Aortic Valve StenosisNCT02732691
JENAVALVE AS EFS TRIAL: Pericardial TAVR Aortic Stenosis Study
A study testing JenaValve Pericardial TAVR System in people with Aortic Valve Stenosis and Heart Valve Diseases, run by JenaValve Technology, Inc. at 13 sites in 4 countries.
Trial summary
To collect information about treatment for severe aortic stenosis (AS), which affects the aortic valve in the heart. Aortic stenosis is a narrowing of the aortic valve opening, which decreases blood flow from the heart and causes symptoms such as chest pain, fainting and shortness of breath. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Aortic Valve Stenosis, Heart Valve Diseases, Heart Diseases
- What is being tested?
- JenaValve Pericardial TAVR System
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 68 participants
- Where
- 13 sitesin 4 countries
- Study dates
- 21 Oct 2016to Apr 2024
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patient with severe degenerative native aortic stenosis (AS).
- Patient at high risk for open surgical valve replacement
- Patient symptomatic according to NYHA functional class II or higher
Who cannot join
- Congenital uni- or bicuspid aortic valve morphology
- Previous prosthetic aortic valve (bioprosthesis or mechanical) implant
- Endocarditis or other active infection
- Need for urgent or emergent TAVR procedure for any reason
- Cardiogenic shock or hemodynamic instability requiring inotropic support or ventricular assist device
Trial locations and contacts
13 sites in 4 countries.
13 sites in 4 countries
Germany6 sites
Deutsches Herzzentrum Berlin
Berlin, 13353
Herzzentrum der Universität zu Köln
Cologne, 50937
Universitäts-Herzzentrum Freiburg/Bad Krozingen
Freiburg im Breisgau, 79106
Universitätsklinikum Halle
Halle, 6120
Universitäres Herzzentrum Hamburg
Hamburg, 20246
Robert-Bosch-Krankenhaus
Stuttgart, 70376
Netherlands3 sites
Leiden University Medical Center
Leiden, 2333
St. Antonius Hospital
Nieuwegein, 3435
Erasmus University Medical Center
Rotterdam, 3062
United States2 sites
Columbia University Medical Center
New York, New York, 10032
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
New Zealand2 sites
Auckland City Hospital
Auckland, 1142
Waikato Hospital
Hamilton, 3240
About this study
Official title: JENAVALVE ALIGN-AS TRIAL: Safety and Effectiveness/Performance of the Transfemoral JenaValve Pericardial TAVR System in the Treatment of Patients With Symptomatic Severe Aortic Stenosis (AS)
To collect information about treatment for severe aortic stenosis (AS), which affects the aortic valve in the heart. Aortic stenosis is a narrowing of the aortic valve opening, which decreases blood flow from the heart and causes symptoms such as chest pain, fainting and shortness of breath. The preferred treatment for severe aortic stenosis is aortic valve replacement surgery.
Read the detailed description
This study will examine the use of a TAVR (Transcatheter Aortic Valve Replacement), which is a minimally invasive procedure designed to replace the aortic valve inside the heart. This less invasive surgical approach called TAVR is offered to those patients who are high risk for undergoing open heart surgery to replace the aortic valve. In this study, TAVR will be performed using the JenaValve Pericardial TAVR System.
- Conditions
- Aortic Valve Stenosis, Heart Valve Diseases, Heart Diseases, Cardiovascular Diseases, Ventricular Outflow Obstruction
- Being tested
- JenaValve Pericardial TAVR System
- Keywords
- Valvular Heart Disease, Critical/Severe Aortic Stenosis, High risk symptomatic patients
- Medical subject headings
- Aortic Valve Stenosis, Heart Valve Diseases, Heart Diseases, Cardiovascular Diseases, Ventricular Outflow Obstruction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
JenaValve Pericardial TAVR SystemDevice
Transcatheter aortic valve replacement (TAVR) will be performed using the JenaValve Pericardial valve and delivery system.
| Study group | Role | What they receive |
|---|---|---|
| Transcatheter Aortic Valve Replacement (TAVR) | Experimental | Transcatheter aortic valve replacement (TAVR) will be performed using the JenaValve pericardial valve and delivery system. Receives: Device: JenaValve Pericardial TAVR System |
What is being measured
The primary outcome is the main question the study is designed to answer.
