ClinicalTrials.gg
Active, not recruitingNCT04383145INNER-BUpdated Feb 17, 2026

A Study in Patients With Thoracoabdominal Aortic Aneurysm Treated With the E-nside TAAA Multibranch Stent Graft System

An observational study in Vascular Aneurysm, sponsored by JOTEC GmbH. Active, not recruiting at 1 site in Germany. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-02-17.

Sponsored by JOTEC GmbH · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
150
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The INNER-B post-market clinical follow-up study is undertaken to evaluate the prevention of death related to a thoracoabdominal aneurysm when treated by the E-nside TAAA Multibranch Stent Graft System.

The secondary objective is to evaluate the safety and clinical performance of the device.

Read the detailed description

In this study patients will be observed, who receive an E-nside TAAA Multibranch Stent Graft System for the endovascular treatment of a degenerative, atherosclerotic thoracoabdominal aortic aneurysm. The E-nside TAAA Multibranch Stent Graft will be implanted at the discretion of the treating physician.

Participating physicians will be asked to provide their observations collected during routine care for patients he/she had decided to treat with the E-nside TAAA Multibranch Stent Graft System. 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.

The period of data collection will be approximately 60 months from the index procedure for each patient. Source document verification will be performed on 100% of patients; data from all visits will be reviewed and verified against existing source documents. Complete DICOM image files of the CT scans will be sent to the CoreLab for independent evaluation.

02

Conditions studied

  • Vascular Aneurysm

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Keywords

  • Thoracoabdominal
  • aorta
  • aneurysm
  • endovascular
  • repair
03

In context

Aneurysm

381 studies on the registry are indexed under Aneurysm; 78 are open to participants now.

This study's planned enrollment of 150 is close to the median of 157 across 132 observational studies indexed under Aneurysm.

Browse Aneurysm studies →

Lead sponsor

JOTEC GmbH is the lead sponsor of 20 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Male and female patients with degenerative, atherosclerotic thoracoabdominal aortic aneurysm who are scheduled for implantation of an E-nside TAAA Multibranch Stent Graft at their physician's discretion and who are eligible in accordance with the inclusion / exclusion criteria.

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

  • Patient is between 18 and 85 years old
  • Patient has a degenerative, atherosclerotic thoracoabdominal aortic aneurysm
  • Patient has adequate iliac/femoral access compatible with an 8.5 mm OD delivery system
  • Patient's aorta has no distinct angulation in the thoracovisceral segment of the aorta ranging from 40 mm proximal to the celiac trunk to 20 mm distal to the lowest renal artery
  • All target branch vessels are suitable for antegrade cannulation
  • Diameter of the landing zone in each branch vessel to be treated is ≥ 5 mm
  • Length of landing zone in each branch vessel to be treated is ≥ 15 mm (preferably ≥ 20 mm)
  • Patient must be available for the appropriate follow-up times for the duration of the study
  • Patient has signed the before implantation of the E-nside Stent Graft

Exclusion criteria

Exclusion Criteria:

  • Patient has allergies to materials necessary for endovascular repair (e.g. contrast media, anticoagulants or heparin, nitinol, polyester, gold, platinum-iridium)
  • Patient has systemic infection or suspected systemic infection
  • Patient has an infectious aneurysm
  • Patient has an inflammatory aneurysm
  • Patient has a ruptured aneurysm
  • Patient has a traumatic aneurysm
  • Patient has a symptomatic aneurysm
  • Patient has an aortic dissection
  • Patient has a congenital degenerative collagen disease or connective tissue disorder
  • Diameter of ostium of branch vessel to be treated \< 4 mm
  • Patient has thrombocytopenia ( count \< 150000/µl)
  • Patient has an \< 30 ml/min/1.73m2 before the enrolment
  • Patient has untreated hyperthyroidism
  • Patient has a (progressive, stable or partial remission) with less than one-year projected survival
  • Patient had a myocardial infarction or cerebrovascular accident \< 3 months ago
  • Patient is planned to be treated with a chimney in the left subclavian artery
  • Patient has had a previous surgical repair of descending thoracic aorta
  • Patient will be treated or had been treated with a Nellix (Endologix) or Ovation (Endologix) or Altura (Lombard Medical) or Anaconda (Vascutek) stent graft
  • Patient is enrolled or plans to be enrolled in another clinical study
  • Patient is pregnant or breastfeeding or planning to become pregnant during the course of the study.
  • Patient has a of less than 3 years
Terms in these criteria, in plain language(5)

