Trial Outcomes & Findings for The Medtronic TAVR 2.0 US Clinical Study (NCT NCT02738853)

NCT ID: NCT02738853

Last Updated: 2023-03-21

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

93 participants

Primary outcome timeframe

30 days

Results posted on

2023-03-21

Participant Flow

Participant milestones

Participant milestones
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Enrollment
STARTED
93
Enrollment
COMPLETED
60
Enrollment
NOT COMPLETED
33
Procedure
STARTED
60
Procedure
COMPLETED
59
Procedure
NOT COMPLETED
1
1 Month
STARTED
59
1 Month
COMPLETED
57
1 Month
NOT COMPLETED
2
6 Month
STARTED
57
6 Month
COMPLETED
51
6 Month
NOT COMPLETED
6
1 Year
STARTED
51
1 Year
COMPLETED
44
1 Year
NOT COMPLETED
7
2 Year
STARTED
44
2 Year
COMPLETED
41
2 Year
NOT COMPLETED
3
3 Year
STARTED
41
3 Year
COMPLETED
38
3 Year
NOT COMPLETED
3
4 Year
STARTED
38
4 Year
COMPLETED
29
4 Year
NOT COMPLETED
9
5 Year
STARTED
29
5 Year
COMPLETED
25
5 Year
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Enrollment
Inclusion/Exclusion not met
21
Enrollment
Withdrawal by Subject
3
Enrollment
Subject treated with commercially available device
6
Enrollment
Study Enrollment Closed
3
Procedure
Death
1
1 Month
Death
2
6 Month
Death
4
6 Month
Withdrawal by Subject
2
1 Year
Death
6
1 Year
Withdrawal by Subject
1
2 Year
Death
2
2 Year
Lost to Follow-up
1
3 Year
Death
2
3 Year
Withdrawal by Subject
1
4 Year
Death
9
5 Year
Lost to Follow-up
4

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Age, Continuous
83.3 years
STANDARD_DEVIATION 7.2 • n=60 Participants
Sex: Female, Male
Female
39 Participants
n=60 Participants
Sex: Female, Male
Male
21 Participants
n=60 Participants
Region of Enrollment
United States
60 Participants
n=60 Participants

PRIMARY outcome

Timeframe: 30 days

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
All-cause Mortality Rate
1.7 percentage of participants
Interval 0.2 to 11.2

PRIMARY outcome

Timeframe: 30 days

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Stroke (Disabling) Rate
1.7 percentage of participants
Interval 0.2 to 11.4

PRIMARY outcome

Timeframe: 30 days

Population: Only subjects with transthoracic echo (TTE) could be analyzed.

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=58 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
The Percentage of Subjects With None or Trace Prosthetic Regurgitation on Echocardiogram
72.4 percentage of participants
Interval 59.1 to 83.3

SECONDARY outcome

Timeframe: 30 days

1. All-cause mortality \> 2. All stroke (disabling and non-disabling) \> 3. Life-threatening bleeding \> 4. Acute kidney injury: stage 2 or 3 (including renal replacement therapy) \> 5. Coronary artery obstruction requiring intervention \> 6. Major vascular complication \> 7. Valve-related dysfunction requiring repeat procedure (BAV, TAVR, or SAVR)

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Event Rate of the VARC II Combined Safety Endpoint at 30 Days, Which Includes the Following Components:
15.0 percentage of participants
Interval 8.1 to 26.8

SECONDARY outcome

Timeframe: 30 days

Percentage of participants with life threatening or disabling bleeding - VARC-II definitions

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Percentage of Participants With Life Threatening or Disabling Bleeding
11.7 percentage of participants
Interval 5.7 to 22.9

SECONDARY outcome

Timeframe: 30 days

Percentage of participants with major vascular complication - VARC-II definition

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Percentage of Participants With Major Vascular Complication
10.0 percentage of participants
Interval 4.6 to 20.9

SECONDARY outcome

Timeframe: 30 days

Percentage of participants with coronary artery obstruction - VARC-II definitions

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Percentage of Participants With Coronary Artery Obstruction
0.0 percentage of participants
Interval 0.0 to 6.1