All-Cause Mortality
All-cause mortality rate at 30 Day
Measured: 30 Day
Secondary outcomes (10)
Myocardial Infarction
Peri-procedural and spontaneous myocardial infarction
Measured: 30 Day
All Stroke/TIA
Neurological Complications
Measured: 30 Day
Major Bleeding
Life threatening or major bleeding
Measured: 30 Day
Major Vascular Complication
Major vascular and bleeding complications
Measured: 30 Day
Conduction Disturbance and Arrhythmias
Conduction system injury (defect), including AV block, which may require a permanent pacemaker
Measured: 30 Day
Acute Kidney Injury (AKI)
Number of patients who were diagnosed with AKI Stage 2 or 3:
AKI Stage 2: Increase in serum creatinine to 200%-299% (2.0%-2.99% increase compared with baseline) OR urine output <0.5 mL/kg/h for >12 but <24 h
AKI Stage 3: Increase in serum creatinine to ≥300% (>3 × increase compared with baseline) OR serum creatinine of ≥4.0 mg/dL (≥354 mmol/L) with an acute increase of at least 0.5 mg/dL (44 mmol/L) OR urine output <0.3 ml/kg/h for ≥24 h OR anuria for ≥12 h
Measured: 30 Day
Coronary Obstruction Requiring Intervention
Coronary obstruction post-implant requiring intervention
Measured: 30 Day
Endocarditis
Bacterial endocarditis
Measured: 30 Day
Conversion to Surgical Aortic Valve Replacement (SAVR)
Number of patients who underwent conversion to open sternotomy during the TAVR procedure secondary to any procedure-related complications
Measured: 30 Day
THV Malpositioning
Number of patients who experienced:
Migration: After initial correct positioning, the valve prosthesis moves upwards or downwards, within the aortic annulus from its initial position, with or without consequences
Embolization: The valve prosthesis moves during or after deployment such that it loses contact with the aortic annulus
Ectopic Valve Deployment: Permanent deployment of the valve prosthesis in a location other than the aortic root
Measured: 30 Day
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Apr 2016 (estimated)
- Study start21 Oct 2016
- Primary completion28 May 2019
- Study completionApr 2024 (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 (4)Papers the sponsor has linked to this study.
- Other trials for Aortic Valve StenosisStudies of the same condition, open and under way.
- 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 68 participants (actual)
Sponsor and investigators
- Lead sponsor
- JenaValve Technology, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Martin B Leon, MD, Study chair, New York-Presbyterian Hospital/Columbia University Medical Center, USATorsten P Vahl, MD, Principal investigator, New York-Presbyterian Hospital/Columbia University Medical Center, USAVinod H Thourani, MD, Principal investigator, Piedmont Heart Institute, USAHendrik Treede, MD, Principal investigator, University Hospital Bonn, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02732691
- Sponsor's protocol ID
- CP-0003
- Other IDs
- P02C220_JV06EFS_CIP, CA-0001 EU, CA-0001 Germany, CA-0010
- Status last verified
- Oct 2022
- First submitted
- 18 Mar 2016
- Last updated
- 22 Nov 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- No
Publications
Zoghbi WA, Adams D, Bonow RO, Enriquez-Sarano M, Foster E, Grayburn PA, Hahn RT, Han Y, Hung J, Lang RM, Little SH, Shah DJ, Shernan S, Thavendiranathan P, Thomas JD, Weissman NJ. Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr. 2017 Apr;30(4):303-371. doi: 10.1016/j.echo.2017.01.007. Epub 2017 Mar 14. No abstract available.
PubMed 28314623Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP 3rd, Fleisher LA, Jneid H, Mack MJ, McLeod CJ, O'Gara PT, Rigolin VH, Sundt TM 3rd, Thompson A. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017 Jun 20;135(25):e1159-e1195. doi: 10.1161/CIR.0000000000000503. Epub 2017 Mar 15. No abstract available.
PubMed 28298458Iung B, Baron G, Butchart EG, Delahaye F, Gohlke-Barwolf C, Levang OW, Tornos P, Vanoverschelde JL, Vermeer F, Boersma E, Ravaud P, Vahanian A. A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease. Eur Heart J. 2003 Jul;24(13):1231-43. doi: 10.1016/s0195-668x(03)00201-x.
PubMed 12831818Hamid N, Ranard LS, Khalique OK, Hahn RT, Nazif TM, George I, Ng V, Leon MB, Kodali SK, Vahl TP. Commissural Alignment After Transfemoral Transcatheter Aortic Valve Replacement With the JenaValve Trilogy System. JACC Cardiovasc Interv. 2021 Sep 27;14(18):2079-2081. doi: 10.1016/j.jcin.2021.07.025. No abstract available.
PubMed 34556282
Study at a glance
From the registry record, last updated by the sponsor on 22 Nov 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- JENAVALVE ALIGN-AS TRIAL: Safety and Effectiveness/Performance of the Transfemoral JenaValve Pericardial TAVR System in the Treatment of Patients With Symptomatic Severe Aortic Stenosis (AS)
- ClinicalTrials.gov ID
- NCT02732691
- Acronym / sponsor ID
- CP-0003
- Conditions
- Aortic Valve Stenosis, Heart Valve Diseases, Heart Diseases, Cardiovascular Diseases, Ventricular Outflow Obstruction
- Keywords
- Valvular Heart Disease, Critical/Severe Aortic Stenosis, High risk symptomatic patients
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 68 participants (actual)
- Lead sponsor
- JenaValve Technology, Inc.Industry (pharma, biotech, devices)
- Study start
- 21 Oct 2016 (actual)
- Primary completion
- 28 May 2019 (actual)
- Study completion
- Apr 2024 (estimated)
- First posted
- 11 Apr 2016 (estimated)
- Results
- Posted 22 Nov 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To collect information about treatment for severe aortic stenosis (AS), which affects the aortic valve in the heart. Aortic stenosis is a narrowing of the aortic valve opening, which decreases blood flow from the heart and causes symptoms such as chest pain, fainting and shortness of breath. The preferred treatment for severe aortic stenosis is aortic valve replacement surgery.
