The ShortCut™ Continued Access Study Protocol (ShortCut-CAS)
A Prospective, Multicenter, Non-Randomized, Single-Arm, Open-Label Continued Access Study of the ShortCut™ Device (The ShortCut™ CAS).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Merav Gat
- Phone Number: 224-217-3238
- Email: Merav@pi-cardia.net
Study Locations
-
-
California
-
Thousand Oaks, California, United States, 91360
- Los Robles Regional Medical Center
-
-
New Jersey
-
Morristown, New Jersey, United States, 07960
- Morristown Medical Center
-
-
New York
-
New York, New York, United States, 10032
- Columbia University Medical Center /NYPH
-
-
Pennsylvania
-
Wormleysburg, Pennsylvania, United States, 17043
- UPMC Pinnacle
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient is planned to undergo a percutaneous valve-in-valve procedure for an approved ViV indication due to a failed bioprosthetic valve.
- Patient is at risk for TAVR-induced coronary artery ostium obstruction.
- Written informed consent to participate in the study obtained from the subject or subject's legal representative, according to local regulations, prior to initiation of any study mandated procedure.
Exclusion Criteria:
- An excessive aortic valve leaflet Calcium morphology, such as diffuse massive calcification at the targeted leaflet for splitting or anatomy not suitable for the use of the ShortCut™ device, as determined by the CT measurements.
- Carotid or vertebral artery disease that, in the opinion of the local Heart Team, should be treated; or treatment of carotid stenosis ≤ 1 month prior to index procedure.
- CVA or TIA ≤ 6 months prior to index procedure.
- History of a myocardial infarction (MI) ≤ 6 weeks prior to index procedure.
- Hemodynamic or respiratory instability requiring inotropic support, mechanical ventilation or mechanical heart assistance.
- LVEF < 30%.
- Ongoing severe infection or sepsis.
- Patient has renal insufficiency or is on chronic dialysis.
8. Need for emergency surgery for any reason. 9. Life expectancy is less than 1 year.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- 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: Shortcut
Splitting bioprosthetic aortic valve leaflets
|
Splitting bioprosthetic aortic valve leaflets
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
ShortCut™ Device- and/or ShortCut™ Procedure-related: Mortality, Stroke
Time Frame: discharge or at 7 days post-procedure, whichever occurs first
|
Primary safety endpoint, ShortCut™ device- and/or ShortCut™ procedure-related: Mortality, Stroke
|
discharge or at 7 days post-procedure, whichever occurs first
|
|
Number of Participants With Leaflet Splitting Success Using the Shortcut Device, Assessed by Echo and/or Angiography
Time Frame: Intra-procedure
|
Primary effectiveness endpoint, Leaflet splitting success using the Shortcut Device, assessed by echo and/or angiography
|
Intra-procedure
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of All Cause Mortality, Per VARC 3
Time Frame: 30 days post procedure
|
Secondary safety endpoint, Rate of all cause mortality, per VARC 3
|
30 days post procedure
|
|
Rate of All-cause Stroke, Per VARC-3
Time Frame: 30 days post procedure
|
Secondary safety endpoint, Rate of all-cause stroke, per VARC-3
|
30 days post procedure
|
|
Rate of Coronary Obstruction Per VARC-3
Time Frame: 30 days post procedure
|
Secondary safety endpoint, Rate of coronary obstruction per VARC-3
|
30 days post procedure
|
|
Rate of MI With New Evidence of Coronary Artery Obstruction Requiring Intervention Per VARC-3
Time Frame: 30 days post procedure
|
Secondary safety endpoint, Rate of MI with new evidence of coronary artery obstruction requiring intervention per VARC-3
|
30 days post procedure
|
|
-Rate of Major Vascular Complications Per VARC-3
Time Frame: 30 days post procedure
|
Secondary safety endpoint, -Rate of major vascular complications per VARC-3
|
30 days post procedure
|
|
Rate of Cardiac Temponade Per VARC-3
Time Frame: 30 days post procedure
|
Secondary safety endpoint, Rate of cardiac temponade per VARC-3
|
30 days post procedure
|
|
Rate of Acute Kidney Injury Per VARC-3
Time Frame: 30 days post procedure
|
Secondary safety endpoint, Rate of Acute Kidney Injury per VARC-3
|
30 days post procedure
|
|
Access-related Type 3-4 Bleeding Per VARC-3
Time Frame: 30 days post procedure
|
Secondary safety endpoint, Access-related type 3-4 bleeding per VARC-3
|
30 days post procedure
|
|
Rate of Freedom From Coronary Artery Intervention Related to the Intervened Leaflet
Time Frame: 30 days post procedure
|
Secondary effectiveness endpoint, Rate of freedom from coronary artery intervention related to the intervened leaflet
|
30 days post procedure
|
|
Rate of Freedom From Coronary Artery Ostia Obstruction Related to the Intervened Leaflet
Time Frame: 30 days post procedure
|
Secondary effectiveness endpoint, Rate of freedom from coronary artery ostia obstruction related to the intervened leaflet
|
30 days post procedure
|
|
Shortcut Technical Success
Time Frame: At exit from procedure room, immediately after the procedure
|
Technical success endpoint, Shortcut technical success - Successful access, delivery, and retrieval of the ShortCut™ device.
|
At exit from procedure room, immediately after the procedure
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of All Cause Mortality Per VARC-3
Time Frame: 90 days post procedure
|
Tertiary Safety Endpoint, Rate of all cause mortality per VARC-3
|
90 days post procedure
|
|
Rate of Stroke Per VARC-3
Time Frame: 90 days post procedure
|
Tertiary Safety Endpoint, Rate of stroke per VARC-3
|
90 days post procedure
|
|
Rate of MI With New Evidence of Coronary Artery Obstruction Requiring Intervention Per VARC-3
Time Frame: 90 days post procedure
|
Tertiary Safety Endpoint, Rate of MI with new evidence of coronary artery obstruction requiring intervention per VARC-3
|
90 days post procedure
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Hadas Givon, Pi-cardia
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
- S01-CLN-023
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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