NCT07213531

Brief Summary

This non-interventional study aims to use artificial intelligence to improve the prediction of transcatheter heart valve interventions and optimize patient outcomes. It is based on the analysis of retrospective data from various specialized centers worldwide.

Trial Health

83
On Track

Trial Health Score

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

Enrollment
21,000

participants targeted

Target at P75+ for all trials

Timeline
36mo left

Started May 2024

Longer than P75 for all trials

Geographic Reach
5 countries

15 active sites

Status
recruiting

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 Progress40%
May 2024May 2029

Study Start

First participant enrolled

May 1, 2024

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

September 24, 2025

Completed
15 days until next milestone

First Posted

Study publicly available on registry

October 9, 2025

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2029

Last Updated

October 9, 2025

Status Verified

October 1, 2025

Enrollment Period

4 years

First QC Date

September 24, 2025

Last Update Submit

October 1, 2025

Conditions

Keywords

Medical imagingCTArtificial intelligenceM-TEERT-TEERTAVITMVIvalvulopathypredictive algorithms

Outcome Measures

Primary Outcomes (1)

  • Accuracy of transcatheter AI predictions

    Validation of artificial intelligence algorithms for automatic segmentation of anatomic structures and imaging measurements, and prediction of the success of transcatheter interventions. Output of AI algorithm: * Sizes, types, and number of devices to be implanted * Device success * Percentage risk of permanent pacemaker implantation (for TAVI and TTVI) * Percentage risk of 30-day (para)valvular regurgitation for TAVI, and residual regurgitation for M-TEER and T-TEER * Single leaflet detachment for M-TEER and T-TEER * Left ventricular outflow tract obstruction for TMVI. Key success indicators: * First, independent retrospective validation dataset AI algorithms predict procedural outcome with \>90% accuracy and low inter-reader observer variability when compared to measured procedural outcome. * Second independent retrospective dataset, perform a study to validate AI algorithms with \>90% accuracy and low inter-reader observer variability when compared to measured procedural outcome.

    Preoperative phase: automated segmentation and measurements compared with manual assessments; Postoperative phase at day 30: comparison of predicted results with actual clinical patient outcomes.

Secondary Outcomes (1)

  • Performance of AI algorithms in CT and TEE image analysis

    Through study completion, an average of 2 years (retrospective analysis and validation of algorithms).

Other Outcomes (1)

  • AI-based discovery of clinical knowledge for patient selection

    Baseline (pre-procedural) and post-procedural (day 90) analysis

Study Arms (5)

TAVI

All patients who have had TAVI with a third generation transcatheter heart valve (THV). Medical imaging data (CT, TEE) and preoperative clinical data will be collected for analysis.

Diagnostic Test: Medical imaging analysis via artificial intelligence algorithms

TMVI

Patients who have had a TMVI with a dedicated transeptal device and screen failures. Medical imaging data (CT, TEE) and preoperative clinical data will be collected for analysis.

Diagnostic Test: Medical imaging analysis via artificial intelligence algorithms

TTVI

Patients who have had a TTVI with a dedicated device and screen failures. Medical imaging data (CT, TEE) and preoperative clinical data will be collected for analysis.

Diagnostic Test: Medical imaging analysis via artificial intelligence algorithms

M-TEER

All patients who have had a M-TEER with 1) G4 or newer iteration of MitraClip or 2) G2 or newer iteration of Pascal. Medical imaging data (CT, TEE) and preoperative clinical data will be collected for analysis.

Diagnostic Test: Medical imaging analysis via artificial intelligence algorithms

T-TEER

All patients who have had a T-TEER with G4 or newer iteration of TriClip or 2) G2 or newer iteration of Pascal. Medical imaging data (CT, TEE) and preoperative clinical data will be collected for analysis.

