ClinicalTrials.gg
RecruitingNCT05054985Updated Jun 22, 2025

Safety and Efficacy of a Multi-branched Thoracoabdominal Stent Graft System for Thoracoabdominal Aortic Aneurysm.

An interventional study of Multi-Branched Thoracoabdominal Stent Graft System in Thoracoabdominal Aortic Aneurysms, sponsored by Lifetech Scientific (Shenzhen) Co., Ltd.. Recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-06-22.

Sponsored by Lifetech Scientific (Shenzhen) Co., Ltd. (part of LifeTech Scientific Corporation) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Nov 2021; still recruiting 5 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
73
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Evaluation of the safety and efficacy of a multi-branched thoracoabdominal stent graft system for thoracoabdominal aortic aneurysm.

Read the detailed description

The study is mainly for patients with thoracoabdominal aortic aneurysms, and all subjects who signed the informed consent and passed the screening will be enrolled. Patients who meet all the inclusion criteria and don't meet the exclusion criteria will be implanted with multi-branched thoracoabdominal stent graft system. Patients will be followed up at discharge, 1 month, 6 months, 12 months after the implantation.

02

Conditions studied

  • Thoracoabdominal Aortic Aneurysms

Keywords

  • Guo's Visceral Arteries Reconstruction
  • Multi-branched Thoracoabdominal Stent Graft System
  • Thoracoabdominal Aortic Aneurysm
03

In context

Aortic Aneurysm, Thoracoabdominal

63 studies on the registry are indexed under Aortic Aneurysm, Thoracoabdominal; 31 are open to participants now.

This study's planned enrollment of 73 is close to the median of 80 across 41 interventional studies indexed under Aortic Aneurysm, Thoracoabdominal.

Browse Aortic Aneurysm, Thoracoabdominal studies →

Lead sponsor

Lifetech Scientific (Shenzhen) Co., Ltd. is the lead sponsor of 44 studies on the registry; 17 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
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

  1. 18 years old ≤ age ≤ 80 years old;
  2. Diagnosed as thoracoabdominal aortic aneurysm (based on modified Crawford classification and 2019 European Guidelines for the Treatment of Aortic aneurysm) and should meet at least one of the following conditions;

    1. Maximum diameter of thoracoabdominal aortic aneurysm>50mm;
    2. The diameter has increased by more than 5mm in recent 6 months or the by more than 10mm in recent 1 year;
  3. anatomical criteria

    1. The proximal anchoring region (aorta or implanted graft) was 17\~36 mm in diameter and ≥25 mm in length;
    2. Distal anchoring region (aorta or implanted graft): If the distal anchoring region is in the iliac artery, the anchoring region has a diameter range of 7\~25 mm and a length of ≥15 mm; If the distal anchoring area is in the abdominal aorta, the diameter of the anchoring area ranges from 12\~36mm and the length≥ 20mm;
    3. The diameter of the vessel anchoring area of the visceral branch ranges from 6\~13 mm and the length ≥15 mm;
    4. The diameter of renal artery anchoring area ranges from 4.5\~9mm, and the length ≥15 mm;
    5. Appropriate iliac, femoral and upper limb artery access;
  4. Patients who can understand the purpose of the trial, voluntarily participate and sign the , and are willing to complete the follow-up according to the requirements of the protocol;

Exclusion criteria

Exclusion Criteria:

  1. Hemodynamically unstable patients with ruptured thoracoabdominal aortic aneurysms;
  2. Thoracoabdominal aortic dissection;
  3. Mycotic or infectious thoracoabdominal aortic aneurysm;
  4. Patients whose systemic or local infection may increase the risk of intravascular graft infection;
  5. Superior mesenteric, celiac, or renal artery occlusion;
  6. Requiring simultaneous coverage and embolization of bilateral internal iliac arteries;
  7. Severe stenosis, calcification, or mural thrombus in the anchoring area of the stent tend to have difficulty in attachment of the stent-graft or affect the patency of the stent;
  8. A history of acute coronary syndrome within 6 months; Acute coronary syndrome is defined as an acute ischemic syndrome of the heart resulting from the rupture or erosion of unstable intracoronary atherosclerotic plaques followed by fresh thrombosis, including ST-segment elevation myocardial infarction, non-ST-segment elevation myocardial infarction, and unstable angina pectoris.
  9. (TIA) or ischemic/haemorrhagic stroke within 3 months;
  10. Preoperative liver renal function abnormalities ( or AST ≥ 5 times the value), or serum creatinine ≥ 150 μmol/L;
  11. Severe pulmonary insufficiency who cannot tolerate general anaesthesia;
  12. Severe coagulation dysfunction;
  13. Undergone major surgical or interventionic surgery within 30 days before surgery;
  14. A history of allergy to contrast agents, anticoagulants, antiplatelet drugs, stents, and conveyor materials (nitinol, polyester, PTFE, nylon);
  15. Connective tissue diseases such as systemic lupus erythematosus, Marfan's syndrome, Adam's syndrome, or Behcet's disease;
  16. takayasu arteritis;
  17. Serious vital organ dysfunction or other serious disease;
  18. Planning pregnancy, pregnancy, or breastfeeding;
  19. Patients who participated in other clinical trials and was not discontinued or withdrawn within the first 3 months of the screening period of this trial.
  20. less than 1 year;
  21. Patients who, in the judgment of the investigator, are not eligible for endotherapy.
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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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

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

Study arms

  • Experimental
    Intervention arm

    Patients with thoracoabdominal aortic aneurysms, and passed the screening and signed the informed consent form.

