- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04861805
Pivotal Study of the Vienna Transcatheter Self Expandable Aortic Valve SE System (VIVA)
A Two -Stage First in Human (FIH) Feasibility / Pivotal Study of the Vienna Aortic Valve SE System
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The purpose of this trial is to determine the safety and effectiveness of the Vienna Aortic Valve SE System, a new self-expanding transcatheter heart valve, in patients with symptomatic severe aortic stenosis (SSAS). This is a prospective, single arm, multicenter study in an expanding cohort of symptomatic patients with severe aortic stenosis following the FIH feasibility study. The clinical investigation comprises 11 visits (V1 to V11). After implantation of the IMD at visit 2, safety and effectiveness assessment of the device will be performed at 30 days (V4), 3 months (V5), 6 months (V6), 1 year (V7) and every year thereafter up to 5 years post-implantation (V8 to V11).
In summary, the clinical investigation for the individual patient will end after 5 years with a full clinical evaluation. The primary study endpoints for safety and effectiveness will be reached at 30-day follow-up timepoint.
The clinical trial is completed after all 267 patients, that are not prematurely withdrawn, have completed their 5-year follow-up visit involving all specified assessments.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Katharina Kiss, Dr
- Phone Number: +4369913289414
- Email: kkiss@productsandfeatures.com
Study Contact Backup
- Name: Monica Tocchi, MD, PhD
- Phone Number: 9176841700
- Email: m.tocchi@meditrial.net
Study Locations
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Bahia Blanca, Argentina, B8000
- Not yet recruiting
- Hospital Privado Sur (FUMEBA)
-
Contact:
- Alejandro Alvarez Iorio, MD
- Email: alexalv1970@gmail.com
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Principal Investigator:
- Alejandro Alvarez Iorio, MD
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Buenos Aires, Argentina, C1199ABB
- Not yet recruiting
- Hospital Italiano de Buenos Aires
-
Contact:
- Carla Agatiello, MD
- Email: carla.agatiello@hospitalitaliano.org.ar
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Principal Investigator:
- Carla Agatiello, MD
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Buenos Aires, Argentina, C1093
- Not yet recruiting
- Fundacion Favaloro
-
Contact:
- Oscar Mendiz, MD
- Email: omendiz@ffavaloro.org
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Principal Investigator:
- Oscar Mendiz, MD
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Rio de Janeiro, Brazil, 22240-006
- Not yet recruiting
- Instituto Nacional de Cardiologia
-
Contact:
- Cesar R Medeiros, MD
- Phone Number: +55 21 2285-3344
- Email: cr.medeiros@terra.com.br
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Principal Investigator:
- Cesar R Medeiros, MD
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Rio de Janeiro, Brazil, 22261-010
- Recruiting
- Instituto Estadual de Cardiologia Aloysio de Castro
-
Contact:
- Marcio Jose Montenegro Da Costa, MD
- Email: marciojmontenegro@gmail.com
-
Principal Investigator:
- Marcio Jose Montenegro Da Costa, MD
-
São Paulo, Brazil, 04012-909
- Recruiting
- Instituto Dante Pazzanese de Cardiologia
-
Contact:
- Dimytri Siqueira, MD
- Email: dimytrisiqueira@gmail.com
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Principal Investigator:
- Dimytri Siqueira, MD
-
São Paulo, Brazil, 04023-062
- Not yet recruiting
- Escola Paulista de Medicina da UNIFESP
-
Contact:
- Adriano M Caixeta, MD
- Phone Number: +55 11 5576-4848
- Email: adriano.caixeta@unifesp.br
-
Principal Investigator:
- Adriano M Caixeta, MD
-
São Paulo, Brazil, 05403-900
- Recruiting
- Instituto Do Coração (InCor) De São Paulo
-
Contact:
- Alexandre Abizaid, MD
- Email: aabizaid@uol.com.br
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Principal Investigator:
- Alexandre Abizaid, MD
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Santiago, Chile, 7500691
- Recruiting
- Hospital Del Torax De Santiago
-
Principal Investigator:
- Christian Dauvergne, MD
-
Contact:
- Christian Dauvergne
- Email: cdauvergnem@yahoo.com