Diagnostic Test: Medical imaging analysis via artificial intelligence algorithms

Interventions

Development of AI algorithms based on pre-procedural imaging annotations and clinical informations to predict the transcatheter procedural outcomes

M-TEERT-TEERTAVITMVITTVI

Eligibility Criteria

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

Patients with heart valve disease eligible for transcatheter interventions (TAVI, M-TEER, TMVI, TTVI).

You may qualify if:

  • Patients who have reached the age of legal majority under local laws.
  • For TAVI group: All patients who have had TAVI with a third generation transcatheter heart valve (THV), with an available pre-procedural optimal quality CT scan as defined by an ECG- gating CT with:
  • five to ten image volumes at cardiac phases from 5% to 95% R-R
  • mm slice thickness
  • mm spacing between slices
  • mm in-plane pixel spacing
  • For TMVI group: Patients who have had a TMVI with a dedicated device and screen failures, with an available optimal quality CT scan.
  • For TTVI group: Patients who have had a TTVI with a dedicated device and screen failures, with an available optimal quality CT scan.
  • For M-TEER: All patient who have had a M-TEER with 1) G4 or newer iteration of MitraClip or 2) G2 or newer iteration of Pascal, with available pre-procedural TEE videos images from one of two vendors: Phillips or GE, with clear identifiable views of the Mitral valve, frame per second equal or higher than 40 frames per second, acceptable 3D reconstructions.
  • For T-TEER: All patient who have had a T-TEER with G4 or newer iteration of TriClip or 2) G2 or newer iteration of Pascal, with available pre-procedural TEE videos images from one of two vendors: Phillips or GE, with clear identifiable views of the Tricuspid valve, frame per second equal or higher than 40 frames per second, acceptable transgastric image with acceptable 3D reconstructions.

You may not qualify if:

  • For TAVI group: Valve-in-valve procedures
  • For TMVI group: Valve-in-valve and valve-in-ring procedures
  • For TTVI: Valve-in-valve and valve-in-ring procedures
  • For M-TEER: G3 or older MitraClip, G1 Pascal
  • For T-TEER: G3 Triclip, G1 Pascal

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (15)

Montefiore Medical Center New York

New York, New York, 10467, United States

RECRUITING

Montreal Heart Institute, 5000 Rue Bélanger, Montréal

Montreal, Quebec, H1T 1C8, Canada

RECRUITING

St Michael's Hospital Toronto

Toronto, Canada

RECRUITING

St Paul's Hospital Vancouver

Vancouver, Canada

RECRUITING

Centre Hospitalier Universitaire (CHU) de Bordeaux, 12 rue Dubernat 33404 Talence cedex

Bourdeaux, 33404, France

RECRUITING

CHU Lille

Lille, France

RECRUITING

CHU Marseille

Marseille, France

RECRUITING

Centre Cardiologique du Nord Paris

Paris, France

RECRUITING

Institut Cardiovasculaire Paris-Sud Paris

Paris, France

RECRUITING

Centre Hospitalier Universitaire Rennes

Rennes, France

RECRUITING

Clinque Pasteur Toulouse - France

Toulouse, France

RECRUITING

University Medical Center Hamburg-Eppendorf

Hamburg, Germany

RECRUITING

Heart Valve Center Mainz

Mainz, Germany

RECRUITING

Istituto Clinico Città di Brescia

Brescia, Italy

RECRUITING

San Raffaele Heart Valve Center Milan

Milan, Italy

RECRUITING

MeSH Terms

Conditions

Heart Valve Diseases

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Study Officials

  • Thomas Modine, MD, PhD

    University Hospital Bordeaux, France

    PRINCIPAL INVESTIGATOR
  • Walid Ben Ali, MD, PhD

    Montreal Heart Institute

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Thomas Modine, MD, PhD

CONTACT

Walid Ben Ali, MD, PhD

CONTACT

Study Design

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

Study Record Dates

First Submitted

September 24, 2025

First Posted

October 9, 2025

Study Start

May 1, 2024

Primary Completion (Estimated)

May 1, 2028

Study Completion (Estimated)

May 1, 2029

Last Updated

October 9, 2025

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will not share

Locations