Percutaneous Coronary Intervention Before Transcatheter Aortic Valve Implantation

NCT ID: NCT05078619

Last Updated: 2024-12-16

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

466 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-05

Study Completion Date

2029-12-01

Brief Summary

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The aim of this trial is to evaluate the safety and cost effectiveness of omission of percutaneous coronary intervention of significant coronary artery disease in patients scheduled to undergo transcatheter aortic valve implantation.

Detailed Description

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Conditions

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Valvular Heart Disease Aortic Valve Stenosis Coronary Artery Disease

Keywords

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Transcatheter aortic valve implantation Percutaneous coronary intervention

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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TAVI without routine PCI

Patients who are randomized to the experimental or index group undergo TAVI without routine PCI

Group Type EXPERIMENTAL

No PCI

Intervention Type PROCEDURE

Omission of PCI of significant coronary artery disease prior to TAVI

TAVI with routine PCI

Patients who are randomized to the control or reference group undergo TAVI with routine PCI

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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No PCI

Omission of PCI of significant coronary artery disease prior to TAVI

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Severe AoS meeting the criteria stated by the ESC in the ESC/EACTS Guidelines for the management of valvular heart disease AND considered symptomatic (NYHA functional class ≥ 2);
* TAVI decided by multidisciplinary Heart Team taken into account the international standards by ESC and guidelines of Dutch Society for Cardiology (NVVC);
* ≥ 1 stenosis in epicardial coronary artery (\> 2.5mm) or bypass graft. Stenosis is considered significant if angiographic 70-99% or angiographic 40-70% with positive hemodynamic parameters.
* Written informed consent.

Exclusion Criteria

* Unprotected LM-stenosis or equivalent
* No PCI-eligible stenosis
* Contraindication for DAPT
* Life expectancy \< 1 year
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ZonMw: The Netherlands Organisation for Health Research and Development

OTHER

Sponsor Role collaborator

UMC Utrecht

OTHER

Sponsor Role lead

Responsible Party

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Michiel Voskuil, MD, PhD

Professor in Cardiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michiel Voskuil, MD PhD

Role: PRINCIPAL_INVESTIGATOR

UMC Utrecht

Locations

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RadboudUMC

Nijmegen, Gelderland, Netherlands

Site Status

Maastricht UMC+

Maastricht, Limburg, Netherlands

Site Status

Amphia Ziekenhuis Breda

Breda, North Brabant, Netherlands

Site Status

Catharina Ziekenhuis Eindhoven

Eindhoven, North Brabant, Netherlands

Site Status

Amsterdam UMC

Amsterdam, North Holland, Netherlands

Site Status

OLVG

Amsterdam, North Holland, Netherlands

Site Status

Medisch Spectrum Twente

Enschede, Overijssel, Netherlands

Site Status

Medisch Centrum Leeuwarden

Leeuwarden, Provincie Friesland, Netherlands

Site Status

UMC Groningen

Groningen, Provincie Groningen, Netherlands

Site Status

Haga Ziekenhuis Den Haag

The Hague, South Holland, Netherlands

Site Status

Antonius Ziekenhuis Nieuwegein

Nieuwegein, Utrecht, Netherlands

Site Status

UMC Utrecht

Utrecht, Utrecht, Netherlands

Site Status

Countries

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Netherlands

References

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Aarts HM, Hemelrijk KI, Broeze GM, van Ginkel DJ, Versteeg GAA, Overduin DC, Tijssen JG, Beijk MAM, Baan J, Vis MM, Lemkes JS, de Winter RJ, Dickinson MG, Kraaijeveld AO, Mokhles MM, Dessing TC, Grundeken MJ, Claessen BEPM, Tonino PAL, Schotborgh CE, Meuwissen M, van Houwelingen GK, Wykrzykowska JJ, Amoroso G, Vossenberg TN, Vriesendorp PA, van Royen N, Ten Berg JM, Delewi R, Voskuil M. Deferral of routine percutaneous coronary intervention in patients undergoing transcatheter aortic valve implantation: Rationale and design of the PRO-TAVI trial. Am Heart J. 2025 Mar;281:133-139. doi: 10.1016/j.ahj.2024.12.003. Epub 2024 Dec 16.

Reference Type DERIVED
PMID: 39674524 (View on PubMed)

Other Identifiers

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NL77915.041.21

Identifier Type: -

Identifier Source: org_study_id