- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica 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.
Panoramica dello studio
Stato
Intervento / Trattamento
Descrizione dettagliata
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.
Tipo di studio
Iscrizione (Stimato)
Contatti e Sedi
Contatto studio
- Nome: FUNDACION EPIC
- Numero di telefono: 0034987876135
- Email: iepic@fundacionepic.org
Backup dei contatti dello studio
- Nome: RAÚL MORENO GÓMEZ, MD, PhD
- Numero di telefono: 0034917277000
- Email: raulmorenog@hotmail.com
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Metodo di campionamento
Popolazione di studio
Descrizione
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.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
Coorti e interventi
Gruppo / Coorte |
Intervento / Trattamento |
|---|---|
|
Hydra Transcatheter Heart Valve (THV)
|
Patients in whom the Hydra THV device is implanted to treat patients with degenerated aortic bioprostheses.
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Assessment of the success rate of implantation
Lasso di tempo: 7 days
|
Assessment of the success rate of implantation defined by:
|
7 days
|
|
Success of the procedure
Lasso di tempo: 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
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Mortalità cardiovascolare
Lasso di tempo: 12 mesi
|
Incidenza di mortalità cardiovascolare
|
12 mesi
|
|
All cause mortality
Lasso di tempo: 7 days
|
Incidence of all cause mortality
|
7 days
|
|
All cause mortality
Lasso di tempo: 30 days
|
Incidence of all cause mortality
|
30 days
|
|
All cause mortality
Lasso di tempo: 12 months
|
Incidence of all cause mortality
|
12 months
|
|
Cardiovascular mortality
Lasso di tempo: 7 days
|
Incidence of cardiovascular mortality
|
7 days
|
|
Cardiovascular mortality
Lasso di tempo: 30 days
|
Incidence of cardiovascular mortality
|
30 days
|
|
Stroke
Lasso di tempo: 7 days
|
Incidence of Stroke
|
7 days
|
|
Stroke
Lasso di tempo: 30 days
|
Incidence of Stroke
|
30 days
|
|
Stroke
Lasso di tempo: 12 months
|
Incidence of Stroke
|
12 months
|
|
Stroke with disabling
Lasso di tempo: 7 days
|
Incidence of Stroke with disabling
|
7 days
|
|
Stroke with disabling
Lasso di tempo: 30 days
|
Incidence of Stroke with disabling
|
30 days
|
|
Stroke with disabling
Lasso di tempo: 12 months
|
Incidence of Stroke with disabling
|
12 months
|
|
Stroke with non disabling
Lasso di tempo: 7 days
|
Incidence of Stroke with non disabling
|
7 days
|
|
Stroke with non disabling
Lasso di tempo: 30 days
|
Incidence of Stroke with non disabling
|
30 days
|
|
Stroke with non disabling
Lasso di tempo: 12 months
|
Incidence of Stroke with non disabling
|
12 months
|
|
Acute myocardial infarction
Lasso di tempo: 7 days
|
Incidence of acute myocardial infarction
|
7 days
|
|
Acute myocardial infarction
Lasso di tempo: 30 days
|
Incidence of acute myocardial infarction
|
30 days
|
|
Acute myocardial infarction
Lasso di tempo: 12 months
|
Incidence of acute myocardial infarction
|
12 months
|
|
Coronary occlusion
Lasso di tempo: 7days
|
Incidence of coronary occlusion
|
7days
|
|
Coronary occlusion
Lasso di tempo: 30 days
|
Incidence of coronary occlusion
|
30 days
|
|
Coronary occlusion
Lasso di tempo: 12 months
|
Incidence of coronary occlusion
|
12 months
|
|
Haemorrhagic complications
Lasso di tempo: 7 days
|
Incidence of haemorrhagic complications
|
7 days
|
|
Haemorrhagic complications
Lasso di tempo: 30 days
|
Incidence of haemorrhagic complications
|
30 days
|
|
Haemorrhagic complications
Lasso di tempo: 12 months
|
Incidence of haemorrhagic complications
|
12 months
|
|
Vascular complications
Lasso di tempo: 7 days
|
Incidence of vascular complications
|
7 days
|
|
Vascular complications
Lasso di tempo: 30 days
|
Incidence of vascular complications
|
30 days
|
|
Vascular complications
Lasso di tempo: 12 Months
|
Incidence of vascular complications
|
12 Months
|
|
Acute renal failure
Lasso di tempo: 7 days
|
Incidence of Acute renal failure
|
7 days
|
|
Acute renal failure
Lasso di tempo: 30 days
|
Incidence of Acute renal failure
|
30 days
|
|
Acute renal failure
Lasso di tempo: 12 months
|
Incidence of Acute renal failure
|
12 months
|
|
Conduction disturbances
Lasso di tempo: 7 days
|
Incidence of conduction disturbances
|
7 days
|
|
Conduction disturbances
Lasso di tempo: 30 days
|
Incidence of conduction disturbances
|
30 days
|
|
Conduction disturbances
Lasso di tempo: 12 months
|
Incidence of conduction disturbances
|
12 months
|
|
Arrhythmias
Lasso di tempo: 7 days
|
Incidence of Arrhythmias
|
7 days
|
|
Arrhythmias
Lasso di tempo: 30 days
|
Incidence of Arrhythmias
|
30 days
|
|
Arrhythmias
Lasso di tempo: 12 months
|
Incidence of Arrhythmias
|
12 months
|
|
Implantation of a new permanent pacemaker
Lasso di tempo: 7 days
|
Incidence of Implantation of a new permanent pacemaker
|
7 days
|
|
Implantation of a new permanent pacemaker
Lasso di tempo: 30 days
|
Incidence of Implantation of a new permanent pacemaker
|
30 days
|
|
Implantation of a new permanent pacemaker
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 12 months
|
Proportion of patients with modification of NYHA before the procedure and its modification after the procedure
|
12 months
|
|
Echocardiographic Valve Dysfunction Assessment
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
|
Collaboratori e investigatori
Sponsor
Pubblicazioni e link utili
Pubblicazioni generali
- 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.
- 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 Mar 10:S0019-4832(26)00035-0. doi: 10.1016/j.ihj.2026.03.004. Online ahead of print.
- 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.
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Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
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Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- rEpic22-HYSPANIA
Informazioni su farmaci e dispositivi, documenti di studio
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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