NCT05800743

Brief Summary

The primary objective of ARISE II is to assess the safety and effectiveness of the GORE® Ascending Stent Graft device in the treatment of lesions involving the ascending aorta and aortic arch.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
370

participants targeted

Target at P75+ for not_applicable

Timeline
93mo left

Started Nov 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

40 active sites

Status
enrolling by invitation

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

Study Progress24%
Nov 2023Jan 2034

First Submitted

Initial submission to the registry

March 23, 2023

Completed
14 days until next milestone

First Posted

Study publicly available on registry

April 6, 2023

Completed
8 months until next milestone

Study Start

First participant enrolled

November 28, 2023

Completed
5.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2029

Expected
4.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2034

Last Updated

April 28, 2026

Status Verified

September 1, 2025

Enrollment Period

5.8 years

First QC Date

March 23, 2023

Last Update Submit

April 22, 2026

Conditions

Keywords

Ascending AortaPseudoaneurysmAortic LesionEndovascular RepairAortic Aneurysm, Thoracic

Outcome Measures

Primary Outcomes (2)

  • Primary effectiveness endpoint as measured by device technical success and absence of reintervention.

    The primary effectiveness endpoint is a composite of the following events through one month post procedure: Device Technical Success and Absence of Reintervention. Technical Success is defined as including: 1. Successful access and delivery to the intended implantation site, and retrieval of the device delivery system, and; 2. Accurate placement of the device at the intended implantation site, and 3. Patency of the graft in absence of clinically significant device deformations (e.g., kinking, stent eversion, mal-deployment, misaligned deployment), and Absence of reintervention is defined as: The absence of unanticipated additional procedures related to the device, procedure, or withdrawal of the delivery system

    30 Days

  • Primary Safety Endpoint as measured by a composite of the absence of aortic rupture, lesion-related mortality, disabling stroke, permanent paraplegia, permanent paraparesis, and new onset renal failure requiring permanent dialysis.

    The primary safety endpoint is a composite of the following events through 30 days post endovascular procedure: * Aortic rupture * Lesion-related mortality * Disabling Stroke * Permanent paraplegia * Permanent paraparesis * New onset renal failure requiring permanent dialysis

    30 Days

Secondary Outcomes (2)

  • Secondary endpoints as measured as a composite of procedural and treatment success.

    30 Days, and 6, 12, 24, 36, 48 and 60 months

  • Secondary endpoint as measured by Short Form-36® physical component summary (PCS)

    12 months

Study Arms (3)

ASG device only in Ascending Aorta

EXPERIMENTAL

Ascending Aortic Isolated Lesions, Pseudoaneurysms and Penetrating Aortic Ulcers in subjects at high-risk for surgical repair, treated with endovascular repair using the ASG device alone.

Device: GORE® Ascending Stent Graft (ASG device)

ASG + TBE

EXPERIMENTAL

Ascending Aorta/Aortic Arch Isolated Lesions and Chronic De Novo Dissections in subjects at high-risk for surgical repair, treated with endovascular repair using the ASG and TBE devices.

Device: GORE® Thoracic Aortic Graft Thoracic Branch Endoprosthesis (TBE Device)

Surgical Follow-up Cohort

OTHER

Open surgical repair of ascending aorta in subjects at high-risk for surgical repair

Procedure: Surgery

Interventions

Endovascular aortic repair of the ascending aorta

ASG device only in Ascending Aorta
SurgeryPROCEDURE

Open surgical repair of the ascending aorta and/or the aortic arch

Surgical Follow-up Cohort

Endovascular aortic repair of the ascending aorta/aortic arch

Also known as: Revascularization Procedure
ASG + TBE

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • The patient is/has:
  • Ascending Aortic pathologies warranting surgical repair compatible with the treatment requirements of the ASG device meeting any of the following criteria: Aneurysm
  • Fusiform aneurysm (≥50mm or documented growth rate \>0.5cm/year)
  • Saccular aneurysm (no diameter criteria)
  • Pseudoaneurysms (\>30 days post-surgery, no diameter criteria) Non-aneurysm
  • Penetrating Aortic Ulcers (PAUs) (no diameter criteria)
  • Pseudoaneurysms, following open surgical repair of a Type A dissection (\>30 days post-surgery, no diameter criteria)
  • Anatomic compatibility with ASG device based on Gore Imaging Sciences review.
  • Treatment must be limited to the ascending aorta
  • Lesion location is ≥2cm distal to the most distal coronary artery ostia
  • Distal extent of the lesion is located ≥2cm proximal to the origin of the Brachiocephalic Artery (BCA)
  • Proximal and distal landing zones must be ≥2cm in length
  • Landing zones cannot be heavily calcified, or heavily thrombosed
  • Landing zone diameter between 27mm - 48mm
  • For patients with prior replacement of the ascending aorta and/or aortic arch by an endovascular or surgical graft, there must be at least ≥2 cm overlap of ASG device and previously implanted graft.
  • +8 more criteria

