ClinicalTrials.gg
RecruitingNCT07078383RAPIDUpdated Jul 27, 2026

A Study to Evaluate the Safety and Effectiveness of the Rapidlink Device When Used in Patients Undergoing an Open Surgical Procedure to Repair the Aorta

An interventional study of Rapidlink in Aortic Aneurysm, Aortic Aneurysm and Dissection and Aortic Diseases, sponsored by Vascutek Ltd.. Recruiting at 21 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-27.

Sponsored by Vascutek Ltd. (part of Terumo Corporation) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The Goal of this Clinical Study is to evaluate the safety and effectiveness of the Rapidlink device in the repair or replacement of the supra-aortic vessels during open surgical repair of aortic disease affecting the thoracic aorta.

This study will collect information on patients who are already having surgery to repair their aorta and who will have Rapidlink device implanted into one or more of the aortic arch vessels.

The first 32 subjects enrolled will undergo left subclavian artery repair or replacement, only, with the Rapidlink device. After the 32nd subject, enrollment will proceed to include subjects undergoing any supra-aortic vessel (i.e., left subclavian artery, left common carotid artery, and/or innominate artery) repair or replacement with the Rapidlink device in a planned surgery.

After the 32nd subject is enrolled in the main group, up to 30 subjects will undergo supra-aortic vessel (i.e., left subclavian artery, left common carotid artery, and/or innominate artery) repair or replacement with the Rapidlink device in an emergency setting.

Data will be collected before, during and after surgery including recovery at discharge, 30 days, 6 months, 1 and 2 years after the surgery.

Read the detailed description

Treatment options for pathologies involving the aortic arch include medical management, open surgical repair with vascular grafts (e.g., Gelweave), and frozen elephant trunk procedures (e.g., Thoraflex Hybrid).

During conventional replacement of the aortic arch, branches from the main graft are anastomosed onto the transected main arch vessels. In some circumstances this can be difficult for the surgeon, particularly in the case of the left subclavian artery which can be deep routed and difficult to access due to patient anatomy. It can also be displaced by aneurysmal disease or be fragile and friable secondary to atherosclerotic change.

An unmet need exists regarding the ability to access the supra-aortic vessels (e.g., left subclavian artery) in a timely manner during open surgical repair and to expedite the anastomosis to the arch while reducing the need to perform additional concomitant procedures (e.g., transposition or bypass of the left subclavian artery).

The Rapidlink device is designed to simplify this process by enabling the surgeon to place a stented graft within the supra-aortic vessels and secure it, with minimal sutures and manipulation, in a timely manner during open surgical repair.

This study will evaluate patients necessitating repair or replacement of the supra-aortic vessels (i.e., left subclavian artery, left common carotid artery, and/or innominate artery) during open surgical repair of aortic disease affecting the thoracic aorta in an elective (Primary Arm) or emergent (Emergent Arm) setting

Up to 120 subjects will be recruited in the primary arm (elective setting).The first 32 subjects will undergo left subclavian artery repair or replacement with the Rapidlink device. After the 32nd subject with only the left subclavian artery repair or replacement with the Rapidlink device has been enrolled, enrollment will proceed to include subjects undergoing any supra-aortic vessel (i.e., left subclavian artery, left common carotid artery, and/or innominate artery) repair or replacement with the Rapidlink device in an elective setting.

For the Emergent Arm, up to 30 subjects will undergo supra-aortic vessel (i.e., left subclavian artery, left common carotid artery, and/or innominate artery) repair or replacement with the Rapidlink device in an emergent setting. Enrollment into the Emergent Arm will begin after the 32ndsubject from the Primary Arm has been enrolled. Investigators are not allowed to enroll into the Emergent Arm until one elective case has been performed.

It is anticipated that up to 150 patients will be recruited over a 12 month period (approximately). Patients will be evaluated at the following timepoints: Pre-procedure, Implant, Discharge/30 days, 3 months, 12 months and 24 months.

