Investigation of the ALLEGRA THV System With a New Delivery System in Patients With Aortic Stenosis or Failed Surgical Bioprosthesis

NCT ID: NCT05478161

Last Updated: 2025-11-17

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 137 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-24
• Study Completion Date: 2024-12-17

Brief Summary

The EMPIRE study confirms the technical performance of the new IMPERIA Delivery System and evaluates the safety and efficacy of the entire ALLEGRA THV System.

The primary endpoint is device success rate at 7 days (discharge from index procedure or 7 days post implant, whichever comes first), as defined by VARC 2.

Based on the outcomes of a study with a similar device and considering a drop-out rate of 5%, 107 patients need to be enrolled in the study.

Conditions

Transcatheter Aortic Valve Implantation

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

treatment

TAVI in severe calcified aortic stenosis or in failed surgical aortic bioprosthesis

Group Type: EXPERIMENTAL

(ALLEGRA Transcatheter Heart Valve) TAVI in severe calcified aortic stenosis or in failed surgical aortic bioprosthesis

Intervention Type: DEVICE

Implantation of the ALLEGRA Transcatheter Heart Valve in failing surgical bioprosthesis

Interventions

(ALLEGRA Transcatheter Heart Valve) TAVI in severe calcified aortic stenosis or in failed surgical aortic bioprosthesis

Implantation of the ALLEGRA Transcatheter Heart Valve in failing surgical bioprosthesis

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

1. Symptomatic severe calcific stenosis of a native aortic valve with an AVA ≤1.0 cm2 (or AVA index ≤0.6 cm2/m2), AND mean aortic pressure gradient ≥ 40mmHg OR maximal transaortic velocity ≥4.0m/s OR Doppler velocity index ≤0.25 on site-reported echocardiography OR symptomatic patients with degeneration of a surgical bioprosthetic valve (stenosis +/- insufficiency) on site-reported echocardiography

2. Local multi-disciplinary Heart Team and Central Screening Committee (CSC) agree on indication and eligibility for TAVI

3. Age ≥18 years

4. Patient has signed the Patient Informed Consent Form

5. Patient is willing and able to comply with requirements of the study, including all follow-up visits

Exclusion Criteria

General:

1. Mean aortic annulus diameter as measured by pre-procedural CT or internal diameter of the bioprosthesis is <16.5 mm or >27 mm

2. Echocardiographic evidence of intracardiac thrombus or vegetation (site-reported)

3. Significant disease of the aorta that would preclude safe advancement of the ALLEGRA THV System

4. Severe ilio-femoral vessel disease that would preclude safe placement of an 18 Fr introducer sheath or make endovascular access impossible

5. Porcelain aorta

6. Severe left ventricular dysfunction with ejection fraction (EF) <20% (site-reported)

7. Evidence of active endocarditis or other acute infections

8. Renal failure requiring continuous renal replacement therapy

9. Untreated clinically significant coronary artery disease requiring revascularization

10. Any percutaneous interventional procedure (e.g. PCI with stenting) within 14 days prior of the index procedure

11. Acute MI ≤30 days prior to the index procedure

12. Symptomatic carotid or vertebral artery disease requiring intervention or carotid/vertebral intervention within the preceding 45 days

13. Cerebrovascular accident (CVA) or transient ischemic attack (TIA) ≤6 months or prior CVA with moderate or severe disability (e.g. modified Rankin scale score >2)

14. History of bleeding diathesis or coagulopathy; acute blood dyscrasias as defined: thrombocytopenia (platelets <80,000/µl), acute anemia (hemoglobin <10 g/dl), leukopenia (WBC <3000/ µl)

15. Active peptic ulcer or gastrointestinal (GI) bleeding ≤3 months

16. Severe (greater than 3+) mitral insufficiency (site-reported)

17. Uncontrolled atrial fibrillation

18. Required emergency surgery for any reason

19. Known hypersensitivity to contrast media, which cannot be adequately pre-medicated or contraindication to anticoagulant or anti-platelet medication or to nitinol alloy or to bovine tissue

20. Life expectancy ≤12 months due to other medical illness

21. Currently participating in another investigational drug or device study

22. Pregnancy or intend to become pregnant during study participation

Specific exclusions in patients with native aortic valve disease (site-reported):

23. Unicuspid or bicuspid aortic valve

24. Non-calcified aortic stenosis

25. Predominant aortic regurgitation > grade 3

26. Distance between native aortic valve basal plane and the orifice of the lowest coronary artery <8 mm

Specific exclusions in patients with degenerated surgical bioprosthetic aortic valves (valve-in-valve) (site-reported):

27. Low position of the coronary ostia, especially in combination with shallow sinuses (high risk of coronary occlusion)

28. Partially detached leaflets that may obstruct a coronary ostium

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

NVT GmbH

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Schüchtermann Klinik

Bad Rothenfelde, Lower Saxony, Germany

Hospital Alvaro Cunqueiro

Vigo, , Spain

Countries

Germany; Spain

Other Identifiers

NVT05EMP

Identifier Type: -

Identifier Source: org_study_id