一项前瞻性、跨国、多中心、开放标签、随机试验,旨在评估Meril公司Myval经导管心脏瓣膜(THV)系列与指南导向药物治疗(GDMT)在中度主动脉瓣狭窄参与者中的安全性和有效性。
一项前瞻性、多国、多中心、开放标签、随机试验,旨在评估美瑞医疗的Myval经导管心脏瓣膜(THV)系列与指南指导的药物治疗(GDMT)相比,在中度主动脉瓣狭窄参与者中的安全性和有效性。
研究概览
详细说明
经超声心动图核心实验室评估,患有症状性中度主动脉瓣狭窄或无症状性中度主动脉瓣狭窄且存在心脏损伤证据的参与者。
注:中度主动脉瓣狭窄的详细定义和标准见纳入标准。
临床和超声心动图随访时间点:
出院前 [医院出院前(出院日期24小时内)或索引手术后最多7天,以较早者为准] [仅适用于TAVI组] 30天(±7天)[仅适用于TAVI组] 6个月(±15天)
1年(±30天) 1.5年(±30天) 2年(±30天) 2.5年(±30天) 3年(±30天) 5年(±30天) 10年(±30天)
电话随访时间点:
4年(±30天) 6年(±30天) 7年(±30天) 注:对于随机分配至GDMT组、随后根据研究者判断接受AVR或任何其他干预的参与者,将在术后30天进行一次随访,并建议在1年时进行额外随访。此后,参与者将按照其原始研究时间表继续进行剩余的预定研究随访。
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Dr.Ashokkumar Thakkar, PhD. Clinical Pharmacology
- 电话号码:+91-9879443584
- 邮箱:landmark.2@merillife.com
学习地点
-
-
Capital Region
-
Copenhagen、Capital Region、丹麦、2100
- Rigshospitalet
-
接触:
- Ole De Backer, MD
- 电话号码:+45 35 45 35 45
- 邮箱:ole.debacker@gmail.com
-
-
Capital Region of Denmark (Hovedstaden)
-
Copenhagen、Capital Region of Denmark (Hovedstaden)、丹麦、2100
- Rigshospitalet, Copenhagen University Hospital
-
接触:
- Ole De Backer, MD, PhD
- 电话号码:+45 35 45 35 45
- 邮箱:ole.debacker@gmail.com
-
-
-
-
Grad Skopje
-
Skopje、Grad Skopje、北马其顿、1000
- University Clinic of Cardiology Skopje
-
接触:
- Sasko Kedev, MD
- 电话号码:+389 2 3147 147
- 邮箱:skedev@gmail.com
-
-
-
-
Gauteng
-
Sandton、Gauteng、南非、2191
- Netcare Sunninghill Hospital
-
接触:
- Farrel Hellig, MD
- 电话号码:+27 11 806 1500
- 邮箱:drhellig@tickerdoc.co.za
-
-
-
-
São Paulo
-
São Paulo、São Paulo、巴西、04012-909
- Instituto Dante Pazzanese de Cardiologia
-
接触:
- Fausto Feres, MD, PhD
- 电话号码:+55 11 5085-6000
- 邮箱:faustoferes@hotmail.com
-
-
-
-
Baden-Wurttemberg
-
Freiburg im Breisgau、Baden-Wurttemberg、德国、79106
- Universitäts-Herzzentrum Freiburg - Bad Krozingen
-
接触:
- Dirk Westermann, MD
- 电话号码:+49 761 270 34410
- 邮箱:dirk.westermann@uniklinik-freiburg.de
-
-
Bavaria
-
Regensburg、Bavaria、德国、93053
- Universitätsklinikum Regensburg
-
接触:
- Andreas Holzamer, MD
- 电话号码:+49 941 944 0
- 邮箱:andreas.holzamer@klinik.uni-regensburg.de
-
-
Hesse
-
Bad Nauheim、Hesse、德国、61231
- Kerckhoff Klinik GmbH
-
接触:
- Won Keun Kim, MD
- 电话号码:+49 6032 996 0
- 邮箱:w.kim@kerckhoff-klinik.de
-
-
Lower Saxony
-
Braunschweig、Lower Saxony、德国、38118
- Städtisches Klinikum Braunschweig
-
接触:
- Ingo Breitenbach, MD
- 电话号码:+49 531 595 0
