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Abdominal Aortic Aneurysm Without RuptureEVAS2NCT03298477

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

A study testing Nellix® System in people with Abdominal Aortic Aneurysm Without Rupture, run by Endologix at 27 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Nellix® System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
98 participants
Where
27 sitesUnited States
Study dates
1 Dec 2017to 16 Aug 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A patient who meets all of the following criteria potentially may be included in the study:
  • Male or female at least 18 years old;
  • Informed consent form understood and signed
  • Patient agrees to all follow-up visits;
  • Abdominal aortic aneurysm with sac diameter ≥5.0cm, or ≥4.5cm which has increased by ≥0.5cm within the last 6 months, or or which exceeds 1.5 times the transverse dimension of an adjacent non-aneurysmal aortic segment. No AAA <4 cm will be included.
  • Anatomically eligible for the Nellix System (per Instructions For Use):
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  • Adequate iliac/femoral access compatible with the required delivery systems (diameter ≥6 mm);
  • Aneurysm blood lumen diameter ≤60mm;
  • Proximal non-aneurysmal aortic neck: length ≥10mm; diameter 18 to 28mm; angle ≤60° to the aneurysm sac;
  • Most caudal renal artery to each hypogastric artery length ≥100mm;
  • Common iliac artery lumen diameter between 9 and 35mm;
  • Distal iliac artery seal zone with length of ≥10mm and diameter range of 9 to 25mm;
  • Ability to preserve at least one hypogastric artery.
  • Ratio of maximum aortic aneurysm diameter to maximum aortic blood lumen diameter <1.40

Who cannot join

  • A patient who meets none of the following criteria potentially may be included in the study:
  • Life expectancy <2 years as judged by the Investigator;
  • Psychiatric or other condition that may interfere with the study;
  • Participating in another clinical study;
  • Known allergy or contraindication to any device material;
  • Coagulopathy or uncontrolled bleeding disorder;
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  • Ruptured, leaking or mycotic aneurysm;
  • Serum creatinine (S-Cr) level >2.0 mg/dL;
  • CVA or MI within three months of enrollment/treatment;
  • Aneurysmal disease of the descending thoracic aorta;
  • Clinically significant mural thrombus within the proximal landing zone (minimum 10mm) of the infrarenal non-aneurysmal neck (>5mm thickness over >50% circumference);
  • Connective tissue diseases (e.g., Marfan Syndrome);
  • Unsuitable vascular anatomy that may interfere with device introduction or deployment;
  • Pregnant (female of childbearing potential only).

Trial locations and contacts

27 sites in 1 country.

27 sites in 1 country

United States27 sites
  • New Mexico Heart Institute

    Albuquerque, New Mexico, 87102

  • McLaren Bay Region

    Bay City, Michigan, 48708

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • The Cooper Health System

    Camden, New Jersey, 08103

  • Christie Clinic

    Champaign, Illinois, 61820

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • UC Health-Memorial Hospital

    Colorado Springs, Colorado, 80909

  • Palmetto Health- University of South Carolina

    Columbia, South Carolina, 29203

  • AMITA Health

    Elk Grove Village, Illinois, 60007

  • Inova Research Center

    Falls Church, Virginia, 22042

  • Valley Vascular Consultants

    Huntsville, Alabama, 35801

  • St. Vincent Heart Center of Indiana

    Indianapolis, Indiana, 46290

  • Midwest Aortic & Vascular Institute

    Kansas City, Missouri, 64116

  • Wellmont CVA Heart Institute

    Kingsport, Tennessee, 37660

  • Regents of the University of California (UCLA)

    Los Angeles, California, 90095

  • Cardiovascular Surgery Clinic

    Memphis, Tennessee, 38120

  • Miami Cardiac & Vascular Institute (MCVI)

