A Prospective, Multicenter, Single-arm Study to Evaluate a Transcatheter Aortic Valve System Safety and Efficacy for the Treatment of Patients With Severe Aortic Stenosis

NCT ID: NCT06136429

Last Updated: 2023-11-18

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 120 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-10-18
• Study Completion Date: 2029-12-30

Brief Summary

Trial Title: Prospective, multicenter, single-arm target value clinical trial to evaluate the safety and efficacy of a transcatheter aortic valve system in the treatment of patients with severe aortic stenosis Test device: Transcatheter aortic valve system. Pilot Phase: Clinical Validation of Class III Medical Devices. Study design: prospective, multicenter, single-group target value. Sample size: 120 cases. Intended Use: The Transcatheter Aortic Valve System is indicated for patients with a diagnosis of severe aortic stenosis by the Comprehensive Heart Team.

Objective: This clinical trial is a prospective, multicenter, single-arm study to evaluate the safety and efficacy of the transcatheter aortic valve system in the treatment of patients with severe aortic stenosis.

Primary endpoint: 12-month postoperative all-cause mortality All-cause deaths include cardiac death and non-cardiac death. Secondary Endpoints: 1. Device success rate 2. Procedural success rate 3. Delivery system performance 4. Retrieval system performance (e.g. using a recycling system) 5. Exchange system performance 6. Valvular function at Immediately postoperative, 7 days/at discharge, 30 days, 6 months, 12 months, 2-5 years follow-up: valve stenosis, regurgitation, valve function (e.g., opening area, pressure gradient), paravalvular leakage 7. Improvement in quality of life at 30 days, 6 months, 12 months postoperatively 8. Improvement in cardiac function at 7 days/at discharge, 30 days, 6 months, 12 months, 2-5 years postoperatively

Experimental design:

This trial is a prospective, multicenter, single-group clinical study with a target value to evaluate the Transcatheter Aortic Valve system Safety and efficacy in the treatment of patients with severe aortic stenosis with 12 months of All-cause mortality after transcatheter aortic valve implantation.

The mortality rate was the primary study endpoint, and after statistical assumptions and sample size calculations, 120 patients were planned to be enrolled.

Patients were clinically followed immediately after valve implantation, 7 days postoperatively/at discharge, 30 days, 6 months, 12 months, and 2-5 years postoperatively.

In this trial, all relevant clinical data were collected, sorted out and statistically analyzed by an independent data management and statistics center and a clinical monitoring institution. All enrolled subjects underwent outpatient follow-up at 30 days, 6 months, and 12 months after surgery, and performed relevant imaging examinations (ultrasound, etc.) and laboratory tests and safety evaluations, and continuous follow-up and cardiac ultrasound examinations were performed annually at 2-5 years to observe the occurrence of adverse events to evaluate the long-term safety of the transcatheter aortic valve system.

The safety and efficacy of the transcatheter aortic valve system were evaluated with the subject's 12-month postoperative all-cause mortality as the primary endpoint, and the immediate postoperative device success rate, procedural success, retrieval system performance, valve function, cardiac function improvement, quality of life improvement, all-cause mortality in different follow-up periods, major adverse cardiovascular and cerebrovascular events, myocardial infarction, stroke, hemorrhage, acute kidney injury, permanent pacemaker implantation, serious vascular complications, and other TAVR-related complications were taken as the secondary endpoints to assist in evaluating the safety and efficacy of the test product, and to provide a basis for the final official listing and domestic marketing.

Conditions

Severe Aortic Stenosis

Study Design

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

Study Groups

TAVR Treatment Group

Group Type: EXPERIMENTAL

Transcatheter aortic valve replacement

Intervention Type: PROCEDURE

Device: Transcatheter Heart Valve System (Silara SR)

Interventions

Transcatheter aortic valve replacement

Device: Transcatheter Heart Valve System (Silara SR)

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

1. Age≥ 70 years;

2. Patients with symptomatic severe aortic stenosis (mean pressure gradient across the aortic valve ≥ 40 mmHg (1 mmHg = 0.133 kPa) on echocardiography, or trans-aortic valve blood flow velocity ≥ 4.0 m/s, or aortic orifice area ≤ 1.0 cm2, or effective aortic orifice area index ≤0.6 cm2/m2)

3. NYHA Grading ≥ Level II;

4. Life expectancy of more than 1 year after implantation of the prosthetic valve;

5. Assessed by not less than two cardiothoracic surgeons, documented as a contraindication to surgery, or documented as unsuitable for conventional surgery;

6. Patients who can understand the purpose of the trial, voluntarily participate in and sign the informed consent form, and are willing to undergo relevant examinations and clinical follow-up.

Exclusion Criteria

1. The imaging data shows that it is anatomically unsuitable for transcatheter aortic valve implantation;

2. Acute myocardial infarction (defined as Q-wave myocardial infarction, or non-Q-wave myocardial infarction with CK-MB≥ twice normal and/or elevated Tn (WHO definition)) occurring within 1 month before valve implantation);

3. Received any therapeutic traumatic cardiac surgery (other than coronary revascularization) within 1 month before valve implantation;

4. Implanted prosthetic heart valves at any location, or combined with other valves with severe stenosis or severe regurgitation;

5. Hemorrhagic constitution or coagulation dysfunction (platelet PLT<50×10^9/L);

6. Haemodynamic instability requiring continuous mechanical cardiac assistance;

7. Severe left ventricular dysfunction, left ventricular ejection fraction LVEF <20%;

8. Echocardiography shows intracardiac thrombosis or vegetation, etc.;

9. Renal insufficiency decompensation (endogenous creatinine clearance rate<20ml/min);

10. Active peptic ulcer or upper gastrointestinal bleeding within 3 months;

11. Cerebrovascular events (CVAs) within 3 months before valve implantation, excluding transient ischemic attack;

12. Allergy or contraindication to antiplatelet drugs, anticoagulant drugs, or contrast agents, resulting in the inability to perform preoperative or appropriate intraoperative medication, allergies, or contraindications to polymer materials;

13. Patients with active infective endocarditis or other active infections;

14. Concurrent participation in other drug or device studies.

15. In the opinion of the investigator, it is not suitable for enrollment.

• Minimum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Pan Xiangbin

OTHER

Sponsor Role: lead

Responsible Party

Pan Xiangbin

dean

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Beijing

Beijing, , China

Site Status: RECRUITING

Countries

China

Central Contacts

TAO chunli

Role: CONTACT

taochunli@silaragroup.com

13701152794

Pan Xiangbin

Role: CONTACT

xiangbin428@hotmail.com

010-88396666

Facility Contacts

Pan Xiangbin

Role: primary

xiangbin428@hotmail.com

01088396666

Other Identifiers

Silara202301

Identifier Type: -

Identifier Source: org_study_id