- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04370041
Dokimos Plus Aortic Valve Implant in 80 Patients Diagnosed With a Heart Valve Disease and Requiring Valve Replacement
Multicenter, Non-randomized Clinical Trial to Reinforce the Current Efficacy and Safety Clinical Data of the Dokimos Plus Aortic Valve
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Multicenter, non-randomized, longitudinal case series clinical trial designed to reinforce the current safety and efficacy clinical data of the Dokimos Plus aortic valve and renew the CE mark.
The study foresees the inclusion of 80 patients recruited prospectively. Patients over 65 who have been diagnosed with a heart valve disease and who require surgical aortic valve replacement, or younger patients who are unsuitable for long-term anticoagulation due to medical contraindications or lifestyle considerations. The study will collect information on the Dokimos Plus aortic valve transvalvular gradient at 6 months and 12 months after the implantation. In addition, patients will be annually followed-up, up to 10 years after implantation.
The objective of the study valve is to improve life expectancy and quality of life of patients with a diseased aortic valve, replacing it with a bioprosthesis that can be safely implanted, with good hemodynamics and long durability.
Clinical studies carried out up to date have shown that the Dokimos Plus aortic valve presents satisfactory clinical and hemodynamic results, similar to those of other bioprothesis available on the market. In addition, the post-marketing surveillance carried out by the manufacturer has not revealed any relevant events regarding the Dokimos Plus aortic valve safety profile.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Barcelona, Spain, 08036
- Hospital Clínic Barcelona
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Barcelona
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Badalona, Barcelona, Spain, 08916
- Hospital Germans Trias i Pujol
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Hospitalet de Llobregat, Barcelona, Spain, 08907
- Hospital Universitario Bellvitge
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients over 18
- Patients with the ability to understand the study requirements, be able to given written informed consent, and be willing and able to comply with the study requirements (including follow-up visits).
- Patient candidates to an aortic bioprosthesis implantation according to the standard clinical practice guidelines.
- Patients requiring isolated aortic valve replacement, or in combination with coronary artery bypass surgery and / or in combination with ascending aorta replacement surgery.
- Women are eligible for the study if: a) are not pregnant or breastfeeding, b) are not of childbearing potential, c) if women of childbearing potential, a negative urine pregnancy test should be done within 48 hours before the intervention and must use an effective contraceptive method.
Exclusion Criteria:
- Cardiac surgery contraindications.
- Patients who require other interventions than the isolated aortic valve replacement or with coronary artery bypass surgery and / or in combination with ascending aorta replacement surgery as concomitant procedure.
- Patients with LVEF < 30%.
- Cardiac surgery reintervention.
- Cardiogenic shock or hemodynamic instability within 24 hours prior to surgery.
- Patient who are not willing to attend to the required follow-up visit.
- Patients with active endocarditis (in the case of cured endocarditis, the presence of at least two negative blood cultures must be confirmed before their inclusion in the study).
- Patient undergoing hemodialysis or with severe renal impairment (eGFR<30ml/min/1,7m2).
- Pregnant women.
- Patients with hyperparathyroidism.
- Life expectancy less than 2 years.
- Patients with a history or diagnosis of a medical problem or psychiatric illness or disorder that, according to the investigator evaluation, would make the patient not eligible to participate in the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dokimos Plus aortic valve implantation
Dokimos Plus aortic valve implantation in all included patients.
|
Dokimos Plus aortic valve
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Transvalvular gradient
Time Frame: Up to 12 months
|
Dokimos Plus aortic valve transvalvular gradient at 6 months and at 12 months after the implantation.
|
Up to 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with abasence of valve deterioration
Time Frame: 12 months
|
Assess the absence of structural valve deterioration (morphological and hemodynamic) after 12 months follow-up.
|
12 months
|
Number of participants with absence of non-structural valve deterioration
Time Frame: 12 months
|
Assess the absence of non-structural valve deterioration after 12 months follow-up.
|
12 months
|
Number of participants with absence of endocarditis or thrombosis
Time Frame: 10 years
|
Asses the absence of endocarditis or thrombosis.
|
10 years
|
Number of participants with need for prosthetic replacement
Time Frame: 10 years
|
Assess the need for prosthetic replacement.
|
10 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Christian Muñoz, Head of Cardiac Surgery Service in the Hospital GT i Pujol, Badalona, Barcelona
- Principal Investigator: Manuel Castellà, Head of Cardiac Surgery Service in the Hospital Clínic de Barcelona
- Principal Investigator: Albert Miralles, Head of Cardiac Surgery Service in HU. de Bellvitge, Hospitalet de Ll, Barcelona
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- DKPLUS2020
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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