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NCT03298477: EVAS2

EVAS2 IDE Prospective, Multicenter, Single Arm Safety and Effectiveness Confirmatory Study

Active, enrolled NA Results posted Last updated 19 March 2025
What this trial tests

NA trial testing Nellix® System in Abdominal Aortic Aneurysm Without Rupture in 98 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
1 December 2017
Primary endpoint
7 June 2022
16 August 2025

Quick facts

Lead sponsorEndologix
PhaseNA
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment98
Start date1 December 2017
Primary completion7 June 2022
Estimated completion16 August 2025
Sites27 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Endologix

Who can join

18 and older, any sex, with Abdominal Aortic Aneurysm Without Rupture. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Safety: Major Adverse Events (MAE) Primary · 30 days

The primary safety endpoint is defined as the incidence of Major Adverse Events (MAE) at 30 days, defined as the composite of the following All-Cause Mortality; Bowel Ischemia; Myocardial Infarction; Paraplegia; Renal Failure; Respiratory Failure; Stroke; Procedural Blood Loss ≥1,000cc

Death
GroupValue95% CI
Nellix System1
Myocardial Infarction
GroupValue95% CI
Nellix System2
Renal Failure
GroupValue95% CI
Nellix System2
Effectiveness: Rate of Treatment Success Primary · 2 year

The primary effectiveness endpoint is defined as the rate of Treatment Success at year 2. Treatment Success is a composite of outcomes clinically relevant to the endovascular repair of infrarenal AAA as follows: It is defined as procedural technical success and absence of Abdominal aortic aneurysm rupture; Conversion to open surgical repair; Endoleak Type I or III at year 2; Clinically significant migration; \> 5mm aneurysm sac enlargement of the maximal diameter as measured by the difference from the 30-Day CT time point; or Secondary endovascular procedure up to year 2 for resolution of End

GroupValue95% CI
Nellix System92.2
Conversions, Death and Ruptures Secondary · 2 Years

Number of Deaths, Conversion and ruptures through the data cut of the July 7, 2023,

Conversion
GroupValue95% CI
Nellix EndoVascular Aneurysm Sealing System0
Deaths
GroupValue95% CI
Nellix EndoVascular Aneurysm Sealing System7
Ruptures
GroupValue95% CI
Nellix EndoVascular Aneurysm Sealing System0
Device Integrity Secondary · 2 Years

Device Integrity is defined as the absence of device fracture, stenosis, kink, occlusion, or migration \>5mm. All incidences of stent occlusion (100% device lumen obstruction) are also captured as stent stenosis (\<100% device lumen obstruction).

Stenosis
GroupValue95% CI
Nellix EndoVascular Aneurysm Sealing System:5
Stent Occlusion
GroupValue95% CI
Nellix EndoVascular Aneurysm Sealing System:4
Migration>5mm
GroupValue95% CI
Nellix EndoVascular Aneurysm Sealing System:1
Migration >10mm
GroupValue95% CI
Nellix EndoVascular Aneurysm Sealing System:0
Stent Kinking
GroupValue95% CI
Nellix EndoVascular Aneurysm Sealing System:0
Stent Fracture
GroupValue95% CI
Nellix EndoVascular Aneurysm Sealing System:0
Device Performance - Endoleak Secondary · 2 Years

Demonstrates device performance as indicated by the incidence of Endoleaks through study follow-up. Endoleak is determined by the CoreLab based on imaging completed. Endoleak is defined as clear evidence of contrast outside of one or both EndoBags which communicates with the aneurysm sac originating proximally at the infrarenal segment (Type IA), distally (Type IB); between components, if an extender is used (Type III); trans-device (Type IV); or from a patent collateral vessel (Type II: e.g., lumbar artery; inferior mesenteric artery).

Endoleak Type IA
GroupValue95% CI
Single Arm Nellix EndoVascular Aneurysm Sealing System5
Endoleak Type IB
GroupValue95% CI
Single Arm Nellix EndoVascular Aneurysm Sealing System1
Endoleak Type II
GroupValue95% CI
Single Arm Nellix EndoVascular Aneurysm Sealing System6
Endoleak Type III
GroupValue95% CI
Single Arm Nellix EndoVascular Aneurysm Sealing System0
Endoleak Type IV
GroupValue95% CI
Single Arm Nellix EndoVascular Aneurysm Sealing System0
Endoleak Unknown
GroupValue95% CI
Single Arm Nellix EndoVascular Aneurysm Sealing System1
DEVICE PERFORMANCE-ANEURYSM SAC DIAMETER- Avg Size Secondary · 2 years

