ClinicalTrials.gg
RecruitingNCT05378347ADVANCEUpdated Jul 6, 2026

Endurant Stent Graft System vs Excluder Endoprothesis: ADVANCE Trial

An interventional study of Medtronic Endurant II or Endurant IIs Stent Graft System and Gore Excluder or Gore/ Excluder Conformable AAA Endoprosthesis in Abdominal Aortic Aneurysm, Abdominal Aortic Aneurysm >= 5.5 Centimeters in Male (Disorder) and Abdominal Aortic Aneurysm >= 5.0 Centimeters in Female (Disorder), sponsored by Medtronic Cardiovascular. Recruiting at 68 sites in 12 countries. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2026-07-06.

Sponsored by Medtronic Cardiovascular (part of Medtronic) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2023; still recruiting 3 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

The purpose of this trial is to generate clinical evidence related to key performance outcomes of Endurant II/IIs Stent Graft Systems verses Gore Excluder / Excluder Conformable AAA Endoprosthesis in subjects with Abdominal Aortic Aneurysms. Subjects are randomized and imaging collected at all follow-up time points to assess the primary endpoint.

Read the detailed description

This is a post-market, prospective, interventional, global, multi-center, randomized, dual-arm clinical trial. The primary objective of this trial is to evaluate sac regression outcomes of the Medtronic Endurant II/IIs Stent Graft System and Gore Excluder/Excluder Conformable AAA Endoprosthesis in standard EVAR subjects. Subjects are randomized on a 1:1 basis to receive EVAR with either a Medtronic Endurant II/IIs Stent Graft Systems or Gore Excluder / Excluder Conformable AAA Endoprosthesis. Data is collected pre- and post-procedure at discharge, at 30 days, and once a year until the 5-year follow-up is completed. Approximately 600 subjects are planned to be enrolled at up to 100 sites globally.

Product Names:

  • Medtronic Endurant II/IIs Stent Graft System
  • Gore Excluder and/or Gore Excluder Conformable AAA Endoprosthesis Imaging is collected for all follow-up time points and are evaluated by a core lab for the key primary and secondary objectives.
02

Conditions studied

  • Abdominal Aortic Aneurysm
  • Abdominal Aortic Aneurysm >= 5.5 Centimeters in Male (Disorder)
  • Abdominal Aortic Aneurysm >= 5.0 Centimeters in Female (Disorder)

Keywords

  • EVAR, AAA
03

In context

Aortic Aneurysm, Abdominal

467 studies on the registry are indexed under Aortic Aneurysm, Abdominal; 99 are open to participants now.

This study's planned enrollment of 600 is above the median of 66 across 228 interventional studies indexed under Aortic Aneurysm, Abdominal.

Browse Aortic Aneurysm, Abdominal studies →

Lead sponsor

Medtronic Cardiovascular is the lead sponsor of 70 studies on the registry; 7 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

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

04

Who can participate

Ages eligible
20 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

  • Subject and the treating physician agree that the subject will return for all required follow up visits
  • Subject or legal representative or consultee, as applicable, has consented for trial participation and signed the approved by the sponsor and by the Ethics Committee/Institutional Review Board
  • Subject has an aneurysm diameter of ≥ 5 cm (if woman) ≥ 5.5 cm (if man) or as stated otherwise in regional addenda.
  • Subject's AAA anatomy is appropriate for both Medtronic Endurant II/IIs Stent Graft System and Gore Excluder/Excluder Conformable AAA Endoprosthesis as per assessment of both treating physician and Core Lab in accordance with the overlapping commercially available IFUs per applicable region.

Exclusion criteria

Exclusion Criteria:

  • Subject is participating in an drug or device study which may bias or interfere with the endpoints and follow-up of this trial
  • Subject has an estimated of ≤ 3 years as judged by the investigator
  • Subject has an aneurysm that is:

