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Thoracic Aortic AneurysmNCT00413231

Valor II: The Valiant Thoracic Stent Graft System Clinical Study

A study testing Valiant Thoracic Stent Graft System in people with Thoracic Aortic Aneurysm, run by Medtronic Cardiovascular at 26 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study was designed to study safety and effectiveness of the Valiant Thoracic Stent Graft to treat thoracic aortic aneurysms. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Thoracic Aortic Aneurysm
What is being tested?
Valiant Thoracic Stent Graft System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
160 participants
Where
26 sitesUnited States
Study dates
Dec 2006to Oct 2014
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • To be eligible for enrollment, a subject must meet all of the following inclusion criteria:
  • Subject is between the age of 18 and 85.
  • Subject must be considered a candidate for elective surgical repair of the TAA (i.e., low-to-moderate risk [categories 0, 1, and 2] per the modified SVS/AAVS scoring system at the time of implant). See Appendix B: Modified SVS/AAVS Medical Co-Morbidity Grading System
  • If subject is female of childbearing potential, she must have a negative pregnancy test within 7 days before the implant procedure.
  • Subject has a DTA that is:
  • A fusiform aneurysm with a maximum diameter of ≥ 5 cm OR is > 2 times the diameter of the non-aneurysmal thoracic aorta;
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  • AND/OR
  • Saccular aneurysm (penetrating atherosclerotic ulcer)
  • Subject's anatomy must meet all of the following anatomical criteria:
  • Subject's TAA must be ≥ 20 mm distal to the origin of the left common carotid artery and must be ≥ 20 mm proximal to the celiac artery;
  • Proximal and distal non-aneurysmal neck diameter measurements must be between 20 mm and 42 mm;
  • Proximal and distal non-aneurysmal neck must be ≥ 20 mm in length.
  • Thoracic aortic lesion is confirmed, at a minimum, by diagnostic contrast enhanced computerized tomography (CT) with optional 3-D reconstruction, and/or contrast enhanced Magnetic Resonance Angiogram obtained within four (4) months prior to the implant procedure.
  • Subject is able and willing to comply with the protocol and undergo follow-up requirements.
  • Subject or subject's legal representative understands and has signed an Informed Consent approved by the Sponsor and by the IRB for this study.
  • Subject has patent iliac or femoral arteries or can tolerate a vascular conduit that allows endovascular access to the aneurysmal site with the delivery system of the appropriate size device chosen for treatment.

Who cannot join

  • To be eligible for enrollment, a subject cannot meet any of the following exclusion criteria:
  • Planned placement of the COVERED portion of the stent graft requires implant to occur in zones 0 or 1.
  • Subject has a thoracic aneurysm with a contained rupture.
  • Subject has a connective tissue disease (e.g., Marfan's syndrome, aortic medial degeneration).
  • Subject has a mycotic aneurysm or is suspected of having systemic infection.
  • Subject has received a previous stent or stent graft or previous surgical repair in the DTA.
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  • Subject requires treatment of an infra-renal aneurysm at the time of implant.
  • Subject has a history of bleeding diathesis, coagulopathy, or refuses blood transfusion.
  • Subject has had or plans to have a major surgical procedure within 30 days before or after the Valiant Stent Graft procedure. This does not include planned procedures that are needed for the safe and effective placement of the stent graft (i.e., carotid/subclavian transposition, carotid/subclavian bypass procedure).
  • Subject has had an MI or cerebral vascular accident (CVA) within 3 months.
  • Subject is currently participating in an investigational drug or device clinical trial.
  • Subject has a known allergy or intolerance to the device components.
  • Subject has a known hypersensitivity or contraindication to anticoagulants or contrast media, which is not amenable to pre-treatment.
  • Subject has significant and/or circumferential aortic mural thrombus at either the proximal or distal attachment sites that would compromise fixation and seal of the device.
  • Subject has other medical, social, or psychological problems that, in the opinion of the investigator, preclude him or her from receiving this treatment and the procedures and evaluations pre- and post-treatment, or a limited life expectancy of less than 1 year.

Trial locations and contacts

26 sites in 1 country.

26 sites in 1 country

United States26 sites
  • Albany Medical Center

    Albany, New York, 12208

  • Emory University Hospital

    Atlanta, Georgia, 30322

  • Union Memorial

    Baltimore, Maryland, 21218

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • University of North Carolina

    Chapel Hill, North Carolina, 27599

  • University of Virginia

    Charlottesville, Virginia, 22908

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Inova Fairfax Hospital

    Falls Church, Virginia, 22042

  • University of Florida

    Gainesville, Florida, 32610

  • Hartford Hospital

    Hartford, Connecticut, 06106

  • Baylor College of Medicine

    Houston, Texas, 77030

  • St. Luke's Episcopal Hospital - Houston

    Houston, Texas, 77030

  • University of Southern California - Healthcare Consultation Center

    Los Angeles, California, 90033

  • Loyola University Medical Center

    Maywood, Illinois, 60153

  • Baptist Memorial Hospital

    Memphis, Tennessee, 38120

  • Advance Vascular Associates (Morristown Memorial Hospital)

