Aortic StenosisP3NCT02675114
PARTNER 3 Trial: Safety and Effectiveness of the SAPIEN 3 Transcatheter Heart Valve in Low Risk Patients With Aortic Stenosis
A study testing SAVR and SAPIEN 3 THV in people with Aortic Stenosis, run by Edwards Lifesciences at 77 sites in 5 countries.
Trial summary
To establish the safety and effectiveness of the Edwards SAPIEN 3 Transcatheter Heart Valve (THV) in patients with severe, calcific aortic stenosis who are at low operative risk for standard aortic valve replacement. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Aortic Stenosis
- What is being tested?
- SAVR and SAPIEN 3 THV
- Type of treatment
- Medical device, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,000 participants
- Where
- 77 sitesin 5 countries
- Study dates
- Mar 2016to Dec 2029
- 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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Severe, calcific aortic stenosis
- New York Heart Association Functional Class ≥ 2 OR exercise tolerance test that demonstrates a limited exercise capacity, abnormal BP response, or arrhythmia OR asymptomatic with Left Ventricular Ejection Fraction (LVEF) <50%
- Heart team agrees the patient has a risk of operative mortality and has an Society of Thoracic Surgeons (STS) score < 4
- The study patient has been informed of the nature of the study, agrees to its provisions and has provided written informed consent.
Who cannot join
- Native aortic annulus size unsuitable for sizes 20, 23, 26, or 29 mm transcatheter heart valve
- Iliofemoral vessel characteristics that would preclude safe passage of the introducer sheath
- Evidence of an acute myocardial infarction ≤ 30 days before randomization
- Aortic valve is unicuspid, bicuspid, or non-calcified
- Severe aortic regurgitation (>3+)
- Severe mitral regurgitation (>3+) ≥ moderate stenosis
Show all 34Show fewer
- Pre-existing mechanical or bioprosthetic valve in any position
- Complex coronary artery disease:
- Unprotected left main coronary artery
- Syntax score > 32
- Heart Team assessment that optimal revascularization cannot be performed
- Symptomatic carotid or vertebral artery disease or successful treatment of carotid stenosis within 30 days of randomization
- Leukopenia, anemia, thrombocytopenia, history of bleeding diathesis or coagulopathy, or hypercoagulable states
- Hemodynamic or respiratory instability requiring inotropic support, mechanical ventilation or mechanical heart assistance within 30 days of randomization
- Hypertrophic cardiomyopathy with obstruction
- Ventricular dysfunction with LVEF < 30%
- Cardiac imaging evidence of intracardiac mass, thrombus or vegetation
- Inability to tolerate or condition precluding treatment with antithrombotic/anticoagulation therapy during or after the valve implant procedure
- Stroke or transient ischemic attack within 90 days of randomization
- Renal insufficiency and/or renal replacement therapy at the time of screening.
- Active bacterial endocarditis within 180 days of randomization
- Severe lung disease or currently on home oxygen
- Severe pulmonary hypertension
- History of cirrhosis or any active liver disease
- Significant frailty as determined by the Heart Team
- Significant abdominal or thoracic aortic disease that would preclude safe passage of the delivery system or cannulation and aortotomy for surgical aortic valve replacement
- Hostile chest or conditions or complications from prior surgery that would preclude safe reoperation
- Patient refuses blood products
- Body mass index > 50 kg/m2
- Estimated life expectancy < 24 months
- Absolute contraindications or allergy to iodinated contrast that cannot be adequately treated with pre-medication
- Immobility that would prevent completion of study procedures
- Patient is not a candidate for both arms of the study
- Currently participating in an investigational drug or another device study.
Trial locations and contacts
77 sites in 5 countries.
