Endovascular Treatment of Thoracic Aortic Disease
EVOLVE Aorta
4 other identifiers
interventional
170
1 country
2
Brief Summary
The purpose of this study is to assess the role endovascular therapy to treat aortic disease involving the ascending aorta, the aortic arch, and the visceral segment of the aorta (or thoracoabdominal aorta)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2018
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 20, 2007
CompletedFirst Posted
Study publicly available on registry
December 31, 2007
CompletedStudy Start
First participant enrolled
October 25, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2030
May 4, 2026
April 1, 2026
12.1 years
December 20, 2007
April 28, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
All-cause mortality
Freedom from death in perioperative and follow up time period
5 years
Stroke and TIA
Freedom from peri-operative neurologic event
30 days
Aneurysm-related death
Freedom from aneurysm death related to reintervention or incomplete repair
5 years
Study Arms (3)
Ascending Aortic Arm
EXPERIMENTALInvestigational endovascular stent-graft implantation to exclude aneurysm or repair dissection of the ascending aorta.
Arch Branch Arm
EXPERIMENTALInvestigational endovascular stent-graft implantation to exclude aneurysm or repair dissection of the aortic arch.
Thoracoabdominal Aortic Arm
EXPERIMENTALInvestigational endovascular stent-graft implantation to exclude thoracoabdominal aortic pathology including aortic aneurysms, renal artery aneurysms, and superior mesenteric artery aneurysms.
Interventions
Endovascular repair of aorta: Patient-specific F/BEVAR treatment
Eligibility Criteria
You may qualify if:
- Life expectancy greater than 2 years
- Suitable arterial anatomy
- Absence of systemic disease or allergy that precludes an endovascular repair
- Capable of giving informed consent and willingness to comply with follow up schedule
- Patient is considered high or prohibitive risk for open surgical repair of the ascending aneurysm or dissection
- Have ONE of the following
- Focal aneurysm in ascending aorta
- Pseudoaneurysms and/or dissections that are distal to the sinotubular junction.
- A thoracoabdominal aortic aneurysm ≥ 5.0 cm in women and ≥ 5.5 cm in men
- Have morphology or growth suggestive of immanent rupture
- Must meet ALL of the following:
- Proximal Fixation:
- \>15 mm aortic length distal to a patent coronary artery or coronary artery bypass that are considered patent and necessary for proper cardiac perfusion.
- Proximal fixation may occur in either native aorta or surgical graft
- In the setting of the aortic dissection, the proximal fixation must be proximal to the entry tear.
- +72 more criteria
You may not qualify if:
- Patient can be treated in accordance with the instructions for use with a commercially marketed endovascular prosthesis
- Patient qualifies for treatment of thoracoabdominal aortic repair under an industry-sponsored clinical trial, open to enrollment at the Massachusetts General Hospital \& Brigham and Women's Hospital
- Pregnancy
- History of anaphylactic reaction to contrast material with an inability to properly prophylax the patient appropriately
- Known sensitivity or allergy to materials of construction of the device (including the materials of the LP device).
- Body habitus that would inhibit X-ray visualization of the aorta
- Subject had a major surgical or interventional procedure unrelated to the treatment of the aneurysm planned \<30 days from the endovascular repair
- Unstable angina
- Unwilling to comply with follow up schedule
- Systemic or local infection that may increase the risk of endovascular graft infection
- An uncorrectable coagulopathy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Matthew Eagletonlead
- Massachusetts General Hospitalcollaborator
Study Sites (2)
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
Related Publications (6)
Mesnard T, Huang Y, Schanzer A, Timaran CH, Schneider DB, Mendes BC, Eagleton MJ, Farber MA, Parodi FE, Gasper WJ, Beck AW, Sweet MP, Zetterval SL, Lee A, Oderich GS; United States Aortic Research Consortium. Multicenter Prospective Evaluation of Patient Radiation Exposure During Fenestrated-Branched Endovascular Aortic Repair: A Ten-year Experience. Ann Surg. 2025 Feb 18. doi: 10.1097/SLA.0000000000006676. Online ahead of print.
PMID: 39963789DERIVEDOderich GS, Huang Y, Harmsen WS, Tenorio ER, Schanzer A, Timaran CH, Schneider DB, Mendes BC, Eagleton MJ, Farber MA, Gasper WJ, Beck AW, Sweet MP, Lee WA; United States Aortic Research Consortium. Early and Late Aortic-Related Mortality and Rupture After Fenestrated-Branched Endovascular Aortic Repair of Thoracoabdominal Aortic Aneurysms: A Prospective Multicenter Cohort Study. Circulation. 2024 Oct 22;150(17):1343-1353. doi: 10.1161/CIRCULATIONAHA.123.068234. Epub 2024 Jul 11.
PMID: 38989575DERIVEDFinnesgard EJ, Beck AW, Eagleton MJ, Farber MA, Gasper WJ, Lee WA, Oderich GS, Schneider DB, Sweet MP, Timaran CH, Simons JP, Schanzer A; United States Aortic Research Consortium. Severity of acute kidney injury is associated with decreased survival after fenestrated and branched endovascular aortic aneurysm repair. J Vasc Surg. 2023 Oct;78(4):892-901. doi: 10.1016/j.jvs.2023.05.034. Epub 2023 Jun 16.
PMID: 37330702DERIVEDAucoin VJ, Motyl CM, Novak Z, Eagleton MJ, Farber MA, Gasper W, Oderich GS, Mendes B, Schanzer A, Tenorio E, Timaran CH, Schneider DB, Sweet MP, Zettervall SL, Beck AW; U.S. Aortic Research Consortium. Predictors and outcomes of spinal cord injury following complex branched/fenestrated endovascular aortic repair in the US Aortic Research Consortium. J Vasc Surg. 2023 Jun;77(6):1578-1587. doi: 10.1016/j.jvs.2023.01.205. Epub 2023 Apr 13.
PMID: 37059239DERIVEDHaulon S, Greenberg RK, Spear R, Eagleton M, Abraham C, Lioupis C, Verhoeven E, Ivancev K, Kolbel T, Stanley B, Resch T, Desgranges P, Maurel B, Roeder B, Chuter T, Mastracci T. Global experience with an inner branched arch endograft. J Thorac Cardiovasc Surg. 2014 Oct;148(4):1709-16. doi: 10.1016/j.jtcvs.2014.02.072. Epub 2014 Feb 28.
PMID: 24685375DERIVEDBrown CR, Greenberg RK, Wong S, Eagleton M, Mastracci T, Hernandez AV, Rigelsky CM, Moran R. Family history of aortic disease predicts disease patterns and progression and is a significant influence on management strategies for patients and their relatives. J Vasc Surg. 2013 Sep;58(3):573-81. doi: 10.1016/j.jvs.2013.02.239. Epub 2013 Jul 1.
PMID: 23809203DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Matthew J Eagleton, MD
Massachusetts General Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Physician Sponsor/PI
Study Record Dates
First Submitted
December 20, 2007
First Posted
December 31, 2007
Study Start
October 25, 2018
Primary Completion (Estimated)
December 1, 2030
Study Completion (Estimated)
December 1, 2030
Last Updated
May 4, 2026
Record last verified: 2026-04