A Prospective Multicenter Pivotal Study to Evaluate Safety and Effectiveness of Venus-Neo Surgical Aortic Valve (METASAR)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Destino
- Phone Number: +493045932260
- Email: nadia.destino@dhzc-charite.de
Study Locations
-
-
-
Berlin, Germany, 13353
- Deutsches Herzzentrum Berlin-Charité
-
Principal Investigator:
- Volkmar Falk
-
Contact:
- Destino
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 18 years
- Patients who are clinically indicated for aortic valve replacement
- Patients who are willing and able to participate in the follow-up requirements, and provide written informed consent
Exclusion Criteria:
- Previous surgical or/and transcatheter cardiac valve replacement at any site
- Previous open-heart surgical valve repair at any site
- Any percutaneous cardiovascular intervention (excluding diagnostic percutaneous coronary artery intervention), cardiovascular surgery, carotid surgery within 30 days
- Untreated mitral, tricuspid, or pulmonary valve diseases requiring procedural intervention
- Untreated clinically significant coronary artery diseases requiring revascularization
- Acute myocardial infarct within the previous 30 days
- Severe right heart dysfunction
- Active infection requiring antibiotic therapy including infective endocarditis
- Hypertrophic obstructive cardiomyopathy (HOCM)
- Severe symptomatic carotid artery stenosis
- Stroke or TIA within 3 months or Modified Rankin Scale ≥ 4 disability
- Chronic kidney disease (eGFR<45 mL/min/1.73m2) or end-stage renal disease requiring chronic dialysis
- Hematologic disorders: Leukopenia (WBC < 3000 cell/mL), anemia (Hgb < 9 g/dL), thrombocytopenia (Plt< 50,000 cell/mL), or any known blood clotting disorder, deemed clinically significant after consultation with Hematooncology specialists
- Severe chronic lung disease
- Previous organ transplant or currently an organ transplant candidate Anatomical
- LVEF < 20%
- Left ventricular end diastolic diameter (LVEDD) >70mm
- Echocardiographic evidence of intracardiac mass, thrombus, or vegetation
- Native aortic valve geometry and size unfavorable for study bioprosthetic valve General
- Hemodynamics instability requiring inotropic support or intra-aortic balloon pump (IABP) or other hemodynamic support device, or any mechanical heart assistance
- Urgent, emergency or salvage surgeries
- Known intolerance for periprocedural/post-procedural anticoagulation or antiplatelet therapy leading to be unable to undergo index procedure per physicians' judgement
- Life expectancy ≤ 1 year due to non-cardiac reasons
- Planned relevant concomitant procedure within 30 days post index procedure
- Current or recent participation (within 6 weeks prior to index procedure) in another drug or device trial
- Pregnant, breastfeeding or intend to become pregnant within 1 year
- Currently incarcerated or unable to give voluntary informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Venus-Neo group
Procedure: surgical aortic valve replacement
|
Implant of a Venus-Neo Surgical Aortic Valve
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
primary composite safety endpoint
Time Frame: 1 year
|
composite safety endpoint at 1 year, including: valve-related mortality, thromboembolism, aortic valve reintervention, structural valve deterioration, major paravalvular leak (defined as moderate or greater paravalvular leak or any paravalvular leak requiring intervention), valve thrombosis, endocarditis
|
1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
secondary composite safety endpoint
Time Frame: 2 through 5 Years
|
safety is assessed over 1-year timeframe by comparing the occurrence of specific safety endpoints to the objective performance criteria (OPC) reported in Table I.1 in "ISO:5840-2:2021(E), Annex I, Methods of evaluating clinical data against objective performance criteria"
|
2 through 5 Years
|
|
Occurrence of each of the following adverse events
Time Frame: baseline, pre-discharge, 30 days, 6 months, 12 months and annually until 5 years thereafter
|
Occurrence of each of the following adverse events until 5 years, including: mortality, valve-related mortality, thromboembolism, aortic valve reintervention, structural valve deterioration, non-structural valve deterioration, all paravalvular leak, major paravalvular leak, valve thrombosis, endocarditis, all hemorrhage, major hemorrhage, bioprosthetic valve explant, hemolysis
|
baseline, pre-discharge, 30 days, 6 months, 12 months and annually until 5 years thereafter
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinically acceptable bioprosthetic valve performance
Time Frame: baseline, pre-discharge, 30 days, 6 months, 12 months and annually until 5 years thereafter
|
Clinically acceptable bioprosthetic valve performance until 5 years: clinically acceptable effective orifice area (EOA), mean pressure gradient (MPG) <20mmHg, freedom from moderate or greater regurgitation (transvalvular and paravalvular), freedom from aortic valve reintervention, freedom from clinically significant bioprosthetic valve thrombosis
|
baseline, pre-discharge, 30 days, 6 months, 12 months and annually until 5 years thereafter
|
|
Procedure success
Time Frame: pre-discharge
|
Procedure success at pre-discharge: freedom from valve-related mortality, freedom from aortic valve reintervention, intended performance of bioprosthetic valve (mean gradient <20 mmHg, peak velocity <3 m/s, and less than moderate aortic regurgitation)
|
pre-discharge
|
|
New York Heart Association (NYHA) classification
Time Frame: baseline, pre-discharge, 30 days, 6 months, 12 months and annually until 5 years thereafter
|
New York Heart Association (NYHA) classification until 5 years
|
baseline, pre-discharge, 30 days, 6 months, 12 months and annually until 5 years thereafter
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Volkmar Falk, Deutsches Herzzentrum Berlin-Charité
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- VSAF-23-02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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