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Status:

COMPLETED

BIOVALVE - I / II Clincial Investigation

Lead Sponsor:

Biotronik AG

Collaborating Sponsors:

Medstar Health Research Institute

Conditions:

Heart Valve Diseases

Aortic Valve Stenosis

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

First-in-Human clinical investigation to evaluate the safety and clinical performance of the BIOVALVE prosthesis in subjects presenting with severe symptomatic aortic valve stenosis, which are as judg...

Detailed Description

In a non-randomized, prospective, multi-center clinical investigation, approximately 86 eligible subjects will be enrolled. Phase 1: BIOVALVE-I feasibility clinical investigation: Approximately 13 el...

Eligibility Criteria

Inclusion

  • The subject is ≥65 years
  • The subject has provided written informed consent
  • Subject is willing to participate in the clinical investigation and to comply with all of the study procedures and follow-up visits
  • NHYA class ≥II
  • High surgical risk: Logistic EuroSCORE-I ≥20% (or equivalence of EuroSCORE-II) or STS score ≥10% or co-morbidity judged by the heart team (consisting of at least one interventional cardiologist and one cardiac surgeon) to pose an absolute or relative contraindication for conventional aortic valve replacement according to VARC-2
  • Severe symptomatic calcific aortic valve stenosis characterized by mean aortic gradient \>40 mm Hg or peak jet velocity \>4.0 m/s or effective orifice area (EOA) of \<1.0 cm2 (\<0.6 cm2/m2 body surface area)
  • Annulus diameter as determined by multi-slice computed tomography (MSCT) from 23-26 mm

Exclusion

  • Trans-esophageal echocardiogram (TEE) is contraindicated
  • Congenital bicuspid or unicuspid valve
  • Left ventricular outflow tract (LVOT) obstruction such as hypertrophic obstructive cardio myopathy (HOCM) or subject presenting with systolic anterior motion (SAM). Evidence of intra cardiac mass, thrombus or vegetation
  • Transfemoral access vessel characteristics that would preclude safe placement of a 18 French sheath
  • Vessel and/or anatomical characteristics that would preclude safe delivery of the BIOVALVE prosthesis to the ascending aorta and/or placement of the prosthesis
  • Anatomical restrictions such as shallow sinuses with heavily calcified leaflets, low height of coronary ostia, extreme tortuosity of the aortic arch, thoracic (TAA) or abdominal (AAA) aortic aneurysm, presence of endovascular stent graft
  • Severe mitral regurgitation grade \>3
  • Severe mitral stenosis
  • Prosthetic mitral valve
  • Severe left ventricular dysfunction with left ventricular ejection fraction (LVEF) \<20%
  • Hemodynamic instability
  • Percutaneous coronary intervention (PCI) within 30 days prior to index procedure and / or planned PCI during index procedure
  • Renal insufficiency (creatinine \>2.5 mg/dl) or subject under dialysis and/or renal replacement therapy
  • Any cerebrovascular event or transient ischemic attack (TIA) within 180 days prior to TAVI procedure
  • Evidence of acute myocardial infarction (defined as ≥2 fold CK level or in absence of CK a ≥3 fold CKMB level above the upper range limit within ≤30 days prior to TAVI procedure)
  • Blood dyscrasia defined as: leucopenia (WBC \<1000 mm³), thrombocytopenia (platelet count \<50'000 cells/mm³), history of bleeding diathesis requiring blood transfusion
  • Ongoing sepsis or suspected active endocarditis
  • Active peptic ulcer or gastrointestinal bleeding within last 3 months that would preclude anticoagulation
  • Subject refuses blood transfusion
  • Known hypersensitivity to, or contraindication to nitinol, anticoagulation/antiplatelet regimes, any other medications required for the procedure or post-procedure as determined by the heart team, or sensitivity to contrast media which cannot be adequately pre-medicated
  • Need for emergency TAVI intervention, or other medical, social, or psychological conditions that in the opinion of the heart team precludes the subjects from appropriate consent or adherence to protocol required follow-up exams
  • Expectation that subject will not improve despite treatment of aortic stenosis
  • Estimated life expectancy of less than 12 months due to associated non-cardiac co-morbidities
  • Severe pulmonary hypertension (\> 60 mm Hg assessed by continuous wave Doppler, TTE) or clinical signs of acute severe right ventricular dysfunction
  • Currently participating in another investigational drug or device study where primary endpoint has not been reached yet

Key Trial Info

Start Date :

September 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2023

Estimated Enrollment :

68 Patients enrolled

Trial Details

Trial ID

NCT02249000

Start Date

September 1 2014

End Date

May 1 2023

Last Update

June 11 2024

Active Locations (13)

Enter a location and click search to find clinical trials sorted by distance.

Page 1 of 4 (13 locations)

1

ZNA Middelheim

Antwerp, Belgium, 2020

2

Städtische Kliniken Neuss - Lukaskrankenhaus

Neuss, North Rhine-Westphalia, Germany, 41464

3

Segeberger Kliniken

Bad Segeberg, Schleswig-Holstein, Germany, 23795

4

Vivantes Klinikum

Berlin, Germany, 10249