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SeverePARTNERII BNCT02184442

The PARTNER II Trial: Placement of AoRTic TraNscathetER Valves - PII B

A study testing TAVR Implantation with SAPIEN XT and TAVR Implantation with SAPIEN in people with Severe and Symptomatic, run by Edwards Lifesciences at 53 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to determine the safety and effectiveness of the SAPIEN XT™ THV with the associated delivery system for inoperable patients with severe symptomatic native aortic stenosis. Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Severe, Symptomatic, Calcific Aortic Stenosis
What is being tested?
TAVR Implantation with SAPIEN XT and TAVR Implantation with SAPIEN
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
560 participants
Where
53 sitesUnited States
Study dates
9 Mar 2011to 30 May 2017
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 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient was symptomatic from his/her aortic valve stenosis, as demonstrated by NYHA Functional Class II or greater.
  • The probability of death or serious, irreversible morbidity is greater than or equal to 50%.
  • The heart team agreed (and verified in the case review process) that valve implantation would likely benefit the patient.
  • The study patient or the study patient's legal representative was informed of the nature of the study, agreed to its provisions and had provided written informed consent as approved by the Institutional Review Board (IRB) of the respective clinical site.
  • The study patient agreed to comply with all required post-procedure follow-up visits including annual visits through 5 years and analysis close date visits, which was conducted as a phone follow-up.

Who cannot join

  • Aortic valve is a congenital unicuspid or congenital bicuspid valve, or is non-calcified.
  • Significant aortic disease, including marked tortuosity (hyperacute bend), aortic arch atheroma [especially if thick (> 5 mm), protruding or ulcerated] or narrowing (especially with calcification and surface irregularities) of the abdominal or thoracic aorta, severe "unfolding" and tortuosity of the thoracic aorta. (Transfemoral)
  • Currently participating in an investigational drug or another device study. Note: Trials requiring extended follow-up for products that were investigational, but have since become commercially available, are not considered investigational trials.
  • It is known that the patient is currently enrolled in the PARTNER I Trial or was withdrawn from the PARTNER I Trial prior to endpoint analysis.
  • Active bacterial endocarditis within 6 months (180 days) of procedure.

Trial locations and contacts

53 sites in 1 country.

53 sites in 1 country

United States53 sites
  • Emory University Hospital

    Atlanta, Georgia, 30308

  • Austin Heart, PLLC

    Austin, Texas, 78756

  • University of Maryland Medical Center

    Baltimore, Maryland, 21201

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Medical University of South Carolina Charleston

    Charleston, North Carolina, 29425

  • University of Virginia

    Charlottesville, Virginia, 22904

  • Northwestern Hospital

    Chicago, Illinois, 60611

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • The Christ Hospital, Cincinnati

    Cincinnati, Ohio, 45219

  • Morton Plant Hospital

    Clearwater, Florida, 33756

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • The Heart Hospital Baylor Plano

    Dallas, Texas, 75093

  • Medical City Dallas Hospital

    Dallas, Texas, 75230

  • University of Colorado Hospital

    Denver, Colorado, 80045

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • University of Florida, Gainesville

    Gainesville, Florida, 32610

  • East Carolina Heart Institute at East Carolina University

    Greenville, North Carolina, 27834

  • The University of Texas Health Science Center at Houston/Memorial Hermann Texas Medical Center