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Santiago, Chile, 8360160
- Recruiting
- Hospital Clinico San Borja Arriaran
-
Contact:
- Gabriel Maluenda, MD
- Phone Number: +56 2 2574 9000
- Email: gabrielmaluenda@gmail.com
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Principal Investigator:
- Gabriel Maluenda, MD
-
Talcahuano, Chile, 4270940
- Recruiting
- Hospital Las Higueras - Talcahuano
-
Contact:
- Osvaldo Perez, MD
- Email: osperez2000@gmail.com
-
Principal Investigator:
- Osvaldo Perez, MD
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Bangalore, India, 560099
- Not yet recruiting
- Narayana Health, Multispeciality Hospital
-
Contact:
- Sanjay Mehrotra, MD
- Email: info.nics@narayanahealth.org
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Principal Investigator:
- Sanjay Mehrotra, MD
-
Gurgaon, India, 122001
- Not yet recruiting
- Medanta - The Medicity Multi-Speciality Hospital
-
Contact:
- Praveen Chandra, MD
- Phone Number: +91 124 414 1414
- Email: pravenn.chandra@medanta.org
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Principal Investigator:
- Praveen Chandra, MD
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Jaipur, India, 302018
- Not yet recruiting
- RHL- Rajasthan Hospital
-
Contact:
- Ravinder Singh Rao, MD
- Phone Number: +91 141 272 0020
- Email: drravindersinghrao@yahoo.co.in
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Principal Investigator:
- Ravinder Singh Rao, MD
-
Kochi, India, 682017
- Not yet recruiting
- Lisie Hospital
-
Contact:
- Rony Mathew Kadavil, MD
- Phone Number: +91 484 240 2044
- Email: contact@lisiehospital.org
-
Principal Investigator:
- Rony Mathew Kadavil, MD
-
Vellore, India, 632 004
- Not yet recruiting
- Christian Medical College Hospital
-
Contact:
- John Jose E, MD
- Phone Number: +91 8000338855
- Email: drjohnjose@gmail.com
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Principal Investigator:
- John Jose E, MD
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Kaunas, Lithuania, 50161
- Recruiting
- Hospital of Lithuanian University of Health Sciences Kauno Klinikos
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Contact:
- Kasparas Briedis, Dr
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Principal Investigator:
- Rimantas Benetis, Prof
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Carnaxide, Portugal, 2790-134
- Recruiting
- Hospital de Santa Cruz
-
Contact:
- João Brito, MD
- Phone Number: +351 21 043 1000
- Email: jdbrito@chlo.min-saude.pt
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Principal Investigator:
- João Brito, MD
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Lisboa, Portugal, 1169-024
- Recruiting
- Hospital Santa Marta
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Contact:
- Duarte Cacela, MD
- Phone Number: +351 21 359 4000
- Email: duarte.cacela@chlc.min-saude.pt
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Principal Investigator:
- Duarte Cacela, MD
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Lisboa, Portugal, 1649-028
- Recruiting
- Hospital Santa Maria
-
Contact:
- Pedro C Ferreira, MD
- Phone Number: +351 21 780 5000
- Email: pcarrilhoferreira@gmail.com
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Principal Investigator:
- Pedro C Ferreira, MD
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Vila Nova de Gaia, Portugal, 4434-502
- Recruiting
- Unidade Local de Saúde de Gaia e Espinho
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Contact:
- Pedro Braga, MD
- Phone Number: +351 22 786 5100
- Email: jplpbraga@gmail.com
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Principal Investigator:
- Pedro Braga, MD
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Évora, Portugal, 7000-811
- Not yet recruiting
- Hospital do Espírito Santo de Évora
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Contact:
- Lino MR Patrício, MD
- Phone Number: +351 266 740 100
- Email: linopatricio@gmail.com
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Principal Investigator:
- Lino MD Patrício, MD
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Barcelona, Spain, 08036
- Recruiting
- Hospital Clinic De Barcelona
