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Aortic RegurgitationNCT01400841

HAART Model 300 Annuloplasty Ring

A study testing HAART 300 Annuloplasty Device in people with Aortic Regurgitation, run by Biostable Science & Engineering at 4 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This investigation is a prospective, non-randomized, multi-center trial to evaluate the safety and effectiveness of the HAART model 300 annuloplasty ring when used to surgically repair a leaking aortic valve using a 3-D intra-annular mounting frame Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Aortic Regurgitation
What is being tested?
HAART 300 Annuloplasty Device
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
4 sitesin 3 countries
Study dates
Jan 2012to Sep 2014
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The subject is 50 years old or older
  • The subject has a tricuspid aortic valve morphology
  • Patients with documented severe aortic insufficiency with aortic annular dilation without severe concomitant aortic stenosis
  • Patients referred to center for documented moderate to severe Chronic aortic regurgitation (AR) associated with annular dilatation with or without cusp prolapse of one, two, or all three leaflets
  • Patients with or without Sinotubular Junction (STJ) dilatation or aortic root aneurysms
  • Patients who are free of coronary disease or those with evidence of minor stable (1-2 vessel) coronary disease
Show all 10Show fewer
  • Subject is willing to comply with specified follow-up evaluations, including transesophageal echocardiography if there are inadequate images by transthoracic echocardiography (TTE) to assess the aortic valve
  • The subject has signed the written informed consent
  • The subject agrees to return for all follow-up evaluations for the duration of the study (i.e. geographically stable
  • The subject is New York Hospital Association (NYHA) class II or III

Who cannot join

  • The subject has preexisting valve prosthesis in the atrial, the mitral, pulmonary, and/or tricuspid position
  • The subject requires an additional valve replacement
  • The subject's aortic valve morphology is not tricuspid
  • The subject has active endocarditis
  • Heavily calcified valves
  • Valvular retraction with severely reduced mobility
Show all 31Show fewer
  • The subject has mixed stenosis and regurgitation of the aortic valve with predominant stenosis
  • The subject requires a repair of the mitral or tricuspid valve with the use of an annuloplasty device
  • Leukopenia
  • Acute anemia (Hb < 9mg%)
  • Platelet count <100,000 cell/mm3
  • Need for emergency surgery for any reason
  • History of bleeding diathesis or coagulopathy or the subject refuses blood transfusions
  • Active infection requiring antibiotic therapy (if temporary illness, subjects may enroll 4 weeks after discontinuation of antibiotics)
  • Subjects in whom transesophageal echocardiography (TEE) is contraindicated
  • Non elective presentation
  • Low Ejection Fraction (EF) EF < 40%
  • Life expectancy < 1 year
  • Rheumatic disease
  • The subject has severe leaflet fenestration or leaflets damaged by endocarditis
  • The subject is or will be participating in a concomitant research study of an investigational product or has participated in such a study within the 30 days prior to screening
  • The subject is a minor, an illicit drug user, alcohol abuser, prisoner, institutionalized, or is unable to give informed consent
  • The subject is pregnant or lactating
  • This patient will not agree to return to the implant center for the required number of follow-up visits or is geographically unavailable for follow-up
  • The subject has not signed and dated the study informed consent
  • Recent (within 6 months) cerebrovascular accident (CVA) or transient ischemic attack (TIA)
  • Myocardial infarction (MI) within one month of trial inclusion
  • Have a known intolerance to titanium or polyester
  • Sole therapy for correction for patients with aortic root aneurysm
  • Subjects requiring simultaneous cardiac procedures
  • The subject has asymptomatic AR and a left ventricular ejection fraction (LVEF) > 50%

Trial locations and contacts

4 sites in 3 countries.

