The PARTNER II Trial: Placement of AoRTic TraNscathetER Valves - PII B

NCT ID: NCT02184442

Last Updated: 2018-09-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

560 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-09

Study Completion Date

2017-05-30

Brief Summary

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The purpose of this study is to determine the safety and effectiveness of the SAPIEN XT™ THV with the associated delivery system for inoperable patients with severe symptomatic native aortic stenosis.

Detailed Description

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Cohort B was a 1:1 randomized, controlled study independently powered to compare transcatheter heart valve therapy with the first generation (SAPIEN™ THV) system to transcatheter heart valve therapy with the second generation (SAPIEN XT THV) system in patients who could not undergo surgery (inoperable).

Patients in the control arm of Cohort B received an Edwards SAPIEN THV with the associated delivery system while patients in the treatment arm of Cohort B received an Edwards SAPIEN XT THV with the associated delivery system.

Conditions

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Severe Symptomatic Calcific Aortic Stenosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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TAVR - SAPIEN XT

TAVR (transaortic valve replacement) with SAPIEN XT

Group Type EXPERIMENTAL

TAVR Implantation with SAPIEN XT

Intervention Type DEVICE

Inoperable operable patients requiring the transcatheter aortic heart valve replacement

TAVR - SAPIEN

TAVR (transaortic valve replacement) with SAPIEN is the control arm

Group Type ACTIVE_COMPARATOR

TAVR Implantation with SAPIEN

Intervention Type DEVICE

Inoperable operable patients requiring the transcatheter aortic heart valve replacement

Interventions

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TAVR Implantation with SAPIEN XT

Inoperable operable patients requiring the transcatheter aortic heart valve replacement

Intervention Type DEVICE

TAVR Implantation with SAPIEN

Inoperable operable patients requiring the transcatheter aortic heart valve replacement

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patient was symptomatic from his/her aortic valve stenosis, as demonstrated by NYHA Functional Class II or greater.
2. The probability of death or serious, irreversible morbidity is greater than or equal to 50%.
3. The heart team agreed (and verified in the case review process) that valve implantation would likely benefit the patient.
4. The study patient or the study patient's legal representative was informed of the nature of the study, agreed to its provisions and had provided written informed consent as approved by the Institutional Review Board (IRB) of the respective clinical site.
5. The study patient agreed to comply with all required post-procedure follow-up visits including annual visits through 5 years and analysis close date visits, which was conducted as a phone follow-up.

Exclusion Criteria

1. Aortic valve is a congenital unicuspid or congenital bicuspid valve, or is non-calcified.
2. Significant aortic disease, including marked tortuosity (hyperacute bend), aortic arch atheroma \[especially if thick (\> 5 mm), protruding or ulcerated\] or narrowing (especially with calcification and surface irregularities) of the abdominal or thoracic aorta, severe "unfolding" and tortuosity of the thoracic aorta. (Transfemoral)
3. Currently participating in an investigational drug or another device study. Note: Trials requiring extended follow-up for products that were investigational, but have since become commercially available, are not considered investigational trials.
4. It is known that the patient is currently enrolled in the PARTNER I Trial or was withdrawn from the PARTNER I Trial prior to endpoint analysis.
5. Active bacterial endocarditis within 6 months (180 days) of procedure.
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American College of Cardiology

OTHER

Sponsor Role collaborator

Edwards Lifesciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martin B Leon, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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Arkansas Heart Hospital/Clinic

Little Rock, Arkansas, United States

Site Status

Scripps Green Hospital

La Jolla, California, United States

Site Status

Scripps Memorial Hospital

La Jolla, California, United States

Site Status

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Mercy General Hospital

Sacramento, California, United States

Site Status

Stanford University Medical Center

Stanford, California, United States

Site Status

University of Colorado Hospital

Denver, Colorado, United States

Site Status

Washington Hospital Center (WHC)

Washington D.C., District of Columbia, United States

Site Status

Morton Plant Hospital

Clearwater, Florida, United States

Site Status

University of Florida, Gainesville

Gainesville, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Emory University Hospital

Atlanta, Georgia, United States

Site Status

Northwestern Hospital

Chicago, Illinois, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Prairie Education and Research Cooperative

Springfield, Illinois, United States

Site Status

Indiana University Health-Methodist Hospital

Indianapolis, Indiana, United States

Site Status

The University of Iowa

Iowa City, Iowa, United States

Site Status

University of Louisville - Jewish Hospital

Louisville, Kentucky, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

Minneapolis Heart Institute Foundation

Minneapolis, Minnesota, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Saint Luke's Hospital of Kansas City Mid America

Kansas City, Missouri, United States

Site Status

Washington University - Barnes Jewish Hospital

St Louis, Missouri, United States

Site Status

Nebraska Heart Institute

Lincoln, Nebraska, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Newark Beth Israel