SECONDARY outcome

Timeframe: 30 days

Percentage of participants with Acute kidney injury - Stage 2 or 3 - VARC-II definitions

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Percentage of Patient With Acute Kidney Injury- Stage 2 or 3
1.7 percentage of participants
Interval 0.2 to 11.2

SECONDARY outcome

Timeframe: 30 days

Percentage of participants with valve-related dysfunction requiring repeat procedure - VARC-II definition

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Percentage of Participants With Valve-related Dysfunction Requiring Repeat Procedure
0.0 percentage of participants
Interval 0.0 to 6.1

SECONDARY outcome

Timeframe: 24 hours to 7 days

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Device Success Rate (VARC II)
80.8 percentage of participants
Interval 67.5 to 90.4

SECONDARY outcome

Timeframe: 30 days

Population: Only subjects with TTE could be analyzed.

Aortic Valve Area (cm2) by transthoracic echocardiogram

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Hemodynamic Performance - Aortic Valve Area
2.0 cm2
Standard Deviation 0.5

SECONDARY outcome

Timeframe: 30 days

Population: Only subjects with TTE could be analyzed.

Mean gradient (mmHg) by transthoracic echocardiogram

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=60 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Hemodynamic Performance - Mean Gradient
6.4 mmHg
Standard Deviation 2.1

SECONDARY outcome

Timeframe: 30 days

Population: Only subjects with TTE could be analyzed.

Total prosthetic regurgitation by transthoracic echocardiogram

Outcome measures

Outcome measures
Measure
Medtronic Transcatheter Aortic Valve 2.0 Replacement System
n=58 Participants
Treatment of Aortic Stenosis by replacing native valve with the Medtronic Transcatheter Aortic Valve 2.0 System Medtronic Transcatheter Aortic Valve 2.0 Replacement System: Treatment of severe symptomatic aortic stenosis in subjects who are considered at high through extreme risk for surgical aortic valve replacement.
Hemodynamic Performance - Total Prosthetic Regurgitation Graded as None/Trace
72.4 percentage of participants

Adverse Events

TAVR 2.0

Serious events: 39 serious events
Other events: 38 other events
Deaths: 26 deaths