4 sites in 3 countries

Germany2 sites
  • German Heart Institute

    Berlin, 13353

  • German Heart Center Munich

    Munich, 80636

Other trials in Germany

Belgium1 site
  • University Hospital Gasthuisberg

    Leuven, B-3000

Other trials in Belgium

Czechia1 site
  • Institut klinicke a experimantalni mediciny

    Prague, 1958/9

Other trials in Czechia

About this study

Official title: A Prospective, Non-randomized, Multi-center Trial to Evaluate the Safety and Effectiveness of the HAART Model 300 Annuloplasty Ring When Used to Surgically Repair a Leaking Aortic Valve Using a 3-D Intra-annular Mounting Frame

This investigation is a prospective, non-randomized, multi-center trial to evaluate the safety and effectiveness of the HAART model 300 annuloplasty ring when used to surgically repair a leaking aortic valve using a 3-D intra-annular mounting frame

Read the detailed description

Aortic Regurgitation, (also known as Aortic Insufficiency; AI), is the failure of the aortic valve to close completely during diastole which causes blood to flow from the aorta back into the left ventricle. Aortic Regurgitation (AR) is a frequent cause of both disability and death due to congestive heart failure, primarily in individuals forty or older, but can also occur in younger populations.

Traditionally management of aortic regurgitation has been by aortic valve replacement, however, as has been observed in patients who have had mitral valve repair, the option of maintaining ones native aortic valve versus a replacement, either bioprosthetic or mechanical, can have added multiple benefits. The advantage of repair is the avoidance of prosthetic valve-related complications with bioprosthetic valves over 10-15 years or the need for anticoagulation with mechanical valves and the related problems of this therapy. Therefore, potentially aortic valve repair is a good option for patients with AR or AI.

Being tested
HAART 300 Annuloplasty Device
Keywords
Aortic Insufficiency, Aortic Regurgitation, Aortic Valve Repair
Medical subject headings
Aortic Valve Insufficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HAART 300 Annuloplasty DeviceDevice

    Implantation of device for aortic valve repair

Study groups in NCT01400841
Study groupRoleWhat they receive
HAART 300 Annuloplasty DeviceExperimentalImplantation of HAART 300 Annuloplasty Device for aortic valve repair
Receives: Device: HAART 300 Annuloplasty Device

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary Safety Outcome Measure: Event-free Survival

    Event-free survival is defined as survival free from device-related death

    Measured: 1 month postprocedure

  2. Primary Safety Outcome Measure: Event-free Survival

    Event-free survival is defined as survival free from device-related death

    Measured: 2 years postprocedure (extended follow-up)

  3. Primary Efficacy Outcome Measure: Aortic Valvular Regurgitation at 6 Months Postprocedure

    Aortic valvular regurgitation assessed by transthoracic echocardiography and graded as None/Trace (0), Mild (1+), Moderate (2+), Moderate-to-Severe (3+), or Severe (4+)

    Measured: 6 months postprocedure

  4. Primary Efficacy Outcome Measure: Aortic Valvular Regurgitation at 2 Years Postprocedure

    Aortic valvular regurgitation assessed by transthoracic echocardiography and graded as None/Trace (0), Mild (1+), Moderate (2+), Moderate-to-Severe (3+), or Severe (4+)

    Measured: 2 years postprocedure (extended follow-up)

Secondary outcomes (27)
  1. Implant Procedure Success

    Success is defined as the absence of specified adverse events evaluated through discharge or 14 days after the procedure:

    • Aortic annular dissection, rupture, or leaflet damage
    • Paravalvular leak > +2 or requiring intervention
    • Mitral valve impingement due to implant
    • implant dehiscence/migration into aorta
    • implant dehiscence/migration into left ventricle
    • Hemodynamics requiring intervention
    • Other adverse event resulting in reoperation, explantation, or permanent disability.

    Measured: discharge or 14 days postprocedure, whichever comes first

  2. Implant Procedure Success

    Success is defined as the absence of specified adverse events evaluated through discharge or 14 days after the procedure:

    • Aortic annular dissection, rupture, or leaflet damage
    • Paravalvular leak > +2 or requiring intervention
    • Mitral valve impingement due to implant
    • implant dehiscence/migration into aorta
    • implant dehiscence/migration into left ventricle
    • Hemodynamics requiring intervention
    • Other adverse event resulting in reoperation, explantation, or permanent disability.