Detailed description
This study will examine the use of a TAVR (Transcatheter Aortic Valve Replacement), which is a minimally invasive procedure designed to replace the aortic valve inside the heart. This less invasive surgical approach called TAVR is offered to those patients who are high risk for undergoing open heart surgery to replace the aortic valve. In this study, TAVR will be performed using the JenaValve Pericardial TAVR System.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Transcatheter Aortic Valve Replacement (TAVR) | Experimental | Device: JenaValve Pericardial TAVR SystemTranscatheter aortic valve replacement (TAVR) will be performed using the JenaValve pericardial valve and delivery system. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Patient with severe degenerative native aortic stenosis (AS).
- Patient at high risk for open surgical valve replacement
- Patient symptomatic according to NYHA functional class II or higher
Key exclusion criteria (5 listed)
- Congenital uni- or bicuspid aortic valve morphology
- Previous prosthetic aortic valve (bioprosthesis or mechanical) implant
- Endocarditis or other active infection
- Need for urgent or emergent TAVR procedure for any reason
- Cardiogenic shock or hemodynamic instability requiring inotropic support or ventricular assist device
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 |
|---|---|---|
| JenaValve Pericardial TAVR SystemTranscatheter aortic valve replacement (TAVR) will be performed using the JenaValve Pericardial valve and delivery system. | Device | Transcatheter Aortic Valve Replacement (TAVR) |
Primary outcome
All-Cause Mortality
Time frame: 30 Day
All-cause mortality rate at 30 Day
10 secondary outcomes
Myocardial Infarction
Time frame: 30 Day
All Stroke/TIA
Time frame: 30 Day
Major Bleeding
Time frame: 30 Day
Major Vascular Complication
Time frame: 30 Day
Conduction Disturbance and Arrhythmias
Time frame: 30 Day
Acute Kidney Injury (AKI)
Time frame: 30 Day
Coronary Obstruction Requiring Intervention
Time frame: 30 Day
Endocarditis
Time frame: 30 Day
Conversion to Surgical Aortic Valve Replacement (SAVR)
Time frame: 30 Day
THV Malpositioning
Time frame: 30 Day
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Nov 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 28314623Zoghbi WA, Adams D, Bonow RO, Enriquez-Sarano M, Foster E, Grayburn PA, Hahn RT, Han Y, Hung J, Lang RM, Little SH, Shah DJ, Shernan S, Thavendiranathan P, Thomas JD, Weissman NJ. Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr. 2017 Apr;30(4):303-371. doi: 10.1016/j.echo.2017.01.007. Epub 2017 Mar 14. No abstract available.
- Background: PubMed 28298458Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP 3rd, Fleisher LA, Jneid H, Mack MJ, McLeod CJ, O'Gara PT, Rigolin VH, Sundt TM 3rd, Thompson A. 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017 Jun 20;135(25):e1159-e1195. doi: 10.1161/CIR.0000000000000503. Epub 2017 Mar 15. No abstract available.
- Background: PubMed 12831818Iung B, Baron G, Butchart EG, Delahaye F, Gohlke-Barwolf C, Levang OW, Tornos P, Vanoverschelde JL, Vermeer F, Boersma E, Ravaud P, Vahanian A. A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease. Eur Heart J. 2003 Jul;24(13):1231-43. doi: 10.1016/s0195-668x(03)00201-x.
- Background: PubMed 34556282Hamid N, Ranard LS, Khalique OK, Hahn RT, Nazif TM, George I, Ng V, Leon MB, Kodali SK, Vahl TP. Commissural Alignment After Transfemoral Transcatheter Aortic Valve Replacement With the JenaValve Trilogy System. JACC Cardiovasc Interv. 2021 Sep 27;14(18):2079-2081. doi: 10.1016/j.jcin.2021.07.025. No abstract available.
- 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 study chair
New York-Presbyterian Hospital/Columbia University Medical Center, USA
Torsten P Vahl, MD principal investigator
New York-Presbyterian Hospital/Columbia University Medical Center, USA
Vinod H Thourani, MD principal investigator
Piedmont Heart Institute, USA
13 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing JenaValve Pericardial TAVR System in people with Aortic Valve Stenosis and Heart Valve Diseases, run by JenaValve Technology, Inc. at 13 sites in 4 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 3 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: status not confirmed, as of the sponsor's last update on 22 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in Germany, Netherlands, United States, 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 22 Nov 2022). 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 (time frame: 30 Day). 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 NCT02732691, 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 22 Nov 2022.