Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT05774691

Routine Versus Selective Protamine Administration to Reduce Bleeding Complications After Transcatheter Aortic Valve Implantation (POPular ACE TAVI)

Led by St. Antonius Hospital · Updated on 2025-11-26

1000

Participants Needed

6

Research Sites

108 weeks

Total Duration

On this page

Sponsors

S

St. Antonius Hospital

Lead Sponsor

S

St. Antonius Research Fund

Collaborating Sponsor

AI-Summary

What this Trial Is About

Heparin reversal by protamine administration after transcatheter aortic valve implantation (TAVI) may reduce bleeding events. However, protamine can also cause life-threatening allergic reactions. High-quality evidence regarding the clinical safety and efficacy of routine protamine administration after TAVI is lacking. The aim of this clinical trial is to determine if routine protamine administration, compared with selective protamine administration, reduces the risk of all-cause mortality or clinically relevant bleeding within 30 days after transcatheter aortic valve implantation.

CONDITIONS

Official Title

Routine Versus Selective Protamine Administration to Reduce Bleeding Complications After Transcatheter Aortic Valve Implantation (POPular ACE TAVI)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged > 18 years
  • Undergoing transfemoral TAVI with any commercially available transcatheter heart valve
  • Provided written informed consent
Not Eligible

You will not qualify if you...

  • Documented protamine allergy or anaphylaxis
  • Recent PCI (< 3 months before TAVI)
  • Planned arterial access via surgical cut-down

AI-Screening

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Trial Site Locations

Total: 6 locations

1

A.S.Z. Aalst

Aalst, Belgium

Actively Recruiting

2

University Hospitals Leuven

Leuven, Belgium

Actively Recruiting

3

Maastricht UMC

Maastricht, Limburg, Netherlands

Not Yet Recruiting

4

Leiden University Medical Center

Leiden, South Holland, Netherlands

Actively Recruiting

5

St. Antonius Hospital

Nieuwegein, Utrecht, Netherlands

Actively Recruiting

6

Amsterdam University Medical Center

Amsterdam, Netherlands

Not Yet Recruiting

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Research Team

P

Prof. J.M. ten Berg, MD, PhD

CONTACT

D

D.C. Overduin, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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