ClinicalTrials.gg
Active, not recruitingNCT03090230Updated May 31, 2025

Study of the Relay Pro® Thoracic Stent-Graft in Subjects With Traumatic Injury of the Descending Thoracic Aorta

An interventional study of Relay Pro Thoracic Stent-Graft System in Other Specified Injury of Thoracic Aorta, sponsored by Bolton Medical. Active, not recruiting at 16 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-31.

Sponsored by Bolton Medical (part of Terumo Corporation) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate the safety and effectiveness of the RelayPro Thoracic Stent-Grafts in subjects with traumatic injury of the descending thoracic aorta (DTA)

Read the detailed description

This is a prospective, multicenter, non-blinded, non-randomized study of the RelayPro Thoracic Stent-Graft in subjects with traumatic injury of the DTA in subjects who are candidates for endovascular repair.The primary objective of the study is all-cause mortality at 30 days post procedure.

The secondary objectives of the trial will include descriptive analyses of procedural and post-procedural observations through 5 years of follow-up.

02

Conditions studied

  • Other Specified Injury of Thoracic Aorta

Keywords

  • Descending Thoracic Aorta
  • DTA
  • Transection
  • Traumatic Injury of the Descending Thoracic Aorta
03

In context

Lead sponsor

Bolton Medical is the lead sponsor of 14 studies on the registry; none are open to participants now.

First submitted before Bolton Medical became part of Terumo Corporation.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age greater than 18 years
  • Subject must have a traumatic injury of the descending thoracic aorta that occurred no more than 30 days prior to the planned stent implant procedure
  • Proximal and distal landing zones with diameter between 19 mm and 42 mm.
  • Subject must have a proximal attachment zone distal to the left common carotid and a distal attachment zone proximal to the origin of the celiac artery.
  • The length of the attachment zones will depend on the intended stent graft diameter.

    1. The proximal attachment zone should be: i. 15 mm for 22 - 28 mm grafts with bare stent (20 mm for RelayPro grafts with non-bare stent). ii. 20 mm for 30 - 46 mm grafts with bare stent (25 mm for RelayPro grafts with non-bare stent).
    2. The distal attachment zone should be 20 mm for all Relay Pro grafts.
  • Coverage of the left subclavian artery is permitted. Revascularization of the left subclavian artery may be considered in all cases by the treating physician and, especially, in anatomies where revascularization is determined to be clinically necessary
  • Proximal and distal attachment zones containing a straight segment (non-tapered, non-reverse tapered, defined by \<10% diameter change) with lengths equal to or greater than the required attachment length for the intended device.
  • Adequate iliac or femoral artery access for introduction of the RelayPro delivery system. Alternative methods to gain proper access may be utilized (e.g., iliac conduit).
  • Subject willing to comply with the follow-up evaluation schedule.
  • Subject (or Legally Authorized Representative, LAR) agrees to sign an Form prior to treatment

Exclusion criteria

Exclusion Criteria:

  • Significant stenosis, calcification, thrombus, or tortuosity of intended fixation sites that would compromise fixation or seal of the device.
  • Planned coverage of left carotid or celiac arteries; or anatomic variants that may compromise circulation to the carotid, vertebral, or innominate arteries after device placement, and are not amenable to subclavian revascularization
  • Prior endovascular or surgical repair in the DTA. The device may not be placed within any prior endovascular or surgical graft.
  • Concomitant aneurysm/disease of the ascending aorta, aortic arch, or abdominal, aorta requiring repair.
  • Prior abdominal aortic aneurysm repair (endovascular or surgical) that was performed less than 6 months prior to the planned stent implant procedure.
  • Untreatable allergy or sensitivity to contrast media or device components.
  • Known or suspected connective tissue disorder.
  • Blood coagulation disorder or bleeding diathesis for which the treatment cannot be suspended for one week pre- and/or post-repair.
  • Coronary artery disease with unstable angina.
  • Severe congestive heart failure ( functional class IV).
  • Stroke and/or Myocardial Infarction within 3 months of the planned treatment date.
  • Pulmonary disease requiring the routine (daily or nightly) need for oxygen therapy outside the hospital setting.
  • Acute renal failure or chronic renal insufficiency, and not receiving dialysis.
  • Hemodynamically unstable.
  • Active systemic infection and/or mycotic aneurysms.
  • Morbid obesity or other condition that may compromise or prevent the necessary imaging requirements.
  • Injury Severity Score of 75.
  • Less than two-year .
  • Current or planned participation in an drug or device study that has not completed primary endpoint evaluation.
  • Currently pregnant or planning to become pregnant during the course of the study.
  • Medical, social, or psychological issues that Investigator believes may interfere with treatment or follow-up.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Relay Pro Thoracic Stent-Graft System

