First-In-Human Study Evaluating Aneurysm Sac Lining in AAA Patients
ASCEND
Aneurysm SaC ManagemENt Device for Abdominal Aortic Aneurysms First-in-Human (ASCEND) Study
1 other identifier
interventional
15
1 country
1
Brief Summary
The goal of this clinical trial is to evaluate the safety and feasibility of the Cygnum Aneurysm Sac Management Device in patients with abdominal aortic aneurysms treated with endovascular aneurysm repair (EVAR). The main questions it aims to answer are:
- 1.Is the Cygnum device safe when used adjunctively with standard EVAR endografts?
- 2.Does it effectively reduce or prevent type II endoleaks by managing the aneurysm sac?
- 3.Undergo EVAR with adjunctive implantation of the Cygnum device
- 4.Have follow-up imaging (e.g., CT scans) and clinical assessments to evaluate device position and sac behavior over time
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2025
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 27, 2025
CompletedFirst Posted
Study publicly available on registry
June 13, 2025
CompletedStudy Start
First participant enrolled
November 26, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 1, 2028
December 9, 2025
December 1, 2025
9 months
May 27, 2025
December 2, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Incidence of major adverse events (MAEs)
Rate of related major adverse events (MAEs)
30 days post-procedure
Procedural Technical Success
Technical success, defined as lining the AAA sac wall with the investigational devices
Immediately after the intervention
Secondary Outcomes (4)
Incidence of related major adverse events (MAEs)
12 months post procedure
Incidence of related serious adverse events (SAEs)
12 months post procedure
Efficacy - Type II endoleaks
12 months post procedure
Efficacy - AAA sac diameter
12 months post procedure
Study Arms (1)
Cygnum ASMD Arm
EXPERIMENTALInterventions
Cygnum ASMD, adjunctive to EVAR, lines the aneurysmal wall to prevent type II endoleaks
Eligibility Criteria
You may qualify if:
- Patient can understand the purpose of the trial, voluntarily participate in the trial and sign the informed consent
- Patient is willing to complete the follow-up according to the requirements of the protocol.
- Patient AAA anatomy complies with "instructions for use" for commercial EVAR devices used
- ≥18 years old
- Abdominal aortic aneurysm with sac diameter ≥ 5.5cm in males and ≥ 5.0cm in females
- Maximum blood flow luminal diameter ≤ 50mm
- Eligible for endovascular aneurysm repair based on anatomical considerations, such as adequate iliac/femoral access
- Patient is American Society of Anesthesiology (ASA) grade 1 through 3, inclusive.
You may not qualify if:
- Concomitant Common Iliac Artery aneurysms ≥ 25mm
- Life expectancy \<2 years
- Already participating in an investigational drug or device study
- Known allergy or contraindication to any study device material
- Coagulopathy or uncontrolled bleeding disorder
- Ruptured, leaking, inflammatory or mycotic aneurysm
- Connective tissue diseases (e.g., Marfan Syndrome)
- Unsuitable vascular anatomy that may interfere with device introduction or deployment, in the opinion of the investigator
- Aneurysmal or dissected disease of the descending thoracic aorta
- Previous surgical or EVAR repair for AAA
- Myocardial infarction and/or major heart surgery ≤ 90 days prior to the procedure
- Transient Ischemic Attack or stroke ≤ 90 days prior to the procedure
- Unstable angina or other active cardiac condition such as congestive heart failure, untreated or worsening atrial arrhythmia, ventricular arrhythmia or valvular disease ≤ 30 days prior to the procedure
- Unable or unwilling to comply with study follow-up requirements
- Serum creatinine level ≥ 180 µmol/L
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Life Seal Vascular Inc.lead
- Auckland City Hospitalcollaborator
Study Sites (1)
Auckland City Hospital
Auckland, New Zealand
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Raja Ghanem
Life Seal Vascular Inc.
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 27, 2025
First Posted
June 13, 2025
Study Start
November 26, 2025
Primary Completion (Estimated)
September 1, 2026
Study Completion (Estimated)
September 1, 2028
Last Updated
December 9, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share