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Contact:
- Ander Regueiro, MD
- Phone Number: +34 932 27 54 00
- Email: aregueir@clinic.cat
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Principal Investigator:
- Ander Regueiro, MD
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Barcelona, Spain, 08041
- Recruiting
- Hospital De La Santa Creu I Sant Pau
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Contact:
- Lluis A Serra, MD
- Phone Number: +34 932 91 90 00
- Email: lasmarats@santpau.cat
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Principal Investigator:
- Lluis A Serra, MD
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Madrid, Spain, 28034
- Recruiting
- Hospital Universitario Ramon y Cajal
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Contact:
- Ángel S Recalde, MD
- Phone Number: +34 913 36 80 00
- Email: asrecalde@hotmail.com
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Principal Investigator:
- Ángel S Recalde, MD
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Madrid, Spain, 28040
- Recruiting
- Hospital Clinico San Carlos
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Contact:
- Luis Nombela, MD
- Phone Number: +34 913 30 30 00
- Email: luisnombela@yahoo.com
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Principal Investigator:
- Luis Nombela, MD
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Majadahonda, Spain, 28222
- Recruiting
- Hospital Puerta de Hierro
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Contact:
- Juan Oteo, MD
- Phone Number: +34 911 91 60 00
- Email: jf.oteo@gmail.com
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Principal Investigator:
- Juan Oteo, MD
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Málaga, Spain, 29010
- Recruiting
- Hospital Virgen de la Victoria
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Contact:
- Juan Horacio A Briales, MD
- Phone Number: +34 951 03 20 00
- Email: juanhalonso62@gmail.com
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Principal Investigator:
- Juan Horacio A Briales, MD
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Oviedo, Spain, 33011
- Not yet recruiting
- Hospital Universitario Central de Asturias
-
Contact:
- Cesar Morís de La Tassa, MD
- Phone Number: +34 985 10 80 00
- Email: cesarmoris@gmail.com
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Principal Investigator:
- Cesar Morís de la Tassa, MD
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Valladolid, Spain, 47003
- Recruiting
- University Clinical Hospital of Valladolid
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Contact:
- Ignacio J Amat-Santos, MD
- Phone Number: +34 983 42 00 00
- Email: ijamat@gmail.com
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Principal Investigator:
- Ignacio J Amat-Santos, MD
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-
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Istanbul, Turkey, 34295
- Not yet recruiting
- İ.A.Ü. VM Medical Park Florya Hospital
-
Contact:
- Hakan Ucar, MD
- Phone Number: +90 4444484
- Email: ucarhakan2005@gmail.com
-
Principal Investigator:
- Hakan Ucar, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria:
- Male or Female
- Age ≥ 65 years at time of consent
- Women of non-childbearing potential
Severe degenerative calcific native aortic valve stenosis with the following criteria assessed either by resting or dobutamine stress TTE:
- Aortic valve area (AVA) < 1.0 cm2 or AVA index ≤ 0.6 cm2/m2 and
- Jet velocity > 4.0 m/s or mean gradient > 40 mmHg
Symptomatic aortic stenosis (AS), defined as a history of at least one of the following:
- Dyspnea that qualifies at NYHA class II or greater
- Angina pectoris
- Cardiac syncope
Subject is considered at intermediate or high risk for surgical valve replacement based on at least one of the following:
- EuroSCORE II ≥ 4% along with assessment of frailty, major organ system dysfunction, and procedure-specific impediments, in accordance with scientific guidelines
- Agreement by the Heart Team that subject is at moderate to high operative risk of serious morbidity or mortality with surgical valve replacement.
- The local Heart Team deems the patient to be eligible for transfemoral TAVI.
