Validation of the "TASQ" in Patients Undergoing SAVR or TF-TAVI

NCT ID: NCT03186339

Last Updated: 2022-05-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

272 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-09-08

Study Completion Date

2020-01-13

Brief Summary

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Prospective, multi-centre, multi-national registry with a follow-up of 3 months, in five European countries and Canada (Toronto), with elective patients undergoing TF-TAVI (n=120) and isolated SAVR (n=120), respectively and a control group of 50 patients receiving medical treatment only. All patient groups will fill in three different questionnaires to assess quality of life in 5 different languages (English, French, German, Italian and Spanish). One of these will be a new questionnaire, the Toronto Aortic Stenosis QoL (Quality of Life) questionnaire (TASQ).

Detailed Description

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Currently, there are two cardiovascular disease QoL scales which have been used in studies of patients with aortic stenosis - the Minnesota Living with Heart Failure (MLHF) questionnaire and the Kansas City Cardiomyopathy Questionnaire (KCCQ).

The KCCQ has now become the only cited health related (HR) QoL validated scale for use among a growing TAVI (Transcatheter Aortic Valve Implantation) patient population; however questions on the KCCQ do not reflect the concerns and lifestyle of patients proceeding for aortic valve intervention. Many of the questions do not reflect this patient population's perspective of well-being in contrast to perceptions by the general cardiac population on which it was validated. It is important to capture the disruptions caused by a chronic disease and its treatment on lifestyles, activities, and interests; that is interference with psychologically meaningful activity. It has been noted that this interference varies by disease process and treatment by general scales such as the Illness Intrusiveness Scale .

Due to issues of limited validity of the KCCQ for TAVI / SAVR (Surgical Aortic Valve Replacement) patients related to symptom items not being revised from their original use for congestive heart failure, a new original HR-QoL questionnaire was proposed: The "Toronto Aortic Stenosis Quality of Life Questionnaire" (TASQ) is a health specific measurement tool designed to measure changes in quality of life in aortic stenosis patients. The aim of this study is to validate this questionnaire in this specific patient population.

Conditions

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Aortic Valve Stenosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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TAVI patients

patients undergoing TF (transfemoral) TAVI as treatment for the aortic stenosis

TAVI

Intervention Type PROCEDURE

transfemoral transcatheter aortic valve implantation

SAVR patients

patients undergoing isolated surgical valve replacement as treatment for the aortic stenosis

SAVR

Intervention Type PROCEDURE

isolated surgical valve replacement

MM patients

patients in whom the aortic stenosis is medically managed

MM

Intervention Type OTHER

management of aortic stenosis by medical treatment only

Interventions

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TAVI

transfemoral transcatheter aortic valve implantation

Intervention Type PROCEDURE

SAVR

isolated surgical valve replacement

Intervention Type PROCEDURE

MM

management of aortic stenosis by medical treatment only

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* severe aortic stenosis
* age \> 18 years
* in case of TAVI or SAVR: intention to treat the AS employing an Edwards valve

Exclusion Criteria

* patients not providing informed consent
* patients with major cognitive impairment
* emergency patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Edwards Lifesciences

INDUSTRY

Sponsor Role collaborator

Institut für Pharmakologie und Präventive Medizin

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rima Styra, MD

Role: PRINCIPAL_INVESTIGATOR

University Health Network, Toronto General Hospital, Ontario, Canada

Derk Frank, Prof.

Role: PRINCIPAL_INVESTIGATOR

UKSH University Clinical Center Schleswig-Holstein, Germany

Simon Kennon, MD

Role: PRINCIPAL_INVESTIGATOR

Barts Heart Centre, London, UK

Locations

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Medical University of Innsbruck

Innsbruck, , Austria

Site Status

University Health Network, Toronto General Hospital

Toronto, Ontario, Canada

Site Status

Hospital Jacques Cartier

Massy, , France

Site Status

Bichat Hospital - Claude-Bernard

Paris, , France

Site Status

UKSH University Clinical Center Schleswig-Holstein

Kiel, Schleswig-Holstein, Germany

Site Status

Structual Interventional Cardiology, University Hospital Careggi

Florence, , Italy

Site Status

Department of Medicine, University of Verona

Verona, , Italy

Site Status

Hospital Juan Canalejo Coruna

A Coruña, , Spain

Site Status

University Hospital Vall d'Hebron

Barcelona, , Spain

Site Status

Barts Heart Centre

London, , United Kingdom

Site Status

Countries

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Austria Canada France Germany Italy Spain United Kingdom

References

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Frank D, Kennon S, Bonaros N, Romano M, Lefevre T, Di Mario C, Stefano P, Ribichini FL, Himbert D, Urena-Alcazar M, Salgado-Fernandez J, Cuenca Castillo JJ, Garcia B, Kurucova J, Thoenes M, Luske C, Bramlage P, Styra R. Trial protocol for the validation of the 'Toronto Aortic Stenosis Quality of Life (TASQ) Questionnaire' in patients undergoing surgical aortic valve replacement (SAVR) or transfemoral (TF) transcatheter aortic valve implantation (TAVI): the TASQ registry. Open Heart. 2019 May 21;6(1):e001008. doi: 10.1136/openhrt-2019-001008. eCollection 2019.

Reference Type BACKGROUND
PMID: 31218003 (View on PubMed)

Frank D, Kennon S, Bonaros N, Stastny L, Romano M, Lefevre T, Di Mario C, Stefano P, Ribichini F, Himbert D, Urena-Alcazar M, Salgado-Fernandez J, Castillo JJC, Garcia Del Blanco B, Deutsch C, Sykorova L, Kurucova J, Thoenes M, Luske CM, Bramlage P, Styra R. Aortic valve replacement: validation of the Toronto Aortic Stenosis Quality of Life Questionnaire. ESC Heart Fail. 2021 Feb;8(1):270-279. doi: 10.1002/ehf2.12961. Epub 2020 Nov 18.

Reference Type RESULT
PMID: 33207035 (View on PubMed)

Kennon S, Styra R, Bonaros N, Stastny L, Romano M, Lefevre T, Di Mario C, Stefano P, Ribichini FL, Himbert D, Urena-Alcazar M, Salgado-Fernandez J, Cuenca Castillo JJ, Garcia B, Deutsch C, Sykorova L, Kurucova J, Thoenes M, Luske C, Bramlage P, Frank D. Quality of life after transcatheter or surgical aortic valve replacement using the Toronto Aortic Stenosis Quality of Life Questionnaire. Open Heart. 2021 Nov;8(2):e001821. doi: 10.1136/openhrt-2021-001821.

Reference Type RESULT
PMID: 34810276 (View on PubMed)

Other Identifiers

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IPPM2017TASQ

Identifier Type: -

Identifier Source: org_study_id

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