Clinical Trial of the Edwards Aortic Bioprosthesis, Model 11000
24. juli 2019 oppdatert av: Edwards Lifesciences
The purpose of this observational trial is to gather further clinical data to confirm the safety and performance of the Edwards Pericardial Aortic Bioprosthesis, Model 11000 in this trial population.
Studieoversikt
Status
Fullført
Intervensjon / Behandling
Detaljert beskrivelse
This is a prospective, non-randomized, non-controlled observational clinical trial.
Up to 200 subjects will be enrolled at up to 6 participating clinical sites.
The trial will include male and female patients, 18 years or older, requiring replacement for a diseased, damaged, or malfunctioning native or prosthetic valve.
Patients will be followed and assessed after implant for up to 5 years.
Studietype
Intervensjonell
Registrering (Faktiske)
133
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Kraków, Polen, 31-202
- Krakowski Szpital Specjalistyczny im. Jana Pawła II
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Warsaw, Polen, 04-628
- Instytut Kardiologii im. Prymasa Tysiąclecia Stefana Kardynała Wyszyńskiego
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- 18 years or older
- Require replacement of aortic valve
- Signed informed consent
- Willing to return to study site for follow-up visits
Exclusion Criteria:
- Active endocarditis/myocarditis (< 3 months)
- Myocardial infarction (< 30 days)
- Renal insufficiency/ End-stage renal disease
- Life expectancy (< 1 year)
- Requires multiple valve replacement/repair
- Requiring emergent aortic valve surgery
- Pregnant or lactating
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: Aortic Bioprosthesis, Model 11000
Aortic valve replacement therapy
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Implant of an aortic valve, Model 11000
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Antall tidlige uønskede hendelser delt på antall forsøkspersoner (uttrykt i prosent)
Tidsramme: Hendelser som inntreffer innen 30 dager etter prosedyren
|
Antall tidlige uønskede hendelser som oppstår innen 30 dager etter prosedyren delt på antall påmeldte forsøkspersoner ganger 100
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Hendelser som inntreffer innen 30 dager etter prosedyren
|
|
Number of Late Adverse Events Divided by Late Patient Years (Expressed as a Percentage)
Tidsramme: Events occurring >= 31 days and up through 5 years post-implant
|
Number of late events divided by the total number of late patient years x 100.
Late patient years are calculated from 31 days post-implant to the date of the last contact (follow up or adverse event).
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Events occurring >= 31 days and up through 5 years post-implant
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Subject's Average Mean Gradient Measurements
Tidsramme: Baseline through 5-Year (at each scheduled follow-up visit)
|
Mean gradient is the average flow of blood through the aortic valve measured in millimeters of mercury.
Gradients are evaluated by echocardiography over time.
Mean gradient values depend on the size and type of valve.
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Baseline through 5-Year (at each scheduled follow-up visit)
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Subject's Average Effective Orifice Area Measurements
Tidsramme: Baseline through 5-Year (at each scheduled follow-up visit)
|
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.
|
Baseline through 5-Year (at each scheduled follow-up visit)
|
|
Subject's New York Heart Association (NYHA) Functional Class Compared to Baseline.
Tidsramme: 3-6 Months and 1 through 5 Years compared to baseline
|
The New York Heart Association (NYHA) 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 the anginal syndrome may be present even at rest. |
3-6 Months and 1 through 5 Years compared to baseline
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Subject's Average Score at Baseline and 1 Year on the Quality of Life Survey
Tidsramme: Baseline and one year follow-up
|
The Medical Outcomes Study Short-Form 12 (SF-12) contains two components - the Physical Component Summary (PCS) and the Mental Component Summary (MCS). The SF-12 Physical Component Summary questionnaire scale ranges from a maximum of 100, which reflects the best health status to a minimum of 0, which reflects the worst health status. The SF-12 Mental Component Summary scale ranges from a maximum of 100, which reflects the best health status to a minimum of 0, which reflects the worst health status. |
Baseline and one year follow-up
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Subject's Average Score on the EQ-5D- Quality of Life Questionnaire Over Time
Tidsramme: Baseline and 1 Year
|
The EQ-5D is a standardized questionnaire that asks subjects to rate themselves (no problems, some problems, extreme problems) on mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
The scale is indexed and ranges from a minimum of 0.275 and a maximum of 1.000.
A lower number indicates the participants experiences more problems and a higher number indicates the participants experiences fewer problems.
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Baseline and 1 Year
|
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Subject's Average White Blood Cell Count
Tidsramme: Baseline, 3-6 Months, and 1 through 5 Years
|
Laboratory analysis of White Blood Cell Count on blood drawn from subject; WBC fight infection.
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Baseline, 3-6 Months, and 1 through 5 Years
|
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Subject's Average Red Blood Cells Count
Tidsramme: Baseline, 3-6 Months, and 1 through 5 Years
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Laboratory Analysis of Red Blood Cell Count on blood drawn from subjects; RBC carry oxygen.
|
Baseline, 3-6 Months, and 1 through 5 Years
|
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Subject's Average Hemoglobin Count
Tidsramme: Baseline, 3-6 months, and 1 through 5 years
|
Laboratory Analysis of Hemoglobin Count on blood drawn from subjects.
