NCT04797572

Brief Summary

The objective of this study is to investigate safety and performance of the Free Margin Cusp sizer. The device will be used during aortic valve repair and sparing procedures as a caliper to measure the aortic valve free margin length at different stages of the procedure. The patient will be followed for one year clinically (at 1, 2, 6 and 12 months) and by echocardiography (at 6 and 12 months) to assess aortic valve function.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
20mo left

Started Mar 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress76%
Mar 2021Dec 2027

First Submitted

Initial submission to the registry

March 10, 2021

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 15, 2021

Completed
7 days until next milestone

Study Start

First participant enrolled

March 22, 2021

Completed
5.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2026

Expected
1.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2027

Last Updated

May 16, 2025

Status Verified

May 1, 2025

Enrollment Period

5.3 years

First QC Date

March 10, 2021

Last Update Submit

May 13, 2025

Conditions

Keywords

aortic valve repairValve sparing surgeryTrileaflet aortic valve

Outcome Measures

Primary Outcomes (4)

  • Intraoperative aortic valve (AV) damage

    Aortic valve damage caused by the cusp sizer (cusp tear or perforation), rate of conversion from AV repair to AV replacement due to the use of the cusp sizer

    30 days

  • Hospital mortality

    Patient Survival status at 30 days after surgery

    30 days

  • Major adverse cardiac and cerebrovascular events (MACCE)

    Mortality, stroke or transient ischemic attack, major bleeding, cardiac reintervention

    one year

  • Aortic valve function

    Aortic valve regurgitation and transvalvular gradient by transthoracic echocardiography

    One year

Secondary Outcomes (1)

  • Pre-repair free margin length

    Intraoperative

Study Arms (1)

Treated group

OTHER

Patients in whom the free margin cusp sizer will be used to measure the free margin of the three leaflets of the aortic valve during aortic valve repair.

Device: Free Margin Cusp Sizer

Interventions

The free margin cusp sizer will be used during aortic valve repair and sparing procedures as a caliper to measure the aortic valve free margin length.

Treated group

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with Tricuspid Aortic Valve (TAV) operated electively for aortic valve regurgitation and or ascending aorta dilatation.

You may not qualify if:

  • Acute aortic dissection;
  • Diffuse aortic valve calcification;
  • AV endocarditis;
  • Bicuspid, unicuspid or quadricuspid aortic valves;
  • Patients under the age of 18 years;
  • Patients above the age of 80 years.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cliniques Universitaires Saint-Luc

Brussels, 1200, Belgium

RECRUITING

Related Publications (2)

  • De Kerchove L, Momeni M, Aphram G, Watremez C, Bollen X, Jashari R, Boodhwani M, Astarci P, Noirhomme P, El Khoury G. Free margin length and coaptation surface area in normal tricuspid aortic valve: an anatomical study. Eur J Cardiothorac Surg. 2018 May 1;53(5):1040-1048. doi: 10.1093/ejcts/ezx456.

    PMID: 29253123BACKGROUND
  • Tamer S, Mastrobuoni S, van Dyck M, Navarra E, Bollen X, Poncelet A, Noirhomme P, Astarci P, El Khoury G, de Kerchove L. Free margin length and geometric height in aortic root dilatation and leaflet prolapse: implications for aortic valve repair surgery. Eur J Cardiothorac Surg. 2020 Jan 1;57(1):124-132. doi: 10.1093/ejcts/ezz132.

    PMID: 31089691BACKGROUND

MeSH Terms

Conditions

Aortic Valve InsufficiencyAortic Root Aneurysm

Condition Hierarchy (Ancestors)

Aortic Valve DiseaseHeart Valve DiseasesHeart DiseasesCardiovascular DiseasesAortic Aneurysm, ThoracicAortic AneurysmAneurysmVascular DiseasesAortic Diseases

Study Officials

  • Laurent de kerchove

    Cliniques universitaires Saint-Luc- Université Catholique de Louvain

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

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

Study Record Dates

First Submitted

March 10, 2021

First Posted

March 15, 2021

Study Start

March 22, 2021

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

December 30, 2027

Last Updated

May 16, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

Locations