- ICH GCP
- USA klinikai vizsgálatok nyilvántartása
- Klinikai vizsgálat NCT07566624
Spanish Prospective Registry of Hydra THV for Transcatheter Aortic Valve Implantation (HYSPANIA)
This study is designed to evaluate the success rate of transfemoral implantation of the Hydra THV biological aortic valve prosthesis in patients with severe symptomatic aortic stenosis. The device is used in accordance with its Instructions for Use as a CE-marked transcatheter heart valve system.
The study will assess procedural success, device performance, and early clinical outcomes following implantation. Patients undergoing transcatheter aortic valve replacement (TAVR) via the transfemoral approach will be followed to evaluate safety and effectiveness outcomes, including short- and mid-term clinical follow-up.
A tanulmány áttekintése
Állapot
Beavatkozás / kezelés
Részletes leírás
This study is designed to evaluate the success rate of transfemoral implantation of the Hydra THV biological aortic valve prosthesis in patients with severe symptomatic aortic stenosis. The device is used in accordance with its Instructions for Use as a CE-marked transcatheter heart valve system.
The study will assess procedural success, device performance, and early clinical outcomes following implantation. Patients undergoing transcatheter aortic valve replacement (TAVR) via the transfemoral approach will be followed to evaluate safety and effectiveness outcomes, including short- and mid-term clinical follow-up.
Tanulmány típusa
Beiratkozás (Becsült)
Kapcsolatok és helyek
Tanulmányi kapcsolat
- Név: FUNDACION EPIC
- Telefonszám: 0034987876135
- E-mail: iepic@fundacionepic.org
Tanulmányozza a kapcsolattartók biztonsági mentését
- Név: RAUL MORENO GOMEZ, MD, PhD
- Telefonszám: 0034917277000
- E-mail: raulmorenog@hotmail.com
Tanulmányi helyek
-
-
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Aravaca, Spanyolország, 28040
- Toborzás
- Hospital Clínico San Carlos
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Barcelona, Spanyolország, 08041
- Toborzás
- Hospital de la Santa Creu i Sant Pau
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Fuencarral-El Pardo, Spanyolország, 28046
- Toborzás
- Hospital Universitario La Paz
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L'Hospitalet de Llobregat, Spanyolország, 08907
- Toborzás
- Hospital Universitari de Bellvitge
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Salamanca, Spanyolország, 37007
- Toborzás
- Hospital Universitari de Salamanca
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Santiago de Compostela, Spanyolország, 15706
- Toborzás
- Hospital Clínico Universitario de Santiago
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Seville, Spanyolország, 41013
- Toborzás
- Hospital Universitario Virgen del Rocio
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Toledo, Spanyolország, 45007
- Toborzás
- Hospital General Universitario de Toledo
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Részvételi kritériumok
Jogosultsági kritériumok
Tanulmányozható életkorok
Egészséges önkénteseket fogad
Tanulmányozható nemek
Mintavételi módszer
Tanulmányi populáció
The Hydra THV valve is approved for the treatment of patients with aortic stenosis. Basically, patients will be eligible for inclusion in this clinical scenario, according to the instructions for use of the device.
Leírás
Inclusion Criteria:
Participants who meet ALL of the following conditions will be included:
- Age ≥ 18 years and;
- Severe aortic stenosis with indication for aortic valve replacement in which a Hydra THV device is implanted according to the instructions for use; and
- Signed informed consent.
Exclusion Criteria:
Patients who do NOT meet ANY of the following conditions will be included:
- Express refusal by the participant to participate in the study.
- Aortic stenosis patients who are not candidates for Hydra THV device implantation or in whom implantation of this device is performed for an indication other than aortic stenosis (especially pure native aortic valve insufficiency). Patients in whom the Hydra THV device is implanted to treat patients with degenerated aortic bioprostheses may be included in the study.
- Participants in randomised clinical trials who have not reached the research endpoint.
- Pregnant and/or breastfeeding women.
