NCT03225001

Brief Summary

To assess the safety and effectiveness of the SAPIEN XT transcatheter heart valve in patients with a failing surgical aortic bioprosthetic valve.

Trial Health

90
On Track

Trial Health Score

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

Enrollment
197

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2012

Longer than P75 for not_applicable

Geographic Reach
2 countries

47 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

June 11, 2012

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 16, 2016

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

July 17, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 21, 2017

Completed
6 months until next milestone

Results Posted

Study results publicly available

January 9, 2018

Completed
2.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

October 28, 2020

Completed
Last Updated

March 9, 2021

Status Verified

February 1, 2021

Enrollment Period

4.5 years

First QC Date

July 17, 2017

Results QC Date

December 7, 2017

Last Update Submit

February 12, 2021

Conditions

Keywords

SAPIEN XTPartner IIcardiovascular diseaseheart diseaseaortic diseaseSAVRTAVRfailing surgical valvefailing valvefailing bioprosthetic valve

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With All-Cause Mortality, All Stroke, Moderate or Severe Obstruction, or Moderate or Severe Paravalvular Leak (Composite)

    The primary endpoint of all-cause mortality, all stroke, moderate or severe obstruction, or moderate or severe paravalvular leak

    30-day

Secondary Outcomes (1)

  • Number of Participants With Mortality From Any Cause

    30 Days

Study Arms (1)

Failing surgical valve

EXPERIMENTAL

Patients with a failing surgical bioprosthetic valve in the aortic position demonstrating stenosis and/or insufficiency will be treated with Edwards SAPIEN XT transcatheter valve.

Device: Edwards SAPIEN XT transcatheter valve, Model 9300TFX

Interventions

Edwards SAPIEN XT THV system Model 9300TFX with the associated delivery systems.

Also known as: TAVI
Failing surgical valve

Eligibility Criteria

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

You may qualify if:

  • 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.
  • Patient was symptomatic from his/her aortic valve stenosis, as demonstrated by NYHA Functional Class II or greater.
  • The heart team agreed (and verified in the case review process) that valve implantation would likely benefit the patient.
  • The study patient or the study patient's legal representative was informed of the nature of the study, agreed to its provisions and had provided written informed consent as approved by the Institutional Review Board (IRB) of the respective clinical site.
  • Heart team consensus that the risk of surgical mortality or major morbidity ≥ 50%.
  • Stenosed or insufficient surgically implanted bioprosthetic valve in the aortic position.

You may not qualify if:

  • Bioprosthetic valve labeled external diameter \< 21mm.
  • Infectious endocarditis within 6 months.
  • Acute myocardial infarction ≤ 1 month (30 days) before the intended treatment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (47)

Scripps Green Hospital

La Jolla, California, 92037, United States

Location

Scripps Memorial Hospital

La Jolla, California, 92037, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

Mercy General Hospital

Sacramento, California, 95819, United States

Location

Stanford University Medical Center

Stanford, California, 94305, United States

Location

University of Colorado Hospital

Denver, Colorado, 80045, United States

Location

Washington Hospital Center (WHC)

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

Location

Morton Plant Hospital

Clearwater, Florida, 33756, United States

Location

University of Miami

Miami, Florida, 33136, United States

Location

Emory University Hospital

Atlanta, Georgia, 30341, United States

Location

Northwestern Hospital

Chicago, Illinois, 60611, 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

The University of Iowa

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

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

University of Michigan

Ann Arbor, Michigan, 48130, 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 Presbyterian Hospital

New York, New York, 10032, United States

Location

East Carolina Heart Institute at East Carolina University

Greenville, North Carolina, 27834, United States

Location

The Christ Hospital

Cincinnati, Ohio, 45219, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

Location

Oklahoma Heart Hospital

Oklahoma City, Oklahoma, 73135, United States

Location

Providence St.Vincent Medical Center

Portland, Oregon, 97225, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

The Heart Hospital Baylor Plano

Dallas, Texas, 75093, United States

Location

Medical City Dallas Hospital

Dallas, Texas, 75230, United States

Location

The University of Texas Health Science Center at Houston/Memorial Hermann Texas Medical Center

Houston, Texas, 77030, United States

Location

Intermountain Medical Center

Salt Lake City, Utah, 84157, United States

Location

University of Virginia

Charlottesville, Virginia, 22904, United States

Location

Sentara Norfolk General Hospital

Norfolk, Virginia, 23507, United States

Location

University of Washington

Seattle, Washington, 98101, United States

Location

University of Wisconsin - Madison

Madison, Wisconsin, 53792, United States

Location

St. Paul's Hospital, Providence Health Care

Vancouver, British Columbia, V6Z 1Y6, Canada

Location

Related Publications (2)

  • Shahim B, Redfors B, Lindman BR, Chen S, Dahlen T, Nazif T, Kapadia S, Gertz ZM, Crowley AC, Li D, Thourani VH, Kodali SK, Zajarias A, Babaliaros VC, Guyton RA, Elmariah S, Herrmann HC, Cohen DJ, Mack MJ, Smith CR, Leon MB, George I. Neutrophil-to-Lymphocyte Ratios in Patients Undergoing Aortic Valve Replacement: The PARTNER Trials and Registries. J Am Heart Assoc. 2022 Jun 7;11(11):e024091. doi: 10.1161/JAHA.121.024091. Epub 2022 Jun 3.

  • Webb JG, Murdoch DJ, Alu MC, Cheung A, Crowley A, Dvir D, Herrmann HC, Kodali SK, Leipsic J, Miller DC, Pibarot P, Suri RM, Wood D, Leon MB, Mack MJ. 3-Year Outcomes After Valve-in-Valve Transcatheter Aortic Valve Replacement for Degenerated Bioprostheses: The PARTNER 2 Registry. J Am Coll Cardiol. 2019 Jun 4;73(21):2647-2655. doi: 10.1016/j.jacc.2019.03.483.

MeSH Terms

Conditions

Aortic Valve StenosisCardiomyopathy, HypertrophicCardiovascular DiseasesHeart DiseasesAortic Diseases

Condition Hierarchy (Ancestors)

Aortic Valve DiseaseHeart Valve DiseasesVentricular Outflow ObstructionCardiomyopathiesAortic Stenosis, SubvalvularVascular Diseases

Results Point of Contact

Title
Edwards THV Clinical Affairs
Organization
Edwards Lifesciences

Study Officials

  • John Webb, MD

    St. Paul's Hospital, Vancouver, British columbia, Canada

    PRINCIPAL INVESTIGATOR
  • Michael Mack, MD

    Baylor Heart Hospital, Plano, TX

    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

July 17, 2017

First Posted

July 21, 2017

Study Start

June 11, 2012

Primary Completion

December 16, 2016

Study Completion

October 28, 2020

Last Updated

March 9, 2021

Results First Posted

January 9, 2018

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will not share

Locations