    1. Suprarenal/pararenal/juxtarenal
    2. Isolated ilio-femoral
    3. Mycotic
    4. Inflammatory
    5. Pseudoaneurysm
    6. Concomitant or prior dissection involving the abdominal aorta or iliac arteries
    7. Ruptured
    8. Symptomatic AAA
  • Subject has significant thrombus and / or calcium at the arterial implantation sites, specifically the proximal aortic neck and distal iliac artery interface. Significant thrombus may be quantified as thrombus ≥ 2 mm in thickness and / or ≥ 25% of the vessel circumference in the intended seal zone of the aortic neck.
  • Subject requires emergent aneurysm treatment, for example, trauma or rupture
  • Subject with connective tissue disease that may have caused the aneurysm e.g. Marfan syndrome, Ehlers-Danlos, Loeys-Dietz syndrome
  • Subject has previously undergone surgical or endovascular treatment in the abdominal aorta or the iliac arteries for aneurysm or occlusive disease
  • Planned use of aorto-uni-iliac (AUI) main body device
  • Any planned additional device (apart from the main body, limb stent graft and extensions per assigned treatment per randomization) during index or staged procedure, e.g., endostaple or anchor, Iliac branch endoprosthesis, embolization, etc.
  • Planned coverage of the internal iliac artery/arteries
  • Subject has an estimated (eGFR) \< 45 ml/min/1.73m2 or subject is on dialysis
  • Subject has a systemic infection who may be at increased risk of endovascular graft infection, per investigator's discretion
  • Subject has a psychiatric or other condition that may interfere with the trial, per investigator's discretion
  • Subject is of in whom pregnancy cannot be excluded
  • Subject has a known or to anticoagulants, anti-, or contrast media, which is not amenable to pre-treatment
  • Subject belongs to a vulnerable population per investigator's judgment
  • Subject has an active COVID-19 infection or relevant history of COVID- 19
Terms in these criteria, in plain language(8)

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.

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.

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
600 participants (estimated)

Study arms

  • Experimental
    Medtronic Endurant II/IIs

    Subjects are randomized on a 1:1 basis to receive an EVAR procedure with either a Medtronic Endurant II/IIs endoprothesis or Gore's Excluder / Excluder Conformable.

    Device: Medtronic Endurant II or Endurant IIs Stent Graft System

  • Experimental
    Gore Excluder / Excluder Conformable

    Subjects are randomized on a 1:1 basis to receive an EVAR procedure with either a Medtronic Endurant II/IIs endoprothesis or Gore's Excluder / Excluder Conformable.

    Device: Gore Excluder or Gore/ Excluder Conformable AAA Endoprosthesis

Interventions

  • DeviceMedtronic Endurant II or Endurant IIs Stent Graft System

    EVAR treatment with Medtronic Endurant II/IIs Stent Graft System

  • DeviceGore Excluder or Gore/ Excluder Conformable AAA Endoprosthesis

    EVAR treatment with Excluder / Excluder Conformable Stent Graft System

06

What researchers measure

Primary outcomes

  1. Sac Regression

    Proportion of patients with sac regression at 1 year, defined in accordance with SVS guidelines as the reduction in maximum diameter by \>= 5 mm when compared to the first CT imaging study obtained within 90 days after index procedure.

