First In Human Study for Small to Medium-sized Abdominal Aortic Aneurysm (AAA)

Last updated: April 15, 2025
Sponsor: Nectero Medical, Inc.
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

Aneurysm

Cardiovascular Disease

Heart Disease

Treatment

Endovascular Aneurysm Stabilization Treatment (EAST)

Clinical Study ID

NCT05133492
CTP001
  • Ages > 18
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

This is a first in human study to evaluate the safety and clinical utility of an investigational medical device called the Nectero EAST System to treat Abdominal Aortic Aneurysms or AAA.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male or Female aged 18 years or older

  • Subject can understand the purpose of the trial, voluntarily participate in thetrial and sign the informed consent and is willing to complete the follow-upaccording to the requirements of the protocol.

  • Infrarenal non-aneurysmal neck ≥15mm in length

  • Aortic neck diameters ≤ 29mm

  • Infrarenal neck angulation ≤ 60°

  • Abdominal aneurysm from 3.5 cm to 5.0 cm.

  • Overall AAA treatment length (distal renal to distal inferior margin of theaneurysm) not to exceed 10 cm

  • Patient iliac or femoral arteries access vessels' size and morphology allowendovascular access of 14F introducer sheaths and catheters.

  • Subject has > one-year life expectancy.

  • Subject is American Society of Anesthesiology (ASA) grade 1 through 3, inclusive.

  • Subject is able and willing to comply with 1, 3, 6, 12, 24 and 36-month follow-up.

Exclusion

Exclusion Criteria:

  • Subject has an acutely ruptured or leaking or emergent aneurysm.

  • Subject has a dissecting aneurysm.

  • Subject has a mycotic or infected aneurysm.

  • Subject has current vascular injury due to trauma.

  • Subject's aneurysm is thoracic or suprarenal.

  • Previous surgical or endovascular aneurysm repair for abdominal aortic aneurysm.

  • Subject has thrombus, calcification, and/or plaque that may compromise delivery.

  • Subject has had a myocardial infarction within six (6) months prior to enrollment.

  • Subject has current angina or other active cardiac condition such as congestiveheart failure, untreated or worsening atrial arrhythmia, ventricular arrhythmia, orvalvular disease.

  • Subject has undergone other major surgery within the 30 days prior to enrollment.

  • Subjects with any transient ischemic attack (TIA) or ischemic stroke within 3months.

  • Known allergy to polyester or contrast material that cannot be pretreated.

  • Subject is morbidly obese or has other clinical conditions that severely inhibitX-ray visualization of the aorta.

  • Subject has connective tissue disease (e.g., Marfan syndrome, Eaton syndrome, orBessel's disease).

  • Known contraindication to undergoing angiography or anticoagulation.

  • Subject has active systemic infection.

  • Subject is participating in another research study.

  • Subject has other medical, social, or psychological problems that, in the opinion ofthe investigator, preclude them from receiving this treatment and the procedures andevaluations pre- and post-treatment.

  • Women of childbearing potential who are pregnant, lactating, or planning to becomepregnant during the course of the trial.

  • Subject has dialysis dependent renal failure or baseline serum creatinine level >2.0mg/dl.

  • Subjects with liver dysfunction: alanine transaminase (ALT) or aspartatetransaminase (AST) is five times higher than the normal upper limit; serum totalbilirubin (STB) is two times higher than the normal upper limit.

  • Subjects who are not suitable for endovascular treatment, as judged by theinvestigator.

Study Design

Total Participants: 46
Treatment Group(s): 1
Primary Treatment: Endovascular Aneurysm Stabilization Treatment (EAST)
Phase:
Study Start date:
June 24, 2019
Estimated Completion Date:
December 31, 2026

Study Description

This is a Phase I multi-center, open-label study to evaluate use of the Nectero EAST system for stabilization of abdominal aortic aneurysms. Up to fifty (50) subjects will be treated at up to 10 worldwide sites with the device and followed for up to 36-months.

Primary Study Endpoints:

  • Safety: absence of major events within the 1-month follow-up visit

  • Success: defined as successful insertion of the delivery catheter and delivery of the Stabilizer

Secondary Study Endpoints:

  • Freedom from aneurysmal sac enlargement. Enlargement is defined as diameter increase of >5mm per year, or aneurysm sac volume increase of >10% per year, as assessed by CT scans at the 1, 3, (HK only), 6, 12, 24 and 36-month follow-up visits.

  • Aneurysm sac shrinkage, defined as diameter decrease of >5mm, or decrease in aneurysm sac volume of >10% as assessed by CT scans at the 1, 3 (HK only), 6, 12, 24 and 36-month follow-up visits.

  • Assessment of Clinical Utility

Study duration is anticipated to be 6 years.

Connect with a study center

  • Prince of Wales Private Hospital

    Randwick, New South Wales 2031
    Australia

    Site Not Available

  • Queen Mary Hospital

    Hong Kong, Southern District
    China

    Site Not Available

  • Pablo Tabon Uribe Hospital

    Medellín, Antioquia
    Colombia

    Site Not Available

  • Pauls Stradins Clinical University Hospital

    Riga,
    Latvia

    Site Not Available

  • Auckland City Hospital

    Auckland,
    New Zealand

    Site Not Available

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