Tanulási terv
Hogyan készül a tanulmány?
Tervezési részletek
- Megfigyelési modellek: CASE_ONLY
- Időperspektívák: PROSPECTIVE
Kohorszok és beavatkozások
Csoport / Kohorsz |
Beavatkozás / kezelés |
|---|---|
|
Hydra Transcatheter Heart Valve (THV)
|
Patients in whom the Hydra THV device is implanted to treat patients with degenerated aortic bioprostheses. |
Mit mér a tanulmány?
Elsődleges eredményintézkedések
Eredménymérő |
Intézkedés leírása |
Időkeret |
|---|---|---|
|
Assessment of the success rate of implantation
Időkeret: 7 days
|
Assessment of the success rate of implantation defined by:
|
7 days
|
|
Success of the procedure
Időkeret: 7 days
|
Composite outcome measures defined as a the absence of intra-procedural mortality or complications during implantation, such as: failure to implant the valve at the annulus level, the need to implant more than one valve (valve-in-valve implantation or implantation of a second valve due to embolisation of the first) or surgical intervention on the aortic valve due to severe aortic insufficiency or complications of the procedure. |
7 days
|
Másodlagos eredményintézkedések
Eredménymérő |
Intézkedés leírása |
Időkeret |
|---|---|---|
|
All cause mortality
Időkeret: 7 days
|
Incidence of all cause mortality |
7 days
|
|
All cause mortality
Időkeret: 30 days
|
Incidence of all cause mortality |
30 days
|
|
All cause mortality
Időkeret: 12 months
|
Incidence of all cause mortality |
12 months
|
|
Cardiovascular mortality
Időkeret: 7 days
|
Incidence of cardiovascular mortality |
7 days
|
|
Cardiovascular mortality
Időkeret: 30 days
|
Incidence of cardiovascular mortality |
30 days
|
|
Cardiovascular mortality
Időkeret: 12 months
|
Incidence of cardiovascular mortality |
12 months
|
|
Stroke
Időkeret: 7 days
|
Incidence of Stroke |
7 days
|
|
Stroke
Időkeret: 30 days
|
Incidence of Stroke |
30 days
|
|
Stroke
Időkeret: 12 months
|
Incidence of Stroke |
12 months
|
|
Stroke with disabling
Időkeret: 7 days
|
Incidence of Stroke with disabling |
7 days
|
|
Stroke with disabling
Időkeret: 30 days
|
Incidence of Stroke with disabling |
30 days
|
|
Stroke with disabling
Időkeret: 12 months
|
Incidence of Stroke with disabling |
12 months
|
|
Stroke with non disabling
Időkeret: 7 days
|
Incidence of Stroke with non disabling |
7 days
|
|
Stroke with non disabling
Időkeret: 30 days
|
Incidence of Stroke with non disabling |
30 days
|
|
Stroke with non disabling
Időkeret: 12 months
|
Incidence of Stroke with non disabling |
12 months
|
|
Acute myocardial infarction
Időkeret: 7 days
|
Incidence of acute myocardial infarction |
7 days
|
|
Acute myocardial infarction
Időkeret: 30 days
|
Incidence of acute myocardial infarction |
30 days
|
|
Acute myocardial infarction
Időkeret: 12 months
|
Incidence of acute myocardial infarction |
12 months
|
|
Coronary occlusion
Időkeret: 7days
|
Incidence of coronary occlusion |
7days
|
|
Coronary occlusion
Időkeret: 30 days
|
Incidence of coronary occlusion |
30 days
|
|
Coronary occlusion
Időkeret: 12 months
|
Incidence of coronary occlusion |
12 months
|
|
Haemorrhagic complications
Időkeret: 7 days
|
Incidence of haemorrhagic complications |
7 days
|
|
Haemorrhagic complications
Időkeret: 30 days
|
Incidence of haemorrhagic complications |
30 days
|
|
Haemorrhagic complications
Időkeret: 12 months
|
Incidence of haemorrhagic complications |
12 months
|
|
Vascular complications
Időkeret: 7 days
|
Incidence of vascular complications |
7 days
|
|
Vascular complications
Időkeret: 30 days
|
Incidence of vascular complications |
30 days
|
|
Vascular complications
Időkeret: 12 Months
|
Incidence of vascular complications |
12 Months
|
|
Acute renal failure
Időkeret: 7 days
|
Incidence of Acute renal failure |
7 days
|
|
Acute renal failure
Időkeret: 30 days
|
Incidence of Acute renal failure |
30 days
|
|
Acute renal failure
Időkeret: 12 months
|
Incidence of Acute renal failure |
12 months
|
|
