Status:

RECRUITING

Comparison of Allegra vs Sapien Transcatheter Aortic Valves in Valve-In-Valve Indication

Lead Sponsor:

Fundación EPIC

Conditions:

Aortic Valve Stenosis

Structural Valve Deterioration

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The VIVALL-2 study is a randomized trial to compare the self-expandable supra-annular Allegra and the balloon-expandable intra-annular Edwards transcatheter valve systems in patients with degenerated ...

Detailed Description

In the VIVALL.2 study, 104 patients with severely degenerated biological aortic surgical valve accepted for vave-in-valve procedure (transcatheter aortic valve implantation) will be randomized to be t...

Eligibility Criteria

Inclusion

  • Patients meeting ALL the following criteria will be included:
  • Patients aged ≥ 18 years.
  • Severe haemodynamical valve deterioration of a biological aortic valve implanted surgically, including severe valve stenosis (effective aortic valve area \< 1.0 cm2) and/or severe valve regurgitation.
  • The patient has cardiac symptoms and/or deterioration of left ventricular ejection fraction attributable to the aortic valve disease.
  • Heart team decision of VIV procedure.
  • Patient is willing to return at 30 days for TTE and to be clinically contacted at 1 year.

Exclusion

  • Patients meeting, at least, 1 of the following criteria will be excluded:
  • Patients who openly express their refusal to participate in the study.
  • Female patients in gestational age.
  • Presence or suspicious of biological aortic valve thrombosis.
  • Known hypersensitivity or contraindication to antithrombotic therapy (or inability to be anticoagulated during the procedure), nitinol, or sensitivity to contrast media which cannot be adequately pre-medicated.
  • Ongoing sepsis and/or suspicious or diagnosis of endocarditis.
  • Patients whose life expectancy is \< 1 year due to non-cardiac comorbid conditions.
  • Medical, social, or psychological conditions that preclude the subject from appropriate consent or adherence to the protocol required follow-up exams.
  • True inner diameter of the prosthetic valve \> 27 mm.
  • Transfemoral access inadequate to accommodate an 18F sheath.
  • Patients included in other clinical trials (excluding registries).

Key Trial Info

Start Date :

February 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 1 2026

Estimated Enrollment :

104 Patients enrolled

Trial Details

Trial ID

NCT06049654

Start Date

February 1 2024

End Date

November 1 2026

Last Update

December 19 2025

Active Locations (9)

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Page 1 of 3 (9 locations)

1

Hospital Universitari de Bellvitge

L'Hospitalet de Llobregat, Spain, 08907

2

Hospital Clinico San Carlos

Madrid, Spain, 28040

3

Hospital Universitario de La Paz

Madrid, Spain, 28046

4

Hospital Universitario Puerta De Hierro

Majadahonda, Spain, 28222