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
150 participants (estimated)
Patient registry
No

Interventions

  • Deviceendovascular repair

    Endovascular repair of thoracoabdominal aneurysm using stent grafts.

06

What researchers measure

Primary outcomes

  1. Mortality

    Rate of all-cause mortality

    Time frame: 30-day

Secondary outcomes

  1. Mortality

    Rate of all-cause mortality in peri-operative periods (all related interventions)

    Time frame: 24 hours

  2. Mortality

    Rate of all-cause mortality

    Time frame: 3-6, 12, 24, 36, 60 months

  3. Rupture

    Rate of patients with aneurysm rupture

    Time frame: 30-day, 3-6, 12, 24, 36, 60 months

  4. Major Adverse Events (MAE)

    Rate of patients with major adverse events (aneurysm related death, aneurysm rupture, new myocardial infarction requiring intervention (percutaneous transluminal coronary angioplasty, bypass), new disabling stroke, visceral ischemia (bowel ischemia with surgery or submission to ICU or bowel necrosis with surgery or submission to ICU), new hepatic infarction, new chronic renal insufficiency/renal failure requiring dialysis, new permanent paraplegia, new permanent paraparesis, lower limb ischemia (increase in Rutherford classification) (product-related, procedure-related, aneurysm-related)

    Time frame: prior to discharge, 30 days, 3-6, 12, 24, 36, 60 months

  5. Number of intervention(s)

    Rate of interventions in peri-operative periods (all related interventions until index procedure)

    Time frame: perioperative

  6. Delivery time

    Rate of time intervals the E-nside delivery system remained in the access vessels in relation to the number of branches treated with pre-cannulation

    Time frame: perioperative

  7. Reintervention

    Rate of reintervention(s)

    Time frame: 30 days, 3-6, 12, 24, 36, 60 months

  8. Endoleak Type Ia

    Rate of patients with type Ia endoleak

    Time frame: 12, 24, 36, 60 months

  9. Endoleak Type Ib

    Rate of patients with type Ib endoleak

    Time frame: 12, 24, 36, 60 months

  10. Endoleak Type Ic

    Rate of patients with type Ic endoleak

    Time frame: 12, 24, 36, 60 months

  11. Endoleak Type II

    Rate of patients with type II endoleak

    Time frame: 12, 24, 36, 60 months

  12. Endoleak Type III

    Rate of patients with type III endoleak

    Time frame: 12, 24, 36, 60 months

  13. Endoleak Type IV

    Rate of patients with type IV endoleak

    Time frame: 12, 24, 36, 60 months

  14. Endoleak of unknown origin

    Rate of patients with endoleak of unknown origin

    Time frame: 12, 24, 36, 60 months

  15. Proximal intercomponent separation

    Rate of patients with intercomponent separation at the proximal end of the E-nside stent graft \> 10 mm

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  16. Distal intercomponent separation

    Rate of patients with intercomponent separation at the distal end of the E-nside stent graft \> 10 mm

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  17. Integrity

    Rate of patients with loss of device integrity (stent fracture and tear in graft material and suture break)

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  18. Kinking

    Rate of patients with E-nside stent graft or bridging stent graft kinking

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  19. Primary patency

    Rate of primary patency of bridging stents

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  20. Primary patency of bridging stent of the celiac trunk

    Rate of primary patency of the bridging stent of the celiac trunk

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  21. Primary patency of bridging stent of the superior mesenteric artery

    Rate of primary patency of the bridging stent of the superior mesenteric artery

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  22. Primary patency of bridging stent of the right renal artery