    Time frame: 12 months

Secondary outcomes

  1. Aneurysm sac change by diameter as a continuous variable

    Time frame: 12 months and annually to 5 years

  2. Aneurysm sac change by volume incidence rate

    Time frame: 12 months and annually to 5 years

  3. Type II endoleak incidence rate

    Time frame: 30 days, 12 months and annually to 5 years

  4. Type I endoleak incidence rate

    Time frame: 30 days,12 months and annually to 5 years

  5. Secondary intervention incidence rate

    Time frame: 30 days, 12 months and annually to 5 years

  6. All cause mortality incidence rate

    Time frame: 30 days, 12 months and annually to 5 years

07

Study locations

63 of 68 sites recruiting
  • Loma Linda University Medical Center
    Loma Linda, California 92354, United States
    Recruiting
    • Ahmed Abou-Zamzam, MD · Principal investigator
  • Hoag Hospital
    Newport Beach, California 92663, United States
    Recruiting
    • Allen Murga · Contact
    • Allen Murga · Principal investigator
  • University of California Irvine Medical Center
    Orange, California 92868, United States
    Recruiting
    • Anthony Chau, MD · Principal investigator
  • University of California Davis Medical Center
    Sacramento, California 95817, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • University of California San Francisco UCSF Medical Center
    San Francisco, California 94143, United States
    Recruiting
    • Jade Hiramoto, MD · Principal investigator
  • Denver Health Medical Center
    Denver, Colorado 80204, United States
    Recruiting
    • Lisa Bennett, MD, MS · Principal investigator
  • Yale Center for Clinical Investigation
    New Haven, Connecticut 06519, United States
    Recruiting
    • David Kuwayama, MD · Principal investigator
  • Medstar Washington Hospital Center
    Washington D.C., District of Columbia 20010, United States
    Recruiting
    • William Yoon, MD · Principal investigator
  • Mayo Clinic Jacksonville
    Jacksonville, Florida 32224, United States
    Recruiting
    • Young Erben, MD · Principal investigator
  • Sarasota Memorial Hospital
    Sarasota, Florida 34239, United States
    Recruiting
    • Jason Wagner, MD · Principal investigator
  • Northside Hospital Forsyth
    Atlanta, Georgia 30342, United States
    Recruiting
    • Siddharth Patel · Contact
  • Northshore University Health System
    Skokie, Illinois 60076, United States
    Recruiting
    • Cheong Jun Lee, MD · Principal investigator
  • Ascension Via Christi Saint Francis
    Wichita, Kansas 67214, United States
    Recruiting
    • Chad Ammar, MD · Principal investigator
  • University of Kentucky
    Lexington, Kentucky 40536, United States
    Recruiting
    • William Rothstein, MD · Principal investigator
  • Maine Medical Center
    Portland, Maine 04102, United States
    Recruiting
    • Kristina Giles, MD · Principal investigator
  • VA Maryland Health Care System
    Baltimore, Maryland 21201, United States
    Recruiting
    • Areck Ucuzian, MD · Principal investigator
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
    Recruiting
    • Marc Schermerhorn, MD · Principal investigator
  • Baystate Medical Center
    Springfield, Massachusetts 01199, United States
    Recruiting
    • Matthew Kronick, MD · Principal investigator
  • Minneapolis Heart Institute Foundation
    Minneapolis, Minnesota 55407, United States
    Recruiting
    • Jeffrey Jim · Contact
  • Mayo Clinic Rochester
    Rochester, Minnesota 55905, United States
    Recruiting
    • Randall DeMartino, MD · Principal investigator
  • Albany Medical College
    Albany, New York 12208, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Northwell Health Lenox Hill Hospital
    New York, New York 10075, United States
    Recruiting
    • Alfio Carroccio, MD · Principal investigator
  • Westchester Medical Center
    Valhalla, New York 10595, United States
    Recruiting
    • Igor Laskowski, MD · Principal investigator
  • Novant Health Forsyth Medical Center
    Winston-Salem, North Carolina 27103, United States
    Recruiting
    • Phillip Moore, MD · Principal investigator
  • University Hospitals, Cleveland Medical Center
    Cleveland, Ohio 44106, United States
    Recruiting
    • Jae Cho, MD · Principal investigator
  • Hospital of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
    • Grace Wang, MD · Principal investigator
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15232, United States
    Recruiting
    • Nathan Liang, MD · Principal investigator
  • Prisma Health
    Greenville, South Carolina 29615, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Cardiovascular Surgery Clinic
    Memphis, Tennessee 38120, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • University of Texas Health Science Center at Houston
    Houston, Texas 77030, United States
    Recruiting
    • Rana Afifi, MD · Principal investigator
  • The Heart Hospital Baylor Plano
    Plano, Texas 75093, United States
    Recruiting
    • Elyza Guerrero · Contact
    • Dennis Gable, MD · Principal investigator
  • University of Virginia Health System
    Charlottesville, Virginia 22908, United States
    Recruiting
    • Margaret C Tracci, MD, JD · Principal investigator
  • Helsinki University Hospital
    Helsinki, 00290, Finland
    Recruiting
    • Maarit Venermo, MD, PhD · Principal investigator
  • Kuopio University Hospital
    Kuopio, 70200, Finland
    Recruiting