- 邮箱:i.breitenbach@klinikum-braunschweig.de
-
-
Saxony
-
Dresden、Saxony、德国、01307
- Herzzentrum Dresden GmbH Universitätsklinik
-
接触:
- Axel Linke, MD
- 电话号码:+49 351 450 0
- 邮箱:axel.linke@tu-dresden.de
-
Leipzig、Saxony、德国、04103
- Universitatsklinikum Leipzig
-
接触:
- Mohamed Abdel-Wahab, MD
- 电话号码:+49 341 97 0
- 邮箱:mohamed.abdel-wahab@medizin.uni-leipzig.de
-
-
-
-
Milan
-
Milan、Milan、意大利、20132
- IRCCS Ospedale San Raffaele
-
接触:
- Matteo Montorfano, MD
- 电话号码:+39 02 2643 7329
- 邮箱:montorfano.matteo@hsr.it
-
Milan、Milan、意大利、20157
- IRCCS Ospedale Galeazzi - Sant'Ambrogio
-
接触:
- Alfonso Ielasi, MD
- 电话号码:+39 02 83500010
- 邮箱:alfonso.ielasi@gmail.com
-
San Donato Milanese、Milan、意大利、20097
- IRCCS Policlinico San Donato
-
接触:
- Francesco Bedogni, MD
- 电话号码:+39 02 5277 41
- 邮箱:Francesco.Bedogni@grupposandonato.it
-
-
-
-
Oslo
-
Oslo、Oslo、挪威、0372
- Oslo University Hospital - Rikshospitalet
-
接触:
- Øyvind Lie, MD
- 电话号码:+47 23 07 00 00
- 邮箱:oyvind.haugen.lie@ous-hf.no
-
-
-
-
Banská Bystrica Region
-
Banská Bystrica、Banská Bystrica Region、斯洛伐克、974 01
- Middle Slovak Institute of Cardiovascular Diseases (SÚSCCH)
-
接触:
- Martin Hudec, MD, PhD
- 电话号码:+421 48 4333 111
- 邮箱:hudecmt@hotmail.com
-
-
-
-
Osrednjeslovenska
-
Ljubljana、Osrednjeslovenska、斯洛文尼亚、1000
- University Medical Centre Ljubljana
-
接触:
- Matjaz Bunc, MD, PhD
- 电话号码:+386 1 522 50 50
- 邮箱:matjaz.bunc@kclj.si
-
-
-
-
Auckland
-
Auckland、Auckland、新西兰、1023
- Auckland City Hospital
-
接触:
- Mark Webster, MB ChB
- 电话号码:+64 9 367 0000
- 邮箱:MWebster@adhb.govt.nz
-
-
Waikato Region
-
Hamilton、Waikato Region、新西兰、3204
- Waikato Hospital
-
接触:
- Sanjeevan Pasupati, MB ChB FRACP
- 电话号码:+64 7 839 8899
- 邮箱:sanjeevan.pasupati@waikatodhb.health.nz
-
-
-
-
Auvergne-Rhône-Alpes
-
Villeurbanne、Auvergne-Rhône-Alpes、法国、69100
- Medipole Lyon-Villeurbanne
-
接触:
- Patrick Staat, MD
- 电话号码:+33 4 87 65 00 00
- 邮箱:staatpatrick@gmail.com
-
-
Brittany Region
-
Rennes、Brittany Region、法国、35033
- Centre Hospitalier Universitaire de Rennes
-
接触:
- Guillaume Leurent, MD
- 电话号码:+33 2 99 28 43 21
- 邮箱:guillaume.leurent@chu-rennes.fr
-
-
Centre-Val de Loire
-
Tours、Centre-Val de Loire、法国、37044
- Centre Hospitalier Universitaire de Tours
-
接触:
- Christophe Saint Etienne, MD
- 电话号码:+33 2 47 47 47 47
- 邮箱:c.saintetienne@chu-tours.fr
