Pivotal Study of the Vienna Transcatheter Self Expandable Aortic Valve SE System
NCT ID: NCT04861805
Last Updated: 2025-06-29
Study Results
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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RECRUITING
NA
267 participants
INTERVENTIONAL
2023-07-03
2030-10-31
Brief Summary
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Detailed Description
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In summary, the clinical investigation for the individual patient will end after 5 years with a full clinical evaluation. The primary study endpoints for safety and effectiveness will be reached at 30-day follow-up timepoint.
The clinical trial is completed after all 267 patients, that are not prematurely withdrawn, have completed their 5-year follow-up visit involving all specified assessments.
Conditions
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Study Design
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NA
SINGLE_GROUP
OTHER
NONE
Study Groups
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Vienna Aortic Valve
transcatheter aortic valve implantation (TAVI)
Vienna Aortic Valve SE System
Vienna Aortic Valve SE system for TAVI.
Interventions
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Vienna Aortic Valve SE System
Vienna Aortic Valve SE system for TAVI.
Eligibility Criteria
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Inclusion Criteria
2. Age ≥ 65 years at time of consent
3. Women of non-childbearing potential
4. Severe degenerative calcific native aortic valve stenosis with the following criteria assessed either by resting or dobutamine stress TTE:
1. Aortic valve area (AVA) \< 1.0 cm2 or AVA index ≤ 0.6 cm2/m2 and
2. Jet velocity \> 4.0 m/s or mean gradient \> 40 mmHg
5. Symptomatic aortic stenosis (AS), defined as a history of at least one of the following:
1. Dyspnea that qualifies at NYHA class II or greater
2. Angina pectoris
3. Cardiac syncope
6. Subject is considered at intermediate or high risk for surgical valve replacement based on at least one of the following:
1. EuroSCORE II ≥ 4% along with assessment of frailty, major organ system dysfunction, and procedure-specific impediments, in accordance with scientific guidelines
2. Agreement by the Heart Team that subject is at moderate to high operative risk of serious morbidity or mortality with surgical valve replacement.
7. The local Heart Team deems the patient to be eligible for transfemoral TAVI.
8. Perimeter-based aortic annulus diameter between ≥ 18 and ≤ 29 mm measured by computed tomography (CT) analyzed by a core lab.
9. Adequate iliofemoral access with either:
1. At least one side with minimum vessel diameter ≥ 6.0 mm and acceptable level of vessel calcification and tortuosity for safe placement of the introducer sheath, as analyzed by a core lab, OR
2. At least one side with minimum vessel diameter ≥ 5.5 and no significant calcification or severe tortuosity for safe placement of the introducer sheath, as analyzed by a core lab.
10. Patient (or legal representative) understands the study requirements and the treatment procedures and provides written informed consent.
11. The patient and the treating physician agree that the patient will return for all required post-procedure follow-up visits.
Exclusion Criteria
1. Patient has a congenital unicuspid or bicuspid aortic valve or non-calcified valves.
2. Evidence of an acute myocardial infarction (MI) ≤ 30 days prior to screening or IMD implantation (defined as Q-wave MI or non-Q-wave MI with total CK elevation ≥ twice normal in the presence of CK-MB elevation and/or troponin elevation).
3. Patient has had a cerebrovascular stroke or TIA within the past 90 days implantation prior to screening or valve implantation.
4. Patient has a hypertrophic obstructive cardiomyopathy.
5. History of any therapeutic invasive cardiac procedure (including balloon aortic valvuloplasty) within 30 days prior to screening or IMD implantation (except for pacemaker implantation which is allowed).
6. Untreated clinically significant coronary artery disease requiring revascularization at the screening visit.
7. Severe left ventricular dysfunction with left ventricular ejection fraction (LVEF) \< 20% by echocardiography, contrast ventriculography, or radionuclide ventriculography.
8. Patient with cardiogenic shock manifested by low cardiac output and hemodynamic instability and vasopressor dependence, or mechanical hemodynamic support
9. Patients with clinically significant conduction abnormalities (clinically significant sinus bradycardia, sinus block or pauses, clinically significant atrioventricular (AV)-block \>I) at screening and at time of IMD implantation.
10. Patient has severe peripheral vascular disease:
1. including aortic aneurysm defined as maximal luminal diameter \> 5 cm or with documented presence of thrombus, marked tortuosity, narrowing of the abdominal aorta, severe unfolding of the thoracic aorta or thick \[\> 5 mm\], protruding or ulcerated atheroma in the aortic arch) or
2. symptomatic carotid or vertebral disease or successful treatment of carotid stenosis within 30 days prior to screening or IMD implantation.
