NCT02687035

Brief Summary

Following completion of enrollment in the PARTNER II SAPIEN 3 intermediate risk trial, this trial provided continued access to treatment for subjects with severe aortic stenosis who were at intermediate surgical risk.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,822

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2015

Longer than P75 for not_applicable

Geographic Reach
2 countries

56 active sites

Status
completed

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

January 1, 2015

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

February 1, 2016

Completed
21 days until next milestone

First Posted

Study publicly available on registry

February 22, 2016

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2017

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
2.4 years until next milestone

Results Posted

Study results publicly available

April 8, 2021

Completed
Last Updated

April 8, 2021

Status Verified

December 1, 2020

Enrollment Period

2.8 years

First QC Date

February 1, 2016

Results QC Date

December 22, 2020

Last Update Submit

March 12, 2021

Conditions

Keywords

S3iCAPSAPIEN 3TransfemoralCommanderCertitudeTAVRTAVIAortic stenosisTHVTranscatheter Heart ValveTVTTVTR

Outcome Measures

Primary Outcomes (6)

  • Death

    Number of deaths

    30 days

  • Death

    Number of deaths

    1 year

  • Stroke

    Number of participants with stroke

    30 days

  • Stroke

    Number of participants with stroke

    1 year

  • Aortic Valve Reintervention

    Number of participants with aortic valve reintervention

    30 days

  • Aortic Valve Reintervention

    Number of participants with aortic valve reintervention

    1 year

Secondary Outcomes (8)

  • Annular Dissection

    30 days

  • Aortic Dissection

    30 days

  • Major Access Vascular Site Complication

    30 days

  • Unplanned Vascular Surgery or Intervention

    30 days

  • Retroperitoneal Bleeds

    30 days

  • +3 more secondary outcomes

Study Arms (1)

TAVR

EXPERIMENTAL

Intermediate risk patients receiving transcatheter aortic valve replacement (TAVR)

Device: SAPIEN S3 valve

Interventions

Transcatheter aortic valve replacement

Also known as: TAVR, TAVI, Transcatheter aortic valve replacement, SAPIEN
TAVR

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Patients must be covered by Medicare. This will enable Edwards to link to the CMS database for long term follow-up through 5 years. No other insurance provider will be accepted.
  • Assessment of intermediate surgical risk defined as STS 4-8% or heart team assessment of intermediate risk factors.
  • Patient has senile degenerative aortic valve stenosis with echocardiographically derived criteria: mean gradient \> 40 mmHg or jet velocity greater than 4.0 m/s and an initial aortic valve area (AVA) of \< 0.8 cm2 or indexed EOA \< 0.5 cm2/m2. Qualifying echo must be within 60 days of the date of the procedure.
  • Aortic valve annulus area range (273mm2-680 mm2) per 3D imaging (echo, CT, or MRI).
  • Patient is symptomatic from his/her aortic valve stenosis, as demonstrated by NYHA Functional Class II or greater.
  • The heart team agrees (and verified in the case review process) that valve implantation will likely benefit the patient.
  • Heart team agrees (a priori) on treatment strategy for concomitant coronary disease (if present).
  • The study patient or the study patient's legal representative has been informed of the nature of the study, agrees to its provisions and has provided written informed consent as approved by the Institutional Review Board (IRB) of the respective clinical site.
  • The study patient agrees to comply with all required post-procedure follow-up visits including annual visits through 5 years and analysis close date visits, which will be conducted as a phone follow-up.

You may not qualify if:

  • Heart team assessment of inoperability (including examining cardiac surgeon).
  • Evidence of an acute myocardial infarction ≤ 1 month (30 days) before the intended treatment \[(defined as: Q wave MI, or non-Q wave MI with total CK elevation of CK-MB ≥ twice normal in the presence of MB elevation and/or troponin level elevation (WHO definition)\].
  • Aortic valve is a congenital unicuspid or congenital bicuspid valve, or is non-calcified.
  • Mixed aortic valve disease (aortic stenosis and aortic re-regurgitation with predominant aortic regurgitation \>3+).
  • Pre-existing mechanical or bioprosthetic valve in any position.
  • Complex coronary artery disease:
  • Unprotected left main coronary artery
  • Syntax score \> 32 (in the absence of prior revascularization)
  • Any patient with a balloon valvuloplasty (BAV) \< 30 days of the procedure (unless BAV is a bridge to procedure after a qualifying ECHO).
  • Patients with planned concomitant surgical or transcatheter ablation for atrial fibrillation.
  • Leukopenia (WBC \< 3000 cell/mL), acute anemia (Hgb \< 9 g/dL), thrombocytopenia (Plt \< 50,000 cell/mL).
  • Hypertrophic cardiomyopathy with or without obstruction (HOCM).
  • Hemodynamic or respiratory instability requiring inotropic support, mechanical ventilation or mechanical heart assistance within 30 days of screening evaluation.
  • Need for emergency surgery for any reason.
  • Severe ventricular dysfunction with LVEF \< 20%.
  • +15 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (56)

Scripps Green Hospital

La Jolla, California, 92307, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