-
-
Essonne
-
Massy、Essonne、法国、91300
- Hôpital Privé Jacques Cartier (ICPS - Institut Cardiovasculaire Paris Sud)
-
接触:
- Thomas Hovasse, MD
- 电话号码:+33 1 60 13 46 02
- 邮箱:hovasse@angio-icps.com
-
-
Grand Est
-
Strasbourg、Grand Est、法国、67091
- Nouvel Hôpital Civil - Hôpitaux Universitaires de Strasbourg
-
接触:
- Patrick Ohlmann, MD
- 电话号码:+33 3 69 55 05 00
- 邮箱:patrick.ohlmann@chru-strasbourg.fr
-
-
Haute-Garonne
-
Toulouse、Haute-Garonne、法国、31300
- Clinique Pasteur - Toulouse
-
接触:
- Didier Tchétché, MD, PhD
- 电话号码:+33 5 62 21 31 31
- 邮箱:tchetche@clinique-pasteur.com
-
-
Hauts-de-France
-
Lille、Hauts-de-France、法国、59037
- Centre Hospitalier Regional Universitaire de Lille
-
接触:
- Eric Van Belle, MD
- 电话号码:+33 3 20 44 59 62
- 邮箱:eric.vanbelle@chru-lille.fr
-
-
New Aquitaine
-
Bordeaux、New Aquitaine、法国
- Centre Hospitalier Universitaire De Bordeaux
-
接触:
- Lionel Leroux, MD
- 电话号码:+33 5 56 79 56 79
- 邮箱:lionel.leroux@chu-bordeaux.fr
-
-
Occitanie
-
Toulouse、Occitanie、法国、31059
- Centre Hospitalier Universitaire de Toulouse - Hopital Rangueil
-
接触:
- Thibault Lhermusier, MD
- 电话号码:+33 5 61 32 25 25
- 邮箱:lhermusier.t@chu-toulouse.fr
-
-
Provence-Alpes-Côte d'Azur Region
-
Marseille、Provence-Alpes-Côte d'Azur Region、法国、13005
- Hôpital de la Timone - Assistance Publique Hôpitaux de Marseille
-
接触:
- Thomas Cuisset, MD
- 电话号码:+33 4 91 38 00 00
- 邮箱:thomas.cuisset@ap-hm.fr
-
Saint-Laurent-du-Var、Provence-Alpes-Côte d'Azur Region、法国、06700
- Institut Arnault Tzanck
-
接触:
- Julien Adjedj, MD
- 电话号码:+33 4 92 27 33 33
- 邮箱:julienadjedj@hotmail.com
-
-
Île-de-France Region
-
Créteil、Île-de-France Region、法国、94010
- Hôpital Henri-Mondor - Assistance Publique Hôpitaux de Paris
-
接触:
- Emmanuel Teiger, MD
- 电话号码:+33 1 49 81 21 11
- 邮箱:emmanuel.teiger@aphp.fr
-
Saint-Denis、Île-de-France Region、法国、93200
- Centre Cardiologique du Nord
-
接触:
- Mohammed Nejjari
- 电话号码:+33 1 49 33 40 00
- 邮箱:mohammed.nejjari@yahoo.fr
-
-
-
-
New South Wales
-
Newcastle、New South Wales、澳大利亚
- John Hunter Hospital
-
接触:
- Dr.Rohan Bhagwandeen, MBChB, FRACP
- 电话号码:+61 2 4943 3122
- 邮箱:rohanb@newcastleheart.com.au
-
-
Queensland
-
Brisbane、Queensland、澳大利亚
- Prince Charles Hospital
-
接触:
- Dr.Darren Walters, MBBS,MPhil,FRACP,FCSANZ,FSCAI
- 电话号码:(07) 3139 4000
- 邮箱:Darren.Walters@health.qld.gov.au
