NCT03893578

Brief Summary

To demonstrate that the Conveyor System can safely provide left ventricular access to deliver the SAPIEN 3 (Edwards Lifesciences, Irvine, California) transcatheter heart valve in patients who have been diagnosed with prior mitral valve replacement or repair (failing bioprosthetic mitral valve) who are candidates for mitral valve-in-valve procedure.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
10

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Apr 2019

Shorter than P25 for not_applicable

Status
unknown

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

First Submitted

Initial submission to the registry

March 26, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 28, 2019

Completed
4 days until next milestone

Study Start

First participant enrolled

April 1, 2019

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2020

Completed
Last Updated

April 5, 2019

Status Verified

April 1, 2019

Enrollment Period

8 months

First QC Date

March 26, 2019

Last Update Submit

April 3, 2019

Conditions

Keywords

Conveyor SystemSapien 3cardiovascular diseaseTMVRfailing valvefailing bioprosthetic valve

Outcome Measures

Primary Outcomes (1)

  • Correct Positioning of Implant

    The ability of the Conveyor System to safely position the valve delivery system to facilitate correct positioning of the implant without causing any serious adverse events through 30-day follow up. Cineangiography will be used in delivery to ensure that the implant is orthogonal to the mitral valve annulus and centered within it from multiple views. The patient will be seen in the clinic in a routine follow-up to ascertain any untoward clinical signs or symptoms.

    30 Days

Study Arms (1)

Interventional Arm

EXPERIMENTAL

Access, delivery, and retrieval of the Conveyor system with correct positioning of the valve delivery system to facilitate correct positioning of the implant at the mitral location in patients with a failing bioprosthetic valve.

Device: Mitral valve-in-valve

Interventions

The Synecor Conveyor System shall be used to position the Edwards SAPIEN 3 valve at the mitral location.

Interventional Arm

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is able and willing to comply with all assessments in the study.
  • Subject or subjects' legal representative have been informed of the nature of the study, agrees to participate, and has signed the approved consent form.
  • Age of Subject is ≥18.
  • Estimated life expectancy \>6 months.
  • Patients demonstrated to have symptomatic post-therapeutic mitral valve dysfunction as determined at diagnostic cardiac catheterization, echocardiography, and/or MR and a mitral valve annulus suitable for a "valve in valve" transcatheter valve replacement procedure using the Edwards SAPIEN 3™ TAVR device based on diagnostic cardiac catheterization, echocardiography and/or MR imaging.
  • Patient has been evaluated by a Heart Team and judged to be a candidate for mitral valve in valve procedure.
  • Patient has femoral and iliac artery dimensions sufficient to accept the study device (\>6 mm).
  • Patient is potential surgical candidate.

You may not qualify if:

  • Patients with any clinical presentation that will exclude them from receiving a Edwards SAPIEN 3™ percutaneous valve.
  • Patients with vascular disease that would preclude navigation of the Conveyor System.
  • Patients who do not desire to participate in the study.
  • Patients who are judged to be mentally incapable of fully understanding the risks or potential benefits of participation in the study.
  • Patients with visible thrombus in the left atrium or on the mitral valve apparatus/replacement.
  • Patient requires urgent or emergent treatment.
  • Patient has significant aortic valve disease or previous aortic valve replacement.
  • Pregnant patients (must have negative pregnancy test).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Mitral Valve InsufficiencyHeart FailureCardiovascular Diseases

Condition Hierarchy (Ancestors)

Heart Valve DiseasesHeart Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Device: Synecor Conveyor System
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 26, 2019

First Posted

March 28, 2019

Study Start

April 1, 2019

Primary Completion

December 1, 2019

Study Completion

February 1, 2020

Last Updated

April 5, 2019

Record last verified: 2019-04