77 sites in 5 countries
United States68 sites
Albany
Albany, New York, 12208
Emory University
Atlanta, Georgia, 30322
JFK Medical Center / Atlantic Clinical Research Collaborative
Atlantis, Florida, 33462
Central Maine Medical Center
Auburn, Maine, 04210
Austin Heart
Austin, Texas, 78756
University of Alabama
Birmingham, Alabama, 35294
Brigham and Women's Hospital
Boston, Massachusetts, 02115
University of Buffalo
Buffalo, New York, 14203
Mills/Peninsula Health Services
Burlingame, California, 94010
Carolina's Health System
Charlotte, North Carolina, 28203
UPR - Novant Health Heart and Vascular Institution
Charlotte, North Carolina, 28204
University of Virginia
Charlottesville, Virginia, 22904
Northwestern University
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60612
The Christ Hospital, Cincinnati
Cincinnati, Ohio, 45219
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Mount Carmel Health System
Columbus, Ohio, 43213
Medical City Dallas Hospital
Dallas, Texas, 75230
Henry Ford Hospital
Detroit, Michigan, 48202
NorthShore University HealthSystem Research Institute
Evanston, Illinois, 60201
Fairfax INOVA
Falls Church, Virginia, 22042
University of Florida, Gainesville
Gainesville, Florida, 32610
Hartford
Hartford, Connecticut, 06102
The Queen's Medical Center
Honolulu, Hawaii, 96813
The University of Texas Health Science Center at Houston
Houston, Texas, 77030
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
Saint Luke's Hospital of Kansas City Mid America
Kansas City, Missouri, 64111
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Nebraska Heart Institute
Lincoln, Nebraska, 68526
Cedars-Sinai Medical Center
Los Angeles, California, 90048
University of California, Los Angeles/Ronald Reagan Medical Center
Los Angeles, California, 90095
UC Health Northern Colorado/Medical Center of the Rockies
Loveland, Colorado, 80538
University of Wisconsin
Madison, Wisconsin, 53792
Baptist Memorial Hospital
Memphis, Tennessee, 38120
Mount Sinai Medical Center
Miami Beach, Florida, 33140
Winthrop-University Hospital
Mineola, New York, 11501
University of Minnesota Medical Center
Minneapolis, Minnesota, 55455
Morristown Medical Center / Atlantic Health System Hospital
Morristown, New Jersey, 07962
Saint Thomas Health Services
Nashville, Tennessee, 37205
UPR - Louisiana State University Health Science Center
New Orleans, Louisiana, 70112
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
NYU Medical Center
New York, New York, 10016
Cornell University
New York, New York, 10021
Columbia University Medical Center/ New York Presbyterian Hospital
New York, New York, 10032
Newark Beth Israel
Newark, New Jersey, 07112
Hoag Hospital
Newport Beach, California, 92663
Sentara Cardiovascular Research Institute
Norfolk, Virginia, 23507
Oklahoma Cardiovascular Research Group
Oklahoma City, Oklahoma, 73120
Florida Hospital
Orlando, Florida, 32803
Stanford Hospital and Clinics
Palo Alto, California, 94305
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Banner University Medical Center
Phoenix, Arizona, 85006
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
The Heart Hosptial Baylor Plano
Plano, Texas, 75093
Providence Heart & Vascular Institute
Portland, Oregon, 97225
Rex Hospital / NC Heart and Vascular Research
Raleigh, North Carolina, 27607
Mayo Clinic
Rochester, Minnesota, 55905
William Beaumont Hospital
Royal Oak, Michigan, 48073
Sutter Health Sacramento
Sacramento, California, 95816
Intermountain Medical Center
Salt Lake City, Utah, 84157
Kaiser Permanente San Francisco
San Francisco, California, 94115
University of Washington
Seattle, Washington, 98195
Prairie Education and Research Cooperative
Springfield, Illinois, 62701
Barnes-Jewish Hospital / Washington University
St Louis, Missouri, 63110
UPR-Oklahoma Heart Institute
Tulsa, Oklahoma, 74104
Cardiovascular Research Institute of Kansas
Wichita, Kansas, 67226
Lankenau Medical Center
Wynnewood, Pennsylvania, 19096
York Hospital
York, Pennsylvania, 17403
Japan5 sites
Kokura Memorial Hospital
Kitakyushu, Fukuoka, 802-8555
Sendai Kousei Hospital
Sendai, Miyagi, 980-0873
Keio University
Shinjuku, Tokyo, 160-8582
Osaka University
Suita, Osaka, 565-0871
Teikyo University
tabashi City, Tokyo, 173-8606
Australia2 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Flinders Medical Centre
Bedford Park, South Australia, 5042
About this study
Official title: A Prospective, Randomized, Controlled, Multi-Center Study to Establish the Safety and Effectiveness of the SAPIEN 3 Transcatheter Heart Valve in Low Risk Patients Who Have Severe, Calcific, Aortic Stenosis Requiring Aortic Valve Replacement
To establish the safety and effectiveness of the Edwards SAPIEN 3 Transcatheter Heart Valve (THV) in patients with severe, calcific aortic stenosis who are at low operative risk for standard aortic valve replacement.