-
-
Victoria
-
Melbourne、Victoria、澳大利亚
- Victorian Heart Hospital
-
接触:
- Dr. Rob Gooley, MBBS, PhD, FRACP
- 电话号码:+61 3 7511 1111
- 邮箱:robert.gooley@monashhealth.org
-
-
-
-
Harju
-
Tallinn、Harju、爱沙尼亚、13419
- North Estonia Medical Centre (Põhja-Eesti Regionaalhaigla)
-
接触:
- Peep Laanmets, MD
- 电话号码:+372 617 1300
- 邮箱:Peep.Laanmets@regionaalhaigla.ee
-
-
-
-
Uppsala County
-
Uppsala、Uppsala County、瑞典、75185
- Uppsala University Hospital
-
接触:
- Stefan James, MD
- 电话号码:+46 18 611 00 00
- 邮箱:stefan.james@ucr.uu.se
-
-
-
-
Canton of Basel-City
-
Basel、Canton of Basel-City、瑞士、4031
- Universitätsspital Basel
-
接触:
- Thomas Nestelberger, MD
- 电话号码:+41 61 265 25 25
- 邮箱:thomas.nestelberger@usb.ch
-
-
-
-
Minsk Oblast
-
Minsk、Minsk Oblast、白俄罗斯、220036
- Republican Scientific and Practical Center of Cardiology (RSPC Cardiology)
-
接触:
- Dr. Oleg Polonetsky, MD, PhD
- 电话号码:+375 17 208-76-34
- 邮箱:oleg.polonetsky@gmail.com
-
-
-
-
Southwest Finland
-
Turku、Southwest Finland、芬兰、20521
- Turku University Hospital
-
接触:
- Mikko Savontaus, MD
- 电话号码:+358 2 313 0000
- 邮箱:mikko.savontaus@varha.fi
-
Turku、Southwest Finland、芬兰、20521
- Turku University Hospital (Tyks), Heart Centre
-
接触:
- Mikko Savontaus, MD, PhD
- 电话号码:+358 2 313 0000
- 邮箱:mikko.savontaus@varha.fi
-
-
-
-
England
-
London、England、英国、EC1A 7BE
- Barts Heart Centre, St Bartholomew's Hospital
-
接触:
- Andreas Baumbach, MD
- 电话号码:+44 20 3765 8000
-
接触:
-
-
-
-
Gelderland
-
Nijmegen、Gelderland、荷兰、6525 GA
- Radboud University Medical Center
-
接触:
- Niels van Royen, MD
- 电话号码:+31 24 361 11 11
- 邮箱:niels.vanroyen@radboudumc.nl
-
-
North Brabant
-
Breda、North Brabant、荷兰、4818 CK
- Amphia Hospital
-
接触:
- Ben Van den Branden, MD
- 电话号码:+31 76 595 50 00
- 邮箱:BvandenBranden@amphia.nl
-
Eindhoven、North Brabant、荷兰、5623 EJ
- Catharina Hospital
-
接触:
- Pim Tonino, MD
- 邮箱:pim.tonino@cze.nl
-
-
North Holland
-
Amsterdam、North Holland、荷兰、1091 AC
- OLVG
-
接触:
- Giovanni Amoroso, MD
- 电话号码:+31 20 599 91 11
-
接触:
-
-
South Holland
-
Rotterdam、South Holland、荷兰、3015 GD
- Erasmus Medical Center
-
接触:
- Rutger Jan Nuis, MD
- 电话号码:+31 10 704 07 04
- 邮箱:r.nuis@erasmusmc.nl
-
-
Utrecht
-
Nieuwegein、Utrecht、荷兰、3435 CM
- St. Antonius Hospital
-
接触:
- Benno Rensing, MD
- 电话号码:+31 88 320 30 00
- 邮箱:b.rensing@antoniusziekenhuis.nl