Conduction disturbances
Időkeret: 7 days
|
Incidence of conduction disturbances |
7 days
|
|
Conduction disturbances
Időkeret: 30 days
|
Incidence of conduction disturbances |
30 days
|
|
Conduction disturbances
Időkeret: 12 months
|
Incidence of conduction disturbances |
12 months
|
|
Arrhythmias
Időkeret: 7 days
|
Incidence of Arrhythmias |
7 days
|
|
Arrhythmias
Időkeret: 30 days
|
Incidence of Arrhythmias |
30 days
|
|
Arrhythmias
Időkeret: 12 months
|
Incidence of Arrhythmias |
12 months
|
|
Implantation of a new permanent pacemaker
Időkeret: 7 days
|
Incidence of Implantation of a new permanent pacemaker |
7 days
|
|
Implantation of a new permanent pacemaker
Időkeret: 30 days
|
Incidence of Implantation of a new permanent pacemaker |
30 days
|
|
Implantation of a new permanent pacemaker
Időkeret: 12 months
|
Incidence of Implantation of a new permanent pacemaker |
12 months
|
|
Combined safety event at 30 days defined by Valve Academic Research Consortium 3 (VARC-3) criteria
Időkeret: 30 days
|
Proportion of patients with freedom from: all-cause mortality, all stroke, VARC type 2-4 bleeding, major vascular, access-related, or cardiac structural complication, acute kidney injury stage 3 or 4, moderate or severe aortic regurgitation, new permanent pacemaker due to procedure related conduction abnormalities, surgery or intervention related to the device. |
30 days
|
|
New York Heart Association (NYHA)
Időkeret: 7 days
|
Proportion of patients with modification of NYHA, before the procedure and its modification after the procedure |
7 days
|
|
New York Heart Association (NYHA)
Időkeret: 30 days
|
Proportion of patients with modification of NYHA, before the procedure and its modification after the procedure |
30 days
|
|
New York Heart Association (NYHA)
Időkeret: 12 months
|
Proportion of patients with modification of NYHA before the procedure and its modification after the procedure |
12 months
|
|
Echocardiographic Valve Dysfunction Assessment
Időkeret: 7 days
|
Composite outcome measures defined as a: Effective aortic valve area and Mean transvalvular gradient and Degree of aortic regurgitation and Left ventricular ejection fraction (LVEF) and Pulmonary systolic pressure. Any of the following findings are considered evidence of dysfunction: Mean gradient ≥ 20 mmHg. Effective aortic valve area ≤ 0.9-1.1 cm2/m2. Moderate or severe para-valvular insufficiency |
7 days
|
|
Echocardiographic Valve Dysfunction Assessment
Időkeret: 30 days
|
Composite outcome measures defined as a: Effective aortic valve area and Mean transvalvular gradient and Degree of aortic regurgitation and Left ventricular ejection fraction (LVEF) and Pulmonary systolic pressure. Any of the following findings are considered evidence of dysfunction: Mean gradient ≥ 20 mmHg. Effective aortic valve area ≤ 0.9-1.1 cm2/m2. Moderate or severe para-valvular insufficiency |
30 days
|
|
Echocardiographic Valve Dysfunction Assessment
Időkeret: 12 months
|
Composite outcome measures defined as a: Effective aortic valve area and Mean transvalvular gradient and Degree of aortic regurgitation and Left ventricular ejection fraction (LVEF) and Pulmonary systolic pressure. Any of the following findings are considered evidence of dysfunction: Mean gradient ≥ 20 mmHg. Effective aortic valve area ≤ 0.9-1.1 cm2/m2. Moderate or severe para-valvular insufficiency |
12 months
|
Együttműködők és nyomozók
Szponzor
Publikációk és hasznos linkek
Általános kiadványok
- Praz F, Borger MA, Lanz J, Marin-Cuartas M, Abreu A, Adamo M, Ajmone Marsan N, Barili F, Bonaros N, Cosyns B, De Paulis R, Gamra H, Jahangiri M, Jeppsson A, Klautz RJM, Mores B, Perez-David E, Poss J, Prendergast BD, Rocca B, Rossello X, Suzuki M, Thiele H, Tribouilloy CM, Wojakowski W; ESC/EACTS Scientific Document Group. 2025 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2025 Nov 21;46(44):4635-4736. doi: 10.1093/eurheartj/ehaf194. No abstract available.