11. Patient with iliofemoral vessel characteristics that would preclude safe passage of the introducer (both sides), as analyzed by a core lab:
1. severe calcification,
2. severe tortuosity (\> two 90-degree bends),
3. diameter \< 6 mm, in patients with acceptable levels of calcification and acceptable levels of tortuosity
4. diameter \< 5.5, in patients with no calcification and no significant tortuosity, OR
5. subject has had an aorto-femoral bypass
12. Patient with active bacterial endocarditis within 6 months prior to screening or IMD implantation.
13. Patient has (echocardiographic/ CT and/or MRI) evidence of intra-cardiac mass, thrombus or vegetation.
14. Patient has a pre-existing prosthetic heart valve in any position (Note: mitral ring is not an exclusion).
15. Patient has severe mitral regurgitation, severe aortic regurgitation or severe tricuspid regurgitation, moderate or severe mitral stenosis.
16. Patient has a need for emergency surgery for any reason at time of screening or IMD implantation.
General:
17. Any condition considered a contraindication for placement of a bioprosthetic valve (e.g. patient with contraindication to oral antiplatelet therapy)
18. Patient with renal insufficiency (eGFR \< 30 ml/min per the Cockcroft-Gault formula) and/ or renal replacement therapy and/ or has serum creatinine level \> 3.0 mg/dL or 265 µmol/L replacement therapy at the time of screening
19. Patient with significant pulmonary disease (FEV1 \< 30%) or currently on home oxygen
20. Severe pulmonary hypertension (e.g., pulmonary artery systolic pressure ≥ 60 mmHg)
21. Patients with evidence of an active systemic infection or sepsis.
22. Patient has a known hypersensitivity or contraindication to contrast media, bovine tissue, nitinol (titanium or nickel), contraindication to oral antiplatelet therapy (aspirin, ticlopidine or clopidogrel) or heparin.
23. Patient has a haemoglobin \< 9 g/dL, platelet count \< 50,000 cells/mm3 or \> 700.000 cells/mm3, or white blood cell count \< 1.000 cells/mm3, history of bleeding diathesis or coagulopathy
24. Patient has peptic ulcer disease or history of gastrointestinal bleeding within the 3 months prior to screening or IMD implantation.
25. Patient refuses blood transfusions.
26. Patient has a life expectancy of less than 12 months due to non-cardiac, co-morbid conditions based on the assessment of the investigator at the time of enrolment (i.e. the time of informed consent).
27. Patient is pregnant or breast feeding.
28. Severe dementia (resulting in either inability to provide informed consent for the study/procedure, prevents independent lifestyle outside of a chronic care facility, or will fundamentally complicate rehabilitation from the procedure or compliance with follow-up visits).
29. Other medical, social, or psychological conditions that in the opinion of the Investigator precludes the patient from appropriate consent or adherence to the protocol required follow-up exams.
30. Patient is currently participating in another investigational drug or device study that has not reached its primary endpoint (excluding observational studies).
65 Years
ALL
No
Sponsors
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Meditrial USA Inc.
INDUSTRY
P+F Products + Features GmbH
INDUSTRY
Responsible Party
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Principal Investigators
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Alexandre Abizaid, MD
Role: PRINCIPAL_INVESTIGATOR
Instituto do Coração (InCor) de São Paulo
Carla Agatiello, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Italiano de Buenos Aires
Alejandro Alvarez Iorio, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Privado Sur (FUMEBA)
Ignacio J Amat-Santos, MD
Role: PRINCIPAL_INVESTIGATOR
University Clinical Hospital of Valladolid
Rimantas Benetis, MD
Role: PRINCIPAL_INVESTIGATOR
Lithuanian University of Health Sciences
Pedro Braga, MD
Role: PRINCIPAL_INVESTIGATOR
Unidade Local de Saúde de Gaia e Espinho
Juan Horacio A Briales, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Virgen de la Victoria
João Brito, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital de Santa Cruz
Duarte Cacela, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Santa Marta
Adriano M Caixeta, MD
Role: PRINCIPAL_INVESTIGATOR
Escola Paulista de Medicina da UNIFESP
Praveen Chandra, MD
Role: PRINCIPAL_INVESTIGATOR
Medanta - The Medicity Hospital
Christian Dauvergne, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital del Tórax de Santiago
Pedro C Ferreira, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Santa Maria
John Jose E, MD
Role: PRINCIPAL_INVESTIGATOR
Christian Medical College Hospital
Rony Mathew Kadavil, MD
Role: PRINCIPAL_INVESTIGATOR
Lisie Hospital
Gabriel Maluenda, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Clínico San Borja Arriarán
Cesar R Medeiros, MD