    Device: Multi-Branched Thoracoabdominal Stent Graft System

Interventions

  • DeviceMulti-Branched Thoracoabdominal Stent Graft System

    Patients who meet all the inclusion criteria and don't meet the exclusion criteria will be implanted with multi-branched thoracoabdominal stent graft system .

06

What researchers measure

Primary outcomes

  1. Primary safety endpoint: The incidence of Major Adverse events (MAE) within 30 days after procedure.

    Major Adverse Event (MAE) was defined as all-cause death, liver failure, intestinal necrosis, kidney failure, stroke, permanent paraplegia, myocardial infarction, and respiratory failure.

    Time frame: Within 30 days after procedure

  2. Primary efficacy endpoint: Success rate of thoracoabdominal aortic aneurysm treatment 12 months after procedure.

    Successful treatment of thoracoabdominal aortic aneurysm is a composite index that needs to meet the following indicators at the same time: Immediate technical success (immediate technical success refers to the successful delivery system to a predetermined location, the successful deployment of the system and the safe withdrawal of the delivery system from the body and no type I/III endoleak), no secondary surgical intervention related to thoracoabdominal aortic aneurysms 12 months after procedure (due to aneurysm rupture, continuous enlargement, stent displacement, type I/III endoleak, branch stenosis/ Second surgery caused by occlusion) .

    Time frame: 12 months after procedure.

Secondary outcomes

  1. aneurysmal enlargement at 6 and 12 months postoperatively

    aneurysmal enlargement defined as a maximum aortic diameter increase of \> 5 mm relative to preoperative computed tomography angiography (CTA)

    Time frame: 6 and 12 months postoperatively

  2. type I/III endoleak at 6 and 12 months postoperatively

    Time frame: 6 and 12 months postoperatively

  3. stent graft migration at 6 and 12 months postoperatively

    Time frame: 6 and 12 months postoperatively

  4. renovisceral artery patency rate at 6 and 12 months postoperatively

    Time frame: 6 and 12 months postoperatively

  5. reintervention secondary to TAAA progression at 6 months, 12 months, and 2-5 years postoperatively.

    Time frame: 6 months, 12 months, and 2-5 years postoperatively.

  6. delivery system-related complications during the procedure and within 30 days postoperatively, including conversion to open surgery, and any hemorrhage, hematoma, or pseudoaneurysm of the arterial access

    Time frame: during the procedure and within 30 days postoperatively

  7. all-cause mortality at 6 months, 12 months, and 2-5 years postoperatively

    Time frame: 6 months, 12 months, and 2-5 years postoperatively

  8. TAAA-related mortality at 6 months, 12 months, and 2-5 years postoperatively

    Time frame: 6 months, 12 months, and 2-5 years postoperatively

  9. device-related adverse events at 6 months, 12 months, and 2-5 years postoperatively

    Time frame: 6 months, 12 months, and 2-5 years postoperatively

  10. severe adverse events resulting in death or serious deterioration of health at 6 months, 12 months, and 2-5 years postoperatively

    Time frame: 6 months, 12 months, and 2-5 years postoperatively

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Ge Y, Zhang H, Rong D, Liu F, Jia X, Xiong J, Ma X, Wang L, Fan T, Guo W. Protocol for GUo's renovisceral Artery reconstruction-1: a prospective, multicentre, single-arm clinical trial to evaluate the safety and efficacy of a multibRANched sTEnt graft systEm for thoracoabdominal aortic aneurysm (GUARANTEE study). BMJ Open. 2022 Mar 23;12(3):e059401. doi: 10.1136/bmjopen-2021-059401. PubMed 35321900 ↗

Individual participant data

Plan to share: No — The data will be shared for scientific purposes after the completion of the clinical trial. However, patients' electronic records and any CTA files are outside the scope of our data sharing policy. Researchers wanting to request data can submit a detailed application to the investigators. Data will be released depending on the scientific quality of the submitted request.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2021 (actual). Primary completion is estimated for Dec 2025, 49 months after the start.

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

Registered
Sep 7, 2021
First posted
Sep 23, 2021
StartActual
Nov 12, 2021
Primary completionEst.
Dec 31, 2025
CompletionEst.
Dec 31, 2028
Last update
Jun 22, 2025
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 Jun 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05054985
Responsible party
Sponsor
First posted
Sep 23, 2021
Start date
Nov 12, 2021
Primary completion
Dec 31, 2025 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Jun 22, 2025

Study contacts

Wei Guo, Professor
Contact
pla301dml@vip.sina.com
13910758706 ext. 86
Wei Guo, Professor
principal investigator · Chinese PLA General Hospital

Oversight

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

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