- Senguttuvan NB, Jose J, Sonawane A, Bansal S, Gupta R, Chandra P. Clinical evaluation of the Hydra self-expanding THV: 30-day results from the GENESIS-II study. AsiaIntervention. 2025 Oct 10;11(3):155-163. doi: 10.4244/AIJ-D-24-00075. eCollection 2025 Oct.
- Aidietis A, Srimahachota S, Dabrowski M, Bilkis V, Buddhari W, Cheung GSH, Nair RK, Mussayev AA, Mattummal S, Chandra P, Mahajan AU, Chmielak Z, Govindan SC, Jose J, Hiremath MS, Chandra S, Shetty R, Mohanan S, John JF, Mehrotra S, Sondergaard L. 30-Day and 1-Year Outcomes With HYDRA Self-Expanding Transcatheter Aortic Valve: The Hydra CE Study. JACC Cardiovasc Interv. 2022 Jan 10;15(1):93-104. doi: 10.1016/j.jcin.2021.09.004.
- Marin-Cuartas M, Kawczynski MJ, de Waha S, Kiefer P, Falk V, Siepe M, Bowdish ME, Akowuah E, Verbrugghe P, Oosterlinck W, Klautz RJM, Lorusso R, Bidar E, Rahouma MM, Redfors B, Biondi-Zoccai G, Bhatt DL, Gaudino M, Borger MA, Heuts S. Updated 5-year outcomes of transcatheter versus surgical aortic valve replacement in patients with severe aortic stenosis at low- to intermediate-surgical risk. Heart. 2026 Feb 11:heartjnl-2025-327092. doi: 10.1136/heartjnl-2025-327092. Online ahead of print.
- Sonawane A, Chandra P, Jose J, Bansal S, Gupta R, Sudhir K, Senguttuvan NB. Safety and performance of the Hydra self-expanding THV: 6 months outcomes from the GENESIS-II study. Indian Heart J. 2026 Jul-Aug;78(4):201-205. doi: 10.1016/j.ihj.2026.03.004. Epub 2026 Mar 10.
Tanulmányi rekorddátumok
Tanulmány főbb dátumok
Tanulmány kezdete (Tényleges)
Elsődleges befejezés (Becsült)
A tanulmány befejezése (Becsült)
Tanulmányi regisztráció dátumai
Először benyújtva
Először nyújtották be, amely megfelel a minőségbiztosítási kritériumoknak
Első közzététel (Tényleges)
Tanulmányi rekordok frissítései
Utolsó frissítés közzétéve (Tényleges)
Az utolsó frissítés elküldve, amely megfelel a minőségbiztosítási kritériumoknak
Utolsó ellenőrzés
Több információ
A tanulmányhoz kapcsolódó kifejezések
További vonatkozó MeSH feltételek
Egyéb vizsgálati azonosító számok
- rEpic22-HYSPANIA
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