    Houston, Texas, 77030

  • Indiana University Health-Methodist Hospital

    Indianapolis, Indiana, 46202

  • The University of Iowa

    Iowa City, Iowa, 52242

  • Saint Luke's Hospital of Kansas City Mid America

    Kansas City, Missouri, 64111

  • Scripps Green Hospital

    La Jolla, California, 92037

  • Scripps Memorial Hospital

    La Jolla, California, 92037

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, 03756

  • Nebraska Heart Institute

    Lincoln, Nebraska, 68526

  • Arkansas Heart Hospital/Clinic

    Little Rock, Arkansas, 72211

  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

  • University of Louisville - Jewish Hospital

    Louisville, Kentucky, 40202

  • University of Wisconsin - Madison

    Madison, Wisconsin, 53792

  • North Shore University Hospital, NY

    Manhasset, New York, 11030

  • Baptist Memorial Hospital

    Memphis, Tennessee, 38120

  • University of Miami

    Miami, Florida, 33136

  • Winthrop University Hospital

    Mineola, New York, 11501

  • Minneapolis Heart Institute Foundation

    Minneapolis, Minnesota, 55407

  • Intermountain Medical Center

    Murray, Utah, 84157

  • Ochsner Clinic Foundation

    New Orleans, Louisiana, 70121

  • Cornell University

    New York, New York, 10021

  • Columbia University Medical Center

    New York, New York, 10032

  • Newark Beth Israel

    Newark, New Jersey, 07112

  • Sentara Norfolk General Hospital

    Norfolk, Virginia, 23507

  • Oklahoma Heart Hospital

    Oklahoma City, Oklahoma, 73135

  • University of Pennsylvania Hospital

    Philadelphia, Pennsylvania, 19104

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • William Beaumont Hospital

    Royal Oak, Michigan, 48073

  • Mercy General Hospital

    Sacramento, California, 95816

  • University of Texas Health Science Center at San Antonio (UTHSCSA)

    San Antonio, Texas, 78229-3900

  • University of Washington

    Seattle, Washington, 98195

  • Prairie Education and Research Cooperative

    Springfield, Illinois, 62701

  • Washington University - Barnes Jewish Hospital

    St Louis, Missouri, 63110

  • Stanford University Medical Center

    Stanford, California, 94305

  • Washington Hospital Center (WHC)

    Washington D.C., District of Columbia, 20010

  • York Hospital

    York, Pennsylvania, 17403

Other trials in United States

About this study

Official title: The PARTNER II Trial "Placement of AoRTic TraNscathetER" Valves Trial" (US) [PII B] for Inoperable Patients

The purpose of this study is to determine the safety and effectiveness of the SAPIEN XT™ THV with the associated delivery system for inoperable patients with severe symptomatic native aortic stenosis.

Read the detailed description

Cohort B was a 1:1 randomized, controlled study independently powered to compare transcatheter heart valve therapy with the first generation (SAPIEN™ THV) system to transcatheter heart valve therapy with the second generation (SAPIEN XT THV) system in patients who could not undergo surgery (inoperable).

Patients in the control arm of Cohort B received an Edwards SAPIEN THV with the associated delivery system while patients in the treatment arm of Cohort B received an Edwards SAPIEN XT THV with the associated delivery system.

Being tested
TAVR Implantation with SAPIEN XT, TAVR Implantation with SAPIEN
Keywords
SAPIEN, TAVR, THV, Aortic Stenosis, Heart Valve Disease, Aortic Valve, Retroflex, SAPIEN XT
Medical subject headings
Lymphoma, Follicular, Aortic Valve, Calcification of, Aortic Valve Stenosis, Heart Valve Diseases

What participants receive

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

  • TAVR Implantation with SAPIEN XTDevice

    Inoperable operable patients requiring the transcatheter aortic heart valve replacement

  • TAVR Implantation with SAPIENDevice

    Inoperable operable patients requiring the transcatheter aortic heart valve replacement

Study groups in NCT02184442
Study groupRoleWhat they receive
TAVR - SAPIEN XTExperimentalTAVR (transaortic valve replacement) with SAPIEN XT
Receives: Device: TAVR Implantation with SAPIEN XT
TAVR - SAPIENActive comparatorTAVR (transaortic valve replacement) with SAPIEN is the control arm
Receives: Device: TAVR Implantation with SAPIEN

What is being measured

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

  1. Number of Participants With All-Cause Mortality and/or Major Stroke and/or Rehospitalization

    All-Cause Mortality and/or Major Stroke and/or Rehospitalization at 1 Year

    Measured: 1 Year

Secondary outcomes (3)
  1. NYHA Classification - Change From Baseline

    New York Heart Association (NYHA), functional classification of heart failure based on how much a patient is limited during physical activity. The rating ranges from I - IV, with the lowest as no limitations and the highest unable to carry on any physical activity without discomfort.

    Measured: Baseline and 1 Year

  2. Total Aortic Regurgitation - Change From Baseline

    Total aortic regurgitation was assessed by the core lab as 'Grade 0' = None, 'Grade 1+' = Trace, 'Grade 2+' = Mild, 'Grade 3+' = Moderate, and 'Grade 4+' = Severe.

    Total regurgitation at one year was analyzed in the valve implant population.

