ClinicalTrials.gg
Active, not recruitingNCT05639400EXTENDUpdated Feb 6, 2026

Thoraflex Hybrid and Relay Extension Post-Approval Study

An observational study in Thoracic Diseases, Aortic Aneurysm and Aortic Dissection, sponsored by Vascutek Ltd.. Active, not recruiting at 27 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-06.

Sponsored by Vascutek Ltd. (part of Terumo Corporation) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
352
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to evaluate the Thoraflex Hybrid device alone and in combination with the RelayPro NBS stent-graft in the treatment of aortic disease affecting the aortic arch and descending aorta with or without involvement of the ascending aorta.

Patients who undergo treatment with the Thoraflex Hybrid device with or without extension with a RelayPro NBS stent-graft will be eligible for enrolment and study activities and follow-up regime will follow standard care at each participating site.

Participant involvement in the study will last for a total of 10 years from the point at which the Thoraflex Hybrid device is placed.

02

Conditions studied

  • Thoracic Diseases
  • Aortic Aneurysm
  • Aortic Dissection
  • Thoracic Aortic Aneurysm
  • Thoracic Aortic Dissection

Keywords

  • TEVAR
  • Frozen Elephant Trunk (FET)
03

In context

Thoracic Diseases

72 studies on the registry are indexed under Thoracic Diseases; 13 are open to participants now.

This study's enrollment of 352 is above the median of 122 across 19 observational studies indexed under Thoracic Diseases.

Browse Thoracic Diseases studies →

Lead sponsor

Vascutek Ltd. is the lead sponsor of 17 studies on the registry; 5 are open to participants now.

First submitted after Vascutek Ltd. 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
Sampling method
Probability sample

Study population

Patients who undergo treatment with the Thoraflex Hybrid device with or without extension with a RelayPro NBS stent-graft.

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 aged 18 years or older on date of consent. Patient is willing and able to comply with all study procedures and visits. Patient or their next of kin (NOK)/legally designated representative (LDR) has given written to participate in the study.

Patient will undergo treatment with a Thoraflex Hybrid device. If a patient requires an extension procedure due to the extent of aortic disease, a RelayPro NBS Stent-graft should be placed inside the distal end of the previously placed Thoraflex Hybrid device via a retrograde approach. This may be part of the same or a two-stage procedure.

Exclusion criteria

Exclusion Criteria:

  • Patient has any medical, social, or psychological problems that in the opinion of the investigator preclude them from receiving this treatment and the procedures and evaluations pre and post procedure.
Terms in these criteria, in plain language(1)

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
352 participants (actual)
Patient registry
No

Interventions

  • DeviceThoraflex Hybrid

    Thoraflex Hybrid is designed for the open surgical repair of aneurysms and/or dissections in the aortic arch and descending aorta with or without involvement of the ascending aorta. There are two types of Thoraflex Hybrid implants, namely the Plexus 4 and the Ante-Flo versions. Each patient receives one Thoraflex Hybrid device (either the Plexus 4 or Ante-Flo).

  • DeviceRelayPro NBS

    The RelayPro NBS Thoracic Stent-Graft System is an endovascular device intended for treatment of thoracic aortic pathologies such as aneurysms, pseudoaneurysms, dissections, penetrating ulcers and intramural hematoma.

06

What researchers measure

Primary outcomes

  1. Primary Safety Endpoint is a composite of the following:

    * Permanent disabling stroke (mRS \>2 and an increase in at least one mRS category from the individual's pre-stroke baseline, occurring within 30 days of either index procedure or extension and present at 1-year follow-up)\* Note: If a subject dies prior to 1-year follow-up, their last recorded mRS will be considered their final score * Grade 3 spinal cord ischemia (SVS reporting standards) occurring within 30 days of either index procedure or extension * All-cause mortality (within 1 year of either procedure) (\*Per VARC-3, disability assessment using the mRS should be performed between 30 and 90 days after a neurological event with 90 days being optimal. An increased mRS score by itself and in the absence of a neurological event does not constitute stroke.)

    Time frame: The primary safety endpoint will be measured at one-year after the index procedure and again at least 8 months after the (first) extension procedure.

  2. Primary Effectiveness Endpoint: Treatment Success

    Defined as device technical success (of either procedure) with absence of the following at 1-year: * Lesion-related mortality (defined as all deaths occurring within 30 days of, or, prior to discharge, from either the index procedure or the extension procedure or any revision procedures to treat the original lesion(s) and any other deaths adjudicated by Clinical Events Committee as related or probably related to the lesion(s)) * Aortic rupture in the treated segment * Lesion expansion (≥5mm increase from measurement at discharge/within 30 days) * Secondary intervention to address the following: * Stent graft-induced aortic wall injury (SAWI) * Fistula * Type I or III endoleak (see definitions) * Migration * Loss of Patency * Thromboembolic events * Failure of integrity

    Time frame: The primary effectiveness endpoint will be measured at one-year after the index procedure and again at least 8 months after the (first) extension procedure.

Secondary outcomes

  1. Secondary Safety Endpoints, Absence of the following

    * All-cause mortality, and * Lesion-related mortality (defined as all deaths occurring within 30 days of, or, prior to discharge, from either the index procedure or the extension procedure or any revision procedures to treat the original lesion(s) and any other deaths adjudicated by Clinical Events Committee as related or probably related to the lesion(s)) * All/any paraplegia/paraparesis defined as SCI (SVS grades 1 to 3) * Any stroke (excluding TIA) * Incidence of Myocardial Infarction * Incidence of Respiratory Failure * Incidence of Renal Failure * Incidence of Bowel Ischemia

    Time frame: The secondary endpoints will be measured at each follow-up timepoint from discharge/30 days through to 10 years.

  2. Secondary effectiveness endpoints will be reported

    * Any aortic rupture (treated and untreated segments) * Aortic remodeling in the treated segment(s) * New dissections * Proximal and distal extension of dissections * Any false lumen perfusion (specifying location and if intentional or not) * Fistula formation * All endoleaks * Device migration (measure both \>5mm from position at discharge/within 30 days, and \>10 mm from position at discharge/within 30 days, and requiring secondary intervention) * Device integrity issues (e.g., stent fracture) * All thromboembolic events * Pseudoaneurysms (device-related) * Secondary Interventions * Graft patency (loss of patency will be defined as an opening of \<50% due to, for example, occlusion, stenosis, kinking)

    Time frame: The secondary endpoints will be measured at each follow-up timepoint from discharge/30 days through to 10 years.

07

Study locations

27 sites
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05639400
Lead sponsor
Vascutek Ltd.
Collaborators
Bolton Medical
Responsible party
Sponsor
First posted
Dec 6, 2022
Start date
Mar 17, 2023
Primary completion
Jul 2035 (estimated)
Completion
Mar 2036 (estimated)
Last update
Feb 6, 2026

Study contacts

Martin Czerny
principal investigator · University of Freiburg
Joseph E Bavaria
principal investigator · Jefferson Health and Sidney Kimmel Medical College

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 Feb 2026. You cannot join it, but the record below documents what was studied.

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