-
Utrecht、Utrecht、荷兰、3584 CX
- University Medical Center Utrecht
-
接触:
- Michiel Voskuil, MD
- 电话号码:+31 88 755 55 55
- 邮箱:mvoskuil@umcutrecht.nl
-
-
-
-
Andalusia
-
Seville、Andalusia、西班牙、41013
- Hospital Universitario Virgen del Rocío
-
接触:
- José Díaz
- 电话号码:+34 955 01 20 00
- 邮箱:jfdiazf@yahoo.es
-
-
Aragon
-
Zaragoza、Aragon、西班牙、50009
- Hospital Universitario Miguel Servet
-
接触:
- Javier Adiarte
- 电话号码:+34 976 76 55 00
- 邮箱:jadiarte@salud.aragon.es
-
-
Balearic Islands
-
Palma de Mallorca、Balearic Islands、西班牙、07120
- Hospital Universitario Son Espases
-
接触:
- Vicente Peral, MD
- 电话号码:+34 871 20 50 00
- 邮箱:vpd8781@gmail.com
-
-
Castille and León
-
Salamanca、Castille and León、西班牙、37007
- Hospital Clinico Universitario de Salamanca
-
接触:
- Ignacio Cruz González, MD
- 电话号码:+34 923 29 11 00
- 邮箱:cruzgonzalez.ignacio@gmail.com
-
Valladolid、Castille and León、西班牙、47003
- Hospital Clínico Universitario de Valladolid
-
接触:
- Ignacio J. Amat-Santos, MD, PhD
- 电话号码:+34 983 42 00 00
- 邮箱:ijamat@gmail.com
-
-
Catalonia
-
Barcelona、Catalonia、西班牙、08036
- Hospital Clinic de Barcelona
-
接触:
- Ander Regueiro, MD
- 电话号码:+34 932 27 54 00
- 邮箱:aregueir@clinic.cat
-
-
Córdoba
-
Córdoba、Córdoba、西班牙、14004
- Hospital Universitario Reina Sofia
-
接触:
- Manuel Pan, MD, PhD
- 电话号码:+34 957 01 00 00
- 邮箱:manuelpanalvarez@gmail.com
-
-
Galicia
-
Vigo、Galicia、西班牙、36213
- Hospital Alvaro Cunqueiro
-
接触:
- José Antonio Baz Alonso, MD
- 电话号码:+34 986 81 11 11
- 邮箱:joseantoniobaz@gmail.com
-
-
Las Palmas
-
Las Palmas de Gran Canaria、Las Palmas、西班牙、35010
- Hospital Universitario de Gran Canaria Doctor Negrin
-
接触:
- Pedro Martin Lorenzo, MD
- 电话号码:+34 928 45 00 00
- 邮箱:pemarlor@hotmail.com
-
-
Madrid
-
Madrid、Madrid、西班牙、28046
- Hospital Universitario La Paz
-
接触:
- Raúl Moreno, MD
- 电话号码:+34 917 27 70 00
- 邮箱:raulmorenocardio@gmail.com
-
Madrid、Madrid、西班牙、28034
- Hospital Universitario Ramon y Cajal
-
接触:
- Angel Sánchez Recalde, MD
- 电话号码:+34 913 36 80 00
- 邮箱:asrecalde@hotmail.com
-
Madrid、Madrid、西班牙、28007
- Hospital General Universitario Gregorio Marañón
-
接触:
- Eduardo Gutiérrez
- 电话号码:+34 915 86 80 00
- 邮箱:eguti@hotmail.es
-
-
Valencia
-
Valencia、Valencia、西班牙、46026
- Hospital Universitari i Politecnic La Fe
-
接触:
- Santiago Jorge
- 电话号码:+34 961 24 40 00
- 邮箱:sjorge4@gmx.com
