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Aortic DissectionPROTECTNCT03894033

Post-market Registry of the AMDS for the Treatment of Acute DeBakey Type I Dissection

An observational study of Aortic Dissection and Acute DeBakey I Dissection, run by JOTEC GmbH at 1 site in Germany.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The objective of this registry is to collect information on the performance and clinical benefits of the AMDS (Ascyrus Medical Dissection Stent) to treat patients with acute "DeBakey type I dissections" and with or without so called "preoperative clinically relevant malperfusion" and/or "intramural hematomas". Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Ascyrus Medical Dissection Stent (AMDS)
Type of treatment
Medical device
How many people
301 participants
Where
1 siteGermany
Study dates
12 Mar 2019to 30 Jun 2030
How long will I take part?
5 Years
Phase
Observational
Are there results?
Not yet: the study is under way

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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: All patients diagnosed with Acute DeBakey type I dissection based on CT angiography or IMH based on CT angiography and treated with the AMDS.

Who may be able to join

  • ≥18 and ≤ 80 years of age (male or female)
  • One of the following diagnosed within 14 days:
  • Acute DeBakey type I dissection based on CT angiography; or
  • IMH based on CT angiography

Who cannot join

  • General Exclusion Criteria:
  • < 18 years of age or > 80 years of age (male or female)
  • Unwilling to comply with the follow-up schedule
  • Refusal to give Informed Consent
  • Medical Exclusion Criteria:
  • Uncontrolled systemic infection
Show all 16Show fewer
  • Uncontrollable anaphylaxis to iodinated contrast
  • Known allergy(ies) to nitinol and/ or PTFE
  • Patient in extreme hemodynamic compromise requiring cardiopulmonary resuscitation (CPR)
  • Preoperative coma
  • Anatomical Exclusion Criteria:
  • Any pathology of mycotic origin
  • Subacute or chronic dissection of the ascending aorta and aortic arch (>14 days after the index event)
  • Aortic fistulous communication with non-vascular structure (e.g. esophagus, bronchial)
  • Extensive thrombus or calcification in the aortic arch as defined by CT angiography
  • Excessive tortuosity precluding safe passage of the AMDS as defined by CT angiography

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Deutsches Herzzentrum der Charité

    Berlin, State of Berlin, 13353

Other trials in Germany

About this study

Official title: Post-market Registry of the AMDS for the Treatment of Acute DeBakey Type I Dissection: PROTECT Registry

The objective of this registry is to collect information on the performance and clinical benefits of the AMDS (Ascyrus Medical Dissection Stent) to treat patients with acute "DeBakey type I dissections" and with or without so called "preoperative clinically relevant malperfusion" and/or "intramural hematomas".

In a healthy aorta (the vessel that supplies blood to most of the body) the blood flows freely through the main lumen (a space inside the vessel where blood flows). The participants involved in this study have a tear that has separated the inner layer of the aorta wall and created a secondary channel (false lumen) in addition to the main channel (true lumen), and huts, the blood flows through both channels.

AMDS is a stent (a metal tube helping to keep the vessel open) that is placed in the descending thoracic aorta. AMDS is a medical device commercially available in the countries in which the study is being conducted and it is used as standard of care according to its indication.

Read the detailed description

Observational, prospective and retrospective, non-randomized, non-interventional study to investigate the performance and clinical benefits of the AMDS to treat patients with acute DeBakey type I dissections with or without clinically relevant preoperative malperfusion and/or intramural hematomas (IMH).

Participating physicians will be asked to provide their observations collected during routine care for patients they had decided to treat with AMDS. Informed consent of the patients to allow the use of their clinical records for the purpose of this observational study will be obtained before data are being collected.

A total number of 300 subjects will be enrolled in up to 30 sites in Europe and Canada. The AMDS will be implanted according to the instructions for use and at the discretion of the treating physician.

This registry was initiated by Ascyrus Medical GmbH in August 2019 (DARTS PM Registry). About 70 patients were enrolled at that time by German and Canadian sites under previous protocol. The patient's enrollment was put on-hold and the study has been re-started as PROTECT Registry with updated study documents as per JOTEC's standard operating procedures upon Ethics Committees approvals.

