ExCEED: CENTERA THV System in Intermediate Risk Patients Who Have Symptomatic, Severe, Calcific, Aortic Stenosis

NCT ID: NCT03517436

Last Updated: 2025-11-13

Study Results

Results available

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-18

Study Completion Date

2030-07-31

Brief Summary

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This study will monitor the safety and valve performance of the Edwards CENTERA Transcatheter Heart Valve (THV) System in patients with symptomatic, severe, calcific aortic stenosis who are at intermediate operative risk for surgical aortic valve replacement (SAVR).

Detailed Description

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A prospective, single-arm, controlled, multicenter study. Up to 2 roll-ins were allowed per site but not counted towards total enrollment.

Conditions

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Aortic Valve Stenosis

Keywords

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THV Transcatheter Heart Valve CENTERA self-expanding

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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Transcatheter Aortic Valve Replacement (TAVR)

Group Type EXPERIMENTAL

TAVR with CENTERA THV

Intervention Type DEVICE

TAVR with the Edwards CENTERA THV System

Interventions

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TAVR with CENTERA THV

TAVR with the Edwards CENTERA THV System

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Severe, calcific AS
2. NYHA functional class ≥ II
3. Judged by the Heart Team to be at intermediate risk for open surgical therapy
4. The subject has been informed of the nature of the study, agrees to its provisions and has provided written informed consent.

Exclusion Criteria

1. Native aortic annulus size unsuitable for sizes 23, 26 or 29 mm CENTERA THV based on 3D imaging analysis
2. Aortic valve is unicuspid, bicuspid or non-calcified
3. Pre-existing mechanical or bioprosthetic valve in any position
4. Known hypersensitivity to Nitinol (nickel or titanium)
5. Severe aortic regurgitation (\> 3+)
6. Severe mitral regurgitation (\> 3+) or ≥ moderate stenosis
7. Ventricular dysfunction with left ventricular ejection fraction \< 30%
8. Cardiac imaging evidence of intracardiac mass, thrombus or vegetation
9. Evidence of an acute myocardial infarction ≤ 30 days before the valve implant procedure
10. Subjects with planned concomitant ablation for atrial fibrillation
11. Hypertrophic cardiomyopathy with obstruction
12. Coronary anatomy that increases the risk of coronary artery obstruction post-TAVR
13. Complex coronary artery disease
14. Iliofemoral vessel characteristics that would preclude safe placement of the introducer sheath.
15. Significant abdominal or thoracic aortic disease that would preclude safe passage of the delivery system
16. Active bacterial endocarditis within 180 days of the valve implant procedure
17. Stroke or transient ischemic attack within 90 days of the valve implant procedure
18. Symptomatic carotid or vertebral artery disease or successful treatment of carotid stenosis within 30 days of the valve implant procedure
19. Severe lung disease or currently on home oxygen
20. Severe pulmonary hypertension
21. Hemodynamic or respiratory instability requiring inotropic support, mechanical ventilation or mechanical heart assistance within 30 days of the valve implant procedure
22. History of cirrhosis or any active liver disease
23. Renal insufficiency and/or renal replacement therapy at the time of screening
24. Leukopenia, anemia, thrombocytopenia, history of bleeding diathesis or coagulopathy or hypercoagulable states
25. Inability to tolerate or condition precluding treatment with antithrombotic therapy during or after the valve implant procedure
26. Absolute contraindications or allergy to iodinated contrast that cannot be adequately treated with pre-medication
27. Significant frailty as determined by the Heart Team
28. Immobility that would prevent completion of study procedures
29. Subject refuses blood products
30. Body mass index \> 50 kg/m2
31. Estimated life expectancy \< 24 months
32. Positive urine or serum pregnancy test in female subjects of childbearing potential
33. Currently participating in an investigational drug or another device study
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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Martin Leon, MD

Role: PRINCIPAL_INVESTIGATOR

Columbia University Medical Center/ NYPH

Locations

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Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Stanford University Medical Center

Stanford, California, United States

Site Status

UC Health Northern Colorado (Medical Center of the Rockies)

Loveland, Colorado, United States

Site Status

Washington Hospital Center

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

Site Status

Sarasota Memorial Hospital

Sarasota, Florida, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

St. Vincent Medical Group, Inc./St. Vincent Heart Center of Indiana, LLC

Indianapolis, Indiana, United States

Site Status

University of Kansas Health System

Kansas City, Kansas, United States

Site Status

Cardiovascular Research Institute of Kansas

Wichita, Kansas, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Washington University/ Barnes-Jewish Hospital

St Louis, Missouri, United States

Site Status

Atlantic Health System Hospital Corp

Morristown, New Jersey, United States

Site Status

Columbia University Medical Center/ NYPH

New York, New York, United States

Site Status

The Ohio Health Research Institute

Columbus, Ohio, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Allegheny - Singer Research Institute

Pittsburgh, Pennsylvania, United States

Site Status

Saint Thomas Health

Nashville, Tennessee, United States

Site Status

Baylor Heart and Vascular Hospital

Dallas, Texas, United States

Site Status

The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

University of Texas Memorial Hermann

Houston, Texas, United States

Site Status

The Heart Hospital Baylor Plano

Plano, Texas, United States

Site Status

Baylor Scott and White, Central Texas

Temple, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2017-18

Identifier Type: -

Identifier Source: org_study_id