You may not qualify if:

  • The patient is/has:
  • De novo Type A dissection
  • Requires immediate treatment
  • Dissected great vessels requiring treatment
  • Anticipated need for coronary or aortic valve intervention within one year post treatment
  • Any aortic valve repair or replacement including transcatheter aortic valve replacement (TAVR) or coronary artery intervention within 30 days prior to treatment
  • Complex percutaneous coronary intervention (PCI) or treatment for acute coronary syndrome requiring Dual Anti Platelet Therapy (DAPT) within 30 days prior to treatment
  • Open chest surgical repair within 30 days prior to treatment
  • Presence of Intramural Hematoma (IMH) in landing zones
  • Prosthetic heart valve in the aortic position that precludes safe delivery of the ASG device
  • Aortic insufficiency grade 3 or greater
  • Previous endovascular repair with a non-Gore device that would interfere with or result in contact with planned repair
  • Concomitant vascular disease requiring treatment that is not planned for index endovascular procedure
  • Any stroke or myocardial infarction within 6 weeks prior to treatment
  • Presence of protruding and/or irregular thrombus and/or atheroma in the ascending aorta or aortic arch or any other factors that could increase the risk of stroke based on imaging review
  • +79 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (40)

University of Alabama at Birmingham

Birmingham, Alabama, 35233, United States

Location

MemorialCare Heart and Vascular Institute - Long Beach Medical Center

Long Beach, California, 90806, United States

Location

Keck Medical Center University of Southern California, HCC II

Los Angeles, California, 90033, United States

Location

Cedars Sinai Medical Center

Los Angeles, California, 90048, United States

Location

Stanford Hospital

Stanford, California, 94305, United States

Location

University of Colorado Hospital Authority

Aurora, Colorado, 80045, United States

Location

Hartford Hospital

Hartford, Connecticut, 06102, United States

Location

MedStar Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

University of Florida - Gainesville

Gainesville, Florida, 32610, United States

Location

Emory University Hospital

Atlanta, Georgia, 30322, United States

Location

Northwestern University -Bluhm Cardiovascular Institute, Clinical Trials Unit

Chicago, Illinois, 60611, United States

Location

Indiana University School of Medicine

Indianapolis, Indiana, 46202, United States

Location

University of Maryland Medical Center

Baltimore, Maryland, 21201, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

University of Michigan Frankel Cardiovascular Center

Ann Arbor, Michigan, 48109, United States

Location

Corewell Health

Grand Rapids, Michigan, 49503, United States

Location

Mayo Clinic - Rochester

Rochester, Minnesota, 55905, United States

Location

Washington University School of Medicine - St. Louis

St Louis, Missouri, 63110, United States

Location

Hackensack UMC

Hackensack, New Jersey, 07601, United States

Location

Westchester Medical Center

Valhalla, New York, 10595, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599, United States

Location

Atrium Health

Charlotte, North Carolina, 28204, United States

Location

Duke University Medical Center

Durham, North Carolina, 27710, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

Location

OhioHealth Research and Innovation Institute

Columbus, Ohio, 43214, United States

Location

Oregon Health and Science University

Portland, Oregon, 97239, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19105, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Lankenau Institute for Medical Research

Wynnewood, Pennsylvania, 19096, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Cardiothoracic and Vascular Surgeons

Austin, Texas, 78756, United States

Location

Methodist DeBakey Heart & Vascular Center

Houston, Texas, 77030, United States

Location

The Heart Hospital at Baylor Plano

Plano, Texas, 75093, United States

Location

Intermountain Heart Institute

Murray, Utah, 84107, United States

Location

Inova Fairfax Medical Campus

Falls Church, Virginia, 22042, United States

Location

Sentara Mid Atlantic Cardiothoracic Surgeons

Norfolk, Virginia, 23507, United States

Location

University of Washington Medical Center

Seattle, Washington, 98195, United States

Location

West Virginia University Medicine

Morgantown, West Virginia, 26506, United States

Location

University of Wisconsin Hospital & Clinics

Madison, Wisconsin, 53792, United States

Location

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

MeSH Terms

Conditions

Aortic Aneurysm, ThoracicAneurysm, FalseAortic Dissection

Interventions

Surgical Procedures, Operative

Condition Hierarchy (Ancestors)

Aortic AneurysmAneurysmVascular DiseasesCardiovascular DiseasesAortic DiseasesDissection, Blood VesselAcute Aortic Syndrome

Study Officials

  • Eric Roselli, MD

    The Cleveland Clinic

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 23, 2023

First Posted

April 6, 2023

Study Start

November 28, 2023

Primary Completion (Estimated)

October 1, 2029

Study Completion (Estimated)

January 1, 2034

Last Updated

April 28, 2026

Record last verified: 2025-09

Locations