Xeltis Pulmonary Valved Conduit Safety and Performance Study
Primary Purpose
Heart Defects, Congenital
Status
Withdrawn
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Xeltis Pulmonary Valved Conduit
Sponsored by
About this trial
This is an interventional treatment trial for Heart Defects, Congenital
Eligibility Criteria
Inclusion Criteria:
- Patient requiring RVOT reconstruction, suitable for 16 mm or 18 mm valved conduit.
- Male or Female.
- Age < 22 years.
- Right Ventricular to Pulmonary Artery mean gradient > 35mm Hg or moderate or severe Pulmonary regurgitation (≥3+), or have both.
- The patient, and the patient's parent / legal representative where appropriate, has been informed of the nature of the study, agrees to its provisions and has provided written informed consent by signing the approved informed consent form.
- The patient, and the patient's parent / legal representative where appropriate, and the treating physician agree that the subject will return for all required post-procedure follow up visits and the subject will comply with clinical investigation plan required follow-up visits.
Exclusion Criteria:
- Need for or presence of prosthetic heart valve at other position
- Need for concomitant surgical procedures (non-cardiac)
- Patients with previously implanted pacemaker (including defibrillators) or mechanical valves
- Active bacterial or viral infection or requiring current antibiotic therapy (if temporary illness, patient may be a candidate 4 weeks after discontinuation of antibiotics)
- Active endocarditis
- Leukopenia, according to local laboratory evaluation of white blood cell count
- Acute or chronic anemia, according to local laboratory evaluation of hemoglobin Patients can be transfused to meet eligibility criteria
- Thrombocytopenia, defined as Platelet count < 150,000/mm3 Patients can be transfused to meet eligibility criteria
- Severe chest wall deformity, which would preclude placement of the PV conduit
- Pulmonary hypertension (right ventricular systolic pressure ≥ half of systemic systolic pressure)
- Right ventricular outflow tract aneurysm
- Known hypersensitivity to anticoagulants and antiplatelet drugs and to the device materials
- Immunocompromised patient defined as: autoimmune disease, patients receiving immunosuppressant drugs or immune stimulant drugs
- Patient has chronic inflammatory / autoimmune disease
- Need for emergency cardiac or vascular surgery or intervention
- Major or progressive non-cardiac disease (liver failure, renal failure, cancer) that has a life expectancy of less than one year
- Currently participating, or participated within the last 30 days, in an investigational drug or device study
- Alcohol or drug abuse as defined by DSM IV-TR criteria for substance abuse - this includes the illicit use of cannabis within the last 12 months
- Females who are sexually active and are not willing to use adequate contraceptive precautions for the next 2 years
- Patient has medical, social or psychosocial factors that, in the opinion of the Investigator, could have impact on safety or compliance
Sites / Locations
- Gottsegen György Hungarian Institute of Cardiology, Paediatric Cardiac Centre
- Institute Jantung Negara, National Heart Institute
- University Children's Hospital of Cracow (UCH),
- Childrens Heart Centre Slovak Republic
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Xeltis Pulmonary Valved Conduit
Arm Description
PV Conduit for RVOT reconstruction
Outcomes
Primary Outcome Measures
Survival at 12 months follow up post implantation
Measured by the fact that the patient is still alive at the time of the 12 month FU visit
Secondary Outcome Measures
Freedom from device related death, intervention and/or reoperation at 12 months follow up
Measured by the fact that the patient did not die, did not have a reoperation or reintervention during the first 12 months
Mean pressure gradient across the area of conduit implantation (RV to PA) of less than 40 mm Hg at 12 months follow up
Pulmonary regurgitation of equal or less than moderate (≤40 %) at 12 months follow up
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03405636
Brief Title
Xeltis Pulmonary Valved Conduit Safety and Performance Study
Official Title
Prospective, Non-randomized, Open Label Clinical Study to Assess the Safety and Performance of the Xeltis Pulmonary Valved Conduit in Subjects Undergoing Right Ventricular Outflow Tract (RVOT) Reconstruction
Study Type
Interventional
2. Study Status
Record Verification Date
April 2021
Overall Recruitment Status
Withdrawn
Why Stopped
Study not started
Study Start Date
September 2020 (Anticipated)
Primary Completion Date
October 2021 (Anticipated)
Study Completion Date
October 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Xeltis
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