- Perimeter-based aortic annulus diameter between ≥ 18 and ≤ 29 mm measured by computed tomography (CT) analyzed by a core lab.
Adequate iliofemoral access with either:
- At least one side with minimum vessel diameter ≥ 6.0 mm and acceptable level of vessel calcification and tortuosity for safe placement of the introducer sheath, as analyzed by a core lab, OR
- At least one side with minimum vessel diameter ≥ 5.5 and no significant calcification or severe tortuosity for safe placement of the introducer sheath, as analyzed by a core lab.
- Patient (or legal representative) understands the study requirements and the treatment procedures and provides written informed consent.
- The patient and the treating physician agree that the patient will return for all required post-procedure follow-up visits.
Exclusion Criteria:
Cardiovascular System:
- Patient has a congenital unicuspid or bicuspid aortic valve or non-calcified valves.
- Evidence of an acute myocardial infarction (MI) ≤ 30 days prior to screening or IMD implantation (defined as Q-wave MI or non-Q-wave MI with total CK elevation ≥ twice normal in the presence of CK-MB elevation and/or troponin elevation).
- Patient has had a cerebrovascular stroke or TIA within the past 90 days implantation prior to screening or valve implantation.
- Patient has a hypertrophic obstructive cardiomyopathy.
- History of any therapeutic invasive cardiac procedure (including balloon aortic valvuloplasty) within 30 days prior to screening or IMD implantation (except for pacemaker implantation which is allowed).
- Untreated clinically significant coronary artery disease requiring revascularization at the screening visit.
- Severe left ventricular dysfunction with left ventricular ejection fraction (LVEF) < 20% by echocardiography, contrast ventriculography, or radionuclide ventriculography.
- Patient with cardiogenic shock manifested by low cardiac output and hemodynamic instability and vasopressor dependence, or mechanical hemodynamic support
- Patients with clinically significant conduction abnormalities (clinically significant sinus bradycardia, sinus block or pauses, clinically significant atrioventricular (AV)-block >I) at screening and at time of IMD implantation.
Patient has severe peripheral vascular disease:
- including aortic aneurysm defined as maximal luminal diameter > 5 cm or with documented presence of thrombus, marked tortuosity, narrowing of the abdominal aorta, severe unfolding of the thoracic aorta or thick [> 5 mm], protruding or ulcerated atheroma in the aortic arch) or
- symptomatic carotid or vertebral disease or successful treatment of carotid stenosis within 30 days prior to screening or IMD implantation.
Patient with iliofemoral vessel characteristics that would preclude safe passage of the introducer (both sides), as analyzed by a core lab:
- severe calcification,
- severe tortuosity (> two 90-degree bends),
- diameter < 6 mm, in patients with acceptable levels of calcification and acceptable levels of tortuosity
- diameter < 5.5, in patients with no calcification and no significant tortuosity, OR
- subject has had an aorto-femoral bypass
- Patient with active bacterial endocarditis within 6 months prior to screening or IMD implantation.
- Patient has (echocardiographic/ CT and/or MRI) evidence of intra-cardiac mass, thrombus or vegetation.
- Patient has a pre-existing prosthetic heart valve in any position (Note: mitral ring is not an exclusion).
- Patient has severe mitral regurgitation, severe aortic regurgitation or severe tricuspid regurgitation, moderate or severe mitral stenosis.
Patient has a need for emergency surgery for any reason at time of screening or IMD implantation.
General:
- Any condition considered a contraindication for placement of a bioprosthetic valve (e.g. patient with contraindication to oral antiplatelet therapy)
- Patient with renal insufficiency (eGFR < 30 ml/min per the Cockcroft-Gault formula) and/ or renal replacement therapy and/ or has serum creatinine level > 3.0 mg/dL or 265 µmol/L replacement therapy at the time of screening
- Patient with significant pulmonary disease (FEV1 < 30%) or currently on home oxygen
- Severe pulmonary hypertension (e.g., pulmonary artery systolic pressure ≥ 60 mmHg)
- Patients with evidence of an active systemic infection or sepsis.
