PROGRESS: Management of Moderate Aortic Stenosis by Clinical Surveillance or TAVR

NCT ID: NCT04889872

Last Updated: 2025-12-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

2250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-12

Study Completion Date

2037-06-30

Brief Summary

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This study objective is to establish the safety and effectiveness of the Edwards SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA Transcatheter Heart Valve systems in subjects with moderate, calcific aortic stenosis.

Following completion of enrollment, subjects will be eligible for enrollment in the continued access phase of the trial.

Detailed Description

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This is a prospective, randomized, controlled, multicenter study. Subjects will be randomized to either transcatheter aortic valve replacement (TAVR) with the SAPIEN 3 / SAPIEN 3 Ultra /SAPIEN 3 Ultra RESILIA THV or Clinical Surveillance.

Conditions

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Aortic Stenosis, Calcific Aortic Valve Stenosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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TAVR

Transcatheter Aortic Valve Replacement (TAVR)

Group Type EXPERIMENTAL

SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA

Intervention Type DEVICE

Patients will be implanted with a SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA heart valve

CS

Clinical Surveillance (CS)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA

Patients will be implanted with a SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA heart valve

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. 65 years of age or older at time of randomization
2. Moderate aortic stenosis
3. Subject has symptoms or evidence of cardiac damage/dysfunction
4. The subject or subject's legal representative 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 the THV
2. Anatomical characteristics that would preclude safe transfemoral placement of the introducer sheath or safe passage of the delivery system
3. Aortic valve is unicuspid or non-calcified
4. Bicuspid aortic valve with an aneurysmal ascending aorta \> 4.5 cm or severe raphe/leaflet calcification
5. Pre-existing mechanical or bioprosthetic aortic valve
6. Severe aortic regurgitation
7. Prior balloon aortic valvuloplasty to treat severe AS
8. LVEF \< 20%
9. Left ventricular outflow tract calcification that would increase the risk of annular rupture or significant paravalvular leak post-TAVR
10. Cardiac imaging evidence of intracardiac mass, thrombus, or vegetation
11. Coronary or aortic valve anatomy that increases the risk of coronary artery obstruction post-TAVR
Minimum Eligible Age

65 Years

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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Philippe Généreux, MD

Role: PRINCIPAL_INVESTIGATOR

Morristown Medical Center, Morristown, NJ, USA

Jeroen J Bax, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Leiden University Medical Center, Leiden, The Netherlands

Raj Makkar, MD

Role: PRINCIPAL_INVESTIGATOR

Cedars-Sinai Medical Center, Los Angeles, CA, USA

Locations

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Heart Center LLC, Huntsville