Average Sac Diameter size at Visit

GroupValue95% CI
Nellix System55.4± 5.9
DEVICE PERFORMANCE-ANEURYSM SAC DIAMETER- Changes in Sac Size Since 01 Month Secondary · 2 Years

Number of subjects that had changes in the Sac Diameter size since the 1 month follow-up visit

Decreased >5mm
GroupValue95% CI
Nellix System3
Stable +- 5mm
GroupValue95% CI
Nellix System69
Increased >5mm
GroupValue95% CI
Nellix System4
No Growth
GroupValue95% CI
Nellix System72
Secondary Interventions Secondary · 2 Years

All Secondary interventions reported during the study

Conversion to open repair due to aneurysm expansion
GroupValue95% CI
Nellix System0
Iliac Extension due to aneurysm expansion
GroupValue95% CI
Nellix System1
Iliac Stenting due to renal failure
GroupValue95% CI
Nellix System1
Renal stent due to renal failure
GroupValue95% CI
Nellix System1
Iliac Extension due to Vessel Dissection (Non aortic)
GroupValue95% CI
Nellix System1
Thrombolysis due to Vessel Dissection (Non aortic)
GroupValue95% CI
Nellix System1
Conversion to Open Repair due to endoleak IA
GroupValue95% CI
Nellix System0
Coil Embolization due to Endoleak II
GroupValue95% CI
Nellix System1
LABS-RENAL FUNCTION (EGFR) Secondary · 2 Years

The outcome demonstrates the protocol specified laboratory values (collected as eGFR) captured at each follow-up visit

GroupValue95% CI
Nellix System66± 24
LABS- RENAL FUNCTION (CREATININE) Secondary · 2 Years

Labs- Renal Function demonstrates the protocol specified laboratory values (Collected as creatinine) captured at each follow-up visit

GroupValue95% CI
Nellix System1.19± 0.42

Adverse events — posted to ClinicalTrials.gov

Time frame: All Adverse Events data occurring during the study period were collected (i.e. procedure through 5 years follow-up). The data reported here are as of the data cut for 2-year primary endpoint data.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Single Arm Nellix EndoVascular Aneurysm Sealing System
Serious: 49/98 (50%)
Deaths: 7/98

Serious adverse events (13 terms)

ReactionSystemSingle Arm Nellix EndoVasc…
MiscellaneousGeneral disorders
CardiacCardiac disorders
PulmonaryRespiratory, thoracic and mediastinal disorders
RenalRenal and urinary disorders
Bleeding/AnemiaBlood and lymphatic system disorders
MalignanciesNeoplasms benign, malignant and unspecified (incl cysts and polyps)
NeurologicalNervous system disorders
UrogenitalRenal and urinary disorders
BowelGastrointestinal disorders
Nellix DeviceProduct Issues
VascularVascular disorders
Surgical Site WoundSurgical and medical procedures
Chimney DeviceSurgical and medical procedures
Other adverse events (13 terms — click to expand)

ReactionSystemSingle Arm Nellix EndoVasc…
MiscellaneousGeneral disorders
UrogenitalRenal and urinary disorders
CardiacCardiac disorders
RenalRenal and urinary disorders
MalignanciesNeoplasms benign, malignant and unspecified (incl cysts and polyps)
VascularVascular disorders
BowelGastrointestinal disorders
Nellix DeviceProduct Issues
NeurologicalNervous system disorders
Surgical Site WoundSurgical and medical procedures
Bleeding/AnemiaBlood and lymphatic system disorders
Chimney DeviceRespiratory, thoracic and mediastinal disorders
PulmonaryRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Miscellaneous, Cardiac, Pulmonary, Renal, Bleeding/Anemia, Malignancies, Neurological, Urogenital.

Data from ClinicalTrials.gov NCT03298477 adverse events section.

Sponsor's own description

Prospective, multicenter, single arm study with consecutive, eligible subject enrollment at each site. All subjects will undergo the Endovascular Aneurysm repair procedure with the Nellix System.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Systematic Review on the Mid-Term Outcomes of Elective Endovascular Aneurysm Sealing in Comparison to Endovascular Aneurysm Repair.
    Zoethout AC, Hochstenbach I, van der Laan MJ, de Vries JPM, et al · · 2022 · cited 7× · PMID 34569337 · DOI 10.1177/15266028211047941

Verify or expand the search:

Other recruiting trials for Abdominal Aortic Aneurysm Without Rupture

Currently open trials in the same condition.

Other Endologix trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03298477.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing