NCT Number: NCT03165279
ZEnith AlPHa for AneurYsm Repair
To prospectively collect 'real world' performance data on the Zenith AlphaTM Abdominal Endovascular Graft for endovascular aneurysm repair, inside and outside instructions for use. To assess clinical efficacy of the low-profile device to treat patients with abdominal aortic aneurysm (AAA), to assess the use of the new delivery and deployment system of the Zenith AlphaTM Abdominal Endovascular Graft. Primary endpoint is the proportion of subjects who experience successful treatment at 1 year post-implant; defined by technical success and clinical success.
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Conditions
Age range
18 year and older
Sex eligibility
All sexes
Study type
Observational
Primary location
Imelda Hospital, Bonheiden, Belgium
About this study
The ZEPHYR registry has two major objectives:
- to prospectively collect 'real world' safety, durability and clinical performance data on the Zenith AlphaTM Abdominal Endovascular Graft in subjects with infrarenal abdominal aortic or aorto-iliac aneurysms.
- To increase the clinical evidence about the safety and effectiveness of the Zenith AlphaTM Abdominal Endovascular Graft by creating a database that can be pooled and/or compared with databases available on this and other stent graft systems.
The ZEPHYR registry is a multi-center, post-market, non-randomized, single-arm prospective study. The study has no controls, as it is descriptive in nature. It will recruit approximately 450 subjects from high-volume sites across Germany and the BeNeLux. Study is open to consecutively enrolled subjects (20-50 per site) whou in the opinion of the investigator are candidates for endovascular AAA repair. The sites are recommended to schedule the subject's post-operative follow-up visits based on the current standard care in endovascular aneurysm repair (EVAR) therapy, which is generally at 1 month, 1 year and annually thereafter.
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- Age ≥18 years or minimum age as required by local regulations
- Non-ruptured AAA with maximum diameter ≥50mm or enlargement >5mm over 6 months and neck length ≥10mm (site-reported)
- Elective EVAR
- Intention to electively implant the Zenith AlphaTM AAA Endovascular Graft
- Signed informed consent form
Exclusion criteria
- Intolerance to contrast media
- High probability of non-adherence to physician's follow-up requirements
- Current participation in a concurrent trial which may confound study results
Treatment and study plan
Primary outcomes
-
Successful treatment
Time frame: 1 year
Proportion of subjects who experience successful treatment at 1 year post-implant; defined by technical success and clinical success.
Secondary outcomes
-
Treatment success
Time frame: 1 month
Proportion of subjects who experience successful treatment at 1 month post-implant; defined by technical success and clinical success.
-
Treatment success
Time frame: 2 years
Proportion of subjects who experience successful treatment at 2 years post-implant; defined by technical success and clinical success.
-
All-cause mortality
Time frame: at 1 month, 1 year and at 2 years
All-cause mortality
-
Major adverse events
Time frame: at 1 month, 1 year and at 2 years
all-cause mortality, bowel ischemia, myocardial infarction, paraplegia, procedural blood loss >1000 cc, renal failure requiring dialysis, respiratory failure, stroke
-
Aneurysm related mortality
Time frame: up to 30 days after index procedure or within 30 days after aneurysm-related reintervention
death from rupture, device-related death, death within 30 days of index procedure, death within 30 days of any aneurysm-related reintervention
-
Stent graft migration of >5mm (with 30 days measurement as baseline)
Time frame: at 1 year and at 2 years
Stent graft migration of >5mm (with 30 days measurement as baseline)
-
Endoleak
Time frame: at initial procedure, 1 month, 1 year and at 2 years
Any type of endoleak; tabulated by type (Ia, Ib, II or III)
-
Amount of secondary procedures to correct endoleaks
Time frame: From the day after the initial procedure up to 2 years after the initail procedure (which is the end of the follow up period for this registry)
Secondary procedures to correct endoleaks
-
Amount of secondary procedures for occlusion and/or kinking to restore stent graft function (endovascular and open procedures)
Time frame: From the day after the initial procedure up to 2 years after the initail procedure which is the end of the follow up period
Amount of secondary procedures for occlusion/kinking to restore stent graft function (endovascular and open surgical procedures)
-
Amount of secondary surgical interventions for stent graft infection
Time frame: From the day after the initial procedure up to 2 years after the initail procedure which is the end of the follow up period
Amount of secondary surgical intervention for stent graft infection
-
Amount of major lower limb amputation
Time frame: From the day after the initial procedure up to 2 years after the initail procedure (which is the end of the follow up period for this registry)
Amount of major lower limb amputation
-
Which kind of vascular access is used during surgical intervention
Time frame: at the primary procedure
Vascular access can either be unilateral, bilateral, open access or percutaneus access
-
Access site complications
Time frame: during procedure up to 45 days
Hematoma, false aneurysm, vessel injury, primary conversion to femoral cutdown, surgical reintervention postoperative, false aneurysm at puncture site
-
Amount of secondary open surgical interventions
Time frame: From the day after the initial procedure up to 2 years after the initail procedure (which is the end of the follow up period of this registry)
Amount of secondary open surgical interventions
Sponsors and collaborators
Lead sponsor
Philippe Cuypers
Other
Collaborators
- Syntactx
Registry information
Official study title
ZEnith AlPHa for AneurYsm Repair (ZEPHYR)
Acronym: ZEPHYR
Important dates
- Study start
- 2016
- Primary completion
- 2022
- Study completion
- 2022
- First posted
- May 24, 2017
- Registry last updated
- Jul 20, 2022
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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