f Post-Approval Studies (PAS) Database
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U.S. Department of Health and Human Services

Post-Approval Studies (PAS) Database

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The FDA has the authority to require sponsors to perform a post-approval study (or studies) at the time of approval of a premarket approval (PMA), humanitarian device exemption (HDE), or product development protocol (PDP) application. Post-approval studies can provide patients, health care professionals, the device industry, the FDA and other stakeholders information on the continued safety and effectiveness (or continued probable benefit, in the case of an HDE) of approved medical devices. This database allows you to search Post-Approval Study information by applicant or device information.

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Case Selection and Sizing Study


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General
Study Status Completed
Application Number /
Requirement Number
P120006 S031/ PAS001
Date Original Protocol Accepted 06/16/2020
Date Current Protocol Accepted  
Study Name Case Selection and Sizing Study
Device Name Alto Abdominal Stent Graft System
General Study Protocol Parameters
Study Design Prospective Cohort Study
Data Source New Data Collection
Comparison Group No Control
Analysis Type Descriptive
Study Population Transit. Adolescent B (as adults) : 18-21 yrs, Adult: >21
Detailed Study Protocol Parameters
Study Objectives The purpose of the post approval study is to compare Endologix Imaging Service’s assessment of the suitability for implantation and device sizing recommendations for the Alto Abdominal Stent Graft System (Alto Device) to the suitability assessment and device sizing recommendations for patients' physicians have selected as suitable to receive the Alto device. It is a prospective, consecutively enrolling, multi-center, single-arm clinical study.
Study Population The study population is patients with an infrarenal abdominal aortic aneurysm who a treating physician has determined meet the anatomic criteria for implantation with the Alto device as specified in the approved labeling.
Sample Size 100 commercial subjects enrolled consecutively at each study site and who receive an implantation recommendation for the Alto device from the treating physician.
Key Study Endpoints Physician’s assessments of patients they select to receive the Alto device will be compared to Endologix Imaging Service’s assessment of these patients on the following:
• Key anatomic sizing measurements (e.g., aortic diameter, aneurysm neck length, aneurysm neck angulation)
• General suitability for endovascular aneurysm repair (EVAR)
• Compliance with the Alto anatomic Indications for Use and a recommendation for implantation with the Alto device
• The Alto Aortic Body size appropriate for treatment.

All product complaints occurring in subjects within 30 days of an Alto implantation procedure will be captured through the Endologix quality system and reported.
Follow-up Visits and Length of Follow-up While follow-up visits will not be conducted for this study, any complaint data received for subjects in the study through 30 days after attempted implantation will be reported.
Interim or Final Data Summary
Actual Number of Patients Enrolled 100
Actual Number of Sites Enrolled 26
Patient Follow-up Rate 100%
Final Safety Findings Physician user measurement data compared to Endologix Imaging Services shows substantial agreement in anatomical measurements for all vascular characteristics. The overall results show no more than a few millimeters variance in any direction across all anatomical measurements captured. Both the site and Endologix Imaging Services aligned 100% on all Aortic Body recommendations. The patient population receiving the first commercial implants of the Alto device is consistent with the patient population enrolled in the ELEVATE pivotal study and are found to have met the anatomic criteria for device implantation as specified in the approved labeling for the Alto Abdominal Stent Graft System.
Final Effect Findings n/a
Study Strengths & Weaknesses n/a
Recommendations for Labeling Changes Endologix acknowledges FDA’s position that a labeling update is not needed at this time, but agrees to revise the labeling if we identify any data in the PAS study that would warrant a revision.


Case Selection and Sizing Study Reporting Schedule

Reporting Schedule
Report
Date Due
FDA Receipt
Date
Applicant's Reporting Status
6 month report 09/11/2020 09/11/2020 On Time
final report 03/13/2021 02/09/2021 On Time


Contact Us

Mandated Studies Program
Food and Drug Administration
10903 New Hampshire Ave.
Silver Spring, MD 20993-0002
Email: MandatedStudiesPrograms@fda.hhs.gov

Additional Resources

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