    Miami, Florida, 33176

  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029

  • AdventHealth Orlando

    Orlando, Florida, 32803

  • Coastal Vascular & Interventional

    Pensacola, Florida, 32503

  • Providence St. Vincent Medical Center

    Portland, Oregon, 97213

  • Veterans Medical Research Foundation

    San Diego, California, 92161

  • Providence Sacred Heart Medical Center

    Spokane, Washington, 99204

  • OU College of Medicine

    Tulsa, Oklahoma, 74135

  • MedStar Health Research Institute

    Washington D.C., District of Columbia, 20010

  • Aspirus Research Institute

    Wausau, Wisconsin, 54401

  • Northeast Ohio Vascular Assoc (NEOVA)

    Willoughby, Ohio, 44095

Other trials in United States

About this study

Official title: Prospective, Multicenter, Single Arm Safety and Effectiveness Confirmatory Study of Endovascular Abdominal Aortic Aneurysm Repair Using the Nellix System IDE Study (EVAS 2 Confirmatory IDE Study)

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.

Read the detailed description

This study will evaluate the safety and effectiveness of the Nellix System among a wide range of physicians and in consecutively enrolled subjects to assess safety and effectiveness outcomes. Following appropriate government and ethics committee/IRB approval the Nellix® EndoVascular Sealing System will be implanted into eligible patients who are adequately informed and have consented to join the study. Enrolled patients will undergo a high resolution, contrast-enhanced computed tomography angiography (CT) scan of the relevant aortic and aortoiliac vasculature within three months of the scheduled procedure and at specified follow-up intervals post-implantation. Follow-up visits will occur at 30 days, 6 months, and annually to 5 years to assess aneurysm morphology, the status of the implanted devices, and relevant laboratory test results.

Being tested
Nellix® System

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nellix® SystemDevice

    Endovascular Abdominal Aortic Aneurysm Repair using the Nellix® System

Study groups in NCT03298477
Study groupRoleWhat they receive
Single ArmOtherSingle Arm Safety and Effectiveness Confirmatory Study of EVAS using the Nellix® System
Receives: Device: Nellix® System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety: Major Adverse Events (MAE)

    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

    Measured: 30 days

  2. Effectiveness: Rate of Treatment Success

    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 Endoleak (Type I or Type III), Device obstruction or occlusion, Device migration, Abdominal aneurysm sac expansion, Device defect.

    Measured: 2 year

Secondary outcomes (8)
  1. Conversions, Death and Ruptures

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

    Measured: 2 Years

  2. Device Integrity

    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).

    Measured: 2 Years

  3. Device Performance - Endoleak

    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).

    Measured: 2 Years

  4. DEVICE PERFORMANCE-ANEURYSM SAC DIAMETER- Avg Size

    Average Sac Diameter size at Visit

    Measured: 2 years

  5. DEVICE PERFORMANCE-ANEURYSM SAC DIAMETER- Changes in Sac Size Since 01 Month

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

    Measured: 2 Years

  6. Secondary Interventions

    All Secondary interventions reported during the study

    Measured: 2 Years

  7. LABS-RENAL FUNCTION (EGFR)

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

    Measured: 2 Years

  8. LABS- RENAL FUNCTION (CREATININE)

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

    Measured: 2 Years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Oct 2017
  2. Study start1 Dec 2017
  3. Primary completion7 Jun 2022
  4. Study completion16 Aug 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model 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. Sites have been chosen with a suitable research infrastructure and physician experience in endovascular aneurysm repair to ensure adequate enrollment. Subjects will be followed procedurally to discharge, at 30 days (primary safety endpoint), six months, one year (primary effectiveness endpoint) and annually thereafter to five years (total follow-up commitment).
Masking
None (open label)
Enrolment
98 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03298477
Sponsor's protocol ID
CP-0008 EVAS2 IDE
Acronym
EVAS2
Status last verified
Apr 2026
First submitted
27 Sep 2017
Last updated
19 May 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Nellix® System in people with Abdominal Aortic Aneurysm Without Rupture, run by Endologix at 27 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Mar 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety: Major Adverse Events (MAE) (time frame: 30 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 May 2026; AzTrials last refreshed its copy on 27 Oct 2026.

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