Read the detailed description
Prospective, randomized, controlled, multi-center trial. Patients having an operative mortality < 4% (low operative risk) for surgical aortic valve replacement will be randomized 1:1 to receive either transcatheter heart valve replacement (TAVR) with the Edwards SAPIEN 3 or aortic valve replacement with a commercially available surgical bioprosthetic valve. Patients will be seen for follow-up visits at discharge, 30 days, 6 months, and annually through 10 years.
A subset of PARTNER 3 randomized patients will be enrolled in the Actigraphy/Quality of Life. Additional patients will be enrolled in either the Bicuspid Registry, Underrepresented Populations Registry (UPR) or the Alternative Access Registry.
- Conditions
- Aortic Stenosis
- Being tested
- SAVR, SAPIEN 3 THV
- Keywords
- SAPIEN 3, cardiovascular disease, heart disease, aortic stenosis, Surgical aortic valve replacement (SAVR), Transcatheter aortic valve replacement (TAVR)
- Medical subject headings
- Aortic Valve Stenosis, Cardiovascular Diseases, Heart Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SAVRProcedure or surgery
SAVR with a commercially available bioprosthetic valve.
SAPIEN 3 THVDevice
TAVR with the Edwards SAPIEN 3 Transcatheter Heart Valve and Edwards Commander Delivery System
| Study group | Role | What they receive |
|---|---|---|
| Surgical aortic valve replacement (SAVR) | Active comparator | Not described Receives: Procedure: SAVR |
| Transcatheter aortic valve replacement (TAVR) | Experimental | Not described Receives: Device: SAPIEN 3 THV |
What is being measured
The primary outcome is the main question the study is designed to answer.
All-cause Mortality, All Stroke, and Rehospitalization (Valve-related or Procedure-related and Including Heart Failure)
Number of patients that had any of these events
Measured: 1 year
Secondary outcomes (5)
New Onset Atrial Fibrillation
Number of patients with this event
Measured: 30 days
Length of Index Hospitalization
Number of days from index procedure to discharge
Measured: Discharge (expected average of 7 days)
Death, Kansas City Cardiomyopathy Questionnaire (KCCQ) Score < 45 or KCCQ Score Decrease ≥ 10 Points
Number of patients that had any of these events
Measured: 30 days
Death or Stroke
Number of patients that died or had a stroke
Measured: 30 days
All Stroke
Number of patients that had a stroke
Measured: 30 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Feb 2016 (estimated)
- Study startMar 2016
- Primary completion16 Nov 2020
- Study completionDec 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (15)Papers the sponsor has linked to this study.
- Other trials for Aortic StenosisStudies of the same condition, open and under way.
- More trials run by Edwards LifesciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 1,000 participants (actual)
Sponsor and investigators
- Lead sponsor
- Edwards Lifesciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Martin B Leon, MD, FACC, Principal investigator, Columbia University Medical Center/ New York Presbyterian Hospital, NYMichael J Mack, MD, FACC, Principal investigator, The Heart Hospital Baylor Plano, TX
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02675114
- Sponsor's protocol ID
- 2015-08
- Acronym
- P3
- Status last verified
- Dec 2025
- First submitted
- 22 Jan 2016
- Last updated
- 14 Jan 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Publications
Brener MI, Cohen DJ, Kodali SK, Hahn RT, Thourani VH, Makkar RR, Pibarot P, Yu X, Lubich B, Mack MJ, Leon MB, Arnold SV. Health Status Outcomes 7 Years After Transcatheter or Surgical Aortic Valve Replacement in Low-Surgical Risk Patients With Aortic Stenosis. J Am Coll Cardiol. 2026 Jul 17:S0735-1097(26)06898-1. doi: 10.1016/j.jacc.2026.06.022. Online ahead of print.