-
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参与标准
资格标准
适合学习的年龄
- 年长者
接受健康志愿者
描述
纳入标准:
本研究的所有参与者必须满足以下所有纳入标准:
- 参与者年龄≥65岁。
- 参与者已提供经研究机构审查委员会(IRB)/独立伦理委员会(IEC)/伦理委员会(EC)批准的书面知情同意书,以参与本研究。
参与者患有中度主动脉瓣狭窄,定义为以下情况之一(10)
- 主动脉射流峰值速度(Vmax)≥3.0 m/s且<4.0 m/s,或
- 平均压力梯度≥25 mmHg且<40 mmHg 且
参与者必须满足以下类别之一:
1.1.主动脉瓣口面积(AVA)>1.0 - ≤1.5 cm²;或 1.2.AVA ≤1.0 cm²(或 AVA指数 ≤0.6 cm²/m²)3.2.1左心室功能与血流模式:定义为主动脉射流峰值速度(Vmax)≥3.0且<4.0 m/s或平均压力梯度≥25且<40 mmHg,且存在主动脉瓣口面积(AVA)≤1.0 cm²(或 AVA指数 ≤0.6 cm²/m²)的参与者
参与者必须满足以下类别之一:
a.正常血流,左心室射血分数保留:*
- 每搏输出量指数(SVi >35 ml/m²)且左心室射血分数(LVEF)≥50%,然后进行CT主动脉瓣钙化评分以确认真正的中度主动脉瓣狭窄:<1200 AU(女性)或<2000 AU(男性)或 b.低血流,左心室射血分数保留:
- SVi ≤35 ml/m²且LVEF ≥50%,然后进行CT主动脉瓣钙化评分以确认真正的中度主动脉瓣狭窄:<1200 AU(女性)或<2000 AU(男性)或 c.低血流,左心室射血分数降低:
- SVi ≤35 ml/m²且LVEF <50%,然后通过多巴酚丁胺负荷超声心动图(DSE)^确认收缩储备,定义为每搏输出量增加≥20%;I.AVA >1.0且≤1.5 cm²或 II.AVA >1.0 cm²然后进行CT主动脉瓣钙化评分以确认真正的中度主动脉瓣狭窄:<1200 AU(女性)或<2000 AU(男性)^如果DSE不可行或结果不明确,将考虑CT钙化评分,阈值<1200 AU(女性)和<2000 AU(男性)以识别中度主动脉瓣狭窄参与者。 *不适用于无症状参与者,因为SVi >35的无症状参与者被排除。
有症状的中度主动脉瓣狭窄参与者:
症状证据:
I.纽约心脏协会(NYHA)分级≥II级#且 II.慢性呼吸困难或 III.心绞痛(加拿大心血管学会分级≥II级)或 IV.心脏性晕厥或
- 无症状中度主动脉瓣狭窄参与者,至少有以下心脏损伤/功能障碍证据之一:I.左心室射血分数≤50%或 II.舒张功能障碍≥II级或 III.每搏输出量指数≤35 ml/m²或 IV.持续性心房颤动(AF)持续过去6个月或知情同意前6个月内阵发性心房颤动发作或 V.NT-proBNP ≥200 pg/ml或ng/l或≥200000 µg/l(或BNP ≥50 pg/ml或ng/l或≥50000 µg/l)或 VI.左心室质量指数>95 g/m²(女性)和>115 g/m²(男性)(检测左心室肥厚)(15)或 VII.左心室尺寸(16)或
- 左心室收缩期直径>4 cm或>40 mm(男性)和>3.5 cm或35 mm(女性)或
- 左心室舒张期直径>5.8 cm或>58 mm(男性)和>5.2 cm或52 mm(女性)VIII.左心室容积(16)
- 左心室收缩期容积>61 mL或cm³(男性)和>42 mL或cm³(女性)或
- 左心室舒张期容积>150 mL或cm³(男性)和>106 mL或cm³(女性)#仅10%的NYHA IV级总研究参与者将被纳入试验。
排除标准:
- 患有中度主动脉瓣狭窄且同时接受冠状动脉旁路移植术(CABG)或升主动脉或其他瓣膜手术干预的参与者。
- 经超声心动图/CT验证为单叶主动脉瓣或非钙化主动脉瓣。
- 肾功能不全,肾小球滤过率(GFR)<30 mL/min和/或需要肾脏替代治疗。
- 伴有≥中度主动脉瓣反流(≥3级)的参与者。
- 患有重度主动脉瓣狭窄的参与者。
- 中度或重度二尖瓣/三尖瓣反流(≥3级)。
- 已有机械或生物主动脉瓣膜的参与者。
- 左心室射血分数≤20%。
- 重度左心室流出道钙化,会增加经导管主动脉瓣植入术(TAVI)后瓣环破裂或显著瓣周漏的风险。
- 心脏影像学证据显示心内肿块、血栓或赘生物。
- 既往卒中伴永久性残疾(改良Rankin评分≥2)。
- 由于非心脏合并症(包括癌症、慢性肝病、慢性肾病或慢性终末期肺病)导致预期寿命<24个月。
- 目前正在参与一项研究性药物或其他器械研究,且主要终点未达到。
- 研究者认为可能妨碍参与者安全参与本研究的任何情况(例如精神疾病、酗酒)。
- 不适合经股动脉途径进行TAVI。
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:经导管主动脉瓣植入术
|
Myval THV Series will include Myval/Myval Octacor/ OctaPro/OctaPro+ THV or any subsequent advanced version commercially available at the investigator site.