Newark, New Jersey, United States

Site Status

North Shore University Hospital, NY

Manhasset, New York, United States

Site Status

Winthrop University Hospital

Mineola, New York, United States

Site Status

Cornell University

New York, New York, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

Medical University of South Carolina Charleston

Charleston, North Carolina, United States

Site Status

East Carolina Heart Institute at East Carolina University

Greenville, North Carolina, United States

Site Status

The Christ Hospital, Cincinnati

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Oklahoma Heart Hospital

Oklahoma City, Oklahoma, United States

Site Status

University of Pennsylvania Hospital

Philadelphia, Pennsylvania, United States

Site Status

York Hospital

York, Pennsylvania, United States

Site Status

Baptist Memorial Hospital

Memphis, Tennessee, United States

Site Status

Austin Heart, PLLC

Austin, Texas, United States

Site Status

The Heart Hospital Baylor Plano

Dallas, Texas, United States

Site Status

Medical City Dallas Hospital

Dallas, Texas, United States

Site Status

The University of Texas Health Science Center at Houston/Memorial Hermann Texas Medical Center

Houston, Texas, United States

Site Status

University of Texas Health Science Center at San Antonio (UTHSCSA)

San Antonio, Texas, United States

Site Status

Intermountain Medical Center

Murray, Utah, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status

University of Washington

Seattle, Washington, United States

Site Status

University of Wisconsin - Madison

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Shahim B, Redfors B, Lindman BR, Chen S, Dahlen T, Nazif T, Kapadia S, Gertz ZM, Crowley AC, Li D, Thourani VH, Kodali SK, Zajarias A, Babaliaros VC, Guyton RA, Elmariah S, Herrmann HC, Cohen DJ, Mack MJ, Smith CR, Leon MB, George I. Neutrophil-to-Lymphocyte Ratios in Patients Undergoing Aortic Valve Replacement: The PARTNER Trials and Registries. J Am Heart Assoc. 2022 Jun 7;11(11):e024091. doi: 10.1161/JAHA.121.024091. Epub 2022 Jun 3.

Reference Type DERIVED
PMID: 35656983 (View on PubMed)

Genereux P, Pibarot P, Redfors B, Bax JJ, Zhao Y, Makkar RR, Kapadia S, Thourani VH, Mack MJ, Nazif TM, Lindman BR, Babaliaros V, Vincent F, Russo M, McCabe JM, Gillam LD, Alu MC, Hahn RT, Webb JG, Leon MB, Cohen DJ. Evolution and Prognostic Impact of Cardiac Damage After Aortic Valve Replacement. J Am Coll Cardiol. 2022 Aug 23;80(8):783-800. doi: 10.1016/j.jacc.2022.05.006. Epub 2022 May 17.

Reference Type DERIVED
PMID: 35595203 (View on PubMed)

Chen S, Redfors B, O'Neill BP, Clavel MA, Pibarot P, Elmariah S, Nazif T, Crowley A, Ben-Yehuda O, Finn MT, Alu MC, Vahl TP, Kodali S, Leon MB, Lindman BR. Low and elevated B-type natriuretic peptide levels are associated with increased mortality in patients with preserved ejection fraction undergoing transcatheter aortic valve replacement: an analysis of the PARTNER II trial and registry. Eur Heart J. 2020 Feb 21;41(8):958-969. doi: 10.1093/eurheartj/ehz892.

Reference Type DERIVED
PMID: 31883339 (View on PubMed)

Summers MR, Leon MB, Smith CR, Kodali SK, Thourani VH, Herrmann HC, Makkar RR, Pibarot P, Webb JG, Leipsic J, Alu MC, Crowley A, Hahn RT, Kapadia SR, Tuzcu EM, Svensson L, Cremer PC, Jaber WA. Prosthetic Valve Endocarditis After TAVR and SAVR: Insights From the PARTNER Trials. Circulation. 2019 Dec 10;140(24):1984-1994. doi: 10.1161/CIRCULATIONAHA.119.041399. Epub 2019 Nov 6.

Reference Type DERIVED
PMID: 31690104 (View on PubMed)

Furer A, Chen S, Redfors B, Elmariah S, Pibarot P, Herrmann HC, Hahn RT, Kodali S, Thourani VH, Douglas PS, Alu MC, Fearon WF, Passeri J, Malaisrie SC, Crowley A, McAndrew T, Genereux P, Ben-Yehuda O, Leon MB, Burkhoff D. Effect of Baseline Left Ventricular Ejection Fraction on 2-Year Outcomes After Transcatheter Aortic Valve Replacement: Analysis of the PARTNER 2 Trials. Circ Heart Fail. 2019 Aug;12(8):e005809. doi: 10.1161/CIRCHEARTFAILURE.118.005809. Epub 2019 Aug 1.

Reference Type DERIVED
PMID: 31525069 (View on PubMed)

Other Identifiers

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2010-12-PIIB

Identifier Type: -

Identifier Source: org_study_id

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