    • Petri Saari, MD · Principal investigator
  • Assistance Publique - Hopitaux de Marseille Hopital de la Timone
    Marseille, Marseille Cedex 13385, France
    Recruiting
    • Mariangela De Masi, MD · Principal investigator
  • CHU Clermont-Ferrand
    Clermont-Ferrand, 63003, France
    Recruiting
    • Fabien Thaveau, MD, PhD · Principal investigator
  • Hospices Civils de Lyon-CHU Lyon
    Lyon, 69002, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hopital de Hautepierre - CHU de Strasbourg
    Strasbourg, 67200, France
    Recruiting
    • Nabil Chakfe, MD, PhD · Principal investigator
  • University Hospital Augsburg
    Augsburg, 86156, Germany
    Recruiting
    • Alexander Hyhlik-Duerr, MD, PhD · Principal investigator
  • University Hospital Cologne
    Cologne, 50937, Germany
    Recruiting
    • Bernhard Dorweiler, MD, PhD · Principal investigator
  • Elisabeth Hospital Essen
    Essen, 45138, Germany
    Recruiting
    • Johannes Hoffman, MD · Principal investigator
  • Universitatsklinikum Frankfurt
    Frankfurt, 60590, Germany
    Recruiting
    • Kyriakos Oikonomou, MD, PhD · Principal investigator
  • University Hospital Leipzig
    Leipzig, 04103, Germany
    Recruiting
    • Andrej Schmidt, MD · Principal investigator
  • University Hospital rechts der Isar of the Technical University Munich
    Munich, 81675, Germany
    Recruiting
    • Daniela Branzan, MD · Principal investigator
  • St. Franziskus Hospital Munster
    Münster, 48145, Germany
    Recruiting
    • Martin Austermann, MD · Principal investigator
  • University Hospital of Larisa
    Larissa, 41110, Greece
    Recruiting
    • Athanasios Giannoukas, Prof · Contact
  • Fondazione IRCCS Ca' Granda - Ospendale Maggiore Policlinico
    Milan, 20122, Italy
    Recruiting
    • Chiara Lomazzi · Contact
    • Chiara Lomazzi, MD · Principal investigator
  • Azienda Ospedaliera Universitaria Federico II
    Naples, 80131, Italy
    Recruiting
    • Umberto Marcello Bracale, MD, PhD · Principal investigator
  • AOU Citta della Salute e della Scienza di Torino
    Torino, 10126, Italy
    Recruiting
    • Fabio Verzini, MD, PhD, FEBVS · Principal investigator
  • Nagoya University Hospital
    Nagoya, Aichi-ken 466-8560, Japan
    Recruiting
    • Hirosho Banno, MD, PhD · Principal investigator
  • Asahikawa Medical University Hospital
    Asahikawa, Hokkaido 078-8510, Japan
    Recruiting
    • Daiki Uchida, MD, PhD · Principal investigator
  • Niigata University Medical and Dental Hospital
    Chuo Ku, Niigata 951-8510, Japan
    Recruiting
    • Takeshi Okamoto, MD, PhD · Principal investigator
  • Hamamatsu University Hospital
    Hamamatsu, Shizuoka 431-3125, Japan
    Recruiting
    • Norihiko Shiiya, MD, PhD · Principal investigator
  • Keio University Hospital
    Shinjuku-Ku, Tokyo 160-0016, Japan
    Recruiting
    • Hideyuki Shimizu, MD, PhD · Principal investigator
  • Osaka Keisatsu Hospital
    Osaka, 543-8922, Japan
    Recruiting
    • Toru Kuratani · Principal investigator
  • Rijnstate Hospital
    Arnhem, The Netherlands 6815 AD, Netherlands
    Recruiting
    • Michel Reijnen, MD, PhD · Principal investigator
  • Amsterdam University Medical Center
    Amsterdam, Netherlands
    Recruiting
    • Kak Khee Yeung · Contact
  • Catharina Ziekenhuis
    Eindhoven, 5623 EJ, Netherlands
    Recruiting
    • Philippe Cuypers, MD, PhD · Principal investigator
  • Erasmus Medisch Centrum
    Rotterdam, 3015 GD, Netherlands
    Recruiting
    • Hence Verhagen, MD, PhD · Principal investigator
  • Hospital Universitario Son Espases
    Palma, Mallorca 07210, Spain
    Recruiting
    • Pascual Lozano-Vilardell, MD · Principal investigator
  • Centre Hospitalier Universitaire Vaudois
    Lausanne, 1011, Switzerland
    Recruiting
    • Sebastien Deglise, MD, PhD · Principal investigator
  • Luzerner Kantonsspital
    Lucerne, 6000, Switzerland
    Recruiting
    • Maani Hakimi, MD, PhD · Principal investigator
  • China Medical University Hospital
    Taichung, 404327, Taiwan
    Recruiting
    • You-Cian Lin, MD, PhD · Principal investigator
  • Chi Mei Medical Center
    Tainan, 710402, Taiwan
    Recruiting
    • Nan-Chun Wu, MD · Principal investigator
  • National Taiwan University Hospital
    Taipei, 10002, Taiwan
    Recruiting
    • I-Hui Wu, MD, PhD · Principal investigator
  • Taipei Veterans General Hospital
    Taipei, 112201, Taiwan
    Recruiting
    • I-Ming Chen, MD, PhD · Principal investigator
  • Oxford University Hospitals NHS Trust - John Radcliffe Hospital
    Oxford, Oxfordshire OX3 9DU, United Kingdom
    Recruiting
    • Dominic Howard, BM B.Ch MA DPhil (Oxon) FRCS · Principal investigator
  • Royal Infirmary of Edinburgh
    Edinburgh, EH16 4SA, United Kingdom
    Recruiting
    • Andrew Tambyraja, MD · Principal investigator
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05378347
Responsible party
Sponsor
First posted
May 18, 2022
Start date
Jan 5, 2023
Primary completion
May 2027 (estimated)
Completion
May 2031 (estimated)
Last update
Jul 6, 2026

Study contacts

ADVANCE Trial Clinical Study Team
Contact
rs.advancestudy@medtronic.com
763-514-4000
Marc Schermerhorn, MD
principal investigator · Beth Israel Deaconess Medical Center, United States
Hence Verhagen, MD
principal investigator · Erasmus University Medical Center, Netherlands

Oversight

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

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