|
|
无干预:Guideline-directed medical therapy
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Primary Efficacy Endpoint
大体时间:2-year
|
It is the composite of following: All-cause mortality, Disabling stroke, Aortic valve replacement due to advanced valve syndrome (AVS), Heart failure hospitalization, Deterioration in quality of life by Kansas City Cardiomyopathy Questionnaire (KCCQ) at 2 years or at the time of conversion to AVR in the GDMT arm. |
2-year
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
All-cause mortality
大体时间:Predischarge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year, 4- year, 5-year, 6-year, 7-year and 10-year
|
As per VARC-3 defined criteria
|
Predischarge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year, 4- year, 5-year, 6-year, 7-year and 10-year
|
|
All stroke
大体时间:Pre-discharge, 30- day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
As per VARC-3 defined criteria
|
Pre-discharge, 30- day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
|
Acute Kidney Injury (AKI)
大体时间:Pre-discharge, 30-day
|
As per VARC-3 defined criteria
|
Pre-discharge, 30-day
|
|
Bleeding (Type 2, 3 and 4)
大体时间:Predischarge, 30-day
|
As per VARC-3 defined criteria
|
Predischarge, 30-day
|
|
Major vascular complications
大体时间:30-day
|
As per VARC-3 defined criteria
|
30-day
|
|
Conduction disturbances and arrhythmias
大体时间:Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5- year, 3-year and 5-year
|
As per VARC-3 defined criteria
|
Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5- year, 3-year and 5-year
|
|
New Permanent Pacemaker Implantation (PPI)
大体时间:Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
As per VARC-3 defined criteria
|
Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
|
Proportion of participants requiring initiation of Cardiac Resynchronization Therapy
大体时间:Pre-discharge, 30-day, 6- month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
Initiation of CRT (Cardiac Resynchronization Therapy Pacemaker or Defibrillator with Cardiac Resynchronization Therapy) as clinically indicated by the treating cardiologist.
