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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00978952
Registration number
NCT00978952
Ethics application status
Date submitted
14/09/2009
Date registered
17/09/2009
Titles & IDs
Public title
Large Diameter Advanta™ V12 Covered Stent Trial for Coarctation of the Aorta
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Scientific title
Large Diameter Advanta™ V12 Covered Stent Trial for Coarctation of the Aorta
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Secondary ID [1]
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803
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Coarctation of the Aorta
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Human Genetics and Inherited Disorders
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0
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Large Diameter Advanta™ V12 Covered Stent
Experimental: Investigational Group - Use of Large Diameter Advanta™ V12 Covered Stent.
Treatment: Devices: Large Diameter Advanta™ V12 Covered Stent
Stent placement
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Primary Efficacy
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Assessment method [1]
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The mean difference between Diastolic Velocity (DV)/Systolic Velocity(SV) pre and post procedure (i.e. pre procedure DV/SV - post procedure DV/SV) minus the difference between 12 month and post procedure (i.e. 12 month DV/SV - post procedure DV/SV).
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Timepoint [1]
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12 month
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Primary outcome [2]
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Primary Safety
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Assessment method [2]
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30 day morbidity rate of Major Adverse Events (MAE)and Major Adverse Vascular Events (MAVE)
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Timepoint [2]
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30 days of procedure
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Secondary outcome [1]
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Secondary Safety
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Assessment method [1]
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Device success, defined as the successful delivery and deployment of the study stent and intact retrieval of the delivery system.
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Timepoint [1]
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procedural (time zero)
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Secondary outcome [2]
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Secondary Safety
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Assessment method [2]
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No post procedural stent migration, where migration is defined as displacement of the stent \>20mm from an established anatomical landmark verified during deployment.
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Timepoint [2]
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12 month
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Secondary outcome [3]
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Secondary Safety
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Assessment method [3]
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Major Adverse Events (MAE)and Major Adverse Vascular Events (MAVE)
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Timepoint [3]
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12 months
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Eligibility
Key inclusion criteria
* Patients with a presence of native or recurrent coarctation of the aorta as confirmed by blood pressure gradient, 2D-echocardiography with Doppler or angiography.
* Subject weighs a minimum of 30 kg.
* The peak pressure gradient is =20 mmHg systolic blood pressure across the coarctation site.
* Vessels at access site can accept a minimum size of 9 French for a 12 mm balloon and 11 French for a 14 and 16 mm balloon.
* Coarctation can be successfully crossed with a guide wire, sheath and device.
* Diameter of transverse arch distal to left subclavian artery is between 9.5 mm and 20 mm in diameter.
* Subject is able and willing to adhere to all required follow-up visits and testing.
* Subject is able and willing to adhere to the required follow-up medication regimen.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* The physician is not able to access the coarctation with standard techniques.
* Presence of other thoracic aortic arterial lesions or aneurysms requiring treatment within 30 days of the implant procedure.
* Length of coarctation is greater than 45 mm in length.
* Connective tissue and genetic disorders, including William, Marfan, Turner, Noonan syndrome.
* The coarctation has adjacent, acute thrombus.
* The coarctation was previously treated with a stent.
* Proximity of the coarctation to an important side branch resulting in crossing of the side branch with the Large Diameter Advanta™ V12 Covered Stent device (e.g. "jailing" of the branch vessel).
* Subject has a tubular graft, interposition graft, stent graft at or near the coarctation site that would be interfere with delivery, positioning, expansion or stabilization of the Large Diameter Advanta™ V12 Covered Stent
* Subject has contrast agent hypersensitivity that cannot be adequately premedicated, has a hypersensitivity to stainless steel, expanded polytetrafluoroethylene (ePTFE) or has intolerance to antiplatelet, anticoagulant, or thrombolytic medications.
* Bloodstream infection
* Subject is pregnant or breastfeeding.
* Subject has a co-morbid illness that may result in a life expectancy of less than 1 year.
* The investigator deems the subject to be an inappropriate candidate for the study.
* Subject is participating in an investigational study of a new drug, biologic or device at the time of study screening. NOTE: Subjects who are participating in the long term follow-up phase of a previously investigational and now approved product are not excluded by this criterion.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2009
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/04/2017
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Sample size
Target
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Accrual to date
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Final
70
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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The Children's Hospital at Westmead - Sydney
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Recruitment postcode(s) [1]
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2145 - Sydney
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Recruitment outside Australia
Country [1]
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Brazil
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State/province [1]
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Sao Paulo
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Country [2]
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Canada
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State/province [2]
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Ontario
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Country [3]
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Germany
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State/province [3]
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Berlin
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Country [4]
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Germany
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State/province [4]
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Frankfurt
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Country [5]
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Germany
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State/province [5]
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Sankt Augustin
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Country [6]
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Israel
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State/province [6]
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Petach Tikva
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Country [7]
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Italy
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State/province [7]
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Milan
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Country [8]
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United Kingdom
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State/province [8]
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Bristol
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Atrium Medical Corporation
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is designed as a prospective, multicenter, non-randomized, single arm study to assess the safety and effectiveness of the Large Diameter Advanta™ V12 Covered Stent for stent implantation in coarctations of the aorta.
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Trial website
https://clinicaltrials.gov/study/NCT00978952
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Trial related presentations / publications
Bruckheimer E, Birk E, Benson L, Butera G, Martin R, Roberts PA, Schneider MBE, Schubert S, Sievert H, Pedra CCA. Large Diameter Advanta V12 Covered Stent Trial for Coarctation of the Aorta: COARC Study. Circ Cardiovasc Interv. 2021 Dec;14(12):e010576. doi: 10.1161/CIRCINTERVENTIONS.121.010576. Epub 2021 Nov 9. Erratum In: Circ Cardiovasc Interv. 2022 Jul;15(7):e000087. doi: 10.1161/HCV.0000000000000087.
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Public notes
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Contacts
Principal investigator
Name
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Elchanan Bruckheimer, MD
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Address
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Schneider Children's Medical Center, Israel
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00978952