02

Conditions studied

  • Aortic Aneurysm
  • Aortic Aneurysm and Dissection
  • Aortic Diseases
  • Aneurysm of Aorta, Thoracic
  • Aneurysmal Disease
  • Aorta, Thoracic Pathologies

Keywords

  • Vascular Prosthesis
  • Replacement or bypass of disease vessels
  • aneurysmal disease
  • Aortic branch vessels
  • Open aortic arch repair
  • aneurysm
  • dissection
  • Supra-aortic Vessels
  • Frozen Elephant Trunk
  • Left Subclavian Artery
03

In context

Aortic Aneurysm

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

This study's planned enrollment of 150 is above the median of 62 across 101 interventional studies indexed under Aortic Aneurysm.

Browse Aortic Aneurysm 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
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

  • Patient is aged 18 years or over on date of consent
  • Written (from patient or a legally authorized representative) to participate in study, documenting willingness and ability to comply with all study procedures and study visits (unless an exemption for emergency cases has been IRB / EC approved)
  • Patient's need for open surgical repair of the thoracic aorta using a Gelweave graft or a Thoraflex Hybrid device (AnteFlo or Plexus) in line with the applicable IFU
  • Anticipated need to use Rapidlink for the repair or replacement of the LSA, LCCA and/or IA during the open surgical repair
  • Patient has an 8-15 mm inner diameter (target SAV)
  • The diameters of the patient's target supra-aortic vessel(s), fall within the ranges specified in the IFU

Exclusion criteria

Exclusion Criteria:

  • Patient does not have a clear landing zone equal to the implantable stent length which is free from stenosis, calcification or thrombus.
  • Patient does not have a sealing zone free from tortuosity.
  • Patient has significant angulation (>79° with an internal radius of less than 6mm) for the full implantable stent length
  • Patient cannot receive anticoagulation / antiplatelet therapy during or after the index procedure as per the protocol
  • Patient has uncontrolled hypercoagulation
  • Patient has a condition which may compromise or prevent the necessary imaging requirements
  • Patient has anatomic variants which would compromise circulation to the first branch off the target artery after placement of the Rapidlink device (unless planned and/or otherwise revascularized)
  • Patient is unfit for open surgical repair involving circulatory arrest per the study investigator
  • Patient has known sensitivity to polyester, nitinol, tantalum, or materials of bovine origin
  • Patient has a ruptured aorta
  • Patient has active endocarditis or an active infective disorder of the aorta
  • Patient has an active systemic infection that, in the opinion of the investigator, would compromise the outcome of the surgical procedure
  • Patient is enrolled in another active study and has received an product (device, pharmaceutical or biologic) within 6 months prior to the date of the implant or has not reached the primary endpoint of the study
  • Patient is female and is pregnant or planning to become pregnant during the course of the study. Females of must use acceptable methods of during the course of the study.
  • Patient has an uncorrectable bleeding anomaly
  • Patient has renal failure (defined as dialysis dependent or serum creatinine ≥2.5mg/dL)
  • Patient has known sensitivity to radiopaque contrast agents that cannot be adequately pre-treated
  • Patient has a co-morbidity causing expected survival to be less than 1 year
  • Patient has any other 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
  • Patient has a known chronic aortic dissection involving the intended landing zone of the target supra-aortic vessel(s)
Terms in these criteria, in plain language(4)

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.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

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

Study arms

  • Experimental
    Rapidlink Device

    Device: Rapidlink

Interventions

  • DeviceRapidlink

    The Rapidlink implant is comprised of a Gelweave graft section (gelatin-sealed woven polyester) attached to a stented section (which utilizes nitinol ring stents), with a 'cuff'' feature joined to the stented section of the implant. The implant is supplied pre-loaded in a single use delivery system which compacts the stented section within a polytetrafluoroethylene (PTFE) sheath at the front of the system.

06

What researchers measure

Primary outcomes

  1. The absence of a major adverse event (MAE) at 6-month post procedure.

    The primary endpoint is the absence of a major adverse event (MAE) at 6-month post procedure. MAE are defined as follows are will be assessed as composite and individually: Permanent disabling stroke Permanent paraplegia/paraparesis Device-related (Rapidlink) reinterventions All-cause mortality * Device-related mortality (arch graft and/or branch graft) * Procedure-related mortality * Not device or procedure related