Patients already included in DARTS PM Registry will be re-consented (where applicable as per local regulatory requirements) to allow the retrospective and prospective collection of additional data points not included in the initial version of the protocol. It is also planned to retrospectively include up to 150 subjects of the 300 targeted subjects, which have been treated with AMDS and who consent to the collection of their data (if required by national law) and are willing to continue in this registry, if applicable.

Being tested
Ascyrus Medical Dissection Stent (AMDS)
Keywords
Aortic diseases, Cardiovascular diseases, Aortic Dissection, Aortic Remodeling, Malperfusion, Acute Aortic Dissection
Medical subject headings
Aortic Dissection, Aortic Diseases, Cardiovascular Diseases

What participants receive

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

  • Ascyrus Medical Dissection Stent (AMDS)Device

    Also called AMDS Arch Remodeling Therapy

    The device will be implanted during already planned surgical intervention for aortic dissection repair. The participant will be observed and data gathered during the surgery and routine standard of care follow up visits.

What is being measured

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

  1. Positive arch remodeling

    Rate of patients with positive arch remodeling defined as either stable or decreasing total aortic diameter in zone 2.

    Measured: 3-6 months

Secondary outcomes (29)
  1. All-cause mortality

    Rate of all-cause mortality

    Measured: In-hospital, at 30 days, 3-6 months, 1 year, 2, 3, 4, 5 years

  2. Device-related in-hospital mortality

    Rate of device-related in-hospital mortality

    Measured: Discharge (definition: between 1-29 days)

  3. Device-related mortality

    Rate of device-related mortality

    Measured: 30 days, 3-6 months, 1 year, 2, 3, 4, 5 years

  4. Resolution of malperfusion in patients who presented initially with malperfusion

    Rate of patients with resolution of malperfusion in patients who presented initially with malperfusion

    Measured: Discharge (definition: between 1-29 days), 30 days, and 3-6 months

  5. New disabling (Modified Rankin Scale mRS ≥ 2), permanent (>30 days) stroke

    Rate of patients with new disabling (mRS ≥ 2), permanent (>30 days) stroke

    Measured: Discharge (definition: between 1-29 days), 30 days, 3-6 months,1 year, 2, 3, 4 and 5 years

  6. New disabling (Modified Rankin Scale mRS ≥ 2), transient (< 30 days) stroke

    Rate of patients with new disabling (mRS ≥ 2), transient (< 30 days) stroke

    Measured: Discharge (definition: between 1-29 days), 30 days, 3-6 months,1 year, 2, 3, 4 and 5 years

  7. New paralysis

    Rate of patients with new paralysis

    Measured: Discharge (definition: between 1-29 days), 30 days, 3-6 months,1 year, 2, 3, 4 and 5 years

  8. New paraplegia

    Rate of patients with new paraplegia and 5 years

    Measured: Discharge (definition: between 1-29 days), 30 days, 3-6 months, 1 year, 2, 3, 4 and 5 years

  9. New aortic rupture associated with the implantation of the device

    Rate of patients with new aortic rupture associated with the implantation of the device (procedure or AMDS related)

    Measured: 30 days, 3-6 months,1 year, 2, 3, 4 and 5 years

  10. Patent innominate artery

    Rate of patients with patent innominate artery (< 50% stenosis of the origin of the branch vessels)

    Measured: Discharge (definition: between 1-29 days), 3-6 months,1 year, 2, 3, 4 and 5 years (CoreLab)

  11. Source of innominate artery stenosis

    Source of innominate artery stenosis (thrombosis, dissection flap covering, dissection extension into vessel)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4 and 5 years (CoreLab)

  12. Patent left carotid artery

    Rate of patients with patent left carotid artery (< 50% stenosis of the origin of the branch vessels)

    Measured: Discharge (definition: between 1-29 days), 3-6 months,1 year, 2, 3, 4 and 5 years (CoreLab)

  13. Source of left carotid artery stenosis

    Source of left carotid artery stenosis (thrombosis, dissection flap covering, dissection extension into vessel)

    Measured: Discharge (definition: between 1-29 days), 3-6 months,1 year, 2, 3, 4 and 5 years (CoreLab)

  14. Patent left subclavian artery

    Rate of patients with patent left subclavian artery (< 50% stenosis of the origin of the branch vessels)

    Measured: Discharge (definition: between 1-29 days), 3-6 months,1 year, 2, 3, 4 and 5 years (CoreLab)

