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Active Surveillance and Safety/Efficacy Evaluation of Innovative Devices for Structural Heart Disease Intervention (ASSEE-SHD)

26 september 2026 uppdaterad av: Lijun Fu, Shanghai Jiao Tong University School of Medicine

Establishment of Active Surveillance and Safety and Efficacy Evaluation Indicators for Innovative Devices Used in Interventional Treatment of Structural Heart Disease

This study aims to establish an active surveillance system to evaluate the safety and effectiveness of innovative medical devices used in the interventional treatment of structural heart disease. The devices of interest include a biodegradable patent foramen ovale (PFO) closure device and a transcatheter mitral valve edge-to-edge repair system. Clinical information from patients receiving these devices during routine clinical care will be collected and analyzed. The findings will help evaluate the safety and effectiveness of these devices and support the development of appropriate clinical evaluation indicators and long-term monitoring strategies.

Studieöversikt

Studietyp

Observationell

Inskrivning (Beräknad)

2200

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

      • Beijing, Kina
        • Har inte rekryterat ännu
        • Beijing Anzhen Hospital, Capital Medical University
        • Kontakt:
        • Huvudutredare:
          • Wenhui Wu
      • Beijing, Kina
        • Har inte rekryterat ännu
        • FUWAI Hospital, CAMS&PUMC
        • Kontakt:
        • Huvudutredare:
          • Guangzhi Zhao
      • Shanghai, Kina
        • Har inte rekryterat ännu
        • East Hospital, Tongji University
        • Kontakt:
        • Huvudutredare:
          • Linxiang Lu
    • Gansu
      • Lanzhou, Gansu, Kina
        • Rekrytering
        • The First Hospital of Lanzhou University
        • Kontakt:
        • Huvudutredare:
          • Jizhe Xu
    • Guangdong
      • Guangzhou, Guangdong, Kina
        • Har inte rekryterat ännu
        • Guangdong Provincial People's Hospital
        • Kontakt:
        • Huvudutredare:
          • Caojin Zhang
    • Henan
      • Zhengzhou, Henan, Kina
        • Rekrytering
        • Fuwai Central China Cardiovascular Hospital
        • Kontakt:
        • Huvudutredare:
          • Shubo Song
    • Hubei
      • Wuhan, Hubei, Kina
        • Rekrytering
        • Zhongnan Hospital of Wuhan University
        • Kontakt:
        • Huvudutredare:
          • Gangcheng Zhang
    • Liaoning
      • Shenyang, Liaoning, Kina
        • Har inte rekryterat ännu
        • General Hospital of Northern Theater Command, Chinese People's Liberation Army
        • Huvudutredare:
          • Qiguang Wang
        • Kontakt:
    • Shandong
      • Jinan, Shandong, Kina
        • Har inte rekryterat ännu
        • Shandong Provincial Hospital
        • Kontakt:
        • Huvudutredare:
          • Anbiao Wang
    • Sichuan
      • Chengdu, Sichuan, Kina
        • Har inte rekryterat ännu
        • Sichuan Provincial People's Hospital
        • Kontakt:
        • Huvudutredare:
          • Yunshan Cao
    • Yunnan
      • Kunming, Yunnan, Kina
        • Har inte rekryterat ännu
        • Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences/Affiliated Cardiovascular Hospital of Kunming Medical University
        • Huvudutredare:
          • Cheng Wang
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Testmetod

Icke-sannolikhetsprov

Studera befolkning

  1. Biodegradable PFO Closure Device Cohort: Patients with confirmed PFO-associated ischemic stroke who undergo implantation of a biodegradable PFO closure device.
  2. Transcatheter Mitral Valve Edge-to-Edge Repair (TEER) Cohort: Patients with functional or degenerative mitral regurgitation who undergo transcatheter mitral valve edge-to-edge repair using a TEER system.

Beskrivning

Inclusion Criteria:

  1. Patients undergoing implantation of a biodegradable PFO closure device.
  2. Patients undergoing transcatheter mitral valve edge-to-edge repair.

Exclusion Criteria:

The participant expresses a desire to withdraw from the study.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Observationsmodeller: COHORT
  • Tidsperspektiv: PROSPECTIVE

Kohorter och interventioner

Grupp / Kohort
Biodegradable Patent Foramen Ovale Closure Device

Participants with patent foramen ovale (PFO) who receive a biodegradable PFO closure device as part of routine clinical care will be included in this cohort. Clinical data will be collected to evaluate the safety and effectiveness of the device during follow-up.