    The Relay Pro arm includes subjects who receive the device to treat traumatic injury of the descending thoracic aorta with the RelayPro Thoracic Stent-Graft System

    Device: Relay Pro Thoracic Stent-Graft System

Interventions

  • DeviceRelay Pro Thoracic Stent-Graft System

    RelayPro Thoracic Stent-Grafts are designed for the management of patients with aneurysms and penetrating ulcers within the descending thoracic aorta (DTA). The device is designed specifically for use in the thoracic aorta.

06

What researchers measure

Primary outcomes

  1. Mortality post-procedure

    All-cause mortality at 30 days post-procedure

    Time frame: 30 days

Secondary outcomes

  1. Successful device delivery and deployment

    Successful delivery and deployment of the device, including withdrawal of the delivery system, will be assessed with angiography during the index procedure at the Treatment Visit.

    Time frame: During Implantation

  2. Loss of stent-graft patency

    Loss of stent-graft patency through 5 years

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  3. Aortic rupture

    Aortic rupture will be assessed at each follow-up visit with CT scans, or MRIs for subjects unable to tolerate contrast media

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  4. Stent fractures in the attachment zone

    Stent fractures in the attachment zone will be assessed at each follow-up visit with CT scans, or MRIs for subjects unable to tolerate contrast media

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  5. Endoleaks

    Persistence of blood flow outside the lumen of the stent-graft but within the native aorta or adjacent vascular segment being treated by the stent-graft

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  6. Compression of stent-graft

    Extra-luminal compression of the stent-graft will be assessed at each follow-up visit with xrays, CT scans, or MRIs for subjects unable to tolerate contrast media

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  7. Erosion and/or extrusion

    Erosion and extrusion will be assessed at each follow-up visit with CT scans, or MRIs for subjects unable to tolerate contrast media

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  8. Aortic expansion

    Aortic expansion (\> 5mm) compared to the first post-procedural CT

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  9. Endograft infection

    Infection of stent-graft

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  10. Incidence of open or endovascular secondary interventions

    Incidence of open or endovascular secondary interventions to treat malperfusion, rupture, aneurysm formation, or aortic expansion

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  11. Migration

    Stent migration (\> 10 mm) compared to the first post-procedural CT; formation, or aortic expansion

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  12. Major adverse events

    death, stroke, paralysis formation, or aortic expansion

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  13. Aortic-related death

    formation, or aortic expansion

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

  14. Vascular access complications

    The Time Frame for reporting is during the Treatment Visit. Data should be captured upon conclusion of the Treatment Visit. Outcome measures include successful delivery and deployment of the device, as well as withdrawal of the delivery system

    Time frame: During the initial implant attempt

  15. All-cause mortality

    All causes where subject death is the result of a serious and device- or procedure related adverse effect. Unrelated and accidental deaths, for example a subject death due to injuries sustained from a gunshot wound, would not be included in the evaluation.

    Time frame: 1 month, 6 months, 12 months, and annually through 5 years

07

Study locations

16 sites
08

References and documents

Publications

  • Starnes BW, Rajani RR, Rossi P, Singh N, Benarroch-Gampel J, Cho JS, Nassiri N, Smeds MR, Kalapatapu V, Stern JR, Kabutey NK, Corvera J; RelayPro Investigators. Early survival benefit of a low-profile endograft in blunt traumatic aortic injury. J Vasc Surg. 2024 Sep;80(3):678-684.e1. doi: 10.1016/j.jvs.2024.04.051. Epub 2024 Apr 25. PubMed 38677660 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03090230
Lead sponsor
Bolton Medical
Responsible party
Sponsor
First posted
Mar 24, 2017
Start date
Apr 17, 2017
Primary completion
Dec 22, 2020
Completion
Nov 22, 2025 (estimated)
Last update
May 31, 2025

Study contacts

Ben Starnes, MD
principal investigator · University of Washington
Ravi Rajani, MD
principal investigator · Emory University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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