PubMed 42524810Madhavan MV, Mack MJ, Pibarot P, Hahn RT, Makkar R, Thourani VH, Kodali SK, Kapadia SR, Genereux P, Babaliaros V, Alu MC, Lubich B, Leon MB, Cohen DJ; PARTNER 3 Investigators. Impact of Aortic Annulus Size on Outcomes After Aortic Valve Replacement: The PARTNER 3 Trial. JACC Cardiovasc Interv. 2026 Jul 27;19(14):1944-1955. doi: 10.1016/j.jcin.2026.05.023.
PubMed 42508852Ternacle J, Hahn RT, Silva I, Alperi A, Giuliani C, Zanuttini A, Theron A, Dahou A, Cristell N, Woods T, Guzzetti E, Turgeon PY, Bernier M, Mahjoub H, Paquin A, Skaf S, Beaudoin J, Kodali SK, Russo M, Kapadia SR, Malaisrie SC, Cohen DJ, Leipsic J, Blanke P, Williams MR, McCabe JM, Brown DL, Babaliaros V, Goldman S, Szeto WY, Genereux P, Pershad A, Nazif TM, Zhang Y, Gunnarsson M, Webb JG, Makkar RR, Thourani VH, Mack MJ, Leon MB, Pibarot P; PARTNER 3 Investigators. Seven-Year Valve Durability With Transcatheter or Surgical Aortic Valve Replacement: An Ad Hoc Analysis of the PARTNER 3 Randomized Clinical Trial. JAMA Cardiol. 2026 Aug 1;11(8):747-757. doi: 10.1001/jamacardio.2026.2299.
PubMed 42340728Leon MB, Mack MJ, Pibarot P, Hahn RT, Thourani VH, Kodali SH, Genereux P, Kapadia SR, Cohen DJ, Pocock SJ, Zhang Y, Szerlip M, Ternacle J, Malaisrie SC, Herrmann HC, Szeto WY, Russo MJ, Babaliaros V, Nazif T, Webb JG, Makkar RR; PARTNER 3 Investigators. Transcatheter or Surgical Aortic-Valve Replacement in Low-Risk Patients at 7 Years. N Engl J Med. 2026 Feb 19;394(8):773-783. doi: 10.1056/NEJMoa2509766. Epub 2025 Oct 27.
PubMed 41144631Hahn RT, Ternacle J, Silva I, Giuliani C, Zanuttini A, Theron A, Cristell N, Bernier M, Skaf S, Beaudoin J, Kodali SK, Russo M, Kapadia SR, Malaisrie CS, Cohen DJ, Leipsic J, Blanke P, Williams MR, McCabe JM, Brown DL, Babaliaros V, Goldman S, Szeto WY, Genereux P, Pershad A, Park B, Gunnarsson M, Webb JG, Smith CR, Makkar R, Thourani VH, Mack MJ, Leon MB, Pibarot P; PARTNER 3 Investigators. 5-Year Echocardiographic Results of Transcatheter Versus Surgical Aortic Valve Replacement in Low-Risk Patients. JACC Cardiovasc Imaging. 2025 Jun;18(6):625-640. doi: 10.1016/j.jcmg.2025.01.015. Epub 2025 Apr 16.
PubMed 40243974Mack MJ, Leon MB, Thourani VH, Pibarot P, Hahn RT, Genereux P, Kodali SK, Kapadia SR, Cohen DJ, Pocock SJ, Lu M, White R, Szerlip M, Ternacle J, Malaisrie SC, Herrmann HC, Szeto WY, Russo MJ, Babaliaros V, Smith CR, Blanke P, Webb JG, Makkar R; PARTNER 3 Investigators. Transcatheter Aortic-Valve Replacement in Low-Risk Patients at Five Years. N Engl J Med. 2023 Nov 23;389(21):1949-1960. doi: 10.1056/NEJMoa2307447. Epub 2023 Oct 24.
PubMed 37874020Genereux P, Cohen DJ, Pibarot P, Redfors B, Bax JJ, Zhao Y, Prince H, Makkar RR, Kapadia S, Thourani VH, Mack MJ, Nazif TM, Lindman BR, Babaliaros V, Russo M, McCabe JM, Gillam LD, Alu MC, Hahn RT, Webb JG, Leon MB, Arnold SV. Cardiac Damage and Quality of Life After Aortic Valve Replacement in the PARTNER Trials. J Am Coll Cardiol. 2023 Feb 28;81(8):743-752. doi: 10.1016/j.jacc.2022.11.059.
