NCT02790008

Brief Summary

Aortic valve disease causes impaired let ventricular function (LVF) due to hypertrophy, dilatation and diffuse myocardial fibrosis yet the prognostic effect of fibrosis, waiting time for operation and postoperative exercise training is presently unknown. The investigators aim to (1) determine the changes in LVF for patients on the waiting list; (2) establish non-invasive diagnostics for diffuse myocardial fibrosis; (3) relate LVF to fibrosis and physical capacity. The unique design (echocardiography, cardiopulmonary exercise test, cardiac magnetic resonance tomography and myocardial biopsy on the same patients) makes it possible to establish relationship between results of histology and imaging; quantifying and qualifying fibrosis in vivo, evaluate LVF vs. general cardiopulmonary function and optimize health care prior to and after operation.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Jun 2015

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

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

June 1, 2015

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

April 26, 2016

Completed
1 month until next milestone

First Posted

Study publicly available on registry

June 3, 2016

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2021

Completed
Last Updated

February 21, 2021

Status Verified

February 1, 2021

Enrollment Period

5.6 years

First QC Date

April 26, 2016

Last Update Submit

February 18, 2021

Conditions

Keywords

echocardiographymagnetic resonance imagingcardiopulmonary exercise test

Outcome Measures

Primary Outcomes (2)

  • Left ventricular function:

    a composite measure of ejection fraction = EF (%); left ventricular wall thickness lateralt and septalt (mm), left ventricular volumes (ml)

    1 year

  • Degree of fibrosis

    semi-quantitative scale 1-4

    1 year

Secondary Outcomes (2)

  • Diastolic Function

    1 year

  • Physical capacity

    1 year

Study Arms (1)

Aortic valve disease

Patients with aortic stenosis referred to surgery. Exclusion criteria are concomitant heart valve disease, congenital heart disease, hemodynamic instability, previous cardiac surgery, history of myocardial infarction and coronary artery disease.

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

60 pts with severe AS but without any other concomitant heart valve disease

You may qualify if:

  • patients with aortic valve disease

You may not qualify if:

  • concomitant cardiac co-morbidity,
  • concomitant surgical intervention,
  • symptomatic lung disease,
  • mental or physical disability limiting participation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Dept. of Vascular and Cardiothoracic Surgery, University Hospital Linkoping

Linköping, 581 85, Sweden

Location

Related Publications (1)

  • Nilsson H, Bellander C, Carlen A, Nylander E, Hedman K, Tamas E. Systolic blood pressure response during exercise testing in symptomatic severe aortic stenosis. Open Heart. 2025 Jan 21;12(1):e003084. doi: 10.1136/openhrt-2024-003084.

Biospecimen

Retention: SAMPLES WITHOUT DNA

Endomyocardial biopsy

MeSH Terms

Conditions

Heart Valve DiseasesFibrosis

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
university lecturer

Study Record Dates

First Submitted

April 26, 2016

First Posted

June 3, 2016

Study Start

June 1, 2015

Primary Completion

January 1, 2021

Study Completion

January 1, 2021

Last Updated

February 21, 2021

Record last verified: 2021-02

Locations