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Aortic StenosisNCT02686814

PERIGON Japan Trial

A study testing 17mm MDT-2215 aortic valve bioprosthesis in people with Aortic Stenosis, run by Medtronic Cardiac Surgery at 10 sites in Japan.

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

The purpose of this study is to evaluate the safety and effectiveness of the 17mm MDT-2215 aortic valve bioprosthesis. Read more about this study

Who is it for?
Any age
Conditions the study is for
Aortic Stenosis
What is being tested?
17mm MDT-2215 aortic valve bioprosthesis
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
10 sitesJapan
Study dates
Mar 2016to 15 Jul 2022
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

  • Patient has severe aortic stenosis or regurgitation, and there is clinical indication for replacement of their native or prosthetic aortic valve with a bioprosthesis, with or without concomitant procedures, which are limited to any of the following:
  • Left atrial appendage (LAA) ligation
  • Coronary artery bypass graft (CABG)
  • Patent foramen ovale (PFO) closure
  • Ascending aortic aneurysm or dissection repair not requiring circulatory arrest
  • Resection of a sub-aortic membrane not requiring myectomy
Show all 10Show fewer
  • Patient is geographically stable and willing to return to the implanting site for all follow-up visits
  • Patient is of legal age to provide informed consent
  • Patient has been adequately informed of risks and requirements of the trial and is willing and able to provide informed consent for participation in the clinical trial
  • In the opinion of the investigator, pre-operative imaging indicates the patient may be suitable for a 17mm size valve

Who cannot join

  • Patient has a pre-existing prosthetic valve or annuloplasty device in another position or requires replacement or repair of the mitral, pulmonary or tricuspid valve
  • Patient has had previous implant and then explant of the MDT-2215 aortic valve bioprosthesis
  • Patient presents with active endocarditis, active myocarditis or other systemic infection
  • Patient has an anatomical abnormality which would increase surgical risk of morbidity or mortality, including:
  • Ascending aortic aneurysm or dissection repair requiring circulatory arrest
  • Acute type A aortic dissection
Show all 30Show fewer
  • Ventricular aneurysm
  • Porcelain aorta
  • Hostile mediastinum
  • Hypertrophic obstructive cardiomyopathy (HOCM)
  • Documented pulmonary hypertension (systolic >60mmHg)
  • Patient has a non-cardiac major or progressive disease, with a life expectancy of less than 2 years. These conditions include, but are not limited to:
  • Child-Pugh Class C liver disease
  • Terminal cancer
  • End-stage lung disease
  • Patient has renal failure, defined as dialysis therapy or glomerular filtration rate (GFR)<30 mL/min/1.73 m2
  • Patient has hyperparathyroidism
  • Patient is participating in another investigational device or drug trial or observational competitive study
  • Patient is pregnant, lactating or planning to become pregnant
  • Patient has a documented history of substance (drug or alcohol) abuse
  • Patient has greater than mild mitral valve regurgitation or greater than mild tricuspid valve regurgitation as assessed by echocardiography
  • Patient has systolic ejection fraction (EF)<20% as assessed by echocardiography
  • Patient has grade IV diastolic dysfunction
  • Patient has documented bleeding diatheses
  • Patient has had an acute preoperative neurological deficit or myocardial infarction and has not returned to baseline or stabilized ≥30 days prior to enrollment
  • Patient requires emergency surgery
  • Patient is in NYHA Class I
  • Operative Exclusion Criteria:
  • 1.) Prior to attempted implant of MDT-2215 valve, it is identified the patient requires a concomitant procedure not allow per the enrollment exclusion criteria
  • 2.) Patient anatomy is not suitable for implant of a size 17mm MDT-2215 aortic valve bioprosthesis

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

Japan10 sites
  • Chiba-Nishi General Hospital

    Chiba, 270-2251

  • Kobe University Hospital

    Hyogo Prefecture, 650-0017

  • Hyogo Prefectural Harima-Himeji General Medical Center

    Hyogo Prefecture, 670-8560

  • University Hospital, Kyoto Prefectural University of Medicine

    Kyoto, 602-8566

  • Kurashiki Central Hospital

    Okayama, 710-8602

  • National Cerebral and Cardiovascular Center

    Osaka, 564-8565

  • Saitama Medical Center, Jichi Medical University

    Saitama, 330-8503

  • Saitama Medical University International Medical Center

    Saitama, 350-1298

  • Tokushima Red Cross Hospital

    Tokushima, 773-8502

  • Sakakibara Heart Institute

    Tokyo, 183-0003

Other trials in Japan

About this study

Official title: A Multi-center, Non-randomized Trial to Determine the Safety and Effectiveness of the 17mm MDT-2215 Aortic Valve Bioprosthesis in Patients With Aortic Valve Disease

The purpose of this study is to evaluate the safety and effectiveness of the 17mm MDT-2215 aortic valve bioprosthesis.