Huntsville, Alabama, United States

Site Status RECRUITING

Tucson Medical Center

Tucson, Arizona, United States

Site Status ACTIVE_NOT_RECRUITING

Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status RECRUITING

Huntington Hospital

Pasadena, California, United States

Site Status WITHDRAWN

Eisenhower Desert Cardiology Center

Rancho Mirage, California, United States

Site Status RECRUITING

Bay Area Structural Heart at Sutter Health

San Francisco, California, United States

Site Status RECRUITING

Kaiser San Francisco Medical Center

San Francisco, California, United States

Site Status ACTIVE_NOT_RECRUITING

University of California San Francisco

San Francisco, California, United States

Site Status RECRUITING

Santa Barbara Cottage Hospital

Santa Barbara, California, United States

Site Status RECRUITING

Stanford Univeristy

Stanford, California, United States

Site Status RECRUITING

UC Health Medical Center of the Rockies

Loveland, Colorado, United States

Site Status RECRUITING

Yale Universtiy

New Haven, Connecticut, United States

Site Status RECRUITING

The Cardiac & Vascular Institute Research Foundation

Gainesville, Florida, United States

Site Status WITHDRAWN

Baptist Health Research Center

Jacksonville, Florida, United States

Site Status RECRUITING

Sarasota Memorial Health Care System

Sarasota, Florida, United States

Site Status RECRUITING

Emory University Atlanta

Atlanta, Georgia, United States

Site Status RECRUITING

Piedmont Heart Institute

Atlanta, Georgia, United States

Site Status RECRUITING

Saint Alphonsus

Boise, Idaho, United States

Site Status RECRUITING

Rush University Medical Center

Chicago, Illinois, United States

Site Status RECRUITING

Alexian Brothers Hospital

Lisle, Illinois, United States

Site Status RECRUITING

Ascension Via Christi St. Francis

Wichita, Kansas, United States

Site Status RECRUITING

Louisiana State University

New Orleans, Louisiana, United States

Site Status RECRUITING

Ochsner Clinical Foundation

New Orleans, Louisiana, United States

Site Status ACTIVE_NOT_RECRUITING

Massachusetts General Hospital Boston

Boston, Massachusetts, United States

Site Status RECRUITING

Minneapolis Heart Institue, St. Paul's

Minneapolis, Minnesota, United States

Site Status RECRUITING

CentraCare Heart and Vascular Center

Saint Cloud, Minnesota, United States

Site Status RECRUITING

Saint Luke's Hospital of Kansas City Mid America

Kansas City, Missouri, United States

Site Status RECRUITING

St. Patrick Hospital

Missoula, Montana, United States

Site Status ACTIVE_NOT_RECRUITING

Mary Hitchcock Memorial Hospital

Lebanon, New Hampshire, United States

Site Status RECRUITING

Atlantic Health System Hospital Corp - Morristown Medical Center

Morristown, New Jersey, United States

Site Status RECRUITING

Jersey Shore University Medical Center

Neptune City, New Jersey, United States

Site Status RECRUITING

Rutgers Robert Wood Johnson Medical School

New Brunswick, New Jersey, United States

Site Status RECRUITING

The Valley Hospital

Ridgewood, New Jersey, United States

Site Status RECRUITING

University of Buffalo Kaleida Health

Buffalo, New York, United States

Site Status RECRUITING

NYU Langone Hospital - Long Island

Mineola, New York, United States

Site Status RECRUITING

NYU Langone Health

New York, New York, United States

Site Status WITHDRAWN

Columbia University Irving Medical Center/NYPH

New York, New York, United States

Site Status ACTIVE_NOT_RECRUITING

Rochester General Hospital

Rochester, New York, United States

Site Status RECRUITING

St. Francis Hospital

Roslyn, New York, United States

Site Status RECRUITING

Montefiore Medical Center

The Bronx, New York, United States

Site Status RECRUITING

Moses Cone Memorial Hospital

Greensboro, North Carolina, United States

Site Status RECRUITING

The Christ Hospital

Cincinnati, Ohio, United States

Site Status ACTIVE_NOT_RECRUITING

Mount Carmel Health System

Columbus, Ohio, United States

Site Status ACTIVE_NOT_RECRUITING

Oklahoma Heart Institute

Tulsa, Oklahoma, United States

Site Status RECRUITING

Kaiser Permanente Northwest

Clackamas, Oregon, United States

Site Status ACTIVE_NOT_RECRUITING

Providence Heart & Vascular Institute Portland

Portland, Oregon, United States

Site Status WITHDRAWN

Legacy Emanuel Medical Center

Portland, Oregon, United States

Site Status RECRUITING

Allegheny Singer Research Institute

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

UPMC Presbyterian Shadyside

Pittsburgh, Pennsylvania, United States

Site Status ACTIVE_NOT_RECRUITING

Pinnacle Health Harrisburg

Wormleysburg, Pennsylvania, United States

Site Status ACTIVE_NOT_RECRUITING

Lankenau Medical Center

Wynnewood, Pennsylvania, United States

Site Status RECRUITING

Baptist Memorial Hospital Memphis

Germantown, Tennessee, United States

Site Status RECRUITING

Methodist Le Bonheur Healthcare

Germantown, Tennessee, United States

Site Status RECRUITING

Parkwest Medical Center

Knoxville, Tennessee, United States

Site Status RECRUITING

Saint Thomas Health

Nashville, Tennessee, United States

Site Status RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

Ascension Texas Cardiovascular

Austin, Texas, United States

Site Status RECRUITING

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status RECRUITING

HCA Houston Healthcare Medical Center

Houston, Texas, United States

Site Status RECRUITING

The University of Texas Health Science Center

Houston, Texas, United States

Site Status RECRUITING

The Heart Hospital Baylor Plano

Plano, Texas, United States

Site Status RECRUITING

Methodist Hospital of San Antonio

San Antonio, Texas, United States

Site Status ACTIVE_NOT_RECRUITING

Kaiser Mid Atlantic

McLean, Virginia, United States

Site Status RECRUITING

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status RECRUITING

Swedish Medical Center

Seattle, Washington, United States

Site Status RECRUITING

The Prince Charles Hospital

Chermside, Queensland, Australia

Site Status ACTIVE_NOT_RECRUITING

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status ACTIVE_NOT_RECRUITING

Flinders Medical Centre

Bedford Park, South Australia, Australia

Site Status ACTIVE_NOT_RECRUITING

Monash Health

Clayton, Victoria, Australia

Site Status ACTIVE_NOT_RECRUITING

St. Paul's Hospital

Vancouver, British Columbia, Canada

Site Status ACTIVE_NOT_RECRUITING

Hamiton Health Services

Hamilton, Onterio, Canada

Site Status ACTIVE_NOT_RECRUITING

Kokura Memorial Hospital

Fukuoka, Kyushu, Japan

Site Status ACTIVE_NOT_RECRUITING

Sendai Kousei Hospital

Sendai, Miyagi, Japan

Site Status ACTIVE_NOT_RECRUITING

Sakakibara Heart Institute

Fuchū, Tokyo, Japan

Site Status ACTIVE_NOT_RECRUITING

Keio University Hospital

Shinjuku, Tokyo, Japan

Site Status ACTIVE_NOT_RECRUITING

AMC Amsterdam

Amsterdam, North Holland, Netherlands

Site Status ACTIVE_NOT_RECRUITING

Leiden Universitair Medisch Centrum

Leiden, South Holland, Netherlands

Site Status ACTIVE_NOT_RECRUITING

Erasmus Rotterdam

Rotterdam, South Holland, Netherlands

Site Status ACTIVE_NOT_RECRUITING

Hôpitaux Universitaire de Genève

Geneva, , Switzerland

Site Status ACTIVE_NOT_RECRUITING

Universitätsspital Zürich

Zurich, , Switzerland

Site Status WITHDRAWN

Countries

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United States Australia Canada Japan Netherlands Switzerland

Central Contacts

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Edwards THV Clinical Affairs

Role: CONTACT

949-250-2500

Other Identifiers

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2021-01

Identifier Type: -

Identifier Source: org_study_id