- Patient has a known hypersensitivity or contraindication to contrast media, bovine tissue, nitinol (titanium or nickel), contraindication to oral antiplatelet therapy (aspirin, ticlopidine or clopidogrel) or heparin.
- Patient has a haemoglobin < 9 g/dL, platelet count < 50,000 cells/mm3 or > 700.000 cells/mm3, or white blood cell count < 1.000 cells/mm3, history of bleeding diathesis or coagulopathy
- Patient has peptic ulcer disease or history of gastrointestinal bleeding within the 3 months prior to screening or IMD implantation.
- Patient refuses blood transfusions.
- Patient has a life expectancy of less than 12 months due to non-cardiac, co-morbid conditions based on the assessment of the investigator at the time of enrolment (i.e. the time of informed consent).
- Patient is pregnant or breast feeding.
- Severe dementia (resulting in either inability to provide informed consent for the study/procedure, prevents independent lifestyle outside of a chronic care facility, or will fundamentally complicate rehabilitation from the procedure or compliance with follow-up visits).
- Other medical, social, or psychological conditions that in the opinion of the Investigator precludes the patient from appropriate consent or adherence to the protocol required follow-up exams.
- Patient is currently participating in another investigational drug or device study that has not reached its primary endpoint (excluding observational studies).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Other: Vienna Aortic Valve
transcatheter aortic valve implantation (TAVI)
|
Vienna Aortic Valve SE system for TAVI.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
All Cause Mortality (30 days)
Time Frame: up to 30 days
|
All-cause mortality at 30 days from the index procedure.
|
up to 30 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
All-cause, cardiovascular and non-cardiovascular mortality
Time Frame: up to 5 years
|
All-cause, cardiovascular and non-cardiovascular mortality at 30 days, 3 months, 6 months, 1 year and every year thereafter up to 5 years post-implantation.
|
up to 5 years
|
|
Periprocedural death
Time Frame: 72 hours
|
Incidence of peri-procedural death (to capture intra-procedural events that result in immediate or consequent death ≤72 h post-procedure)
|
72 hours
|
|
Incidence of TAVI-related complications
Time Frame: periprocedural and during index hospitalization
|
Incidence of TAVI-related complications:
|
periprocedural and during index hospitalization
|
|
Cerebrovascular event
Time Frame: Up to 5 years
|
Cerebrovascular event (at 30 days, 3 months, 6 months, 1 year and every year thereafter up to 5 years post-implantation):
|
Up to 5 years
|
|
Life-threatening bleeding
Time Frame: Up to 1 year
|
Life-threatening bleeding (at 30 days, 3 months, 6 months and 1 year post-implantation).
|
Up to 1 year
|
|
Conduction disturbances requiring permanent pacemaker implantation
Time Frame: Up to 5 years
|
Conduction disturbances requiring permanent pacemaker implantation (at 30 days, 3 months, 6 months, 1 year and every year thereafter up to 5 years post-implantation)
|
Up to 5 years
|
|
Rehospitalization
Time Frame: Up to 5 years
|
Re-hospitalization for valve-related complications or worsening congestive heart failure (at 30 days, 3 months, 6 months, 1 year and every year thereafter up to 5 years post-implantation)
|
Up to 5 years
|
|
Device Success
Time Frame: 72 hours
|
Device success defined as: a. correct positioning of a single prosthetic investigational heart valve in the proper anatomical location AND ability to provide appropriate hemodynamic AND absence of peri-procedural mortality within 72 hours after implantation |
72 hours
|
|
Technical success
Time Frame: up to 30 days
|
Technical success defined as
|
up to 30 days
|
|
Clinical Efficacy
Time Frame: 1 year
|
