Comparison of Sutureless Vs. Standard Biological Prostheses for Surgical Aortic Valve Replacement

NCT ID: NCT03965065

Last Updated: 2020-02-20

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-02

Study Completion Date

2020-05-30

Brief Summary

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Multicenter randomised study which aims to compare sutureless Vs. standard bio- prostheses (1:1) among patients undergoing surgical aortic valve replacement in terms of:

* 6 -month hemodynamic performance.
* 6 month clinical outcomes including all cause mortality, stroke, myocardial infarction, valve reoperation and major/life threatening bleeding
* Cost effectiveness

Detailed Description

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This study is aimed to compare clinical and hemodynamic performance of conventional sutured stented bio-prostheses among patients undergoing a surgical aortic valve replacement. The prostheses are not pre specified to be provided by a specific manufacturer, so that any bio prosthesis but transcatheter and scentless aortic valves can be implanted.

The estimated sample size is 350 patients. They will be randomised 1:1 to any of the two arms of the study (standard Vs. sutureless prostheses). The randomisation will be stratified according to the need for a concomitant coronary artery bypass grafting procedure.

Six hospitals in Madrid (Spain) will take part in the study. The period of recruitment will start as soon as June 2019 and is supposed to finish by June 2020 or earlier.

The main outcomes of the study will be measured 6 months after the aortic valve implantation

Conditions

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Heart Valve Prosthesis Aortic Stenosis Hemodynamics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Block randomisation 1:1 of conventional Vs sutureless aortic bioprostheses.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Sutureless Aortic Valve Prosthesis

Patients receiving sutureless aortic valve prostheses

Group Type EXPERIMENTAL

Sutureless aortic bioprosthesis

Intervention Type DEVICE

Patients will receive a sutureless aortic bioprosthesis

Conventional Aortic Valve Prosthesis

Patients receiving conventional biological aortic prostheses

Group Type ACTIVE_COMPARATOR

Conventional stented sutured aortic prosthesis

Intervention Type DEVICE

Patients will receive a stented sutured aortic prosthesis

Interventions

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Sutureless aortic bioprosthesis

Patients will receive a sutureless aortic bioprosthesis

Intervention Type DEVICE

Conventional stented sutured aortic prosthesis

Patients will receive a stented sutured aortic prosthesis

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients older than 18
* Pure aortic stenosis or combined aortic stenosis/regurgitation
* Aortic annulus \>18 mm and \< 27 mm

Exclusion Criteria

* Pregnancy
* Willing to receive some other prosthesis
* Concomitant surgery of the ascending aorta or left ventricle outflow tract
* Endocarditis
* Emergency
* Some other concomitant procedure
* Participation in any other study
* Previous surgery
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital San Carlos, Madrid

OTHER

Sponsor Role lead

Responsible Party

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Manuel Carnero Alcazar

Adult Cardiac Surgeon, MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Manuel Carnero, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Clinico San Carlos. Madrid. Spain

Locations

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Hospital ClĂ­nico San Carlos

Madrid, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Manuel Carnero, MD, PhD

Role: CONTACT

+34913303000 ext. 3691

Facility Contacts

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Manuel Carnero, MD, PhD

Role: primary

+34913303000 ext. 3691

Other Identifiers

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19/153-R_P

Identifier Type: -

Identifier Source: org_study_id

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