    Time frame: 6 months post procedure

Secondary outcomes

  1. Technical Success of the Rapidlink portion of the procedure

    Technical Success: of the Rapidlink portion of the procedure is a composite endpoint evaluated at 30 days by the implanting physician and is defined as follows: * Successful access to the arterial system * Successful delivery and deployment of the Rapidlink device in the planned location without unplanned vessel coverage * Absence of Rapidlink-related Type I or Type III endoleaks (or resolution by 30 days) as determined by imaging confirmation * Patency of the Rapidlink device (defined as less than 50% stenosis or without the need for re-intervention due to stenosis), * Absence of device deformations requiring unplanned placement of an additional device * Successful withdrawal of the Rapidlink delivery system (without unanticipated corrective action related to the withdrawal)

    Time frame: 30 days post-procedure

  2. Clinical Success (Total Arch Repair)

    Clinical Success (Total Arch Repair) is defined as: * Absence of lesion-related mortality * Absence of persistent Type I or Type III endoleak\* * Absence of device infection * Absence of aortic thrombosis * Absence of new dissection * Absence of loss of patency (any unanticipated loss of patency of supra-aortic vessels)\*\* * Absence of secondary intervention or conversion to open surgery completed to address a loss of device integrity * Absence of permanent paraplegia/paraparesis, permanent stroke, or laryngeal nerve paralysis that resulted from the initial operation or a secondary intervention to correct the treated supra-aortic vessels connections Clinical Success will be assessed as a composite and all individual elements

    Time frame: At discharge/30 days, 6-Months, 12 Months and 24 Months post-procedure

  3. Rate of Aortic or supra-aortic vessel rupture

    Rate of Aortic or supra-aortic vessel rupture

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  4. Rate of Stroke of any type, including transient ischemic attacks

    Rate of Stroke of any type, including transient ischemic attacks

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  5. Rate of Pseudoaneurysm in the treated segment

    Rate of Pseudoaneurysm in the treated segment of the aorta

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  6. Device-related serious adverse events

    Rate of Device-related serious adverse events

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  7. Rate of endoleaks

    Rate of core laboratory imaging confirmed endoleak of any type

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  8. Rate of migration of the Rapidlink Device

    Migration defined as: Movement (caudal and/or cranial) of device of \>10 mm as compared to first post-procedural imaging (e.g., discharge/30-day).

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  9. Rate of Loss of Device (Rapidlink) integrity

    Fracture of stent and or disruption of fabric or suture material as confirmed by imaging.

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  10. Patency related observations (e.g., asymptomatic loss of patency, stenosis) of the Rapidlink device

    Rate of patency related observations by type, confirmed by imaging

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  11. Rate of Lesion or device-related secondary interventions

    Rate of lesion or device-related secondary interventions

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  12. Clinical utility measures

    Duration of procedure and Implantation of Device (Hours)

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  13. Clinical utility measures

    Volume of Bloodloss and Volume of transfusion or replacement blood products

    Time frame: At discharge/30 days, 6-months, 12 months and 24 months post-procedure

  14. Clinical Utility Measures

    Length of Duration of hospital stay (days)

    Time frame: At discharge/30days, 6 months, 12 months and 24 months post-procedure

  15. Clinical Utility Measures

    Duration in Intensive Care Unit (days)

    Time frame: At discharge/30days, 6 months, 12 months and 24 months post-procedure

07

Study locations

7 of 21 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

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

Started Dec 2025 (actual). Primary completion is estimated for Nov 2027, 23 months after the start.

Of 44 interventional studies with no phase under Aortic Aneurysm, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 70. This study's planned 23 months is below that.

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

Registered
Jun 19, 2025
First posted
Jul 22, 2025
StartActual
Dec 19, 2025
Primary completionEst.
Nov 2027
CompletionEst.
Nov 2028
Last update
Jul 27, 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 Jul 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07078383
Lead sponsor
Vascutek Ltd.
Responsible party
Sponsor
First posted
Jul 22, 2025
Start date
Dec 19, 2025
Primary completion
Nov 2027 (estimated)
Completion
Nov 2028 (estimated)
Last update
Jul 27, 2026

Study contacts

Sarah Macluskie
Contact
s.macluskie@terumoaortic.com
+441413430333
Michelle Durnan
Contact
m.durnan@terumoaortic.com
+44 141 343 0184

Oversight

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

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