PubMed 36813373Kuck KH, Leidl R, Frankenstein L, Wahlers T, Sarmah A, Candolfi P, Shore J, Green M. Cost-Effectiveness of SAPIEN 3 Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement in German Severe Aortic Stenosis Patients at Low Surgical Mortality Risk. Adv Ther. 2023 Mar;40(3):1031-1046. doi: 10.1007/s12325-022-02392-y. Epub 2023 Jan 9.
PubMed 36622552Genereux 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 35595203Ternacle J, Al-Azizi K, Szerlip M, Potluri S, Hamandi M, Blanke P, Leipsic J, Dahou A, Salaun E, Vincent F, Rogers E, Alu MC, Lu M, Yu X, Thourani VH, Hahn RT, Leon MB, Pibarot P, Mack MJ. Impact of Predilation During Transcatheter Aortic Valve Replacement: Insights From the PARTNER 3 Trial. Circ Cardiovasc Interv. 2021 Jul;14(7):e010336. doi: 10.1161/CIRCINTERVENTIONS.120.010336. Epub 2021 Jun 18.
PubMed 34139864Herrmann HC, Cohen DJ, Hahn RT, Babaliaros VC, Yu X, Makkar R, McCabe J, Szerlip M, Kapadia S, Russo M, Malaisrie SC, Webb JG, Szeto WY, Kodali S, Thourani VH, Mack MJ, Leon MB. Utilization, Costs, and Outcomes of Conscious Sedation Versus General Anesthesia for Transcatheter Aortic Valve Replacement. Circ Cardiovasc Interv. 2021 Jul;14(7):e010310. doi: 10.1161/CIRCINTERVENTIONS.120.010310. Epub 2021 Jun 16.
PubMed 34130476Leon MB, Mack MJ, Hahn RT, Thourani VH, Makkar R, Kodali SK, Alu MC, Madhavan MV, Chau KH, Russo M, Kapadia SR, Malaisrie SC, Cohen DJ, Blanke P, Leipsic JA, Williams MR, McCabe JM, Brown DL, Babaliaros V, Goldman S, Herrmann HC, Szeto WY, Genereux P, Pershad A, Lu M, Webb JG, Smith CR, Pibarot P; PARTNER 3 Investigators. Outcomes 2 Years After Transcatheter Aortic Valve Replacement in Patients at Low Surgical Risk. J Am Coll Cardiol. 2021 Mar 9;77(9):1149-1161. doi: 10.1016/j.jacc.2020.12.052.
PubMed 33663731Pibarot P, Salaun E, Dahou A, Avenatti E, Guzzetti E, Annabi MS, Toubal O, Bernier M, Beaudoin J, Ong G, Ternacle J, Krapf L, Thourani VH, Makkar R, Kodali SK, Russo M, Kapadia SR, Malaisrie SC, Cohen DJ, Leipsic J, Blanke P, Williams MR, McCabe JM, Brown DL, Babaliaros V, Goldman S, Szeto WY, Genereux P, Pershad A, Alu MC, Xu K, Rogers E, Webb JG, Smith CR, Mack MJ, Leon MB, Hahn RT; PARTNER 3 Investigators. Echocardiographic Results of Transcatheter Versus Surgical Aortic Valve Replacement in Low-Risk Patients: The PARTNER 3 Trial. Circulation. 2020 May 12;141(19):1527-1537. doi: 10.1161/CIRCULATIONAHA.119.044574. Epub 2020 Apr 10.
PubMed 32272848Mack MJ, Leon MB, Thourani VH, Makkar R, Kodali SK, Russo M, Kapadia SR, Malaisrie SC, Cohen DJ, Pibarot P, Leipsic J, Hahn RT, Blanke P, Williams MR, McCabe JM, Brown DL, Babaliaros V, Goldman S, Szeto WY, Genereux P, Pershad A, Pocock SJ, Alu MC, Webb JG, Smith CR; PARTNER 3 Investigators. Transcatheter Aortic-Valve Replacement with a Balloon-Expandable Valve in Low-Risk Patients. N Engl J Med. 2019 May 2;380(18):1695-1705. doi: 10.1056/NEJMoa1814052. Epub 2019 Mar 16.
