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PREVAIL-TF: Transfemoral Placement of Aortic Balloon Expandable Transcatheter Valves Trial (Europe)

Primary Purpose

Aortic Valve Stenosis

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Sapien XT™ transcatheter heart valve and delivery system
Sponsored by
Edwards Lifesciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Aortic Valve Stenosis focused on measuring Sapien Valve, Cardiovascular Diseases, Valvular Heart Disease, Aortic Stenosis, Heart Valve Therapy, Transfemoral, Transcatheter

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

All candidates for this study must meet all of the following inclusion criteria:

  1. Patients must have co-morbidities such that the surgeon (Co Investigator) and interventional cardiologist (Principal Investigator) concur that the predicted risk of operative mortality is > 15% with a minimum STS Risk Calculator score of ≥ 10 and/or Logistic EuroSCORE of > 20%.
  2. Patient is symptomatic from his/her aortic valve stenosis, as demonstrated by NYHA Functional Class II or greater.
  3. The subject or the subject's legal representative has been informed of the nature of the study, agrees to its provisions and has provided a written informed consent that has been approved by the reviewing Ethics Committee (EC) of the respective clinical site.
  4. Subject is willing to comply with specified follow up evaluations, including possible coronary angiography and transesophageal echocardiography.
  5. The subject and the treating physician agree that the subject will return for all required post-procedure follow-up visits.

Exclusion Criteria:

  1. Aortic valve is a congenital unicuspid or bicuspid valve, or is non-calcified.
  2. Mixed aortic valve disease (aortic stenosis and aortic regurgitation with predominant aortic regurgitation >3+).
  3. Any therapeutic invasive cardiac procedure, other than BAV, performed within 30 days of the index procedure (or 6 months if the procedure was a drug eluting coronary stent implantation).

Sites / Locations

  • Ornze Lieve Vrouwziekenhuis (OLVZ) Aalst
  • Institut Hospitalier Jacques Cartier
  • Hospital Bichat Claude Bernard
  • CHU Hospital Charles Nicolle
  • Clinique Pasteur
  • Hamburg University Cardiovascular Center
  • City Clinics Karlsruhe
  • Heart Center Leipzig
  • Schwabing Clinic
  • St. Thomas' Hospital - NHS Trust
  • Kings College Hospital - NHS Trust

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

TAVR

Arm Description

Transaortic Valve Replacement

Outcomes

Primary Outcome Measures

Number of Deaths
Number of death at 30-days from the index procedure.

Secondary Outcome Measures

Number of Participants With a Stroke
Total number of participates with a stroke.

Full Information

First Posted
January 8, 2009
Last Updated
October 27, 2020
Sponsor
Edwards Lifesciences
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1. Study Identification

Unique Protocol Identification Number
NCT00820599
Brief Title
PREVAIL-TF: Transfemoral Placement of Aortic Balloon Expandable Transcatheter Valves Trial (Europe)
Official Title
Transfemoral Placement of AoRtic Balloon Expandable Transcatheter VAlves TrIaL (EUROPE)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2020
Overall Recruitment Status
Completed
Study Start Date
December 2008 (Actual)
Primary Completion Date
December 2010 (Actual)
Study Completion Date
March 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Edwards Lifesciences

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A single arm, prospective multicenter non-randomized confirmatory clinical trial evaluating the Edwards SAPIEN XT™ transcatheter heart valve (model 9300TFX; "study valve"), its transfemoral delivery system, and crimper accessories. The trial includes a premarket confirmatory cohort to evaluate the system performance as well as a Post Market Clinical Follow-up phase involving expanded enrollment and long-term follow-up of all patients to evaluate valve performance out to 5 years.
Detailed Description
Edwards Lifesciences obtained CE marking authorization for transfemoral delivery / implantation of the Edwards SAPIEN™ transcatheter heart valve (model 9000TFX) using the RetroFlex™ delivery system in August 2007 and introduced these devices for commercial distribution in the European Economic Area (EEA) in October 2007. Clinical Sites: Up to 11 sites in Europe

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Aortic Valve Stenosis
Keywords
Sapien Valve, Cardiovascular Diseases, Valvular Heart Disease, Aortic Stenosis, Heart Valve Therapy, Transfemoral, Transcatheter

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
214 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TAVR
Arm Type
Experimental
Arm Description
Transaortic Valve Replacement
Intervention Type
Device
Intervention Name(s)
Sapien XT™ transcatheter heart valve and delivery system
Primary Outcome Measure Information:
Title
Number of Deaths
Description
Number of death at 30-days from the index procedure.
Time Frame
30 days
Secondary Outcome Measure Information:
Title
Number of Participants With a Stroke
Description
Total number of participates with a stroke.
Time Frame
30 days from the index procedure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: All candidates for this study must meet all of the following inclusion criteria: Patients must have co-morbidities such that the surgeon (Co Investigator) and interventional cardiologist (Principal Investigator) concur that the predicted risk of operative mortality is > 15% with a minimum STS Risk Calculator score of ≥ 10 and/or Logistic EuroSCORE of > 20%. Patient is symptomatic from his/her aortic valve stenosis, as demonstrated by NYHA Functional Class II or greater. The subject or the subject's legal representative has been informed of the nature of the study, agrees to its provisions and has provided a written informed consent that has been approved by the reviewing Ethics Committee (EC) of the respective clinical site. Subject is willing to comply with specified follow up evaluations, including possible coronary angiography and transesophageal echocardiography. The subject and the treating physician agree that the subject will return for all required post-procedure follow-up visits. Exclusion Criteria: Aortic valve is a congenital unicuspid or bicuspid valve, or is non-calcified. Mixed aortic valve disease (aortic stenosis and aortic regurgitation with predominant aortic regurgitation >3+). Any therapeutic invasive cardiac procedure, other than BAV, performed within 30 days of the index procedure (or 6 months if the procedure was a drug eluting coronary stent implantation).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Prof. Dr. Stefan Sack
Organizational Affiliation
Cardiology Clinic of Schwabing Clinic
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Isabelle Fourthin
Organizational Affiliation
Edwards Lifesciences SA
Official's Role
Study Director
Facility Information:
Facility Name
Ornze Lieve Vrouwziekenhuis (OLVZ) Aalst
City
Aalst
ZIP/Postal Code
9300
Country
Belgium
Facility Name
Institut Hospitalier Jacques Cartier
City
Massy
ZIP/Postal Code
91300
Country
France
Facility Name
Hospital Bichat Claude Bernard
City
Paris
ZIP/Postal Code
75018
Country
France
Facility Name
CHU Hospital Charles Nicolle
City
Rouen
ZIP/Postal Code
76000
Country
France
Facility Name
Clinique Pasteur
City
Toulouse
ZIP/Postal Code
31076
Country
France
Facility Name
Hamburg University Cardiovascular Center
City
Hamburg
ZIP/Postal Code
22527
Country
Germany
Facility Name
City Clinics Karlsruhe
City
Karlsruhe
ZIP/Postal Code
76185
Country
Germany
Facility Name
Heart Center Leipzig
City
Leipzig
ZIP/Postal Code
04829
Country
Germany
Facility Name
Schwabing Clinic
City
Munich
ZIP/Postal Code
80804
Country
Germany
Facility Name
St. Thomas' Hospital - NHS Trust
City
London
ZIP/Postal Code
SE1 7EH
Country
United Kingdom
Facility Name
Kings College Hospital - NHS Trust
City
London
ZIP/Postal Code
SE5 9RS
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

PREVAIL-TF: Transfemoral Placement of Aortic Balloon Expandable Transcatheter Valves Trial (Europe)

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