NCT07020286

Brief Summary

Structural heart disease refers to a group of cardiac defects other than coronary artery disease. Structural heart intervention is a rapidly growing field in cardiology. In the past decade, there has been paradigm shift in the management of structural heart disease from conventional open-heart surgery to transcatheter interventions. With increasing evidence supporting structural heart interventions including transcatheter aortic valve implantation or transcatheter edge to edge repair, there has important updates in recent guidelines in treating structural heart disease. Besides, new device innovations bloomed over the past few years and had expanded the possible treatment options for high surgical risk patients. Some breakthrough devices had been approved recently by the US Food and Drug Administration and some other devices are occasionally used on compassionate ground. However, there has been lack of data in structural heart interventions in Asia Pacific regions outside Japan \[8\]. In this study, we would like to analyze the epidemiological trends, patient characteristics, procedural outcomes and clinical outcomes of structural heart interventions, and compare them with historical cohorts, matched cohort receiving medical therapy and matched cohort receiving open heart surgeries.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
1,000

participants targeted

Target at P75+ for all trials

Timeline
48mo left

Started Aug 2024

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
enrolling by invitation

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 Progress31%
Aug 2024Mar 2030

Study Start

First participant enrolled

August 1, 2024

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

November 26, 2024

Completed
7 months until next milestone

First Posted

Study publicly available on registry

June 13, 2025

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2029

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2030

Last Updated

June 13, 2025

Status Verified

June 1, 2025

Enrollment Period

5.2 years

First QC Date

November 26, 2024

Last Update Submit

June 5, 2025

Conditions

Outcome Measures

Primary Outcomes (8)

  • Procedural success rate

    Procedural success rate

    Post-procedure until 1 year post OP

  • Procedural safety endpoints

    Rate of vascular complication in enrolled subjects , ,

    Post-procedure until 1 year post OP

  • Procedural safety endpoints

    Rate of myocardial infarction in enrolled subjects

    Post-procedure until 1 year post OP

  • Procedural safety endpoints

    Rate of stroke in enrolled subjects

    Post-procedure until 1 year post OP

  • Procedural safety endpoints

    Rate of cardiac perforation in enrolled subjects

    Post-procedure until 1 year post OP

  • Procedural safety endpoints

    Rate of device embolization in enrolled subjects

    Post-procedure until 1 year post OP

  • Procedural safety endpoints

    Rate of death in enrolled subjects

    Post-procedure until 1 year post OP

  • Procedural safety endpoints

    Rate of conversion to open heart surgery in enrolled subjects

    Post-procedure until 1 year post OP

Secondary Outcomes (14)

  • Clinical outcome

    3 months

  • Clinical outcome

    3 months

  • Clinical outcome

    12 months

  • Clinical outcome

    12 months

  • Echocardiogram outcome

    3 months

  • +9 more secondary outcomes

Study Arms (1)

Subject

Structural heart intervensions

Procedure: Structural heart interventions

Interventions

The study allows us to understand the trend of transcatheter interventions in structural heart disease, clinical outcomes and allows the comparison of the outcomes of structural heart interventions to medical therapy and surgery at PWH, and to HA hospitals.

Subject

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

There is approximately 250 cases of structural heart intervention cases performed in 2023. The numbers are stable in the past 3 years. The dropout rate around 1-2% as reflected from other registry studies. Therefore, there would be around 1000 cases to be recruited during our 4 year recruitment period.

You may qualify if:

  • All patients undergoing structural heart interventions at the Prince of Wales Hospital

You may not qualify if:

  • Patients that are not able to consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Prince of Wales Hospital

Hong Kong, Shatin, 0000, Hong Kong

Location

Study Officials

  • Daniel Xu, Research Nurse

    Chinese University of Hong Kong

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
1 Year
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principle investigator

Study Record Dates

First Submitted

November 26, 2024

First Posted

June 13, 2025

Study Start

August 1, 2024

Primary Completion (Estimated)

September 30, 2029

Study Completion (Estimated)

March 31, 2030

Last Updated

June 13, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

No plan to share IPD

Locations