NCT05422170

Brief Summary

Unfractioned heparin is usually given in a defined dosage during transfemoral TAVI. Activated Clotting Time (ACT) is usually used to measure the heparin effect. ACT-analysis is easy to perform at the bedside, but susceptible to interference effects. At the end of the procedure, protamine is given to reverse eventual residual heparin effect. An overdose of protamine can impair the coagulation itself. The investigators want to analyse the effect of a partial heparin reversal by ROTEM Analysis.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Jul 2022

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

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

June 13, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 16, 2022

Completed
15 days until next milestone

Study Start

First participant enrolled

July 1, 2022

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 31, 2023

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2023

Completed
Last Updated

July 5, 2022

Status Verified

June 1, 2022

Enrollment Period

7 months

First QC Date

June 13, 2022

Last Update Submit

June 30, 2022

Conditions

Keywords

Anticoagulation

Outcome Measures

Primary Outcomes (1)

  • Primary endpoint

    Variability of the ROTEM CT(INTEM) after partial heparin reversal

    Periprocedural

Study Arms (1)

Patients undergoing transfemoral TAVI

Patients receiving 125 U/kg unfractioned heparin for periprocedural anticoagulation and 500U Protamine / 1000U Heparin at the end of the procedure

Eligibility Criteria

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

Patients with severe aortic valve stenosis undergoing transfemoral TAVI as best option

You may qualify if:

  • Severe aortic valve Stenosis
  • transfemoral TAVI as best therapy option
  • unfractioned heparin for periprocedural anticoagulation

You may not qualify if:

  • known hypersensitivity /allergy to unfractioned heparin or protamine
  • acute systemic infection
  • pre procedural started and ongoing intravenous therapy with unfractioned heparin
  • severe periprocedural adverse event with the need for emergency surgery (with or with our CPB)
  • refusal of the patient to participate

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Deutsches Herzzentrum München des Freistaates Bayern, Technische Universität München

Munich, Bavaria, D80636, Germany

Location

Biospecimen

Retention: SAMPLES WITHOUT DNA

Blood Samples

MeSH Terms

Conditions

Aortic Valve Stenosis

Condition Hierarchy (Ancestors)

Aortic Valve DiseaseHeart Valve DiseasesHeart DiseasesCardiovascular DiseasesVentricular Outflow Obstruction

Study Officials

  • Patrick Mayr

    Deutsches Herzzentrum München

    PRINCIPAL INVESTIGATOR
  • Michael Joner

    Deutsches Herzzentrum München

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Patrick Mayr, MD

CONTACT

Michael Joner, Prof

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 13, 2022

First Posted

June 16, 2022

Study Start

July 1, 2022

Primary Completion

January 31, 2023

Study Completion

April 1, 2023

Last Updated

July 5, 2022

Record last verified: 2022-06

Data Sharing

IPD Sharing
Will not share

Locations