False Lumen Treatment for Prevention of Aortic Growth Using Shape Memory Polymer - First-in-Human Study
Not Applicable
Not yet recruiting
- Conditions
- Aortic Dissection
- Registration Number
- NCT06550986
- Lead Sponsor
- Shape Memory Medical, Inc.
- Brief Summary
- To determine the safety and feasibility of the investigational product to reduce aortic dissection false lumen perfusion. 
- Detailed Description
- Not available 
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 15
Inclusion Criteria
- ≥18 years of age.
- A candidate for false lumen (FL) embolization with a type B dissection, and no prior primary entry tear/TL treatment, OR
- A candidate for FL embolization with a type B or type A dissection, in whom the primary entry tear/TL was treated in a previous procedure, and is now presenting with a FL requiring treatment.
Exclusion Criteria
- An inability to provide informed consent.
- Enrolled in another clinical study other than a registry.
- Hyperacute or acute aortic dissection (<15 days from symptom onset).
- Untreated or uncovered primary entry/reentry tear proximal to left subclavian artery (before FL treatment with the investigational product).
- Vascular disease, aortic rupture, and/or anatomy and/or dissection membrane condition that precludes the safe access and positioning of an introducer sheath and delivery (and expansion) of the investigational product into the FL.
- Prior treatment of the FL.
- Planned use of investigational devices to treat the primary entry tear and/or TL.
- Absence of/inability to create a reentry tear/fenestration adequately positioned and large enough to allow introducer sheath access into the FL.
- Planned use of FL embolic devices other than the investigational product.
- Prior abdominal aortic aneurysm (AAA) treatment.
- Planned concomitant major surgery (e.g., gastrointestinal surgery).
- Diagnosed or suspected congenital degenerative connective tissue disease (e.g., Marfan's or Ehler-Danlos syndrome).
- Coagulopathy or uncontrolled bleeding disorder.
- Serum creatinine level >2.5 mg/dL (within 90 days prior to the procedure).
- Cerebrovascular accident within 90 days prior to the procedure.
- Myocardial infarction and/or major heart surgery within 90 days prior to the procedure.
- Atrial fibrillation that is not well rate controlled.
- Unable or unwilling to comply with study follow-up requirements.
- Life expectancy of <2 years postprocedure.
- Known hypersensitivity or contraindication to platinum, iridium, or polyurethane.
- A condition that inhibits radiographic visualization during the study procedure and planned follow-up imaging.
- History of allergy to contrast medium that cannot be managed medically.
- Uncontrolled comorbid medical condition, including mental health issues, that, in the opinion of the investigator, would adversely affect participation in the study.
- Participant is planning to become pregnant or is currently pregnant or lactating. For participants of child-bearing potential, based on a positive pregnancy test within 7 days prior to the procedure or refusal to use a medically accepted method of birth control for the duration of the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
- Name - Time - Method - Technical success - Immediately after the intervention - Delivery and implantation of the investigational product implant to the false lumen - Major adverse events - 30 days - Incidence of device/procedure-related major adverse events 
- Secondary Outcome Measures
- Name - Time - Method - Change in aorta size from baseline - 2 years - Change in aorta size from baseline - Serious adverse events - 2 years - Incidence of device/procedure-related serious adverse events - Change in false lumen thrombosis from baseline - 2 years - Change in false lumen thrombosis from baseline - Change in true lumen/aorta size ratio from baseline - 2 years - Change in true lumen/aorta size ratio from baseline - Rate of dissection-related reinterventions - 2 years - Rate of dissection-related reinterventions - All-cause mortality and dissection-related mortality - 2 years - Incidence of all-cause mortality and dissection-related mortality 
Trial Locations
- Locations (1)
- Auckland City Hospital 🇳🇿- Auckland, New Zealand Auckland City Hospital🇳🇿Auckland, New ZealandCynthia CorneContact+64 9 307 4949 ext 21505cornec@adhb.govt.nzAndrew Holden, MB ChBPrincipal InvestigatorAndrew Hill, MDSub InvestigatorAnastasia Dean, MDSub InvestigatorAbdelaziz Marzoug, MB ChBSub Investigator