Read the detailed description

This is a prospective, interventional, non-randomized, multi-center trial, with each site following a common protocol in Japan. A maximum of 20 subjects will be implanted at a maximum of 10 sites in Japan. The trial will include male and female patients of legal age to provide informed consent in Japan, requiring replacement for a diseased, damaged, or malfunctioning native or prosthetic aortic valve. Patients will be followed and assessed after implant for up to 5 years.

This clinical trial information was submitted voluntarily under the applicable law and therefore, certain submission deadlines may not apply. (that is, clinical trial information for this applicable clinical trial was submitted under section 402(j)(4)(A) of the Public Health Service Act and 42 CRF 11.60 and is not subject to the deadlines established by sections 402(j)(2) and (3) of the Public Health Service Act of 42 CRF 11.24 and 11.44.)

Conditions
Aortic Stenosis
Being tested
17mm MDT-2215 aortic valve bioprosthesis
Keywords
Valvular heart disease, Severe aortic stenosis, Aortic valve replacement
Medical subject headings
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.

  • 17mm MDT-2215 aortic valve bioprosthesisDevice

Study groups in NCT02686814
Study groupRoleWhat they receive
MDT-2215Experimental17mm MDT-2215 aortic valve bioprosthesis
Receives: Device: 17mm MDT-2215 aortic valve bioprosthesis

What is being measured

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

  1. Number of Participants With Changes in NYHA Classification From Baseline to 1 Year Post-procedure

    Change in New York Heart Association (NYHA) functional classification from baseline to 1 year post-procedure will be evaluated.

    Measure Description: Cardiac Disease with Functional Classes (lower value is more desirable than higher value) I - No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation or shortness of breath.

    II - Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, shortness of breath or chest pain.

    III - Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, shortness of breath or chest pain.

    IV - Symptoms of heart failure at rest. Any physical activity causes further discomfort.

    Measured: This outcome will be identified from measurement at baseline and 1 year.

  2. Effective Orifice Area Index at Baseline and 1 Year Post-procedure

    Effective Orifice Area Index (EOAI) at 1 year post-procedure will be evaluated. Effective Orifice Area Index (EOAI) in cm^2/m^2 EOAI = EOA/BSA Where: EOA is the effective orifice area in cm^2, and BSA is the body surface area in m^2

    Measured: This outcome will be measured at 1 year.

  3. Number of Participants With Composite New York Heart Association (NYHA) Classification and Effective Orifice EOAI Endpoint Improvement From Baseline to 1 Year

    Composite number of participants with NYHA change from baseline to 1 year post-procedure of 1 or greater and effective number of participants with effective EOAI 0.6cm^2/m^2 or greater at 1 year post implant will be evaluated. The objective is met if at least 60% of the subjects achieve the specified improvement in NYHA and EOAI.

    See Objective 1 for NYHA definition See Objective 2 for EOAI definition

    Measured: This outcome will be identified from measurement at baseline and 1 year.

Secondary outcomes (14)
  1. Assessment of NYHA Functional Classification for Participants From Baseline up to 5 Years

    NYHA functional classification evaluation at baseline, discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

    Measure Description: Cardiac Disease with Functional Classes I - No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation or shortness of breath.

    II - Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, shortness of breath or chest pain.

    III - Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, shortness of breath or chest pain.

    IV - Symptoms of heart failure at rest. Any physical activity causes further discomfort.

    Measured: This outcome will be evaluated at baseline, discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  2. Mean Effective Orifice Area Index (cm^2/m^2) From Baseline up to 5 Years

    Effective orifice area index at baseline, discharge up to 30 days, 3-6 months, 1 year and annually thereafter through 5 years as measured by effective orifice area (cm^2) per unit body surface area (m^2). The achievement criterion for the effective orifice area index (EOAI) is defined to be ≥0.6 cm^2/m^2.