    Morristown, New Jersey, 07960

  • New York University Medical Center

    New York, New York, 10016

  • Mount Sinai School of Medicine

    New York, New York, 10029

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Shadyside Hospital - University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15232

  • Minneapolis Vascular Physicians

    Plymouth, Minnesota, 55441

  • William Beaumont Hospital

    Royal Oak, Michigan, 48073

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • University of South Florida

    Tampa, Florida, 33606

  • Los Angeles Biomedical Research Institute @ Harbor-UCLA Medical Center

    Torrance, California, 90502

Other trials in United States

About this study

Official title: The Valiant Thoracic Stent Graft System. The Evaluation of the Clinical Performance of the Valiant Thoracic Stent Graft System in the Treatment of Descending Thoracic Aneurysms of Degenerative Etiology in Subjects Who Are Candidates for Endovascular Repair.

This study was designed to study safety and effectiveness of the Valiant Thoracic Stent Graft to treat thoracic aortic aneurysms.

Read the detailed description

The aorta is a large blood vessel that carries blood away from the heart to the organs in the rest of the body. An aneurysm is a weakening in the artery wall that will become a bulge in the aorta. If left untreated, this bulge may continue to grow larger and may rupture (break open) with fatal consequences. In this research study we are investigating a device that can be placed in the aorta to exclude the weakened part of the artery wall and restore blood flow. Information will be collected on the performance of the device for 5 years.

Being tested
Valiant Thoracic Stent Graft System
Keywords
Thoracic Aneurysm, Endovascular Aortic Repair (EVAR), Endovascular Stent Graft, Endograft, Thoracic Aortic Aneurysm, Endovascular procedure, Descending Thoracic Aneurysm, Valiant Stent Graft System
Medical subject headings
Aortic Aneurysm, Thoracic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Valiant Thoracic Stent Graft SystemDevice

    Also called Valiant device; Valiant stent graft.

    Surgical procedure in which a device is implanted inside the aorta, isolating the diseased area (aneurysm).

Study groups in NCT00413231
Study groupRoleWhat they receive
Valiant Thoracic Stent Graft SystemExperimental160 subjects were enrolled into the study, including 157 subjects treated with the study device and three subjects classified as intent-to-treat who did not receive the study device. There were no other arms for this study.
Receives: Device: Valiant Thoracic Stent Graft System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants That Did NOT Experience Aneurysm-Related Mortality (Post-market Primary Endpoint)

    Evaluation of the ARM-free rate in subjects implanted with the Valiant Thoracic Stent Graft five years post-implantation by comparing it to a pre-defined performance goal (PG) based on an analysis of ARM-free rates from TEVAR data and on results from the VALOR (Talent Thoracic Endoluminal Stent Graft, IDE G980116) clinical study.

    Measured: 0 through 1825 days post treatment

  2. Percentage of Participants With Successful Aneurysm Treatment (Primary Effectiveness Endpoint)

    Percentage of subjects with absence of both: a) aneurysm growth of more than 5 mm at the 12-month visit relative to the 1-month visit; and b) secondary procedure due to type I or III endoleak performed or recommended at or before the 12-month visit. Success means a subject experienced neither a nor b.

    Type I: endoleak in continuity with the proximal anchoring site(proximal endoleak) or the distal anchoring site(distal endoleak)of the device.

    Type III: endoleak is present in the mid-graft region due to defect of fabric or between the segments of the modular graft (junctional endoleak).

    Measured: At 12-month post procedure

  3. Percentage of Participants Who Died (Primary Safety Endpoint: All-Cause Mortality) > >

    The percentage of participants who died within 12-months of the initial procedure, whether or not the cause of death was related to the study device, procedure, or condition treated.

    >

    > Note: All-cause mortality endpoint is not directly related to successful aneurysm treatment, which pertains to the absence of aneurysm growth and secondary procedure due to Type I and III endoleaks.

    Measured: Within 12-months post treatment

Secondary outcomes (24)
  1. Percentage of Subjects That Experienced Successful Deployment and Delivery of the Stent Graft at Implant

    Percentage of subjects that experienced successful deployment and delivery of the stent graft at implant. Successful deployment and delivery of the stent graft is used to measure effectiveness.

    Measured: At implant

  2. Percentage of Participants That Experienced Perioperative Mortality

    Percentage of subjects that experienced perioperative mortality. Perioperative morality is defined as all-cause mortality within 30 days after index procedure.

