New One-Time procedure aims to prevent dangerous aneurysm growth
NCT ID NCT06001918
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new treatment called the Nectero EAST System for people with small to medium abdominal aortic aneurysms (AAA). The goal is to see if a single treatment delivered through a catheter can stabilize the aneurysm and prevent it from growing or rupturing. About 400 participants will be randomly assigned to receive the treatment or standard monitoring. Researchers will track outcomes like aneurysm growth, rupture, or need for surgery over up to 5 years.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2023
- Expected to finish
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Dec 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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21 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Males and females ≥21 to ≤85 years of age. Females must be of non-childbearing potential (menopause or sterilization). 2. Subject understands the purpose of the trial, agrees to voluntarily participate in the trial, signs the informed consent and is willing to complete the follow-up according to the requirements of the protocol. 3. Infrarenal atherosclerotic fusiform abdominal aortic aneurysm from 3.5 cm to 5.0 cm (male) and 3.5 cm to 4.5 cm (female). 4. Infrarenal aortic neck ≥ 15 mm in length and ≤ 29 mm in diameter. 5. Overall AAA treatment length (distal renal to distal inferior margin of the aneurysm) not to exceed 130 mm. 6. Iliac and femoral artery access, vessel size and morphology allow endovascular access of 14F (or larger) introducer sheaths and catheters. 7. Subject meets American Society of Anesthesiology (ASA) grade 1 through 3 criteria, inclusive. 8. Subject has \> three-year life expectancy. 9. Subject is able and willing to comply with all required follow-up clinic visits including CT scans (pre-randomization, 6, 12, 18, 24 months and annually up to 5 years) and blood draws. Exclusion Criteria: 1. Subject has an acutely ruptured, leaking, dissecting or emergent aneurysm. 2. Subject has a symptomatic infrarenal abdominal aortic aneurysm. 3. Subject has a mycotic or infected aneurysm. 4. Subject has current vascular injury due to trauma. 5. Subject's aneurysm is thoracic, suprarenal or juxtarenal. 6. Previous surgical or endovascular aneurysm repair for abdominal aortic aneurysm. 7. Subject has anatomy of diffuse, ulcerated, or extensive (shaggy) thrombus in the neck of the AAA, that in the opinion of the vascular surgeon/investigator, could result in embolization of the thrombus. 8. Subject has anatomy of calcification, and/or plaque within the ilio-femoral arteries or severe infrarenal neck angulation that may compromise or does not allow delivery of the Introducer Sheath or the delivery catheter of the Nectero EAST System. 9. Subject has had a myocardial infarction within six (6) months prior to enrollment or elevated CK enzymes or troponin indicative of an evolving MI prior to procedure. 10. Subject has current angina, unstable angina, or other active cardiac condition such as congestive heart failure III and IV, atrial arrhythmia, ventricular arrhythmia, or valvular disease, requiring intervention. 11. Subject has undergone other major surgery within the 30 days prior to enrollment. 12. Subjects with any transient ischemic attack (TIA) or ischemic stroke within 3 months. 13. Known allergy to contrast material that cannot be adequately premedicated, delivery system materials (i.e., nylon, polyurethane) and/or pentagalloylglucose (PGG). 14. Subject is morbidly obese or has other clinical conditions that severely inhibit X-ray visualization of the aorta. 15. Subject has connective tissue/collagen disorder (e.g., Marfan syndrome, vascular Ehlers-Danlos Syndrome, Loeys-Dietz Syndrome, Eaton Syndrome, Bessel-Hagen disease, etc.). 16. Known contraindication to undergoing angiography or receiving systemic anticoagulation during the procedure. 17. Subject has active systemic infection. 18. Subject is participating in another research trial that could interfere with the results of the trial (e.g., drug trial). 19. Subject has other medical, social, or psychological problems that, in the opinion of the investigator, preclude them from participation in the trial and to undergo the procedures and evaluations pre- and post-treatment. 20. Subject has dialysis dependent renal failure or baseline serum creatinine level \>2.5mg/dL or eGFR \< 45 mL/min/1.73m2. 21. Subjects with aminotransferase (ALT and/or AST) which is ≥1.5x upper limit of normal (ULN) or TB that is our of normal range for the evaluating laboratory. 22. Subjects that may not tolerate the lowering of their systolic blood pressure to approximately 100mmHg, should not be considered for this study or treated using the Nectero EAST System. 23. Subjects that may not be able to tolerate transient occlusion of the aorta should not be considered for this study. 24. Subjects with saccular AAA. 25. Subjects with rapidly expanding AAA (previous diameter increases of ≥0.5 cm in 6-months or ≥1 cm in 1 year) as these should be evaluated for immediate repair. 26. Subjects who are not suitable for the Nectero EAST System treatment, as determined by the investigator. 27. Subjects with INR out of normal range for the evaluating laboratory for a subject not on anti-coagulant therapy; or INR \>3 for a subject on anti-coagulant therapy. 28. Subjects with active/acute or a history of unstable chronic liver disease or current liver disease including but not limited to liver transplant, known genetic disorders such as Gilbert syndrome or other liver diseases. 29. Subjects with cirrhosis (e.g., known history or new clinical diagnosis by elastography with a fibrosis score of F3 or F4 and/or steatosis grade of S3). 30. Subjects with uncontrolled alcohol use disorder or current alcohol use putting them at risk of liver disease: including consumption of above one standard drink per day for women and two standard drinks per day for men. 31. Subjects with known right-sided heart failure or pathologically dilated inferior vena cava or hepatic veins indicative of congestive hepatopathy.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
