ClinicalTrials.gg
RecruitingNCT06520774Updated Jul 28, 2025

Concave Supra-arch Branched Stent-Graft System for Endovascular Treatment of Aortic Arch Diseases

An interventional study of Concave Supra-arch Branched Stent-Graft System in Aortic Arch Aneurysm and Penetrating Aortic Ulcer, sponsored by Lifetech Scientific (Shenzhen) Co., Ltd.. Recruiting at 17 sites in 2 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-07-28.

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

From the registry’s dates

  • Started May 2024; still recruiting 2 years 5 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
103
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The objective of the study is to evaluate the safety and efficacy of the Lifetech Concave Supra-arch Branched Stent-Graft System for Endovascular Treatment of Aortic Arch Diseases

Read the detailed description

The physician must strictly adhere to the clinical study protocol and shall not deviate from or substantially alter it. However, in cases of emergency where there is an immediate risk to the subjects that must be eliminated immediately, a report may be submitted in written form afterward. During the study, any amendments to the clinical study protocol, informed consent documents, requests for deviation, and the resumption of a suspended clinical study must receive written approval from the Ethics Committee.

02

Conditions studied

  • Aortic Arch Aneurysm
  • Penetrating Aortic Ulcer

Keywords

  • Lifetech
  • Concave Supra-arch Branched Stent-Graft System
  • Endovascular Treatment
03

In context

Aneurysm, Aortic Arch

27 studies on the registry are indexed under Aneurysm, Aortic Arch; 14 are open to participants now.

This study's planned enrollment of 103 is below the median of 115 across 19 interventional studies indexed under Aneurysm, Aortic Arch.

Browse Aneurysm, Aortic Arch 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. Patients who are aged 18 to 80 years inclusive;
  2. Patients diagnosed with aortic arch aneurysms or penetrating ulcers that require intervention, and for whom the proximal end of the stent needs to be anchored in the Z0 zone;
  3. Anatomical criteria, including:

    1. Ascending aorta length is greater than or equal to 50 mm (distance from aortic sinus to anterior edge of innominate artery);
    2. The diameter range of the anchoring area at the proximal end of the main body is between 25-45 mm and the length is greater than or equal to 30 mm;
    3. The diameter of the anchored area of supra-arch branch vessels (innominate artery, left common carotid artery, left subclavian artery) is between 5-18 mm, distal anchorage length is greater than or equal to 15 mm;
    4. Distance between the anterior edge of the innominate artery to the posterior edge of the left subclavian artery is less than or equal to 80 mm;
    5. Have a suitable iliac, femoral, and superior arch arterial access;
  4. At least two researchers should assess that the subject is a high-risk patient for surgical treatment or has significant to surgery. It is recommended to refer to the following criteria: a score of ≥6 in the European System for Cardiac Operative Risk Evaluation (EuroSCORE) scoring system.;
  5. Patients who understand the purpose of the study, volunteer to participate and sign the form, and are willing to complete follow-up visits as required by the protocol.

Exclusion criteria

Exclusion Criteria:

  1. Patients either with ruptured or infected aneurysms;
  2. Patients with aortic dissection;
  3. Patients with general or local infections that may increase the risk of endovascular graft infection;
  4. Patients with severe stenosis, calcification, or mural thrombus in the stent anchoring area, which is likely to impede stent-graft adherence or affect stent patency;
  5. Previous endovascular intervention involving the aortic arch;
  6. Underwent open or endovascular surgery for abdominal aorta within the past 3 months;
  7. Patients with a history of stroke within the past 3 months (excluding );
  8. Patients with aneurysms involving the distal descending aorta and requiring reconstruction of important visceral branch vessels within the abdomen;
  9. Patients with a history of myocardial infarction within the past 3 months;
  10. Patients with congestive heart failure - Class IV;
  11. Patients allergic to contrast agents, stent and delivery system materials (such as nitinol, polyester, PTFE, nylon polymer materials);
  12. Patients with to anticoagulant or antiplatelet drugs;
  13. Patients unable to tolerate general anesthesia;
  14. Patients with abnormal liver and kidney function before surgery ( or AST more than 5 times the ; serum creatinine (Cr) >150umol/L);
  15. Patients with connective tissue diseases, such as Marfan syndrome, Ehlers-Danlos syndrome, or Behcet's disease;
  16. Patients with arteritis;
  17. Patients with a of less than 1 year;
  18. Women who are planning to conceive, pregnant or breastfeeding;
  19. Patients deemed by the investigator as unsuitable for endovascular treatment;
  20. Patients who have participated in other clinical studies and have not withdrawn or been excluded within the 3 months prior to the screening period of this study.
Terms in these criteria, in plain language(7)

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.

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.

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.

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.

