Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Cygnum aneurysm sac lining used with EVAR for abdominal aortic aneurysm

Official title: Aneurysm SaC ManagemENt Device for Abdominal Aortic Aneurysms First-in-Human (ASCEND) Study

Run by Life Seal Vascular Inc. · NCT07020611 · Data updated 2026-11-12

This trial will test whether adding the Cygnum sac lining to standard EVAR is safe and helps prevent type II endoleaks in people with abdominal aortic aneurysms.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment15 (estimated)
SponsorLife Seal Vascular Inc.
Industry-sponsored
Locations1 site (Auckland)
StatusRecruiting
StartedNovember 26, 2025
Main results expectedSeptember 2026
Study endsSeptember 2028
Registry record updatedDecember 9, 2025
Trial IDNCT07020611 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults eligible for standard EVAR (ASA grade 1–3) with abdominal aortic aneurysms meeting the size thresholds (≥5.5 cm in men, ≥5.0 cm in women) and anatomy compatible with commercial endografts.

Probably not a fit

Patients with ruptured, leaking, inflammatory, or mycotic aneurysms, large common iliac aneurysms, a life expectancy under two years, clotting disorders, device material allergies, or who cannot undergo follow-up are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This first-in-human interventional trial implants the Cygnum Aneurysm Sac Management Device adjunctively during standard endovascular aneurysm repair (EVAR). Participants undergo EVAR with the Cygnum device placed into the aneurysm sac and then return for scheduled imaging (for example CT scans) and clinical assessments to monitor device position, sac size, and endoleaks over time. Primary outcomes focus on safety and device feasibility, with secondary observations on type II endoleak rates and sac behavior. The study enrolls adults with suitable anatomy for commercial EVAR devices and follows ASA grade 1–3 patients for defined follow-up visits.

Why it matters

Potential benefit: If successful, the device could lower the rate of type II endoleaks and reduce sac growth and need for additional procedures after EVAR.

How similar studies have gone: This is the first human trial of the Cygnum device, though prior strategies targeting the aneurysm sac (such as embolization or sac fillers) have had mixed results.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patient can understand the purpose of the trial, voluntarily participate in the trial and sign the informed consent
* Patient is willing to complete the follow-up according to the requirements of the protocol.
* Patient AAA anatomy complies with "instructions for use" for commercial EVAR devices used
* ≥18 years old
* Abdominal aortic aneurysm with sac diameter ≥ 5.5cm in males and ≥ 5.0cm in females
* Maximum blood flow luminal diameter ≤ 50mm
* Eligible for endovascular aneurysm repair based on anatomical considerations, such as adequate iliac/femoral access
* Patient is American Society of Anesthesiology (ASA) grade 1 through 3, inclusive.

Exclusion Criteria:

* Concomitant Common Iliac Artery aneurysms ≥ 25mm
* Life expectancy \<2 years
* Already participating in an investigational drug or device study
* Known allergy or contraindication to any study device material
* Coagulopathy or uncontrolled bleeding disorder
* Ruptured, leaking, inflammatory or mycotic aneurysm
* Connective tissue diseases (e.g., Marfan Syndrome)
* Unsuitable vascular anatomy that may interfere with device introduction or deployment, in the opinion of the investigator
* Aneurysmal or dissected disease of the descending thoracic aorta
* Previous surgical or EVAR repair for AAA
* Myocardial infarction and/or major heart surgery ≤ 90 days prior to the procedure
* Transient Ischemic Attack or stroke ≤ 90 days prior to the procedure
* Unstable angina or other active cardiac condition such as congestive heart failure, untreated or worsening atrial arrhythmia, ventricular arrhythmia or valvular disease ≤ 30 days prior to the procedure
* Unable or unwilling to comply with study follow-up requirements
* Serum creatinine level ≥ 180 µmol/L
* Patients of childbearing potential who are pregnant or planning to become pregnant during the course of the study
* Patient has other medical, social or psychological problems that, in the opinion of the investigator, study involvement would not be in their best interest.

Where it's running

  • Auckland City Hospital
    Auckland, New Zealand
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.