PubMed 30883058Leipsic J, Bax JJ, Webb JG, Martin R, Blanke P. Trials Testing the Value of Imaging Use in Valve Disease and in Transcatheter Valvular Interventions. JACC Cardiovasc Imaging. 2017 Mar;10(3):286-295. doi: 10.1016/j.jcmg.2016.09.031.
PubMed 28279376
Study at a glance
From the registry record, last updated by the sponsor on 14 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Randomized, Controlled, Multi-Center Study to Establish the Safety and Effectiveness of the SAPIEN 3 Transcatheter Heart Valve in Low Risk Patients Who Have Severe, Calcific, Aortic Stenosis Requiring Aortic Valve Replacement
- ClinicalTrials.gov ID
- NCT02675114
- Acronym / sponsor ID
- P3 / 2015-08
- Conditions
- Aortic Stenosis
- Keywords
- SAPIEN 3, cardiovascular disease, heart disease, aortic stenosis, Surgical aortic valve replacement (SAVR), Transcatheter aortic valve replacement (TAVR)
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,000 participants (actual)
- Lead sponsor
- Edwards LifesciencesIndustry (pharma, biotech, devices)
- Study start
- Mar 2016 (actual)
- Primary completion
- 16 Nov 2020 (actual)
- Study completion
- Dec 2029 (estimated)
- First posted
- 5 Feb 2016 (estimated)
- Results
- Posted 2 Dec 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To establish the safety and effectiveness of the Edwards SAPIEN 3 Transcatheter Heart Valve (THV) in patients with severe, calcific aortic stenosis who are at low operative risk for standard aortic valve replacement.
Detailed description
Prospective, randomized, controlled, multi-center trial. Patients having an operative mortality < 4% (low operative risk) for surgical aortic valve replacement will be randomized 1:1 to receive either transcatheter heart valve replacement (TAVR) with the Edwards SAPIEN 3 or aortic valve replacement with a commercially available surgical bioprosthetic valve. Patients will be seen for follow-up visits at discharge, 30 days, 6 months, and annually through 10 years.
A subset of PARTNER 3 randomized patients will be enrolled in the Actigraphy/Quality of Life. Additional patients will be enrolled in either the Bicuspid Registry, Underrepresented Populations Registry (UPR) or the Alternative Access Registry.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Surgical aortic valve replacement (SAVR) | Active comparator | Procedure: SAVR |
| Transcatheter aortic valve replacement (TAVR) | Experimental | Device: SAPIEN 3 THV |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Severe, calcific aortic stenosis
- New York Heart Association Functional Class ≥ 2 OR exercise tolerance test that demonstrates a limited exercise capacity, abnormal BP response, or arrhythmia OR asymptomatic with Left Ventricular Ejection Fraction (LVEF) <50%
- Heart team agrees the patient has a risk of operative mortality and has an Society of Thoracic Surgeons (STS) score < 4
- The study patient has been informed of the nature of the study, agrees to its provisions and has provided written informed consent.
Key exclusion criteria (34 listed)
- Native aortic annulus size unsuitable for sizes 20, 23, 26, or 29 mm transcatheter heart valve
- Iliofemoral vessel characteristics that would preclude safe passage of the introducer sheath
- Evidence of an acute myocardial infarction ≤ 30 days before randomization
- Aortic valve is unicuspid, bicuspid, or non-calcified
- Severe aortic regurgitation (>3+)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SAVRSAVR with a commercially available bioprosthetic valve. | Procedure or surgery | Surgical aortic valve replacement (SAVR) |
| SAPIEN 3 THVTAVR with the Edwards SAPIEN 3 Transcatheter Heart Valve and Edwards Commander Delivery System | Device | Transcatheter aortic valve replacement (TAVR) |
Primary outcome
All-cause Mortality, All Stroke, and Rehospitalization (Valve-related or Procedure-related and Including Heart Failure)
Time frame: 1 year
Number of patients that had any of these events
5 secondary outcomes
New Onset Atrial Fibrillation
Time frame: 30 days
Length of Index Hospitalization
Time frame: Discharge (expected average of 7 days)
Death, Kansas City Cardiomyopathy Questionnaire (KCCQ) Score < 45 or KCCQ Score Decrease ≥ 10 Points
Time frame: 30 days
Death or Stroke
Time frame: 30 days
All Stroke
Time frame: 30 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Jan 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42524810Brener MI, Cohen DJ, Kodali SK, Hahn RT, Thourani VH, Makkar RR, Pibarot P, Yu X, Lubich B, Mack MJ, Leon MB, Arnold SV. Health Status Outcomes 7 Years After Transcatheter or Surgical Aortic Valve Replacement in Low-Surgical Risk Patients With Aortic Stenosis. J Am Coll Cardiol. 2026 Jul 17:S0735-1097(26)06898-1. doi: 10.1016/j.jacc.2026.06.022. Online ahead of print.