Transcatheter Mitral Valve Edge-to-Edge Repair System Cohort

Participants with degenerative or functional mitral regurgitation who undergo transcatheter mitral valve edge-to-edge repair using a transcatheter mitral valve edge-to-edge repair system. Safety and effectiveness outcomes will be assessed during follow-up.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Incidence of Major Adverse Events
Tidsram: At 1, 6, and 12 months after the procedure

Incidence of major adverse events related to the biodegradable PFO closure or transcatheter mitral valve edge-to-edge repair procedure during follow-up.

At 1, 6, and 12 months after the procedure
Anatomical success of PFO closure within 12 months after biodegradable PFO occluder implantation, assessed by transthoracic echocardiography
Tidsram: At 1, 6, and 12 months after the procedure

The proportion of participants achieving successful anatomical closure of the patent foramen ovale (PFO) during the 12-month follow-up period after biodegradable PFO occluder implantation, assessed by transthoracic echocardiography.

At 1, 6, and 12 months after the procedure
Incidence of the composite clinical outcome of heart failure hospitalization, all-cause mortality, or cardiovascular mortality within 12 months after transcatheter edge-to-edge mitral valve repair
Tidsram: At 1, 6, and 12 months after the procedure

The proportion of participants experiencing at least one of the following events during the 12-month follow-up period after TEER: hospitalization for heart failure, all-cause death, or cardiovascular death. Events will be assessed through clinical follow-up and review of medical records.

At 1, 6, and 12 months after the procedure

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Degree of device degradation
Tidsram: At 1, 6, and 12 months after the procedure

The degree of degradation of the biodegradable PFO closure device will be assessed by echocardiography during follow-up.

At 1, 6, and 12 months after the procedure
Incidence of residual shunt after PFO closure
Tidsram: At 1, 6, and 12 months after the procedure.

The presence of residual shunt after implantation of the biodegradable PFO closure device will be assessed by echocardiography with contrast study, when applicable.

At 1, 6, and 12 months after the procedure.
Incidence of re-intervention after PFO closure
Tidsram: At 1, 6, and 12 months after the procedure.

The percentage of participants requiring reapeat intervention or surgical treatment related to the PFO closure device during follow-up.

At 1, 6, and 12 months after the procedure.
Incidence of recurrent stroke after PFO closure
Tidsram: At 1, 6, and 12 months after the procedure.

The occurrence of recurrent ischemic or hemorrhagic stroke during the follow-up period will be assessed by clinical evaluation and review of medical records.

At 1, 6, and 12 months after the procedure.
Incidence of device-related thrombosis after PFO closure
Tidsram: At 1, 6, and 12 months after the procedure.

The occurrence of thrombosis related to the biodegradable PFO closure device during follow-up will be assessed by echocardiography and clinical assessment.

At 1, 6, and 12 months after the procedure.
Proportion of participants who underwent TEER and achieved immediate procedural success
Tidsram: Within 24 hours after the procedure.

Immediate procedural success is defined as successful completion of the transcatheter mitral valve edge-to-edge repair procedure with post-procedural mitral regurgitation (MR) grade ≤2+, as assessed by echocardiography.

Within 24 hours after the procedure.
Incidence of subsequent open-heart surgery in the TEER group
Tidsram: At 1, 6, and 12 months after the procedure.

The number of participants undergoing subsequent open-heart surgery related to TEER during follow-up.

At 1, 6, and 12 months after the procedure.
Incidence of ischemic or hemorrhagic stroke in the TEER group
Tidsram: At 1, 6, and 12 months after the procedure.

The occurrence of ischemic or hemorrhagic stroke during follow-up in the TEER group will be assessed by clinical evaluation and review of medical records.

At 1, 6, and 12 months after the procedure.
Incidence of bleeding events in the TEER group
Tidsram: At 1, 6, and 12 months after the procedure.

The occurrence of bleeding events during follow-up in the TEER group will be assessed by clinical evaluation and review of medical records.

At 1, 6, and 12 months after the procedure.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

30 december 2025

Primärt slutförande (Beräknad)

31 januari 2029

Avslutad studie (Beräknad)

31 januari 2029

Studieregistreringsdatum

Först inskickad

22 september 2026

Först inskickad som uppfyllde QC-kriterierna

26 september 2026

Första postat (Faktisk)

29 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

29 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

26 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

De-identified individual participant-level data relevant to the study objectives, including baseline characteristics, procedural data, safety and efficacy outcomes, and follow-up data, will be shared.

Tidsram för IPD-delning

Start Date: 12 months after publication of the primary results End Date: No end date

Kriterier för IPD Sharing Access

De-identified individual participant-level data and supporting information will be available to qualified researchers upon reasonable request and subject to review and approval by the study investigators. Access will be provided for scientifically justified research purposes in accordance with applicable regulations and data protection requirements. Requests should be submitted to the study investigators, and approved data will be shared through a secure data transfer mechanism.

IPD-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • SAV
  • CSR

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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