deaths

Serious adverse events

Serious adverse events
Measure
Zenith® TX2® Low Profile TAA Endovascular Graft
n=110 participants at risk
Endovascular treatment of patients with aneurysms/ulcers of the descending thoracic aorta having morphology suitable for endovascular repair
Blood and lymphatic system disorders
coagulopathy
0.91%
1/110 • Number of events 1 • 5 years
Cardiac disorders
Arrhythmia
0.91%
1/110 • Number of events 1 • 5 years
Blood and lymphatic system disorders
thrombocytopenia
0.91%
1/110 • Number of events 1 • 5 years
Cardiac disorders
angina pectoris
0.91%
1/110 • Number of events 2 • 5 years
Cardiac disorders
cardiac arrest
0.91%
1/110 • Number of events 1 • 5 years
Cardiac disorders
cardiac failure congestive
4.5%
5/110 • Number of events 5 • 5 years
Cardiac disorders
myocardial infarction
5.5%
6/110 • Number of events 7 • 5 years
Cardiac disorders
myocardial ischaemia
0.91%
1/110 • Number of events 1 • 5 years
Cardiac disorders
ventricular tachycardai
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
Intestinal Ischaemia
3.6%
4/110 • Number of events 4 • 5 years
Gastrointestinal disorders
aorto-oesophageal fistula
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
dysphagia
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
ileus
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
inguinal hernia
1.8%
2/110 • Number of events 2 • 5 years
Gastrointestinal disorders
pneumoperitoneum
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
Vascular injury
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
brain contusion
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
femoral neck fracture
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
foreign body
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
incisional hernia
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
injury
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
patella fracture
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
spinal compression fracture
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
subdural hematoma
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
compartment syndrome
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
muscular weakness
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
spinal ligament ossification
0.91%
1/110 • Number of events 2 • 5 years
Musculoskeletal and connective tissue disorders
spinal osteoarthritis
0.91%
1/110 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer stage II
0.91%
1/110 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
bladder cancer recurrent
0.91%
1/110 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
colon adenoma
0.91%
1/110 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
colon cancer
0.91%
1/110 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
gastric cancer
1.8%
2/110 • Number of events 2 • 5 years
Eye disorders
blindness unilateral
0.91%
1/110 • Number of events 1 • 5 years
Eye disorders
cataract
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
abdominal pain lower
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
gastrointestinal haemorrhage
4.5%
5/110 • Number of events 5 • 5 years
Gastrointestinal disorders
intestinal obstruction
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
oesophageal dysplasia
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
pelvic floor dysfunction
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
small intestinal obstruction
2.7%
3/110 • Number of events 3 • 5 years
General disorders
chest pain
1.8%
2/110 • Number of events 2 • 5 years
General disorders
multiple organ dysfunction syndrome
1.8%
2/110 • Number of events 2 • 5 years
General disorders
stent-graft endoleak
6.4%
7/110 • Number of events 7 • 5 years
Hepatobiliary disorders
cholecystitis acute
0.91%
1/110 • Number of events 1 • 5 years
Immune system disorders
anaphylactic reaction
0.91%
1/110 • Number of events 1 • 5 years
Immune system disorders
contrast media allergy
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
abdominal wall abscess
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
abdominal wall infection
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
arthritis bacterial
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
diverticulitis
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
diverticulitis intestinal perforated
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
gastroenteritis
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
gastrointestinal infection
4.5%
5/110 • Number of events 5 • 5 years
Infections and infestations
infection
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
influenza
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
pneumonia
10.9%
12/110 • Number of events 13 • 5 years
Infections and infestations
sepsis
1.8%
2/110 • Number of events 2 • 5 years
Infections and infestations
urinary tract infection
1.8%
2/110 • Number of events 2 • 5 years
Injury, poisoning and procedural complications
fall
2.7%
3/110 • Number of events 3 • 5 years
Injury, poisoning and procedural complications
hip fracture
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
post laminectomy syndrome
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
pseudoaneurysm
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
respiratory fume inhalation disorder
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
spinal column injury
0.91%
1/110 • Number of events 1 • 5 years
Investigations
blood creatinine increased
2.7%
3/110 • Number of events 3 • 5 years
Metabolism and nutrition disorders
gout
0.91%
1/110 • Number of events 1 • 5 years
Metabolism and nutrition disorders
malnutrition
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
arthralgia
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
joint swelling
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
lumbar spinal stenosis
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
musculoskeletal pain
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
rotator cuff syndrome
0.91%
1/110 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
non-small cell lung cancer
0.91%
1/110 • Number of events 1 • 5 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
skin cancer
0.91%
1/110 • Number of events 1 • 5 years
Nervous system disorders
Generalized tonic-clonic seizure
0.91%
1/110 • Number of events 1 • 5 years
Nervous system disorders
Subarachnoid haemorrhage
0.91%
1/110 • Number of events 1 • 5 years
Nervous system disorders