    Measured: Within 30 days post treatment

  3. Percentage of Participants That Experienced Paraplegia

    Percentage of subjects that experienced paraplegia within 30 days post treatment

    Measured: Within 30 days post treatment

  4. Percentage of Participants That Experienced Paraparesis

    Percentage of subjects that experienced paraparesis within 30 days post treatment

    Measured: Within 30 days post treatment

  5. Percentage of Participants That Experienced Secondary Procedures Due to Endoleak After Discharge

    Percentage of subjects that experienced secondary procedures due to endoleak after discharge within 30 days post treatment

    Measured: Within 30 days post treatment

  6. Percentage of Participants That Experienced One or More Major Adverse Events

    Percentage of subjects that experienced one or more major adverse events within 30 days post treatment, regardless of relatedness to study device

    Measured: Within 30 days post treatment

  7. Percentage of Participants That Experienced Aneurysm-related Mortality

    Percentage of subjects that experienced aneurysm-related mortality within 12 months post treatment

    Measured: Within 12 months post treatment

  8. Percentage of Participants That Experience Aneurysm Rupture

    Percentage of subjects that experience aneurysm rupture within 12 months post treatment

    Measured: Within 12 months post treatment

  9. Percentage of Participants That Experienced Conversion to Open Surgical Repair

    Percentage of subjects that experienced conversion to open surgical repair within 12 months post treatment

    Measured: Within 12 months post treatment

  10. Percentage of Participants That Experienced Endoleak(s)

    Percentage of subjects that experienced endoleak(s) of any type at 12 months

    Measured: At 12 months

  11. Percentage of Participants That Experienced Secondary Endovascular Procedures Due to Endoleak

    Percentage of subjects that experienced secondary endovascular procedures due to endoleak between 30 days and 12 months

    Measured: Between 30 days and 12 months

  12. Percentage of Participants That Experienced Stent Graft Migration

    Percentage of subjects that experienced stent graft migration within 12 months post treatment, as reported by the CEC. Of note, all migrations resulted from anatomical accommodation of the stent graft. All migrations were at the distal end of the stent graft, moving proximally. No endoleaks were associated to these migrations.

    Measured: Within 12 months post treatment

  13. Percentage of Participants That Experience Loss of Stent Graft Patency

    Percentage of subjects that experience loss of stent graft patency within 12 months post treatment

    Measured: Within 12 months post treatment

  14. Percentage of Participants That Experienced One or More Major Adverse Events

    Percentage of subjects that experienced one or more Major Adverse Events within 12 months post treatment

    Measured: Within 12 months post treatment

  15. Percentage of Participants That Died (All-cause Mortality)

    Percentage of subjects that died (all-cause mortality) five years post implant, regardless whether or not the cause of death was related to procedure, device, or condition treated

    Measured: 0 through 1825 days post treatment

  16. Percentage of Participants That Experienced Aneurysm-related Mortality

    Percentage of subjects that experienced aneurysm-related within five years post implant

    Measured: 0 through 1825 days post treatment

  17. Percentage of Participants That Experienced Aneurysm Ruptures

    Percentage of subjects that experienced aneurysm ruptures within five years post implant

    Measured: 0 through 1825 days post treatment

  18. Percentage of Participants That Experienced Conversions to Open Surgical Repair

    Percentage of subjects that experienced conversions to open surgical repair within five years post implant

    Measured: 0 through 1825 days post treatment

  19. Percentage of Participants That Experienced Type I Endoleaks

    Percentage of subjects that experienced type I endoleaks within five years post implant

    Measured: 0 through 1825 days post treatment

  20. Percentage of Participants That Experienced Type III Endoleaks

    Percentage of subjects that experienced type III endoleaks within five years post implant

    Measured: 0 through 1825 days post treatment

  21. Percentage of Participants That Experienced Type IV Endoleaks

    Percentage of subjects that experienced type IV endoleaks within five years post implant

    Measured: 0 through 1825 days post treatment

  22. Percentage of Participants That Experienced Secondary Endovascular Procedures

    Percentage of subjects that experienced secondary endovascular procedures within five years post implant

    Measured: 0 through 1825 days post treatment

  23. Percentage of Participants That Experienced Stent Graft Migrations (Site Reported)

    Percentage of subjects that experienced stent graft migrations within five years post implant, as reported by the clinical sites

    Measured: 0 through 1825 days post treatment

  24. Percentage of Participants That Experienced Loss of Stent Graft Patency

    Percentage of subjects that experienced loss of stent graft patency within five years post implant

    Measured: 0 through 1825 days post treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Dec 2006 (estimated)
  2. Study startDec 2006
  3. Primary completionAug 2010
  4. Study completionOct 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
160 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00413231
Sponsor's protocol ID
Investigational Plan #078
Status last verified
Oct 2021
First submitted
15 Dec 2006
Last updated
3 Nov 2021
Data monitoring committee
Yes

Publications

  • Conrad MF, Tuchek J, Freezor R, Bavaria J, White R, Fairman R. Results of the VALOR II trial of the Medtronic Valiant Thoracic Stent Graft. J Vasc Surg. 2017 Aug;66(2):335-342. doi: 10.1016/j.jvs.2016.12.136. Epub 2017 Mar 30.

    PubMed 28366302

Questions about this trial

What is this clinical trial studying?

A study testing Valiant Thoracic Stent Graft System in people with Thoracic Aortic Aneurysm, run by Medtronic Cardiovascular at 26 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Apr 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants That Did NOT Experience Aneurysm-Related Mortality (Post-market Primary Endpoint) (time frame: 0 through 1825 days post treatment). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00413231, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2021.

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