This is a multi-center prospective, single-arm, non-randomized, open label study to assess safety and performance of the Xeltis Pulmonary Valved Conduit in subjects requiring Right Ventricular Outflow Tract correction or reconstruction due to congenital heart malformations.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Defects, Congenital
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Xeltis Pulmonary Valved Conduit
Arm Type
Experimental
Arm Description
PV Conduit for RVOT reconstruction
Intervention Type
Device
Intervention Name(s)
Xeltis Pulmonary Valved Conduit
Intervention Description
RVOT reconstruction
Primary Outcome Measure Information:
Title
Survival at 12 months follow up post implantation
Description
Measured by the fact that the patient is still alive at the time of the 12 month FU visit
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Freedom from device related death, intervention and/or reoperation at 12 months follow up
Description
Measured by the fact that the patient did not die, did not have a reoperation or reintervention during the first 12 months
Time Frame
12 months
Title
Mean pressure gradient across the area of conduit implantation (RV to PA) of less than 40 mm Hg at 12 months follow up
Time Frame
12 months
Title
Pulmonary regurgitation of equal or less than moderate (≤40 %) at 12 months follow up
Time Frame
12 months
10. Eligibility
Sex
All
Maximum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patient requiring RVOT reconstruction, suitable for 16 mm or 18 mm valved conduit.
Male or Female.
Age < 22 years.
Right Ventricular to Pulmonary Artery mean gradient > 35mm Hg or moderate or severe Pulmonary regurgitation (≥3+), or have both.
The patient, and the patient's parent / legal representative where appropriate, has been informed of the nature of the study, agrees to its provisions and has provided written informed consent by signing the approved informed consent form.
The patient, and the patient's parent / legal representative where appropriate, and the treating physician agree that the subject will return for all required post-procedure follow up visits and the subject will comply with clinical investigation plan required follow-up visits.
Exclusion Criteria:
Need for or presence of prosthetic heart valve at other position
Need for concomitant surgical procedures (non-cardiac)
Patients with previously implanted pacemaker (including defibrillators) or mechanical valves
Active bacterial or viral infection or requiring current antibiotic therapy (if temporary illness, patient may be a candidate 4 weeks after discontinuation of antibiotics)
Active endocarditis
Leukopenia, according to local laboratory evaluation of white blood cell count
Acute or chronic anemia, according to local laboratory evaluation of hemoglobin Patients can be transfused to meet eligibility criteria
Thrombocytopenia, defined as Platelet count < 150,000/mm3 Patients can be transfused to meet eligibility criteria
Severe chest wall deformity, which would preclude placement of the PV conduit
Pulmonary hypertension (right ventricular systolic pressure ≥ half of systemic systolic pressure)
Right ventricular outflow tract aneurysm
Known hypersensitivity to anticoagulants and antiplatelet drugs and to the device materials
Immunocompromised patient defined as: autoimmune disease, patients receiving immunosuppressant drugs or immune stimulant drugs
Patient has chronic inflammatory / autoimmune disease
Need for emergency cardiac or vascular surgery or intervention
Major or progressive non-cardiac disease (liver failure, renal failure, cancer) that has a life expectancy of less than one year
Currently participating, or participated within the last 30 days, in an investigational drug or device study
Alcohol or drug abuse as defined by DSM IV-TR criteria for substance abuse - this includes the illicit use of cannabis within the last 12 months
Females who are sexually active and are not willing to use adequate contraceptive precautions for the next 2 years
Patient has medical, social or psychosocial factors that, in the opinion of the Investigator, could have impact on safety or compliance
Facility Information:
Facility Name
Gottsegen György Hungarian Institute of Cardiology, Paediatric Cardiac Centre
City
Budapest
ZIP/Postal Code
H-1096
Country
Hungary
Facility Name
Institute Jantung Negara, National Heart Institute
City
Kuala Lumpur
Country
Malaysia
Facility Name
University Children's Hospital of Cracow (UCH),
City
Krakow
ZIP/Postal Code
30-663
Country
Poland
Facility Name
Childrens Heart Centre Slovak Republic
City
Bratislava
Country
Slovakia
12. IPD Sharing Statement
Plan to Share IPD
No
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Xeltis Pulmonary Valved Conduit Safety and Performance Study
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