Serious adverse events

Serious adverse events
Measure
TAVR 2.0
n=60 participants at risk
Participants implanted with the TAVR 2.0 system
Blood and lymphatic system disorders
Anaemia
11.7%
7/60 • Number of events 8 • All events 6 months, All Cause Mortality 60 months
Blood and lymphatic system disorders
Iron Deficiency Anaemia
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Atrial Fibrillation
6.7%
4/60 • Number of events 4 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Atrioventricular Block Complete
13.3%
8/60 • Number of events 8 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Atrioventricular Block First Degree
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Bradycardia
3.3%
2/60 • Number of events 2 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Bundle Branch Block Left
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Cardiac Failure Congestive
5.0%
3/60 • Number of events 5 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Cardiac Perforation
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Cardiac Tamponade
3.3%
2/60 • Number of events 2 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Pericardial Effusion
5.0%
3/60 • Number of events 3 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Sinus Bradycardia
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Gastrointestinal disorders
Gastrointestinal Haemorrhage
3.3%
2/60 • Number of events 2 • All events 6 months, All Cause Mortality 60 months
General disorders
Asthenia
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
General disorders
Chest Pain
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
General disorders
Device Embolisation
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
General disorders
Implant Site Haemorrhage
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
General disorders
Pyrexia
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Hepatobiliary disorders
Cholelithiasis
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Infections and infestations
Cellulitis
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Infections and infestations
Gastroenteritis
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Infections and infestations
Incision Site Cellulitis
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Infections and infestations
Pneumonia
5.0%
3/60 • Number of events 3 • All events 6 months, All Cause Mortality 60 months
Infections and infestations
Urinary Tract Infection
6.7%
4/60 • Number of events 4 • All events 6 months, All Cause Mortality 60 months
Injury, poisoning and procedural complications
Contusion
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Injury, poisoning and procedural complications
Procedural Haemorrhage
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Injury, poisoning and procedural complications
Spinal Fracture
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Injury, poisoning and procedural complications
Subdural Haematoma
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Injury, poisoning and procedural complications
Vascular Access Site Complication
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Injury, poisoning and procedural complications
Wound Dehiscence
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Injury, poisoning and procedural complications
Wound Secretion
3.3%
2/60 • Number of events 2 • All events 6 months, All Cause Mortality 60 months
Metabolism and nutrition disorders
Fluid Overload
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Metabolism and nutrition disorders
Hyperkalaemia
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Neoplasm Malignant
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal Cell Carcinoma
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Nervous system disorders
Cerebrovascular Accident
5.0%
3/60 • Number of events 3 • All events 6 months, All Cause Mortality 60 months
Nervous system disorders
Haemorrhage Intracranial
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Nervous system disorders
Presyncope
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Nervous system disorders
Seizure
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Nervous system disorders
Syncope
3.3%
2/60 • Number of events 2 • All events 6 months, All Cause Mortality 60 months
Nervous system disorders
Transient Ischaemic Attack
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Psychiatric disorders
Confusional State
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Psychiatric disorders
Delirium
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Psychiatric disorders
Mental Disorder
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Renal and urinary disorders
Acute Kidney Injury
3.3%
2/60 • Number of events 2 • All events 6 months, All Cause Mortality 60 months
Renal and urinary disorders
Chronic Kidney Disease
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Renal and urinary disorders
Urinary Retention
5.0%
3/60 • Number of events 3 • All events 6 months, All Cause Mortality 60 months
Respiratory, thoracic and mediastinal disorders
Acute Pulmonary Oedema
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Respiratory, thoracic and mediastinal disorders
Aspiration
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea Exertional
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Respiratory, thoracic and mediastinal disorders
Pharyngeal Oedema
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
3.3%
2/60 • Number of events 2 • All events 6 months, All Cause Mortality 60 months
Skin and subcutaneous tissue disorders
Rash
3.3%
2/60 • Number of events 2 • All events 6 months, All Cause Mortality 60 months
Skin and subcutaneous tissue disorders
Skin Ulcer
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Surgical and medical procedures
Skin Graft
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Vascular disorders
Aortic Dissection
1.7%
1/60 • Number of events 1 • All events 6 months, All Cause Mortality 60 months
Vascular disorders
Hypertension
3.3%
2/60 • Number of events 2 • All events 6 months, All Cause Mortality 60 months
Vascular disorders
Hypotension
5.0%
3/60 • Number of events 3 • All events 6 months, All Cause Mortality 60 months

Other adverse events

Other adverse events
Measure
TAVR 2.0
n=60 participants at risk
Participants implanted with the TAVR 2.0 system
Blood and lymphatic system disorders
Anaemia
10.0%
6/60 • Number of events 6 • All events 6 months, All Cause Mortality 60 months
Blood and lymphatic system disorders
Leukocytosis
6.7%
4/60 • Number of events 4 • All events 6 months, All Cause Mortality 60 months
Blood and lymphatic system disorders
Thrombocytopenia
16.7%
10/60 • Number of events 10 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Atrial Fibrillation
10.0%
6/60 • Number of events 6 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Atrioventricular Block First Degree
13.3%
8/60 • Number of events 8 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Bundle Branch Block Left
35.0%
21/60 • Number of events 24 • All events 6 months, All Cause Mortality 60 months
Cardiac disorders
Cardiac Failure Congestive
8.3%
5/60 • Number of events 5 • All events 6 months, All Cause Mortality 60 months
Infections and infestations
Urinary Tract Infection
8.3%
5/60 • Number of events 5 • All events 6 months, All Cause Mortality 60 months
Metabolism and nutrition disorders
Hypocalcaemia
8.3%
5/60 • Number of events 5 • All events 6 months, All Cause Mortality 60 months
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
10.0%
6/60 • Number of events 6 • All events 6 months, All Cause Mortality 60 months

Additional Information

Phuong-Uyen Le

Medtronic

Phone: 763-526-0989

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place