The Safety and Effectiveness of Transcatheter Aortic Valve Raplacemet in Intermediate Risk Patients With Bicuspid Aortic Stenosis
A Prospective, Randomized, Controlled, Multi-Center Study to Establish the Safety and Effectiveness of Transcatheter Aortic Valve Raplacemet in Intermediate Risk Patients Who Have Severe, Calcific, Bicuspid, Aortic Stenosis Requiring Aortic Valve Replacement
1 other identifier
interventional
300
0 countries
N/A
Brief Summary
Previous trials have shown that TAVR was a noninferior alternative to surgery in patients with severe aortic stenosis at intermediate surgical risk. However, patients with congenital bicuspid valve have been excluded in those trials. The purpose of this trial is to determine the safety and effectiveness of TAVR in intermediate-risk patients with bicuspid aortic valve stenosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Feb 2018
Longer than P75 for phase_2
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 20, 2017
CompletedFirst Posted
Study publicly available on registry
May 23, 2017
CompletedStudy Start
First participant enrolled
February 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2024
CompletedJanuary 11, 2018
January 1, 2018
2.7 years
May 20, 2017
January 10, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
All-cause mortality, all stroke, and re-hospitalization
This composite endpoint will be evaluated as a non-inferiority analysis based on a relative non-inferiority margin of 35%
1 year post procedure
Study Arms (2)
TAVR group
EXPERIMENTALSAVR group
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Severe, calcific bicuspid aortic stenosis.
- Heart team agrees the patient has a risk of operative mortality and has an STS \<8 and \>3.
- The study patient 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.
You may not qualify if:
- Ilio-femoral vessel characteristics that would preclude safe placement of the introducer sheath.
- Evidence of an acute myocardial infarction ≤ 1 month (30 days) before randomization.
- Severe aortic regurgitation (\>3+).
- Severe mitral regurgitation (\>3+).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Professor
Study Record Dates
First Submitted
May 20, 2017
First Posted
May 23, 2017
Study Start
February 1, 2018
Primary Completion
October 31, 2020
Study Completion
October 31, 2024
Last Updated
January 11, 2018
Record last verified: 2018-01