    Measured: 1 Year

  3. Effective Orifice Area - Change From Baseline

    Measured: 1 Year

Timeline

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

  1. First posted9 Jul 2014 (estimated)
  2. Study start9 Mar 2011
  3. Primary completion1 May 2013
  4. Study completion30 May 2017

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
560 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02184442
Sponsor's protocol ID
2010-12-PIIB
Acronym
PARTNERII B
Status last verified
Aug 2018
First submitted
17 Jan 2014
Last updated
25 Sep 2018
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Shahim B, Redfors B, Lindman BR, Chen S, Dahlen T, Nazif T, Kapadia S, Gertz ZM, Crowley AC, Li D, Thourani VH, Kodali SK, Zajarias A, Babaliaros VC, Guyton RA, Elmariah S, Herrmann HC, Cohen DJ, Mack MJ, Smith CR, Leon MB, George I. Neutrophil-to-Lymphocyte Ratios in Patients Undergoing Aortic Valve Replacement: The PARTNER Trials and Registries. J Am Heart Assoc. 2022 Jun 7;11(11):e024091. doi: 10.1161/JAHA.121.024091. Epub 2022 Jun 3.

    PubMed 35656983
  • Genereux P, Pibarot P, Redfors B, Bax JJ, Zhao Y, Makkar RR, Kapadia S, Thourani VH, Mack MJ, Nazif TM, Lindman BR, Babaliaros V, Vincent F, Russo M, McCabe JM, Gillam LD, Alu MC, Hahn RT, Webb JG, Leon MB, Cohen DJ. Evolution and Prognostic Impact of Cardiac Damage After Aortic Valve Replacement. J Am Coll Cardiol. 2022 Aug 23;80(8):783-800. doi: 10.1016/j.jacc.2022.05.006. Epub 2022 May 17.

    PubMed 35595203
  • Chen S, Redfors B, O'Neill BP, Clavel MA, Pibarot P, Elmariah S, Nazif T, Crowley A, Ben-Yehuda O, Finn MT, Alu MC, Vahl TP, Kodali S, Leon MB, Lindman BR. Low and elevated B-type natriuretic peptide levels are associated with increased mortality in patients with preserved ejection fraction undergoing transcatheter aortic valve replacement: an analysis of the PARTNER II trial and registry. Eur Heart J. 2020 Feb 21;41(8):958-969. doi: 10.1093/eurheartj/ehz892.

    PubMed 31883339
  • Summers MR, Leon MB, Smith CR, Kodali SK, Thourani VH, Herrmann HC, Makkar RR, Pibarot P, Webb JG, Leipsic J, Alu MC, Crowley A, Hahn RT, Kapadia SR, Tuzcu EM, Svensson L, Cremer PC, Jaber WA. Prosthetic Valve Endocarditis After TAVR and SAVR: Insights From the PARTNER Trials. Circulation. 2019 Dec 10;140(24):1984-1994. doi: 10.1161/CIRCULATIONAHA.119.041399. Epub 2019 Nov 6.

    PubMed 31690104
  • Furer A, Chen S, Redfors B, Elmariah S, Pibarot P, Herrmann HC, Hahn RT, Kodali S, Thourani VH, Douglas PS, Alu MC, Fearon WF, Passeri J, Malaisrie SC, Crowley A, McAndrew T, Genereux P, Ben-Yehuda O, Leon MB, Burkhoff D. Effect of Baseline Left Ventricular Ejection Fraction on 2-Year Outcomes After Transcatheter Aortic Valve Replacement: Analysis of the PARTNER 2 Trials. Circ Heart Fail. 2019 Aug;12(8):e005809. doi: 10.1161/CIRCHEARTFAILURE.118.005809. Epub 2019 Aug 1.

    PubMed 31525069

Questions about this trial

What is this clinical trial studying?

A study testing TAVR Implantation with SAPIEN XT and TAVR Implantation with SAPIEN in people with Severe and Symptomatic, run by Edwards Lifesciences at 53 sites in United States.

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 5 inclusion and 5 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 25 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States. 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 14 Aug 2018). 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?

Number of Participants With All-Cause Mortality and/or Major Stroke and/or Rehospitalization (time frame: 1 Year). 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 NCT02184442, which also lists 5 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 25 Sep 2018.

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