PREVAIL-J - Transfemoral & Transapical Placement of Aortic Balloon Expandable Transcatheter Valves Trial (Japan)

NCT ID: NCT01113983

Last Updated: 2020-05-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-01

Study Completion Date

2016-05-31

Brief Summary

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A single arm, prospective multicenter non-randomized pivotal clinical trial evaluating the Edwards SAPIEN XT™ transcatheter heart valve (model 9300TFX), NovaFlex™ transfemoral delivery system, Ascendra2™ transapical delivery system and crimper accessories. The trial includes a premarket pivotal cohort to evaluate the system performance as well as a post market clinical follow-up phase involving long term follow-up of all patients to evaluate the safety of investigational devices up to 5 years.

Detailed Description

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Purpose: To evaluate the safety and efficacy of THV-9300 for patients who have severe symptomatic aortic stenosis attributed to calcification and degeneration of a valve leaflet and for whom undergoing a surgery safely would be difficult.

Follow-up: Subject data collection will include clinical information at baseline and during the index procedure. Subjects will undergo clinical follow-up at discharge, 30 days, 6 months and annually for 5 years.

Conditions

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Aortic Valve Stenosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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TAVI - TF and TA approach

Transcatheter aortic valve implantation and transfemoral/ transapical approach

Group Type EXPERIMENTAL

Transcatheter aortic valve implantation

Intervention Type DEVICE

Transcatheter aortic valve implantation via transapical and transfemoral approach

Interventions

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Transcatheter aortic valve implantation

Transcatheter aortic valve implantation via transapical and transfemoral approach

Intervention Type DEVICE

Other Intervention Names

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SAPIEN XT NovaFlex delivery system Ascendra2 delivery system

Eligibility Criteria

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Inclusion Criteria

* Patients who were judged difficult to safely undergo AVR
* Severe senile degenerative aortic valve stenosis
* NYHA Functional Class II or greater
* Signed Informed Consent

Exclusion Criteria

* Aortic valve is congenital unicuspid or bicuspid
* Annulus size between \< 18 mm or \> 25 mm
* LVEF \< 20 %
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Edwards Lifesciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yoshiki Sawa, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Osaka University Hospital

Locations

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Kurashiki Central Hospital

Kurashiki, Okayama-ken, Japan

Site Status

Osaka University Hospital

Suita, Osaka, Japan

Site Status

Sakakibara Heart Institute

Chōshi, Tokyo, Japan

Site Status

Countries

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Japan

References

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Sawa Y, Takayama M, Goto T, Takanashi S, Komiya T, Tobaru T, Maeda K, Kuratani T, Sakata Y; PREVAIL JAPAN Investigators. Five-Year Outcomes of the First Pivotal Clinical Trial of Balloon-Expandable Transcatheter Aortic Valve Replacement in Japan (PREVAIL JAPAN). Circ J. 2017 Jul 25;81(8):1102-1107. doi: 10.1253/circj.CJ-17-0111. Epub 2017 Mar 17.

Reference Type DERIVED
PMID: 28321002 (View on PubMed)

Watanabe Y, Hayashida K, Takayama M, Mitsudo K, Nanto S, Takanashi S, Komiya T, Kuratani T, Tobaru T, Goto T, Lefevre T, Sawa Y, Morice MC. First direct comparison of clinical outcomes between European and Asian cohorts in transcatheter aortic valve implantation: the Massy study group vs. the PREVAIL JAPAN trial. J Cardiol. 2015 Feb;65(2):112-6. doi: 10.1016/j.jjcc.2014.05.001. Epub 2014 Jun 11.

Reference Type DERIVED
PMID: 24927855 (View on PubMed)

Sawa Y, Takayama M, Mitsudo K, Nanto S, Takanashi S, Komiya T, Kuratani T, Tobaru T, Goto T. Clinical efficacy of transcatheter aortic valve replacement for severe aortic stenosis in high-risk patients: the PREVAIL JAPAN trial. Surg Today. 2015 Jan;45(1):34-43. doi: 10.1007/s00595-014-0855-y. Epub 2014 Mar 5.

Reference Type DERIVED
PMID: 24595532 (View on PubMed)

Other Identifiers

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EW-P-001

Identifier Type: -

Identifier Source: org_study_id

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