aphasia
0.91%
1/110 • Number of events 1 • 5 years
Nervous system disorders
carotid artery stenosis
0.91%
1/110 • Number of events 1 • 5 years
Nervous system disorders
cerebrovascular accident
7.3%
8/110 • Number of events 8 • 5 years
Nervous system disorders
paraparesis
0.91%
1/110 • Number of events 1 • 5 years
Nervous system disorders
parkinsonism
0.91%
1/110 • Number of events 1 • 5 years
Nervous system disorders
syncope
1.8%
2/110 • Number of events 2 • 5 years
Product Issues
device electrical finding
0.91%
1/110 • Number of events 1 • 5 years
Psychiatric disorders
delirium
0.91%
1/110 • Number of events 1 • 5 years
Renal and urinary disorders
Nephropathy toxic
0.91%
1/110 • Number of events 1 • 5 years
Renal and urinary disorders
calculus urinary
0.91%
1/110 • Number of events 1 • 5 years
Renal and urinary disorders
chronic kidney disease
0.91%
1/110 • Number of events 1 • 5 years
Renal and urinary disorders
renal failure
5.5%
6/110 • Number of events 7 • 5 years
Renal and urinary disorders
urinary incontinence
0.91%
1/110 • Number of events 1 • 5 years
Reproductive system and breast disorders
prostatitis
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
acute respiratory failure
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
aorto-bronchial fistula
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
bronchial secretion retention
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
chronic obstructive pulmonary disease
1.8%
2/110 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
haemoptysis
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
pneumonia aspiration
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
pulmonary embolism
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
pulmonary haematoma
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
respiratory failure
1.8%
2/110 • Number of events 2 • 5 years
Surgical and medical procedures
Soft tissue excision
0.91%
1/110 • Number of events 1 • 5 years
Surgical and medical procedures
craniotomy
0.91%
1/110 • Number of events 1 • 5 years
Surgical and medical procedures
percutaneous coronary intervention
0.91%
1/110 • Number of events 1 • 5 years
Vascular disorders
Aneurysm
12.7%
14/110 • Number of events 15 • 5 years
Vascular disorders
aortic aneurysm
1.8%
2/110 • Number of events 2 • 5 years
Vascular disorders
embolism
2.7%
3/110 • Number of events 3 • 5 years
Vascular disorders
haematoma
0.91%
1/110 • Number of events 1 • 5 years
Vascular disorders
haemmorrhage
0.91%
1/110 • Number of events 1 • 5 years
Vascular disorders
hypertension
0.91%
1/110 • Number of events 1 • 5 years
Vascular disorders
hypotension
0.91%
1/110 • Number of events 1 • 5 years
Vascular disorders
iliac artery occlusion
0.91%
1/110 • Number of events 1 • 5 years
Vascular disorders
iliac artery stenosis
1.8%
2/110 • Number of events 2 • 5 years
Vascular disorders
ischaemia
0.91%
1/110 • Number of events 1 • 5 years
Vascular disorders
peripheral arterial occlusive disease
0.91%
1/110 • Number of events 1 • 5 years
Vascular disorders
peripheral artery occlusion
0.91%
1/110 • Number of events 1 • 5 years
Vascular disorders
vascular dissection
2.7%
3/110 • Number of events 3 • 5 years
Vascular disorders
vascular rupture
2.7%
3/110 • Number of events 3 • 5 years
Cardiac disorders
ATRIAL FIBRILLATION
0.91%
1/110 • Number of events 1 • 5 years
Cardiac disorders
CARDIAC FAILURE
0.91%
1/110 • Number of events 3 • 5 years
Cardiac disorders
CORONARY ARTERY STENOSIS
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
RETROPERITONEAL HAEMATOMA
0.91%
1/110 • Number of events 1 • 5 years
General disorders
DEATH
1.8%
2/110 • Number of events 2 • 5 years
General disorders
VASCULAR STENT THROMBOSIS
0.91%
1/110 • Number of events 1 • 5 years
Hepatobiliary disorders
CHOLANGITIS
0.91%
1/110 • Number of events 1 • 5 years
Hepatobiliary disorders
CHOLELITHIASIS
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
OSTEOMYELITIS
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
HERPES ZOSTER
0.91%
1/110 • Number of events 1 • 5 years
Infections and infestations
ABSCESS LIMB
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
FEMUR FRACTURE
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
POST PROCEDURAL HAEMMORRHAGE
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
BACK PAIN
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
BONE METABOLISM DISORDER
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
MUSCLE RUPTURE
0.91%
1/110 • Number of events 1 • 5 years
Musculoskeletal and connective tissue disorders
POLYMYALGIA RHEUMATICA
0.91%
1/110 • Number of events 1 • 5 years
Renal and urinary disorders
URETHRAL STENOSIS
0.91%
1/110 • Number of events 1 • 5 years
Renal and urinary disorders
URINARY RETENTION
1.8%
2/110 • Number of events 2 • 5 years
Respiratory, thoracic and mediastinal disorders
LUNG OPACITY
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PLEURAL EFFUSION
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY CONGESTION
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
PULMONARY OEDEMA
0.91%
1/110 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
DECUBITUS ULCER
0.91%
1/110 • Number of events 1 • 5 years
Skin and subcutaneous tissue disorders
STASIS DERMATITIS
0.91%
1/110 • Number of events 1 • 5 years
Surgical and medical procedures
MEDICAL DEVICE REMOVAL
0.91%
1/110 • Number of events 1 • 5 years
Surgical and medical procedures
RENAL DISORDER PROPHYLAXIS
1.8%
2/110 • Number of events 3 • 5 years
Surgical and medical procedures
STENT PLACEMENT
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
ABDOMINAL ADHESIONS
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
PAPILLA OF VATER STENOSIS
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
MULTIPLE FRACTURES
0.91%
1/110 • Number of events 1 • 5 years
Injury, poisoning and procedural complications
BURSITIS
0.91%
1/110 • Number of events 1 • 5 years
Psychiatric disorders
MENTAL STATUS CHANGES
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
DEPENDENCE ON VENTILATOR
0.91%
1/110 • Number of events 1 • 5 years
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
0.91%
1/110 • Number of events 1 • 5 years
Gastrointestinal disorders
NAUSEA
0.91%
1/110 • Number of events 1 • 5 years

Other adverse events

Adverse event data not reported

Additional Information

Alan Saunders, MS, RAC; Manager, Biostatistics

Cook Research Incorporated

Phone: 765-463-7537

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60