    Measured: 2 years postprocedure (extended follow-up)

  3. Actuarial Freedom From Clinical Cardiovascular Events

    Freedom from specified clinical cardiovascular events 1 month postprocedure:

    • Device-related mortality
    • Complete heart block
    • Structural device failure
    • Endocarditis
    • Periprosthetic leak or dehiscence
    • Thromboembolism
    • Bleeding Event
    • Native Valve Deterioration
    • Valve Thrombosis
    • Hemolysis
    • Reoperation and explant at 1 month

    Measured: 1 month postprocedure

  4. Actuarial Freedom From Clinical Cardiovascular Events

    Freedom from specified clinical cardiovascular events 2 years postprocedure:

    • Device-related mortality
    • Complete heart block
    • Structural device failure
    • Endocarditis
    • Periprosthetic leak or dehiscence
    • Thromboembolism
    • Bleeding Event
    • Native Valve Deterioration
    • Valve Thrombosis
    • Hemolysis
    • Reoperation and explant at 2 years

    Measured: 2 years postprocedure

  5. Event-free Survival

    Event-free survival is defined as survival free from device-related death

    Measured: 6 months postprocedure

  6. New York Heart Association (NYHA) Functional Capacity Classification

    Four classes describing the effect of cardiac disease on physical activity: Class I - disease does not limit activity; Class II - slight limitation; Class III - marked limitation; Class IV - inability to carry out any physical activity without discomfort

    Measured: 6 months postprocedure

  7. New York Heart Association (NYHA) Functional Capacity Classification

    Four classes describing the effect of cardiac disease on physical activity: Class I - disease does not limit activity; Class II - slight limitation; Class III - marked limitation; Class IV - inability to carry out any physical activity without discomfort

    Measured: 2 years postprocedure (extended follow-up)

  8. Peak Gradient - Change From Baseline

    Transthoracic echocardiography parameter

    Measured: Baseline, 6 months postprocedure

  9. Peak Gradient - Change From Baseline

    Transthoracic echocardiography parameter

    Measured: Baseline, 2 years postprocedure (extended follow-up)

  10. Mean Gradient - Change From Baseline

    Transthoracic echocardiography parameter

    Measured: Baseline, 6 months postprocedure

  11. Mean Gradient - Change From Baseline

    Transthoracic echocardiography parameter

    Measured: Baseline, 2 years postprocedure (extended follow-up)

  12. LV Mass - Change From Baseline

    Left ventricular mass. Transthoracic echocardiography parameter.

    Measured: Baseline, 6 months postprocedure

  13. LV Mass - Change From Baseline

    Left ventricular mass. Transthoracic echocardiography parameter.

    Measured: Baseline, 2 years postprocedure (extended follow-up)

  14. LVID Diastole - Change From Baseline

    Left ventricular internal dimension. Transthoracic echocardiography parameter.

    Measured: Baseline, 6 months postprocedure

  15. LVID Diastole - Change From Baseline

    Left ventricular internal dimension. Transthoracic echocardiography parameter.

    Measured: Baseline, 2 years postprocedure (extended follow-up)

  16. LVID Systole - Change From Baseline

    Left ventricular internal dimension. Transthoracic echocardiography parameter.

    Measured: Baseline, 6 months postprocedure

  17. LVID Systole - Change From Baseline

    Left ventricular internal dimension. Transthoracic echocardiography parameter.

    Measured: Baseline, 2 years postprocedure (extended follow-up)

  18. LV Diastolic Volume - Change From Baseline

    Left ventricular diastolic volume. Transthoracic echocardiography parameter.

    Measured: Baseline, 6 months postprocedure

  19. LV Diastolic Volume - Change From Baseline

    Left ventricular diastolic volume. Transthoracic echocardiography parameter.

    Measured: Baseline, 2 years postprocedure (extended follow-up)

  20. LV Systolic Volume - Change From Baseline

    Left ventricular systolic volume. Transthoracic echocardiography parameter.