Role: PRINCIPAL_INVESTIGATOR
Instituto Nacional de Cardiologia
Oscar Mendiz, MD
Role: PRINCIPAL_INVESTIGATOR
Fundación Favaloro
Sanjay Mehrotra, MD
Role: PRINCIPAL_INVESTIGATOR
Narayana Health Hospital
Marcio J Montenegro Da Costa, MD
Role: PRINCIPAL_INVESTIGATOR
Instituto Estadual de Cardiologia Aloysio de Castro
Cesar Morís de La Tassa, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Universitario Central de Asturias
Luis Nombela, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital San Carlos, Madrid
Juan Oteo, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Puerta De Hierro
Lino MD Patrício, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital do Espírito Santo de Évora
Osvaldo Perez, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Las Higueras - Talcahuano
Ravinder Singh Rao, MD
Role: PRINCIPAL_INVESTIGATOR
RHL - Rajasthan Hospital
Ángel S Recalde, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Universitario Ramón y Cajal
Ander Regueiro, MD
Role: PRINCIPAL_INVESTIGATOR
Hospital Clinic of Barcelona
Lluis A Serra, MD
Role: PRINCIPAL_INVESTIGATOR
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Dimytri Siqueira, MD
Role: PRINCIPAL_INVESTIGATOR
Instituto Dante Pazzanese de Cardiologia
Hakan Ucar, MD
Role: PRINCIPAL_INVESTIGATOR
İ.A.Ü. VM Medical Park Florya Hospital
Locations
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Hospital Privado Sur (FUMEBA)
Bahía Blanca, , Argentina
Fundación Favaloro
Buenos Aires, , Argentina
Hospital Italiano De Buenos Aires
Buenos Aires, , Argentina
Instituto Nacional de Cardiologia
Rio de Janeiro, Rio de Janeiro, Brazil
Escola Paulista de Medicina da UNIFESP
São Paulo, São Paulo, Brazil
Instituto Estadual De Cardiologia Aloysio De Castro
Rio de Janeiro, , Brazil
Instituto Dante Pazzanese De Cardiologia
São Paulo, , Brazil
Instituto Do Coração (InCor) De São Paulo
São Paulo, , Brazil
Hospital Del Torax De Santiago
Santiago, , Chile
Hospital Clínico San Borja Arriarán
Santiago, , Chile
Hospital Las Higueras - Talcahuano
Talcahuano, , Chile
Narayana Health, Multispeciality Hospital
Bangalore, , India
Medanta - The Medicity Multi-Speciality Hospital
Gurgaon, , India
RHL- Rajasthan Hospital
Jaipur, , India
LISIE Hospital
Kochi, , India
Christian Medical College Hospital
Vellore, , India
Hospital of Lithuanian University of Health Sciences Kauno klinikos
Kaunas, Kaunas County, Lithuania
Hospital Santa Marta
Lisbon, Lisbon District, Portugal
Hospital Santa Maria
Lisbon, Lisbon District, Portugal
Hospital de Santa Cruz
Carnaxide, , Portugal
Unidade Local de Saúde de Gaia e Espinho
Vila Nova de Gaia, , Portugal
Hospital do Espírito Santo de Évora
Evora, Évora District, Portugal
Hospital Clinic De Barcelona
Barcelona, Barcelona, Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, Barcelona, Spain
Hospital Universitario Ramón y Cajal
Madrid, Madrid, Spain
Hospital Clinico San Carlos
Madrid, Madrid, Spain
University Clinical Hospital of Valladolid
Valladolid, Valladolid, Spain
Hospital Puerta De Hierro
Majadahonda, , Spain
Hospital Virgen De La Victoria
Málaga, , Spain
Hospital Universitario Central de Asturias
Oviedo, , Spain
İ.A.Ü. VM Medical Park Florya Hospital
Istanbul, Istanbul, Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Kasparas Briedis, Dr
Role: primary
References
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Briedis K, Rumbinaite E, Aldujeli A, Briede K, Jurenas M, Jakuska P, Jankauskas A, Ceponiene I, Lenkutis T, Plisiene J, Benetis R, Zaliunas R. One-year initial efficacy and safety outcomes of the premounted dry-pericardium Vienna self-expandable transcatheter aortic valve system: A first-in-human VIVA feasibility study. Catheter Cardiovasc Interv. 2024 Jun;103(7):1111-1124. doi: 10.1002/ccd.31039. Epub 2024 Apr 9.
Briedis K, Aldujeli A, Zaliunas R, Benetis R. Early Safety and Performance of the Premounted Dry-Pericardium Vienna Self-Expandable Transcatheter Aortic Valve System: 30-Day Outcomes of the First-in-Human VIVA Feasibility Study. Am J Cardiol. 2023 Oct 1;204:302-311. doi: 10.1016/j.amjcard.2023.07.109. Epub 2023 Aug 9.
Briedis K, Mizariene V, Rumbinaite E, Jurenas M, Aldujeli A, Briede K, Jakuska P, Jankauskas A, Ceponiene I, Lenkutis T, Zaliunas R, Benetis R. Safety and performance of the Vienna self-expandable transcatheter aortic valve system: 6-month results of the VIVA first-in-human feasibility study. Front Cardiovasc Med. 2023 Jul 13;10:1199047. doi: 10.3389/fcvm.2023.1199047. eCollection 2023.
Related Links
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Products \& Features, manufacturer of VIVA Transcatheter Aortic Valve System
Meditrial Clinical Research Organization
Other Identifiers
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CTP-VIE-001
Identifier Type: -
Identifier Source: org_study_id
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