  15. Source of left subclavian artery stenosis

    Source of left subclavian artery stenosis (thrombosis, dissection flap covering, dissection extension into vessel)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4 and 5 years (CoreLab)

  16. Absence of distal anastomotic new entry tear (DANE)

    Rate of patients with absence of distal anastomotic new entry tear (DANE)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4, and 5 years (CoreLab)

  17. Increasing true lumen

    Rate of patients with increasing true lumen [change in diameter at the maximal diameter location within each Zone which is greater than or equal to a 5 mm expansion in comparison to the diameter on the pre-op computed tomography angiography (CTA) scan] in the stented region (Zones 1-3)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4, and 5 years (CoreLab)

  18. Stable true lumen

    Rate of patients with stable true lumen [change in diameter at the maximal diameter location within each Zone which is between a 5 mm reduction and a 5 mm expansion in comparison to the diameter on the pre-op computed tomography angiography (CTA) scan] in the stented region (Zones 1-3)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4, and 5 years (CoreLab)

  19. Stable or increasing true lumen in the stented region

    Rate of patients with stable or increasing true lumen in the stented region (Zones 1-3)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4 and 5 years (CoreLab)

  20. Decreasing true lumen

    Rate of patients with decreasing true lumen [change in diameter at the maximal diameter location within each Zone which is greater than or equal to a 5 mm reduction in comparison to the diameter on the pre-op computed tomography angiography (CTA) scan] in the stented region (Zones 1-3)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4 and 5 years (CoreLab)

  21. Increasing false lumen

    Rate of patients with increasing false lumen (≥ 5mm) in the stented region (Zones 1-3)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4 and 5 years (CoreLab)

  22. Stable false lumen in the stented region

    Rate of patients with stable false lumen in the stented region (Zones 1-3)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4 and 5 years (CoreLab)

  23. Decreasing false lumen

    Rate of patients with decreasing false lumen (≤ - 5 mm) in the stented region (Zones 1-3)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4 and 5 years (CoreLab)

  24. Rate of patients with stable or decreasing false lumen

    Stable or decreasing false lumen in the stented region (Zones 1-3)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4 and 5 years (CoreLab)

  25. Freedom from AMDS stent removal

    Rate of patients with freedom from AMDS stent removal

    Measured: Discharge (definition: between 1-29 days), 30 days, 3-6 months, 1 year, 2, 3, 4 and 5 years

  26. Freedom from AMDS-related reintervention

    Rate of patients with freedom from AMDS-related reintervention

    Measured: Discharge (definition: between 1-29 days), 30 days, 3-6 months, 1 year, 2, 3, 4 and 5 years

  27. Freedom from aortic arch reintervention

    Rate of patients with freedom from aortic arch reintervention

    Measured: Discharge (definition: between 1-29 days), 30 days, 3-6 months, 1 year, 2, 3, 4 and 5 years

  28. Successful AMDS deployment (at discharge

    Rate of patients with successful AMDS deployment (at discharge

    Measured: Discharge (definition: between 1-29 days)

  29. Completely thrombosed, partially thrombosed, or patent false lumen in the arch and descending aorta (Zones 0-5)

    Rate of patients with completely thrombosed, partially thrombosed, or patent false lumen in the arch and descending aorta (Zones 0-5)

    Measured: Discharge (definition: between 1-29 days), 3-6 months, 1 year, 2, 3, 4 and 5 years (CoreLab)

Timeline

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

  1. First posted28 Mar 2019
  2. Study start12 Mar 2019
  3. Primary completion30 Jun 2026 (estimated)
  4. Study completion30 Jun 2030 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
301 participants (actual)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT03894033
Sponsor's protocol ID
PROTECT Registry
Acronym
PROTECT
Status last verified
Feb 2026
First submitted
27 Mar 2019
Last updated
9 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: All study participant data will be de-identified.

Questions about this trial

What is this clinical trial studying?

An observational study of Aortic Dissection and Acute DeBakey I Dissection, run by JOTEC GmbH at 1 site in Germany.

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 4 inclusion and 16 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: under way, not looking for participants, as of the sponsor's last update on 9 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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?

This study is still under way. Results are not available in the source record yet.

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?

Positive arch remodeling (time frame: 3-6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 9 Feb 2026.

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