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The Safety and Effectiveness of Transcatheter Aortic Valve Raplacemet in Intermediate Risk Patients With Bicuspid Aortic Stenosis

Primary Purpose

Aortic Valve Disease

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
TAVR
SAVR
Sponsored by
China National Center for Cardiovascular Diseases
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Aortic Valve Disease

Eligibility Criteria

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

Inclusion Criteria:

  1. Severe, calcific bicuspid aortic stenosis.
  2. Heart team agrees the patient has a risk of operative mortality and has an STS <8 and >3.
  3. The study patient has been informed of the nature of the study, agrees to its provisions and has provided written informed consent as approved by the Institutional Review Board (IRB) of the respective clinical site.

Exclusion Criteria:

  1. Ilio-femoral vessel characteristics that would preclude safe placement of the introducer sheath.
  2. Evidence of an acute myocardial infarction ≤ 1 month (30 days) before randomization.
  3. Severe aortic regurgitation (>3+).
  4. Severe mitral regurgitation (>3+).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    TAVR group

    SAVR group

    Arm Description

    Outcomes

    Primary Outcome Measures

    All-cause mortality, all stroke, and re-hospitalization
    This composite endpoint will be evaluated as a non-inferiority analysis based on a relative non-inferiority margin of 35%

    Secondary Outcome Measures

    Full Information

    First Posted
    May 20, 2017
    Last Updated
    January 10, 2018
    Sponsor
    China National Center for Cardiovascular Diseases
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03163329
    Brief Title
    The Safety and Effectiveness of Transcatheter Aortic Valve Raplacemet in Intermediate Risk Patients With Bicuspid Aortic Stenosis
    Official Title
    A Prospective, Randomized, Controlled, Multi-Center Study to Establish the Safety and Effectiveness of Transcatheter Aortic Valve Raplacemet in Intermediate Risk Patients Who Have Severe, Calcific, Bicuspid, Aortic Stenosis Requiring Aortic Valve Replacement
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2018
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    February 1, 2018 (Anticipated)
    Primary Completion Date
    October 31, 2020 (Anticipated)
    Study Completion Date
    October 31, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    China National Center for Cardiovascular Diseases

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    Previous trials have shown that TAVR was a noninferior alternative to surgery in patients with severe aortic stenosis at intermediate surgical risk. However, patients with congenital bicuspid valve have been excluded in those trials. The purpose of this trial is to determine the safety and effectiveness of TAVR in intermediate-risk patients with bicuspid aortic valve stenosis.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Aortic Valve Disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    Outcomes Assessor
    Allocation
    Randomized
    Enrollment
    300 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    TAVR group
    Arm Type
    Experimental
    Arm Title
    SAVR group
    Arm Type
    Active Comparator
    Intervention Type
    Procedure
    Intervention Name(s)
    TAVR
    Intervention Description
    Transcatheter Aortic Valve Replacement
    Intervention Type
    Procedure
    Intervention Name(s)
    SAVR
    Intervention Description
    Surgical Aortic Valve Replacement
    Primary Outcome Measure Information:
    Title
    All-cause mortality, all stroke, and re-hospitalization
    Description
    This composite endpoint will be evaluated as a non-inferiority analysis based on a relative non-inferiority margin of 35%
    Time Frame
    1 year post procedure

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Severe, calcific bicuspid aortic stenosis. Heart team agrees the patient has a risk of operative mortality and has an STS <8 and >3. The study patient has been informed of the nature of the study, agrees to its provisions and has provided written informed consent as approved by the Institutional Review Board (IRB) of the respective clinical site. Exclusion Criteria: Ilio-femoral vessel characteristics that would preclude safe placement of the introducer sheath. Evidence of an acute myocardial infarction ≤ 1 month (30 days) before randomization. Severe aortic regurgitation (>3+). Severe mitral regurgitation (>3+).
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Yong-jian Wu, M.D, Ph.D
    Phone
    0086-10-88396780
    Email
    fuwaihospital@hotmail.com

    12. IPD Sharing Statement

    Learn more about this trial

    The Safety and Effectiveness of Transcatheter Aortic Valve Raplacemet in Intermediate Risk Patients With Bicuspid Aortic Stenosis

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