- Derived from this study: PubMed 42508852Madhavan MV, Mack MJ, Pibarot P, Hahn RT, Makkar R, Thourani VH, Kodali SK, Kapadia SR, Genereux P, Babaliaros V, Alu MC, Lubich B, Leon MB, Cohen DJ; PARTNER 3 Investigators. Impact of Aortic Annulus Size on Outcomes After Aortic Valve Replacement: The PARTNER 3 Trial. JACC Cardiovasc Interv. 2026 Jul 27;19(14):1944-1955. doi: 10.1016/j.jcin.2026.05.023.
- Derived from this study: PubMed 42340728Ternacle J, Hahn RT, Silva I, Alperi A, Giuliani C, Zanuttini A, Theron A, Dahou A, Cristell N, Woods T, Guzzetti E, Turgeon PY, Bernier M, Mahjoub H, Paquin A, Skaf S, Beaudoin J, Kodali SK, Russo M, Kapadia SR, Malaisrie SC, Cohen DJ, Leipsic J, Blanke P, Williams MR, McCabe JM, Brown DL, Babaliaros V, Goldman S, Szeto WY, Genereux P, Pershad A, Nazif TM, Zhang Y, Gunnarsson M, Webb JG, Makkar RR, Thourani VH, Mack MJ, Leon MB, Pibarot P; PARTNER 3 Investigators. Seven-Year Valve Durability With Transcatheter or Surgical Aortic Valve Replacement: An Ad Hoc Analysis of the PARTNER 3 Randomized Clinical Trial. JAMA Cardiol. 2026 Aug 1;11(8):747-757. doi: 10.1001/jamacardio.2026.2299.
- Derived from this study: PubMed 41144631Leon MB, Mack MJ, Pibarot P, Hahn RT, Thourani VH, Kodali SH, Genereux P, Kapadia SR, Cohen DJ, Pocock SJ, Zhang Y, Szerlip M, Ternacle J, Malaisrie SC, Herrmann HC, Szeto WY, Russo MJ, Babaliaros V, Nazif T, Webb JG, Makkar RR; PARTNER 3 Investigators. Transcatheter or Surgical Aortic-Valve Replacement in Low-Risk Patients at 7 Years. N Engl J Med. 2026 Feb 19;394(8):773-783. doi: 10.1056/NEJMoa2509766. Epub 2025 Oct 27.
- Derived from this study: PubMed 40243974Hahn RT, Ternacle J, Silva I, Giuliani C, Zanuttini A, Theron A, Cristell N, Bernier M, Skaf S, Beaudoin J, Kodali SK, Russo M, Kapadia SR, Malaisrie CS, Cohen DJ, Leipsic J, Blanke P, Williams MR, McCabe JM, Brown DL, Babaliaros V, Goldman S, Szeto WY, Genereux P, Pershad A, Park B, Gunnarsson M, Webb JG, Smith CR, Makkar R, Thourani VH, Mack MJ, Leon MB, Pibarot P; PARTNER 3 Investigators. 5-Year Echocardiographic Results of Transcatheter Versus Surgical Aortic Valve Replacement in Low-Risk Patients. JACC Cardiovasc Imaging. 2025 Jun;18(6):625-640. doi: 10.1016/j.jcmg.2025.01.015. Epub 2025 Apr 16.
- Derived from this study: PubMed 37874020Mack MJ, Leon MB, Thourani VH, Pibarot P, Hahn RT, Genereux P, Kodali SK, Kapadia SR, Cohen DJ, Pocock SJ, Lu M, White R, Szerlip M, Ternacle J, Malaisrie SC, Herrmann HC, Szeto WY, Russo MJ, Babaliaros V, Smith CR, Blanke P, Webb JG, Makkar R; PARTNER 3 Investigators. Transcatheter Aortic-Valve Replacement in Low-Risk Patients at Five Years. N Engl J Med. 2023 Nov 23;389(21):1949-1960. doi: 10.1056/NEJMoa2307447. Epub 2023 Oct 24.
