CONFIDENCE Registry to Assess Safety and Performance of Portico System to Treat Patients With Severe Aortic Stenosis.

NCT ID: NCT03752866

Last Updated: 2024-10-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1001 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-25

Study Completion Date

2022-07-28

Brief Summary

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The purpose of this clinical investigation is to characterize the procedural safety and device performance of transfemoral implantation of the Portico™ Transcatheter Aortic Heart Valve in patients with symptomatic degenerative aortic stenosis.

Detailed Description

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The CONFIDENCE registry study will be conducting as a prospective, non-randomized, observational, single-arm, multi-center study.

Approximately 1000 subjects with severe symptomatic (NYHA class ≥ II) aortic stenosis (AS), will undergo Portico™ Transcatheter Aortic Heart Valve implantation.

The subject data will be collected at baseline, index procedure, pre- discharge, 30 days and 12 months from the index procedure.

Conditions

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Symptomatic Degenerative Aortic Stenosis Severe Aortic Stenosis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

This registry will include market released Portico™ valves (23mm, 25mm, 27mm and 29mm), delivery systems and loading systems. The registry will also allow future iterations of the Portico valve and delivery system along with expanded indications to be included as they receive approval for commercial use in the country where the subject is enrolled.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Portico™ Valve, Delivery System(s) and Loading System(s)

Subjects undergoing implantation of a commercially available Portico transcatheter aortic heart valve using the Portico TAVI system will be included.

Group Type EXPERIMENTAL

Portico™ Valve, Portico Delivery System(s) and Loading System(s)

Intervention Type DEVICE

Subjects will undergo implantation of a commercially available Portico transcatheter aortic heart valve using the Portico TAVI system.

Portico™ Valve, FlexNav Delivery and Loading System(s)

Subjects undergoing implantation of a commercially available Portico transcatheter aortic heart valve using the FlexNav Delivery and Loading Systems will be included.

Group Type EXPERIMENTAL

Portico™ Valve, FlexNav Delivery System(s) and Loading System(s)

Intervention Type DEVICE

Subjects will undergo implantation of a commercially available Portico transcatheter aortic heart valve using the FlexNav Delivery and Loading Systems.

Interventions

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Portico™ Valve, Portico Delivery System(s) and Loading System(s)

Subjects will undergo implantation of a commercially available Portico transcatheter aortic heart valve using the Portico TAVI system.

Intervention Type DEVICE

Portico™ Valve, FlexNav Delivery System(s) and Loading System(s)

Subjects will undergo implantation of a commercially available Portico transcatheter aortic heart valve using the FlexNav Delivery and Loading Systems.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subjects who are ≥18 years of age or legal age in host country and have been identified as a candidate for a Portico™ valve implant
2. Subjects who have been informed of the nature of the study, agree to its provisions and have provided written informed consent as approved by the Ethics Committee (EC) of the respective clinical center

Exclusion Criteria

1. Have sepsis, including active endocarditis
2. Have any evidence of left ventricular or atrial thrombus
3. Have vascular conditions (i.e. caliber, stenosis, tortuosity, or severe calcification) that make insertion and endovascular access to the aortic valve improbable
4. Have a non-calcified aortic annulus
5. Have congenital bicuspid or unicuspid leaflet configuration
6. Are unable to tolerate antiplatelet/anticoagulant therapy
7. Are pregnant at the time of signing informed consent
8. Are currently participating in a drug or device study that may impact the registry (unless prior sponsor approval for co-enrollment is granted)
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott Medical Devices

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Helge Möllmann

Role: PRINCIPAL_INVESTIGATOR

St. Johannes Hospital, Dortmund, Germany

Vinny Podichetty

Role: STUDY_DIRECTOR

Abbott Structural Heart

Locations

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Heart Care Partners- Wesley Hospital

Woolloongabba, Queensland, Australia

Site Status

AZ Middelheim

Antwerp, , Belgium

Site Status

University Hospital Olomouc

Olomouc, , Czechia

Site Status

Kliniken der Friedrich-Alexander-Universitat

Erlangen, Bavaria, Germany

Site Status

Kerckhoff-Klinik gGmbH

Bad Nauheim, , Germany

Site Status

Universitätsmedizin Berlin - Charité Campus Mitte (CCM)

Berlin, , Germany

Site Status

Universitätsmedizin Berlin - Campus Benjamin Franklin (CBF)

Berlin, , Germany

Site Status

St.-Johannes-Hospital

Dortmund, , Germany

Site Status

Herzzentrum Dresden GmbH Universitätsklinik

Dresden, , Germany

Site Status

Klinikum der Johann Wolfgang Goethe-Universität Frankfurt

Frankfurt, , Germany

Site Status

UKE Hamburg (Universitatsklinik Eppendorf)

Hamburg, , Germany

Site Status

Städtisches Klinikum Karlsruhe gGmbH Medizinischen Klinik IV

Karlsruhe, , Germany

Site Status

Universitätsmedizin der Johannes Gutenberg-Universität Mainz

Mainz, , Germany

Site Status

Charite Campus Virchow Klinikum

Mitte, , Germany

Site Status

Policlinico di Monza

Monza, Lombardy, Italy

Site Status

Ospedale San Raffaele

Milan, , Italy

Site Status

Policlinico San Donato

San Donato Milanese, , Italy

Site Status

Ospedale San Bortolo

Vicenza, , Italy

Site Status

Samodzielny Publiczny Centralny Szpital Kliniczny

Warsaw, Masovian Voivodeship, Poland

Site Status

Hospital de la Santa Creu I Sant Pau

Barcelona, Catalonia, Spain

Site Status

Hospital General Juan Ramon Jimenez

Huelva, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario Puerta de Hierro

Madrid, , Spain

Site Status

Kantonsspital Aarau

Aarau, , Switzerland

Site Status

Royal Victoria Hospital

Belfast, Ireland, United Kingdom

Site Status

James Cook University Hoospital

Middlesbrough, North East England, United Kingdom

Site Status

Morriston Hospital - ABM University Health Board

Morriston, Swansea, United Kingdom

Site Status

King's College Hospital

London, , United Kingdom

Site Status

Countries

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Australia Belgium Czechia Germany Italy Poland Spain Switzerland United Kingdom

References

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Mollmann H, Linke A, Nombela-Franco L, Sluka M, Francisco Oteo Dominguez J, Montorfano M, Kim WK, Arnold M, Vasa-Nicotera M, Fichtlscherer S, Conradi L, Camuglia A, Bedogni F, Kohli K, Manoharan G. Valve Hemodynamics by Valve Size and 1-Year Survival Following Implantation of the Portico Valve in the Multicenter CONFIDENCE Registry. Struct Heart. 2023 Nov 11;8(1):100226. doi: 10.1016/j.shj.2023.100226. eCollection 2024 Jan.

Reference Type DERIVED
PMID: 38283573 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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SJM-CIP-CL1003491

Identifier Type: -

Identifier Source: org_study_id

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