Stanford Hospital and Clinics

Palo Alto, California, 94305, United States

Location

Mercy General Hospital

Sacramento, California, 95816, United States

Location

University of Colorado Hospital

Denver, Colorado, 80045, United States

Location

Washington Hospital Center DC

Washington D.C., District of Columbia, 20010, United States

Location

Morton Plant Hospital

Clearwater, Florida, 33756, United States

Location

University of Florida

Gainesville, Florida, 32615, United States

Location

Emory University

Atlanta, Georgia, 30322, United States

Location

Northwestern University

Chicago, Illinois, 60611, United States

Location

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

NorthShore University HealthSystem Research Institute

Evanston, Illinois, 60201, United States

Location

Prairie Education and Research Cooperative

Springfield, Illinois, 62701, United States

Location

Indiana University Health-Methodist Hospital

Indianapolis, Indiana, 46202, United States

Location

St. Vincent Medical Group, Inc./ St. Vincent Heart Center of Indiana, LLC

Indianapolis, Indiana, 46290, United States

Location

University of Iowa Hospitals and Clinics

Iowa City, Iowa, 52242, United States

Location

University of Louisville Jewish Hospital

Louisville, Kentucky, 40202, United States

Location

Ochsner Clinic Foundation

New Orleans, Louisiana, 70121, United States

Location

MedStar Union Memorial Hospital

Baltimore, Maryland, 21201, United States

Location

University of Maryland Medical Center

Baltimore, Maryland, 21201, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

University of Michigan Hospital and Health Systems

Ann Arbor, Michigan, 48109, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

William Beaumont Hospital

Royal Oak, Michigan, 48073, United States

Location

Minneapolis Heart Institute Foundation

Minneapolis, Minnesota, 55407, United States

Location

Mayo Clinic-Saint Marys Hospital

Rochester, Minnesota, 55905, United States

Location

Saint Luke's Hospital of Kansas City Mid America

Kansas City, Missouri, 64111, United States

Location

Washington University/ Barnes-Jewish Hospital

St Louis, Missouri, 63110, United States

Location

Nebraska Heart Institute

Lincoln, Nebraska, 68526, United States

Location

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, 03756, United States

Location

Newark Beth Israel Medical Center

Newark, New Jersey, 07112, United States

Location

Winthrop-University Hospital

Mineola, New York, 11501, United States

Location

Cornell University

New York, New York, 10021, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

Northshore Long Island Jewish Health System

New York, New York, 10075, United States

Location

Medical University of South Carolina Charleston

Charleston, North Carolina, 29425, United States

Location

Duke University Medical Center

Durham, North Carolina, 27712, United States

Location

The Christ Hospital

Cincinnati, Ohio, 45219, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

Location

Oklahoma Cardiovascular Research Group

Oklahoma City, Oklahoma, 73120, United States

Location

Providence Heart & Vascular Institute

Portland, Oregon, 97225, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

York Hospital

York, Pennsylvania, 17403, United States

Location

Baptist Memorial Hospital

Memphis, Tennessee, 38120, United States

Location

Austin Heart, PLLC

Austin, Texas, 78756, United States

Location

Medical City Dallas Hospital

Dallas, Texas, 75230, United States

Location

The University of Texas Health Science Center at Houston

Houston, Texas, 77030, United States

Location

The Heart Hospital Baylor Plano

Plano, Texas, 75093, United States

Location

The University of Texas Health Science Center at San Antonio

San Antonio, Texas, 78229, United States

Location

Intermountain Medical Center

Salt Lake City, Utah, 84157, United States

Location

University of Virginia

Charlottesville, Virginia, 22904, United States

Location

Sentara Cardiovascular Research Institute

Norfolk, Virginia, 23507, United States

Location

University of Washington

Seattle, Washington, 98195, United States

Location

University of Wisconsin

Madison, Wisconsin, 53792, United States

Location

St. Paul's Hospital, Providence Health Care

Vancouver, British Columbia, V6Z 1Y6, Canada

Location

Related Publications (1)

  • Abbas AE, Ternacle J, Pibarot P, Xu K, Alu M, Rogers E, Hahn RT, Leon M, Thourani VH. Impact of Flow on Prosthesis-Patient Mismatch Following Transcatheter and Surgical Aortic Valve Replacement. Circ Cardiovasc Imaging. 2021 Aug;14(8):e012364. doi: 10.1161/CIRCIMAGING.120.012364. Epub 2021 Aug 13.

MeSH Terms

Conditions

Aortic Valve Stenosis

Interventions

Transcatheter Aortic Valve Replacement

Condition Hierarchy (Ancestors)

Aortic Valve DiseaseHeart Valve DiseasesHeart DiseasesCardiovascular DiseasesVentricular Outflow Obstruction

Intervention Hierarchy (Ancestors)

Heart Valve Prosthesis ImplantationCardiac Surgical ProceduresCardiovascular Surgical ProceduresSurgical Procedures, OperativeProsthesis ImplantationThoracic Surgical Procedures

Results Point of Contact

Title
Edwards THV Clinical Affairs
Organization
Edwards Lifesciences

Study Officials

  • Susheel Kodali, MD

    University of Columbia

    PRINCIPAL INVESTIGATOR
  • Vinod Thourani, MD

    Emory University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 1, 2016

First Posted

February 22, 2016

Study Start

January 1, 2015

Primary Completion

October 1, 2017

Study Completion

December 1, 2018

Last Updated

April 8, 2021

Results First Posted

April 8, 2021

Record last verified: 2020-12

Data Sharing

IPD Sharing
Will not share

Locations