Study Stopped
A post-PMA begun in 1998; enrollment halted in 2000 due to an anomaly in one study arm. The protocol required annual study visits after 2000.
Artificial Valve Endocarditis Reduction Trial
AVERT
1 other identifier
interventional
807
8 countries
16
Brief Summary
The purpose of this study is to investigate whether the Silzone coated sewing cuff reduces the incidence of prosthetic valve endocarditis (PVE).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 1998
Longer than P75 for not_applicable
16 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 1998
CompletedFirst Submitted
Initial submission to the registry
December 26, 2007
CompletedFirst Posted
Study publicly available on registry
January 11, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2014
CompletedResults Posted
Study results publicly available
December 22, 2015
CompletedFebruary 27, 2019
February 1, 2019
16.2 years
December 26, 2007
June 22, 2015
February 1, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of Prosthetic Valve Endocarditis Comparing Conventional Valves to Silzone™ Coated Valves.
Patient response to treatment with the Silzone™ treated valve will be evaluated based upon the incidence of early and late PVE (prosthetic valve endocarditis) in the treatment group vs. the control group.
1 year
Study Arms (2)
St. Jude Medical (SJM) Conventional
OTHERSt. Jude Medical (SJM) Standard Masters Series Mechanical Heart Valve with Conventional Cuff
St. Jude Medical (SJM) Silzone
OTHERSt. Jude Medical (SJM) Masters Series Mechanical Heart Valve with Silzone Coating
Interventions
Both arms used market released mechanical heart valves in accordance with approved labeling
Eligibility Criteria
You may qualify if:
- The patient requires an isolated mitral, isolated aortic, or double (aortic and mitral) valve replacement
- The patient is a candidate to receive an SJM (St. Jude Medical) Masters Series valve(s) with either the conventional cuff or the cuff with Silzone coating
- The patient (or legal guardian) has signed a study-specific consent form agreeing to the randomization, data collection, and follow-up requirements
You may not qualify if:
- The patient has a medical condition which contraindicates implantation of the SJM Masters Series with Silzone coating
- The patient already has a prosthetic valve other than the valve being replaced at this time
- The patient requires a tricuspid valve replacement
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Abbott Medical Deviceslead
- University of Pittsburghcollaborator
Study Sites (16)
Florida Heart Group
Orlando, Florida, 32803, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Brigham and Womens Hospital
Boston, Massachusetts, 02115, United States
Mayo Clinic
Rochester, Minnesota, 55902, United States
Sisters of Providence Health System
Portland, Oregon, 97225, United States
Texas Heart Institute
Houston, Texas, 77030, United States
LDS Hospital
Salt Lake City, Utah, 84103, United States
University of Alberta Hospital
Edmonton, Alberta, Canada
University of British Columbia
Vancouver, British Columbia, Canada
Hôpital G. Et R. Laënnec
Nantes, France
Deutches Herzzentrum Berlin
Berlin, Germany
Fond Ne Centro S. Raffaele
Milan, Italy
St. Antonius Ziekenhuis
Nieuwegein, Netherlands
Hospital 12 de Octubre
Madrid, Spain
Inselspital
Bern, CH-3010, Switzerland
Hopital Regional-Service de Cardiologie
Sion, Switzerland
Related Publications (5)
Schaff H, Carrel T, Steckelberg JM, Grunkemeier GL, Holubkov R. Artificial Valve Endocarditis Reduction Trial (AVERT): protocol of a multicenter randomized trial. J Heart Valve Dis. 1999 Mar;8(2):131-9.
PMID: 10224570BACKGROUNDDavila-Roman VG, Waggoner AD, Kennard ED, Holubkov R, Jamieson WR, Englberger L, Carrel TP, Schaff HV; Artificial Valve Endocarditis Reduction Trial echocardiography study. Prevalence and severity of paravalvular regurgitation in the Artificial Valve Endocarditis Reduction Trial (AVERT) echocardiography study. J Am Coll Cardiol. 2004 Oct 6;44(7):1467-72. doi: 10.1016/j.jacc.2003.12.060.
PMID: 15464329RESULTSchaff HV, Carrel TP, Jamieson WR, Jones KW, Rufilanchas JJ, Cooley DA, Hetzer R, Stumpe F, Duveau D, Moseley P, van Boven WJ, Grunkemeier GL, Kennard ED, Holubkov R; Artificial Valve Endocarditis Reduction Trial. Paravalvular leak and other events in silzone-coated mechanical heart valves: a report from AVERT. Ann Thorac Surg. 2002 Mar;73(3):785-92. doi: 10.1016/s0003-4975(01)03442-7.
PMID: 11899956RESULTEnglberger L, Carrel T, Schaff HV, Kennard ED, Holubkov R; AVERT Investigators. Differences in heart valve procedures between North American and European centers: a report from the Artificial Valve Endocarditis Reduction Trial (AVERT). J Heart Valve Dis. 2001 Sep;10(5):562-71.
PMID: 11603594RESULTEnglberger L, Schaff HV, Jamieson WR, Kennard ED, Im KA, Holubkov R, Carrel TP; AVERT Investigators. Importance of implant technique on risk of major paravalvular leak (PVL) after St. Jude mechanical heart valve replacement: a report from the Artificial Valve Endocarditis Reduction Trial (AVERT). Eur J Cardiothorac Surg. 2005 Dec;28(6):838-43. doi: 10.1016/j.ejcts.2005.09.014. Epub 2005 Nov 7.
PMID: 16275007RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
This study was terminated early. No final report was created.
Results Point of Contact
- Title
- Heidi Hinrichs, VP of Clinical Study Management, St. Jude Medical
- Organization
- St.Jude Medical
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 26, 2007
First Posted
January 11, 2008
Study Start
July 1, 1998
Primary Completion
September 1, 2014
Study Completion
September 1, 2014
Last Updated
February 27, 2019
Results First Posted
December 22, 2015
Record last verified: 2019-02