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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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Post Approval Surveillance - LEAF


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General
Study Status Ongoing
Application Number /
Requirement Number
P200030 S014/ PAS002
Date Original Protocol Accepted 12/04/2024
Date Current Protocol Accepted  
Study Name Post Approval Surveillance - LEAF
Device Name GORE®1 EXCLUDER® Conformable AAA Endoprosthesis (CEXC), GORE® EXCLUDER® Conformable AAA Endoprosthesis (EXCC)
Clinical Trial Number(s) NCT02489539  
General Study Protocol Parameters
Study Design Comprehensive/Linked/RegistryBased Surveillance
Data Source External Registry
Comparison Group Concurrent Control
Analysis Type Descriptive
Study Population Adult: >21
Detailed Study Protocol Parameters
Study Objectives Primary Data Set: The Long-term EVAR Assessment and Follow-up (LEAF) System is a post-market, observational surveillance effort utilizing an enhanced registry framework and claims-based linkages with targeted clinical and imaging follow-up. The objective of this system is enhanced surveillance of long-term real-world EVAR device outcomes through ten years after implantation.
Supplemental Data Set: The TOGETHER Registry is a prospective, observational post-market registry collecting outcomes through a 10-year post procedure follow-up for subjects treated with the EXCC device or the EXCLUDER Iliac Branch Endoprosthesis (IBE device) as a part of routine clinical practice.
Study Population The LEAF surveillance population will consist of primarily Medicare patients who have undergone or will undergo EVAR at hospitals participating in the SVS-VQI, or patients who have undergone or will undergo EVAR at hospitals in the KP network.
The TOGETHER registry will consist of patients presenting with vascular disease who are treated with the applicable endovascular stent grafts.
Sample Size A minimum of 125 subjects with evaluable imaging at 5 years to support imaging endpoint analysis.
Note: No minimum sample size from the Together Registry is required per protocol. Data from the Together Registry is intended to provide supplemental information on subjects from this dataset to support data collection from LEAF Registry.
Key Study Endpoints LEAF:
Clinical endpoints will include the following:
• Mortality
• Aneurysm-related mortality
• Rupture
• Reintervention (reason and type)
• Conversion to open surgery
Imaging endpoints will include the following:
• Change in aneurysm size
• Endoleak (by type)
• Device patency
TOGETHER: Gore will summarize Together data with consistent endpoint and definitions as LEAF (summarized above) for both specified subgroups and Together cohort as a whole. Specific sub-group reporting requirements will be addressed with Together until LEAF sub-group reporting is available.
Follow-up Visits and Length of Follow-up Follow-up to be completed per each participating site’s standard of care (SOC) for 10 years (120 months) post-procedure.


Post Approval Surveillance - LEAF Reporting Schedule

Reporting Schedule
Report
Date Due
FDA Receipt
Date
Applicant's Reporting Status
1 year report 04/05/2025    
18 month report 10/04/2025    
2 year report 04/05/2026    
3 year report 04/05/2027    
4 year report 04/04/2028    


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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