    Rate of primary patency of the bridging stent of the right renal artery

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  23. Primary patency of bridging stent of the left renal artery

    Rate of primary patency of the bridging stent of the left renal artery

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  24. Secondary patency

    Rate of secondary patency of bridging stents

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  25. Secondary patency of the bridging stent of the celiac trunk

    Rate of secondary patency of the bridging stent of the celiac trunk

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  26. Secondary patency of the bridging stent of the superior mesenteric artery

    Rate of secondary patency of the bridging stent of the superior mesenteric artery

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  27. Secondary patency of the bridging stent of the right renal artery

    Rate of secondary patency of the bridging stent of the right renal artery

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  28. Secondary patency of the bridging stent of the left renal artery

    Rate of secondary patency of the bridging stent of the left renal artery

    Time frame: prior to discharge/30 days, 12, 24, 36, 60 months

  29. Infection

    Rate of patients with stent graft infection

    Time frame: 30-day, 12, 24, 36, 60 months

  30. Primary technical success

    Rate of patients with primary technical success. Technical success is achieved in case all above mentioned criteria are fulfilled, however, an additional unplanned endovascular or surgical procedure is necessitated within 24 h after the index procedure. Successful introduction and deployment of the E-nside TAAA Multibranch Stent Graft in the absence of: Surgical conversion Mortality Reintervention Unplanned branch vessel occlusion (post-operative occlusion) Including: Secure proximal and distal fixation Patent treated branch vessels

    Time frame: 24 hours

  31. Technical success

    Rate of patients with technical success. Technical success is achieved in case all above mentioned criteria are fulfilled, however, an additional unplanned endovascular or surgical procedure is necessitated after the index procedure.

    Time frame: 24 hours

  32. Primary clinical success

    Rate of patients with primary clinical success. Primary clinical success is reported on an intent-to-treat basis and is reached if the following criteria are fulfilled at the time of follow-up starting at 12 months follow-up: Successful deployment of the endovascular devices at the intended location in the absence of: Death as result of aneurysm-related treatment Conversion to open repair Reintervention after index procedure Occlusion of treated branch vessels Type I or III endoleak Increasing aneurysm size Aneurysm rupture

    Time frame: 12, 24, 36, 60 months

  33. Clinical success

    Rate of patients with clinical success. Clinical success is achieved in case all above mentioned criteria are fulfilled, however, an additional unplanned endovascular or surgical procedure is necessitated after the index procedure.

    Time frame: 12, 24, 36, 60 months

  34. Stable aneurysm size

    Rate of patients with stable aneurysm size

    Time frame: 12, 24, 36, 60 months

  35. Decreasing (< 5 mm) aneurysm size

    Rate of patients with decreasing aneurysm size

    Time frame: 12, 24, 36, 60 months

  36. Increasing (> 5 mm) aneurysm size

    Rate of patients with increasing aneurysm size

    Time frame: 12, 24, 36, 60 months

  37. Stent graft removal

    Rate of patients with removal or failure to implant the E-nside TAAA Multibranch Stent Graft

    Time frame: 24 hours, prior to discharge/30 days, 12, 24, 36, 60 months

07

Study locations

1 site
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2020 to primary completion in Feb 2025, 54 months.

Of 41 industry-sponsored observational studies under Aneurysm, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 61. This study's 54 months is above that.

Counting every sponsor, half of 69 studies reached it within 46 months; a quarter within 33 and three quarters within 67.

How these figures are worked out, and which studies are left out of them.

Registered
May 3, 2020
First posted
May 12, 2020
StartActual
Jul 15, 2020
Primary completionActual
Feb 1, 2025
CompletionEst.
Feb 28, 2030
Last update
Feb 17, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04383145
Lead sponsor
JOTEC GmbH
Responsible party
Sponsor
First posted
May 12, 2020
Start date
Jul 15, 2020
Primary completion
Feb 1, 2025
Completion
Feb 28, 2030 (estimated)
Last update
Feb 17, 2026

Study contacts

Dittmar Böckler, Prof. Dr.
study director · University Hospital Heidelberg

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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