35 sites in 3 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Auckland City Hospital
RECRUITINGAuckland, 1023, New Zealand
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Baylor Scott & White Medical Center
RECRUITINGPlano, Texas, 75093, United States
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Beaumont Health
RECRUITINGRoyal Oak, Michigan, 48073, United States
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Bellin Memorial Hospital
RECRUITINGGreen Bay, Wisconsin, 54301, United States
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Beth Israel Deaconess Medical Center
RECRUITINGBoston, Massachusetts, 02215, United States
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Cleveland Clinic
ACTIVE_NOT_RECRUITINGCleveland, Ohio, 44195, United States
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Dartmouth Hitchcock Medical Center
ACTIVE_NOT_RECRUITINGLebanon, New Hampshire, 03766, United States
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Duke University Medical Center
RECRUITINGDurham, North Carolina, 27710, United States
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Honor Health Scottsdale Shea Medical Center
RECRUITINGScottsdale, Arizona, 85258, United States
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Hospital of the University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Houston Healthcare
RECRUITINGHouston, Texas, 77004, United States
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Inova Fairfax Medical Campus Inova Health Systems
RECRUITINGFairfax, Virginia, 22031, United States
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Jefferson Clinical Research Institute
RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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MaineMed Vascular Surgery
NOT_YET_RECRUITINGScarborough, Maine, 04074, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Medical College of Georgia
RECRUITINGAugusta, Georgia, 30912, United States
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Medstar Washington Hospital Center
RECRUITINGWashington D.C., District of Columbia, 20010, United States
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North Central Heart - A Division of Avera Heart Hospital
RECRUITINGSioux Falls, South Dakota, 57108, United States
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Ohio Health Riverside
RECRUITINGColumbus, Ohio, 43214, United States
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Oklahoma Heart Institute
RECRUITINGTulsa, Oklahoma, 74104, United States
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Portland VA Medical Center
RECRUITINGPortland, Oregon, 97239, United States
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Prime Vascular Institute
ACTIVE_NOT_RECRUITINGDelray Beach, Florida, 33446, United States
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Prince of Wales Private Hospital- POW Vascular Institute
RECRUITINGRandwick, New South Wales, 2031, Australia
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Prisma Health
RECRUITINGGreenville, South Carolina, 29605, United States
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St. Luke's University Health Network
RECRUITINGBethlehem, Pennsylvania, 18015, United States
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Stony Brook Medicine
NOT_YET_RECRUITINGStony Brook, New York, 11794, United States
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The Christ Hospital
RECRUITINGCincinnati, Ohio, 45219, United States
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The Ohio State University Wexner Medical Center
RECRUITINGColumbus, Ohio, 43210, United States
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University Hospitals Cleveland
RECRUITINGCleveland, Ohio, 44106, United States
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University of Chicago
RECRUITINGChicago, Illinois, 60637, United States
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University of Colorado
ACTIVE_NOT_RECRUITINGAurora, Colorado, 80045, United States
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University of Massachusetts
RECRUITINGWorcester, Massachusetts, 01655, United States
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University of Nebraska Medical Center
RECRUITINGOmaha, Nebraska, 68198, United States
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University of Pittsburgh Medical Center
RECRUITINGPittsburgh, Pennsylvania, 15219, United States
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University of Rochester
RECRUITINGRochester, New York, 14642, United States
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University of Utah Hospital
RECRUITINGSalt Lake City, Utah, 84132, United States
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University of Washington at Harborview Medical Center
RECRUITINGSeattle, Washington, 98104, United States
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
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Washington University School of Medicine
RECRUITINGSt Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can sound waves replace CT scans for aortic aneurysm monitoring?
- Can a stent-graft keep aortic aneurysms in check for years? a long-term follow-up study aims to find out.
- Aneurysm repair may stiffen arteries — a study asks what that means for the heart
- Rehab after aneurysm surgery: could a 3-Week program boost heart and lung fitness?
- Nerve block may offer safer pain relief after major aortic surgery
- New device aims to seal aortic aneurysms without open surgery