Hemoglobin is an oxygen-carrying protein in red blood cells.
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Baseline, 3-6 months, and 1 through 5 years
|
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Subject's Average Hematocrit Percentage
Tidsramme: Baseline, 3-6 Months, and 1 through 5 Years
|
Laboratory Analysis of Hematocrit Percentage on blood drawn from subjects.
Hematocrit is the proportion of red blood cells to the fluid component(plasma) in the blood.
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Baseline, 3-6 Months, and 1 through 5 Years
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Subject's Average Platelet Count
Tidsramme: Baseline, 3-6 Months, and 1 through 5 Years
|
Laboratory Analysis of Platelet Count on blood drawn from subjects; platelets help with blood clotting.
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Baseline, 3-6 Months, and 1 through 5 Years
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Subject's Average Plasma Free Hemoglobin
Tidsramme: Baseline, 3-6 Months, and 1 through 5 Years
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Laboratory Analysis of Plasma Free Hemoglobin on blood drawn from subjects.
This blood test measures the level of free hemoglobin in the liquid part of the blood (the serum).
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Baseline, 3-6 Months, and 1 through 5 Years
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Subject's Average Serum Creatinine
Tidsramme: Baseline
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Laboratory Analysis of Serum Creatinine on blood drawn from subjects.
Creatinine blood test is a test that measures kidney function.
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Baseline
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Subject's Average International Normalized Ratio
Tidsramme: Baseline, Discharge, 3-6 Months, 1 Year, 3 Years, and 5 Years
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Laboratory Analysis of International Normalized Ratio (INR) on blood drawn from subjects. The INR is a calculation based on results of a prothrombin time (PT). The PT is a blood test that measures the time it takes for the liquid portion (plasma) of the blood to clot. |
Baseline, Discharge, 3-6 Months, 1 Year, 3 Years, and 5 Years
|
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Subject's Average Partial Thromboplastin Time
Tidsramme: Baseline, Discharge, 3-6 Months, 1 Year, 3 Years, and 5 Years
|
Laboratory Analysis of partial thromboplastin time (PTT) on blood drawn from subjects.
PTT is a blood test that looks at how long it takes for the blood to clot.
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Baseline, Discharge, 3-6 Months, 1 Year, 3 Years, and 5 Years
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Subject's Average Prothrombin Time
Tidsramme: Baseline, Discharge, 3-6 Months, 1 Year, 3 Years, and 5 Years
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Laboratory Analysis of Prothrombin Time (PT) on blood drawn from subjects.
The PT is a blood test that measures the time it takes for the liquid portion (plasma) of the blood to clot.
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Baseline, Discharge, 3-6 Months, 1 Year, 3 Years, and 5 Years
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Jerzy Sadowski, MD, John Paul II Hospital
- Hovedetterforsker: Jacek Rozanski, MD, The Cardinal Stefan Wyszynski Institute of Cardiology
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- De La Fuente AB, Wright GA, Olin JM, Duhay FG, Kapelak B, Bochenek M, Bartus K, Sadowski J. Advanced Integrity Preservation Technology Reduces Bioprosthesis Calcification While Preserving Performance and Safety. J Heart Valve Dis. 2015 Jan;24(1):101-9.
- Bartus K, Litwinowicz R, Kusmierczyk M, Bilewska A, Bochenek M, Stapor M, Wozniak S, Rozanski J, Sadowski J, Kapelak B. Primary safety and effectiveness feasibility study after surgical aortic valve replacement with a new generation bioprosthesis: one-year outcomes. Kardiol Pol. 2018;76(3):618-624. doi: 10.5603/KP.a2017.0262. Epub 2018 Jan 3.
- Sadowski J, Bartus K, Kapelak B, Chung A, Stapor M, Bochenek M. Aortic valve replacement with a novel anti-calcification technology platform. Kardiol Pol. 2015;73(5):317-22. doi: 10.5603/KP.a2014.0214. Epub 2014 Nov 5.
- Bartus K, Litwinowicz R, Bilewska A, Stapor M, Bochenek M, Rozanski J, Sadowski J, Filip G, Kusmierczyk M, Kapelak B. Final 5-year outcomes following aortic valve replacement with a RESILIA tissue bioprosthesis. Eur J Cardiothorac Surg. 2021 Jan 29;59(2):434-441. doi: 10.1093/ejcts/ezaa311.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. juli 2011
Primær fullføring (Faktiske)
1. juli 2018
Studiet fullført (Faktiske)
1. juli 2018
Datoer for studieregistrering
Først innsendt
18. juli 2012
Først innsendt som oppfylte QC-kriteriene
24. juli 2012
Først lagt ut (Anslag)
26. juli 2012
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
26. juli 2019
Siste oppdatering sendt inn som oppfylte QC-kriteriene
24. juli 2019
Sist bekreftet
1. juli 2019
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 2010-03
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