- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07619872
KONECT RESILIA Aortic Valved Conduit (AVC) Real-world Study Assessing Safety and Performance (KONECTION)
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Tilmelding (Anslået)
Kontakter og lokationer
Studiekontakt
- Navn: Sabrina Hundt, PhD
- Telefonnummer: +49 (0)151 67550601
- E-mail: Sabrina_Hundt@edwards.com
Studiesteder
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Bavaria
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München, Bavaria, Tyskland, 80636
- TUM Klinikum Deutsches Herzzentrum
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Ledende efterforsker:
- Markus Krane, Prof. Dr. med.
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- 18 years or older at the time of informed consent
- Have a diseased native or prosthetic aortic valve and a damaged or diseased ascending aorta that requires aortic valved conduit replacement surgery with the KONECT RESILIA AVC
- Provide written informed consent
- Willing to follow protocol requirements
Exclusion Criteria:
- Active endocarditis or endocarditis within 3 months prior to the study index procedure
- Emergency procedure
- Stage 4 renal disease (estimated glomerular filtration rate [eGFR] <30 excluded) or requiring dialysis
- Less than 2-year life expectancy due to non-cardiovascular life-threatening disease in the opinion of the study investigator
- High predicted risk of mortality prior to the procedure: Society of Thoracic Surgeons Predicted Risk of Mortality (STS-PROM) ≥8%
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
|---|---|
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Edwards KONECT RESILIA AVC
Subjects who were treated with the Edwards KONECT RESILIA AVC
|
Surgical replacement of the aortic valve and ascending aorta with the Edwards KONECT RESILIA AVC
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Percentage of participant's freedom from death and/or device related reintervention
Tidsramme: ≤ 30 days
|
Participants' freedom from valve-related death or valve- and/or graft-related reintervention.
Time to events were estimated by Kaplan-Meier method.
|
≤ 30 days
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Participant's linearized rate of thromboembolism
Tidsramme: Events occurring ≥ 31 days and up through 5 years post-implant
|
A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100].
Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact.
Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.
|
Events occurring ≥ 31 days and up through 5 years post-implant
|
|
Participant's linearized rate of valve thrombosis
Tidsramme: Events occurring ≥ 31 days and up through 5 years post-implant
|
A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100].
Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact.
Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.
|
Events occurring ≥ 31 days and up through 5 years post-implant
|
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Participant's linearized rate of major paravalvular leak
Tidsramme: Events occurring ≥ 31 days and up through 5 years post-implant
|
A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100].
Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact.
Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.
|
Events occurring ≥ 31 days and up through 5 years post-implant
|
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Participant's linearized rate of endocarditis
Tidsramme: Events occurring ≥ 31 days and up through 5 years post-implant
|
A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100].
Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact.
Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.
|
Events occurring ≥ 31 days and up through 5 years post-implant
|
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Participant's linearized rate of major hemorrhage
Tidsramme: Events occurring ≥ 31 days and up through 5 years post-implant
|
A linearized rate percentage is calculated by the following equation: [(Total number of late adverse events in each category/total number of late patient years) x 100].
Late adverse events are events that occur ≥ 31 days post-implant through each subject's last follow-up visit or contact.
Late patient years are calculated by totaling the amount of time the valve is implanted in the patient while participating in the trial and the count begins at ≥ 31 days post-implant through all subject's last follow-up visit or contact.
|
Events occurring ≥ 31 days and up through 5 years post-implant
|
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Percentage of participant's with freedom from death and/or device related reintervention
Tidsramme: 1-, 2-, 3-, 4-, 5-, 6-, 7-, 8-, 9-, and 10- Years follow-up
|
Participants' freedom from valve-related death or valve- and/or graft-related reintervention.
Time to events were estimated by Kaplan-Meier method.
|
1-, 2-, 3-, 4-, 5-, 6-, 7-, 8-, 9-, and 10- Years follow-up
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Participant's functional improvement over time from baseline for New York Heart Association (NYHA) Class
Tidsramme: Baseline, 1 month, 1-, 2-, 3-, 4-, 5-, 6-, 7-, 8-, 9-, and 10- Years follow-up
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The New York Heart Association functional classification system relates symptoms to everyday activities and the patient's quality of life. Class I. Patients with cardiac disease but without resulting limitation of physical activity. Class II. Patients with cardiac disease resulting in slight limitation of physical activity. They are comfortable at rest. Class III. Patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable at rest. Class IV. Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms of heart failure or anginal syndrome may be present even at rest. |
Baseline, 1 month, 1-, 2-, 3-, 4-, 5-, 6-, 7-, 8-, 9-, and 10- Years follow-up
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Participant's average mean gradient measurement over time
Tidsramme: 1 month, 1-, 3-, and 5- Years follow-up
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Mean gradient is the average flow of blood through the aortic valve measured in millimeters of mercury.
Gradients are evaluated by echocardiography over time.
In general, a higher value is considered worse, and a lower value is considered better but the value is dependent on the size and type of valve.
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1 month, 1-, 3-, and 5- Years follow-up
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Participant's average peak gradient measurement over time
Tidsramme: 1 month, 1-, 3-, and 5- Years follow-up
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Peak gradient is the maximum value measured of flow of blood through the aortic valve as measured in millimeters of mercury.
Gradients are evaluated by echocardiography over time.
In general, a higher valve is considered worse, and a lower value is considered better, but the value is dependent on the size and type of valve.
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1 month, 1-, 3-, and 5- Years follow-up
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Participant's average Effective Orifice Area (EOA) measurement over time
Tidsramme: 1 month, 1-, 3-, and 5- Years follow-up
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Effective orifice area represents the cross-sectional area of the blood flow downstream of the aortic valve.
Effective orifice area is evaluated by echocardiography over time.
In general, a higher value is considered better, and a lower value is considered worse, but the value is dependent on the size and type of valve.
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1 month, 1-, 3-, and 5- Years follow-up
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Participant's average Effective Orifice Area Index (EOAI) measurement over time
Tidsramme: 1 month, 1-, 3-, and 5- Years follow-up
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Effective orifice area index represents the minimal cross-sectional area of the blood flow downstream of the aortic valve divided by the person's body surface area.
Effective orifice area index is evaluated by echocardiography over time.
In general, a higher value is considered better, and a lower value is considered worse, but the value is dependent on the size of the patient and the size and type of valve.
|
1 month, 1-, 3-, and 5- Years follow-up
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Markus Krane, Prof. Dr. med., TUM Universitätsklinikum Deutsches Herzzentrum
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 2025-02
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