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
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
103 participants (estimated)

Study arms

  • Experimental
    Concave Supra-arch Branched Stent-Graft System

    Endovascular treatment of patients with Aortic Arch Diseases using Concave Supra-arch Branched Stent-Graft System

    Device: Concave Supra-arch Branched Stent-Graft System

Interventions

  • DeviceConcave Supra-arch Branched Stent-Graft System

    To evaluate the efficacy and safety of Concave Supra-arch Branched Stent-Graft System for endovascular treatment of Aortic Arch Diseases

06

What researchers measure

Primary outcomes

  1. Incidence of composite endpoints

    Composite endpoints refer to the occurrence of any of the following within 30 days post-surgery: all-cause mortality, disabling stroke, or permanent paraplegia.

    Time frame: within 30 days post-surgery

  2. The clinical treatment success rate within 12 months

    The 12-month clinical treatment success rate is a composite endpoint that includes immediate technical success after surgery and the absence of the following conditions at 12 months postoperatively: death, displacement of the aortic or branch covered stents on CTA follow-up, Type I or III endoleak, branch stent occlusion, and the need for secondary surgical intervention during the follow-up period.

    Time frame: pre-discharge (up to 14 days) and 12 months postoperatively

Secondary outcomes

  1. Immediate technical success rate

    Immediate technical success refers to the successful delivery of the delivery system to the predetermined position, successful deployment of the system, safe removal of the delivery system from the body, and absence of type I and III endoleaks that require intervention on angiography at the end of the procedure, with all branch stents being patent.

    Time frame: Immediate intraoperative

  2. Incidence of increase in the maximum diameter of the aneurysm/depth of ulceration by more than 5 mm at 6 months and 12 months postoperatively.

    Increase in the maximum diameter of the aneurysm/depth of ulceration\> 5 mm

    Time frame: 6 and 12 months postoperatively

  3. Incidence rate of Type I/III endoleak at Intraoperative, pre-discharge, 6 and 12 months postoperatively

    A Type I endoleak occurs when there is a gap between the graft and the vessel wall at the "seal zones." This gap allows blood to flow alongside the graft into the aneurysm sac, creating pressure within the sac and increasing the risk of rupture. Type I endoleaks often occur when the aneurysm's anatomy is unsuitable for endovascular aneurysm repair (EVAR) or due to inappropriate device selection. However, vessel dilation over time can also cause this type of endoleak. Immediate attention is typically required because of the high risk of sac enlargement and rupture. A Type III endoleak results from a defect or misalignment between the components of the endograft. Similar to a Type I endoleak, a Type III endoleak causes systemic pressure within the aneurysm sac, increasing the risk of rupture. Consequently, Type III endoleaks also necessitate urgent attention. The definition of "pre-discharge" is either the discharge date or the 14th postoperative day, whichever occurs first.

    Time frame: Intraoperative, pre-discharge(up to 14 days), 6 and 12 months postoperatively

  4. Incidence rate of stent graft migration at 6 and 12 months postoperatively

    Migration is defined according to reporting standards as a stent graft shift of more than 10 mm relative to a primary anatomic landmark, or any displacement that results in symptoms or necessitates therapy. A standardized measurement protocol was employed in accordance with the reporting guidelines.

    Time frame: 6 and 12 months postoperatively

  5. The patency rate of the branch vessel at 6 and 12 months postoperatively

    Branch vessel patency is defined as stenosis of ≤50%

    Time frame: 6 and 12 months postoperatively

  6. Incidence rate of secondary surgical interventions related to the aortic arch and its branch arteries before discharge , at the 6 months and 12 months , and at 2-5 years postoperatively

    Incidence of secondary surgical interventions related to the aortic arch and its branch arteries

    Time frame: before discharge (up to 14 days), at the 6 months and 12 months , and at 2-5 years postoperative

  7. Incidence rate of aneurysm rupture at Intraoperative, pre-discharge, 6 and 12 months, 2-5 years postoperatively

    An aneurysm is an abnormal bulge or ballooning in the wall of a blood vessel. If an aneurysm ruptures, it causes internal bleeding, which can often be fatal.

    Time frame: Intraoperative, pre-discharge (up to 14 days), 6 and 12 months 2-5 years postoperatively

  8. Incidence rate of delivery system-related complications during perioperative period (from surgery to 30 days after surgery)

    The incidence rate of related complications during the perioperative period (from surgery to 30 days post-surgery) includes intraoperative conversion surgeries due to delivery devices, as well as bleeding, hematoma, and pseudoaneurysm occurring along the delivery access route.

    Time frame: perioperative period (from surgery to 30 days after surgery)

  9. Incidence rate of MAE at Intraoperative, pre-discharge and within 30 days postoperatively

    A Major Adverse Event (MAE) is defined as any occurrence of all-cause mortality, intestinal necrosis, kidney failure, stroke (excluding TIA), permanent paraplegia, myocardial infarction, or respiratory failure.