    Measured: Baseline, 6 months postprocedure

  21. LV Systolic Volume - Change From Baseline

    Left ventricular systolic volume. Transthoracic echocardiography parameter.

    Measured: Baseline, 2 years postprocedure (extended follow-up)

  22. LVEF - Change From Baseline

    Left ventricular ejection fraction. Transthoracic echocardiography parameter.

    Measured: Baseline, 6 months postprocedure

  23. LVEF - Change From Baseline

    Left ventricular ejection fraction. Transthoracic echocardiography parameter.

    Measured: Baseline, 2 years postprocedure (extended follow-up)

  24. Cardiac Output - Change From Baseline

    Stroke volume x heart rate. Transthoracic echocardiography parameter.

    Measured: Baseline, 6 months postprocedure

  25. Cardiac Output - Change From Baseline

    Stroke volume x heart rate. Transthoracic echocardiography parameter.

    Measured: Baseline, 2 years postprocedure (extended follow-up)

  26. Cardiac Index - Change From Baseline

    Hemodynamic parameter computed as cardiac output divided by body surface area

    Measured: Baseline, 6 months postprocedure

  27. Cardiac Index - Change From Baseline

    Hemodynamic parameter computed as cardiac output divided by body surface area

    Measured: Baseline, 2 years postprocedure (extended follow-up)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jul 2011 (estimated)
  2. Study startJan 2012
  3. Primary completionApr 2013
  4. Study completionSep 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01400841
Sponsor's protocol ID
BSE 300
Other IDs
TP-01-013, TP-01-023
Status last verified
Nov 2016
First submitted
21 Jul 2011
Last updated
13 Jan 2017
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Mazzitelli D, Fischlein T, Rankin JS, Choi YH, Stamm C, Pfeiffer S, Pirk J, Detter C, Kroll J, Beyersdorf F, Griffin CD, Shrestha M, Nobauer C, Crooke PS, Schreiber C, Lange R. Geometric ring annuloplasty as an adjunct to aortic valve repair: clinical investigation of the HAART 300 device. Eur J Cardiothorac Surg. 2016 Mar;49(3):987-93. doi: 10.1093/ejcts/ezv234. Epub 2015 Jul 8.

    PubMed 26156945
  • Mazzitelli D, Stamm C, Rankin JS, Pfeiffer S, Fischlein T, Pirk J, Choi YH, Detter C, Kroll J, Beyersdorf F, Shrestha M, Schreiber C, Lange R. Leaflet reconstructive techniques for aortic valve repair. Ann Thorac Surg. 2014 Dec;98(6):2053-60. doi: 10.1016/j.athoracsur.2014.06.052. Epub 2014 Dec 1.

    PubMed 25468084
  • Mazzitelli D, Stamm C, Rankin JS, Nobauer C, Pirk J, Meuris B, Crooke PS, Wagner A, Beavan LA, Griffin CD, Powers D, Nasseri B, Schreiber C, Hetzer R, Lange R. Hemodynamic outcomes of geometric ring annuloplasty for aortic valve repair: a 4-center pilot trial. J Thorac Cardiovasc Surg. 2014 Jul;148(1):168-75. doi: 10.1016/j.jtcvs.2013.08.031. Epub 2013 Oct 8.

    PubMed 24113022
  • Mazzitelli D, Nobauer C, Rankin JS, Badiu CC, Dorfmeister M, Crooke PS, Wagner A, Schreiber C, Lange R. Early results of a novel technique for ring-reinforced aortic valve and root restoration. Eur J Cardiothorac Surg. 2014 Mar;45(3):426-30. doi: 10.1093/ejcts/ezt407. Epub 2013 Aug 19.

    PubMed 23959743

Questions about this trial

What is this clinical trial studying?

A study testing HAART 300 Annuloplasty Device in people with Aortic Regurgitation, run by Biostable Science & Engineering at 4 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Germany, Belgium, Czechia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Nov 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary Safety Outcome Measure: Event-free Survival (time frame: 1 month postprocedure). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01400841, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jan 2017.

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