Clinical efficacy (at 1 year and thereafter)
|
1 year
|
|
Valve-related clinical efficacy
Time Frame: Up to 5 years
|
Valve-related clinical efficacy
|
Up to 5 years
|
|
New York Heart Association (NYHA) classification
Time Frame: Up to 5 years
|
Change in heart failure symptoms from baseline as assessed by the New York Heart Association (NYHA) classification (at 30 days, 3 months, 6 months, 1 year and every year thereafter up to 5 years post-implantation)
|
Up to 5 years
|
|
Change in quality of life as assessed by the Kansas City Cardiomyopathy
Time Frame: 1 year
|
Scale from 0 to 100 and summarized in 25-point ranges, where scores represent health status as follows: 0 to 24: very poor to poor; 25 to 49: poor to fair; 50 to 74: fair to good; and 75 to 100: good to excellent
|
1 year
|
|
Change in exercise capacity measured as the 6-minute walk distance (6-MWD)
Time Frame: 1 year
|
Change in exercise capacity from baseline measured as the 6-minute walk distance (6-MWD) (at 30 days, 3 months, 6 months and 1 year post-implantation)
|
1 year
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Alexandre Abizaid, MD, Instituto Do Coração (InCor) De São Paulo
- Principal Investigator: Carla Agatiello, MD, Hospital Italiano de Buenos Aires
- Principal Investigator: Alejandro Alvarez Iorio, MD, Hospital Privado Sur (FUMEBA)
- Principal Investigator: Ignacio J Amat-Santos, MD, University Clinical Hospital of Valladolid
- Principal Investigator: Rimantas Benetis, MD, Lithuanian University of Health Sciences
- Principal Investigator: Pedro Braga, MD, Unidade Local de Saúde de Gaia e Espinho
- Principal Investigator: Juan Horacio A Briales, MD, Hospital Virgen de la Victoria
- Principal Investigator: João Brito, MD, Hospital de Santa Cruz
- Principal Investigator: Duarte Cacela, MD, Hospital Santa Marta
- Principal Investigator: Adriano M Caixeta, MD, Escola Paulista de Medicina da UNIFESP
- Principal Investigator: Praveen Chandra, MD, Medanta - The Medicity Hospital
- Principal Investigator: Christian Dauvergne, MD, Hospital Del Torax De Santiago
- Principal Investigator: Pedro C Ferreira, MD, Hospital Santa Maria
- Principal Investigator: John Jose E, MD, Christian Medical College Hospital
- Principal Investigator: Rony Mathew Kadavil, MD, Lisie Hospital
- Principal Investigator: Gabriel Maluenda, MD, Hospital Clinico San Borja Arriaran
- Principal Investigator: Cesar R Medeiros, MD, Instituto Nacional de Cardiologia
- Principal Investigator: Oscar Mendiz, MD, Fundacion Favaloro
- Principal Investigator: Sanjay Mehrotra, MD, Narayana Health Hospital
- Principal Investigator: Marcio J Montenegro Da Costa, MD, Instituto Estadual de Cardiologia Aloysio de Castro
- Principal Investigator: Cesar Morís de La Tassa, MD, Hospital Universitario Central de Asturias
- Principal Investigator: Luis Nombela, MD, Hospital San Carlos, Madrid
- Principal Investigator: Juan Oteo, MD, Hospital Puerta de Hierro
- Principal Investigator: Lino MD Patrício, MD, Hospital do Espírito Santo de Évora
- Principal Investigator: Osvaldo Perez, MD, Hospital Las Higueras - Talcahuano
- Principal Investigator: Ravinder Singh Rao, MD, RHL - Rajasthan Hospital
- Principal Investigator: Ángel S Recalde, MD, Hospital Universitario Ramon y Cajal
- Principal Investigator: Ander Regueiro, MD, Hospital Clinic of Barcelona
- Principal Investigator: Lluis A Serra, MD, Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
- Principal Investigator: Dimytri Siqueira, MD, Instituto Dante Pazzanese de Cardiologia
- Principal Investigator: Hakan Ucar, MD, İ.A.Ü. VM Medical Park Florya Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CTP-VIE-001
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
product manufactured in and exported from the U.S.
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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