    Time frame: Intraoperative, pre-discharge(up to 14 days) and within 30 days postoperatively

  10. All-cause mortality at 6 months, 12 months, and 2-5 years postoperatively

    All-cause mortality refers to the rate of death from any cause within a specific population over a defined period of time.

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

  11. Aortic-related mortality at 6 months, 12 months, and 2-5 years postoperatively

    Aortic-related mortality refers to the proportion of deaths attributed to aortic conditions within a specific population over a defined period of time.

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

  12. Incidence rate of severe adverse events at 6 months, 12 months, and 2-5 years postoperatively

    A serious adverse event (SAE) in a clinical trial refers to any incident that results in death or a significant deterioration in health. This includes life-threatening illnesses or injuries, permanent impairment of a body structure or function, hospitalization or extended hospital stay, and medical or surgical interventions necessary to prevent permanent damage to physical structure or function. Additionally, SAEs encompass events causing fetal distress, fetal death, or congenital anomalies or defects.

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

  13. Incidence rate of Device-related adverse events at 6 months, 12 months, and 2-5 years postoperatively

    Medical device adverse events are unexpected incidents that occur during or after the use of a medical device by a patient. The World Health Organization (WHO) defines an adverse event as "a problem that can or does result in permanent impairment, injury, or death to the patient or the user." This definition implies two key requirements for determining a medical device adverse event. First, the event must be related to the usage of the medical device. Second, it must be assessed whether the use of the medical device could cause direct harm or potential harm.

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

07

Study locations

16 of 17 sites recruiting
  • Fuwai Hospital, Chinese Academy of Medical Sciences
    Beijing, China
    Recruiting
    • chang shu, Professor · Contact
  • Second Xiangya Hospital of Central South University
    Changsha, China
    Recruiting
    • chang shu, Professor · Contact
  • West China Hospital, Sichuan University
    Chengdu, China
    Recruiting
    • Jia Hu, Professor · Contact
  • The First Affiliated Hospital of Fujian Medical University
    Fuzhou, China
    Recruiting
    • Fanggang Cai, Professor · Contact
  • Union Hospital Affiliated to Fujian Medical University
    Fuzhou, China
    Recruiting
    • Liangwan Chen, Professor · Contact
  • The First Affiliated Hospital of Zhejiang University School of Medicine
    Hanzhou, China
    Recruiting
    • Hongkun Zhang, Professor · Contact
  • The First Affiliated Hospital of Kunming Medical University
    Kunming, China
    Recruiting
    • Bin Yang, Professor · Contact
  • The First People's Hospital of Yunnan Province
    Kunming, China
    Recruiting
    • Kunmei Gong, Professor · Contact
  • Yunnan Fuwai Cardiovascular Disease Hospital
    Kunming, China
    Recruiting
    • Yuanyuan Guo, Professor · Contact
  • Jiangsu Provincial People's Hospital
    Nanjing, China
    Recruiting
    • Xiwei Zhang, Professor · Contact
  • Nanjing First Hospital
    Nanjing, China
    Recruiting
    • Xin Chen, Professor · Contact
  • Zhongshan Hospital of Fudan University
    Shanghai, China
    Recruiting
    • Weiguo Fu, Professor · Contact
  • Shenzhen Hospital of Fuwai Hospital of Chinese Academy of Medical Sciences
    Shenzhen, China
    Recruiting
    • Chang Shu, Professor · Contact
  • Renmin Hospital of Wuhan University
    Wuhan, China
    Recruiting
    • Jun Xia, Professor · Contact
  • Cardiovascular Disease Hospital Affiliated to Xiamen University
    Xiamen, China
    Recruiting
    • Hui Zhuang, Professor · Contact
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, China
    Recruiting
    • Zhen Li, Professor · Contact
  • Universitäts-Herzzentrum Freiburg - Bad Krozingen
    Freiburg im Breisgau, Germany
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2024 (actual). Primary completion is estimated for Jul 2027, 38 months after the start.

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

Registered
Jul 7, 2024
First posted
Jul 25, 2024
StartActual
May 30, 2024
Primary completionEst.
Jul 30, 2027
CompletionEst.
Jun 30, 2031
Last update
Jul 28, 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 Jul 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06520774
Collaborators
Second Xiangya Hospital of Central South University
Responsible party
Sponsor
First posted
Jul 25, 2024
Start date
May 30, 2024
Primary completion
Jul 30, 2027 (estimated)
Completion
Jun 30, 2031 (estimated)
Last update
Jul 28, 2025

Study contacts

chang shu, Professor
Contact
changshu01@yahoo.com
13607444222
Martin Czerny, Professor
Contact
martin.czerny@universitaets-herzzentrum.de
chang shu, Professor
principal investigator · Second Xiangya Hospital of Central South University

Oversight

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

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