    Effective Orifice Area Index (EOAI) in cm^2/m^2 EOAI = EOA/BSA Where: EOA is the effective orifice area in cm^2, and BSA is the body surface area in m^2

    Measured: This outcome will be evaluated at baseline, discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  3. Effective Orifice Area (cm^2) From Baseline up to 5 Years

    This will be measured by transthoracic echocardiography technique and will be assessed by an independent core laboratory.

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  4. Peak Pressure Gradient (mmHg) From Discharge up to 5 Years

    This will be measured by transthoracic echocardiography technique and will be assessed by an independent core laboratory.

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  5. Mean Pressure Gradient (mmHg) From Discharge up to 5 Years

    This will be measured by transthoracic echocardiography technique and will be assessed by an independent core laboratory.

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  6. Degree of Paravalvular Regurgitation From Discharge up to 5 Years

    This will be measured by transthoracic echocardiography technique and will be assessed by an independent core laboratory.

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  7. Degree of Transvalvular Regurgitation From Discharge up to 5 Years

    This will be measured by transthoracic echocardiography technique and will be assessed by an independent core laboratory.

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  8. Degree of Total Valvular Regurgitation From Discharge up to 5 Years

    This will be measured by transthoracic echocardiography technique and will be assessed by an independent core laboratory.

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  9. Performance Index (L/Min) From Discharge up to 5 Years

    This will be measured by transthoracic echocardiography technique and will be assessed by an independent core laboratory.

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  10. Cardiac Output (L/Min) From Discharge up to 5 Years

    This will be measured by transthoracic echocardiography technique and will be assessed by an independent core laboratory.

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  11. Cardiac Index (L/Min/m^2) From Discharge up to 5 Years

    This will be measured by transthoracic echocardiography technique and will be assessed by an independent core laboratory.

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  12. Safety:Valve-related Adverse Events

    The early (<=30days post-procedure), late (>30days post-procedure) and 1-year participant counts of the following valve-related adverse events will be evaluated:

    • thromboembolism
    • thrombosis
    • hemorrhage
    • paravalvular leak
    • endocarditis
    • hemolysis
    • structural valve deterioration
    • non-structural dysfunction
    • reintervention
    • explant
    • death

    Measured: This outcome will be evaluated at discharge up to 30 days, 3-6 months, 1 year and annually thereafter up to 5 years.

  13. Quality of Life Assessment - Physical Component Summary (Physical Functioning, Role-physical, Bodily Pain, General Health, Vitality)

    SF-36 Questionnaire Physical Component Summary (physical functioning, role-physical, bodily pain, general health, vitality) at baseline, 3-6 months, 1 year and annually thereafter through 5 years, where a higher score indicates a higher physical quality of life.

    Physical Component Summary Scale Lowest possible score: -7.28 Highest possible score: 52.71

    Measured: This outcome will be evaluated at baseline, 3-6 months, 1 year and annually thereafter up to 5 years.

  14. Quality of Life Assessment - Mental Component Summary (Social Functioning, Role-emotional, Mental Health)

    SF-36 Questionnaire Mental Component Summary (social functioning, role-emotional, mental health) at baseline, 3-6 months, 1 year and annually thereafter through 5 years, where a higher score indicates a higher quality of mental life.

    Lowest possible score: 31.63 Highest possible score: 66.69

    Measured: This outcome will be evaluated at baseline, 3-6 months, 1 year and annually thereafter up to 5 years.

Timeline

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

  1. First posted22 Feb 2016 (estimated)
  2. Study startMar 2016
  3. Primary completionMay 2018
  4. Study completion15 Jul 2022

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
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02686814
Sponsor's protocol ID
MDT-2215
Status last verified
Oct 2023
First submitted
15 Dec 2015
Last updated
12 Apr 2024
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A study testing 17mm MDT-2215 aortic valve bioprosthesis in people with Aortic Stenosis, run by Medtronic Cardiac Surgery at 10 sites in Japan.

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 30 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 12 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Japan. 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 12 Apr 2024). 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 Changes in NYHA Classification From Baseline to 1 Year Post-procedure (time frame: This outcome will be identified from measurement at baseline and 1 year.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 12 Apr 2024.

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