|
Pre-discharge, 30-day, 6- month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
|
Aortic valve replacement due to advanced valve syndrome
大体时间:6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
|
|
Myocardial Infarction
大体时间:Predischarge, 30-day, 6-month, 1-year, 1.5-year, 2-year
|
As per VARC-3 defined criteria
|
Predischarge, 30-day, 6-month, 1-year, 1.5-year, 2-year
|
|
New York Heart Association (NYHA) functional classification
大体时间:Screening, Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2- year, 2.5-year, 3-year and 5-year
|
Screening, Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2- year, 2.5-year, 3-year and 5-year
|
|
|
Six-minute walk test
大体时间:Screening, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
Screening, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
|
|
Echocardiographic endpoints
大体时间:Screening, Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10- year
|
Screening, Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10- year
|
|
|
Bioprosthetic valve failure
大体时间:1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
VARC-3 defined criteria
|
1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
|
Bioprosthetic valve deterioration
大体时间:1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
VARC-3 defined criteria
|
1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
|
Aortic bioprosthetic valve dysfunction
大体时间:1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
As per VARC-3 defined criteria
|
1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
|
Heart failure hospitalization
大体时间:30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
As per VARC-3 defined criteria
|
30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
|
Kansas City Cardiomyopathy Questionnaire
大体时间:Screening, 1-year, 2-year, At time of conversion to AVR from GDMT arm
|
Overall Summary Score < 45 or decline from baseline of >10 point (Unfavorable Outcome) Score Interpretation: 0 to 25: Very poor to poor health 25 to 49: Poor to fair health 50 to 74: Fair to good health 75 to 100: Good to excellent health |
Screening, 1-year, 2-year, At time of conversion to AVR from GDMT arm
|
|
Moderate or severe prosthetic valve regurgitation
大体时间:Screening, Pre-discharge, 30-day, 6-month, 1- year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
As per VARC-3 defined criteria
|
Screening, Pre-discharge, 30-day, 6-month, 1- year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
|
N-Terminal Pro B-type Natriuretic Peptide (NT-ProBNP) or BNP
大体时间:Screening, Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
Screening, Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
|
|
New onset of atrial fibrillation or atrial flutter
大体时间:Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
As per VARC-3 defined criteria
|
Pre-discharge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
|
|
Aortic valve replacement or reintervention
大体时间:30-day, 6- month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
Aortic valve replacement or reintervention is defined as any surgical or transcatheter procedure performed to replace the native aortic valve with a prosthetic valve or to treat dysfunction of a previously implanted prosthetic aortic valve.
This includes surgical aortic valve replacement (SAVR), transcatheter aortic valve implantation (TAVI), valve-in-valve TAVI, redo TAVI, or surgical replacement of a previously implanted transcatheter or surgical valve.
|
30-day, 6- month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year, 5-year and 10-year
|
|
Technical success
大体时间:At exit from procedure room
|
As per VARC-3 defined criteria
|
At exit from procedure room
|
|
Device success
大体时间:30-day
|
As per VARC-3 defined criteria
|
30-day
|
合作者和调查者
调查人员
- 研究主任:Prof. Patrick Serruys, MD, PhD, FACC, FESC、National University of Ireland, Galway, Ireland
- 学习椅:Prof. Andreas Baumbach, MD, FESC, FRCP、Barts Heart Center, London, UK
出版物和有用的链接
一般刊物
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有用的网址
- A study showing that early aortic valve surgery significantly reduces all-cause death compared to medical treatment in patients with moderate AS and left ventricular systolic dysfunction (LVSD)
- The comprehensive US clinical practice guidelines for the prevention, diagnosis, and management of patients with heart failure, establishing the pillars of guideline-directed medical therapy (GDMT)
- The industry-standard update for clinical endpoint definitions in aortic valve research, ensuring consistent reporting for transcatheter and surgical therapies.
- An international multicenter study demonstrating that second-generation TAVR devices achieve favorable procedural results and clinical outcomes in patients with bicuspid aortic valve stenosis, comparable to those with tricuspid anatomy.
- A major study confirming that TAVR is a durable and effective alternative to surgery for high-risk patients, with 5-year data showing no significant difference in all-cause mortality or stroke compared to SAVR.
- A vital consensus document providing standardized technical rules and clinical algorithms for grading the severity of aortic stenosis using various echocardiographic parameters.
- A comprehensive review of current evidence showing that moderate AS is associated with increased cardiovascular events and mortality, while discussing the potential benefits of early aortic valve replacement (AVR).
- A propensity-matched study of nearly 1,000 patients showing that moderate AS is associated with significantly increased mortality compared to patients without AS, regardless of whether the heart's pumping function (ejection fraction) is preserved or redu
- Boljevic D, Bojic M, Farkic M, et al. Early Outcomes of a Next-Generation Balloon-Expandable Transcatheter Heart Valve - The Myval System: A Single-Center Experience From Serbia. Journal of Cardiology and Cardiovascular Medicine. 2023.
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