- Derived from this study: PubMed 36813373Genereux P, Cohen DJ, Pibarot P, Redfors B, Bax JJ, Zhao Y, Prince H, Makkar RR, Kapadia S, Thourani VH, Mack MJ, Nazif TM, Lindman BR, Babaliaros V, Russo M, McCabe JM, Gillam LD, Alu MC, Hahn RT, Webb JG, Leon MB, Arnold SV. Cardiac Damage and Quality of Life After Aortic Valve Replacement in the PARTNER Trials. J Am Coll Cardiol. 2023 Feb 28;81(8):743-752. doi: 10.1016/j.jacc.2022.11.059.
- Derived from this study: PubMed 36622552Kuck KH, Leidl R, Frankenstein L, Wahlers T, Sarmah A, Candolfi P, Shore J, Green M. Cost-Effectiveness of SAPIEN 3 Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement in German Severe Aortic Stenosis Patients at Low Surgical Mortality Risk. Adv Ther. 2023 Mar;40(3):1031-1046. doi: 10.1007/s12325-022-02392-y. Epub 2023 Jan 9.
- Derived from this study: PubMed 35595203Genereux 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.
- Derived from this study: PubMed 34139864Ternacle J, Al-Azizi K, Szerlip M, Potluri S, Hamandi M, Blanke P, Leipsic J, Dahou A, Salaun E, Vincent F, Rogers E, Alu MC, Lu M, Yu X, Thourani VH, Hahn RT, Leon MB, Pibarot P, Mack MJ. Impact of Predilation During Transcatheter Aortic Valve Replacement: Insights From the PARTNER 3 Trial. Circ Cardiovasc Interv. 2021 Jul;14(7):e010336. doi: 10.1161/CIRCINTERVENTIONS.120.010336. Epub 2021 Jun 18.
- Derived from this study: PubMed 34130476Herrmann HC, Cohen DJ, Hahn RT, Babaliaros VC, Yu X, Makkar R, McCabe J, Szerlip M, Kapadia S, Russo M, Malaisrie SC, Webb JG, Szeto WY, Kodali S, Thourani VH, Mack MJ, Leon MB. Utilization, Costs, and Outcomes of Conscious Sedation Versus General Anesthesia for Transcatheter Aortic Valve Replacement. Circ Cardiovasc Interv. 2021 Jul;14(7):e010310. doi: 10.1161/CIRCINTERVENTIONS.120.010310. Epub 2021 Jun 16.
- Derived from this study: PubMed 33663731Leon MB, Mack MJ, Hahn RT, Thourani VH, Makkar R, Kodali SK, Alu MC, Madhavan MV, Chau KH, Russo M, Kapadia SR, Malaisrie SC, Cohen DJ, Blanke P, Leipsic JA, Williams MR, McCabe JM, Brown DL, Babaliaros V, Goldman S, Herrmann HC, Szeto WY, Genereux P, Pershad A, Lu M, Webb JG, Smith CR, Pibarot P; PARTNER 3 Investigators. Outcomes 2 Years After Transcatheter Aortic Valve Replacement in Patients at Low Surgical Risk. J Am Coll Cardiol. 2021 Mar 9;77(9):1149-1161. doi: 10.1016/j.jacc.2020.12.052.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Martin B Leon, MD, FACC principal investigator
Columbia University Medical Center/ New York Presbyterian Hospital, NY
Michael J Mack, MD, FACC principal investigator
The Heart Hospital Baylor Plano, TX
77 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing SAVR and SAPIEN 3 THV in people with Aortic Stenosis, run by Edwards Lifesciences at 77 sites in 5 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 4 inclusion and 34 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: under way, not looking for participants, as of the sponsor's last update on 14 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 77 sites in United States, Japan, Australia, Canada, New Zealand. 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 2 Dec 2021). 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?
All-cause Mortality, All Stroke, and Rehospitalization (Valve-related or Procedure-related and Including Heart Failure) (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 NCT02675114, which also lists 15 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 14 Jan 2026; AzTrials last refreshed its copy on 26 Oct 2026.