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Aortic Valve StenosisSCOPE IINCT03192813

Safety and Efficacy Comparison Of Two TAVI Systems in a Prospective Randomized Evaluation II

An observational study of Aortic Valve Stenosis, run by Ceric Sàrl at 23 sites in 6 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

Current care randomized clinical trial comparing the CE marked Symetis ACURATE neo™ Aortic Bioprosthesis and ACURATE TF™ Transfemoral Delivery System with the CE marked Medtronic CoreValve Evolut R TAVI system (or any future CE-marked CoreValve versions). Read more about this study

Who is it for?
Ages 75 years and older
Conditions the study is for
Aortic Valve Stenosis
What is being tested?
Symetis ACURATE neo™ transfemoral TAVI system and Medtronic CoreValve Evolut R TAVI System
Type of treatment
Medical device
How many people
796 participants
Where
23 sitesin 6 countries
Study dates
20 Apr 2017to 4 Jun 2020
Phase
Observational
Are there results?
None posted in the registry

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 75 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Study population: 764 patients presenting with severe symptomatic aortic stenosis with the indication for TAVI, as agreed by the Heart Team. If all eligibility criteria and none of the exclusion criteria are fulfilled, patients will be allocated in a 1:1 ratio to either the Symetis ACURATE neo™ or the Medtronic CoreValve Evolut R (or any future CE-marked CoreValve versions) by permuted block randomization.

Who may be able to join

  • Patient with severe symptomatic aortic stenosis defined by a mean aortic gradient > 40 mmHg or peak jet velocity > 4.0 m/s or an aortic valve area (AVA) < 1cm2 or AVA indexed to body surface area (BSA) of <0.6 cm2/m2
  • Patient is symptomatic (heart failure with New York Heart Association (NYHA) Functional Class > I, angina or syncope)
  • Patients are considered at high risk for mortality with conventional surgical aortic valve replacement as assessed by a Heart Team consisting of a cardiologist and surgeon or as confirmed by a logistic EuroSCORE I > 20% and / or STS score > 10%.
  • Aortic annulus diameter ranging from 21 to 26mm and perimeter rage from 66 - 81.7mm , based on ECG-gated multi-slice computed tomographic measurements. Findings of TTE, TEE and conventional aortography should be integrated in the anatomic assessment.
  • Arterial aorto-iliac-femoral axis suitable for transfemoral access as assessed by conventional angiography and/or multi-detector computed tomographic angiography (access vessel diameter ≥ 6mm)
  • Patient understands the purpose, the potential risks as well as benefits of the trial and is willing to participate in all parts of the follow-up
  • Patient age 75 years or older
  • Patient has given written consent to participate in the trial

Who cannot join

  • Severely reduced left ventricular (LV) function (ejection fraction <20%)
  • Pre-existing prosthetic heart valve in aortic and/or mitral position
  • Participation in another trial, which would lead to deviations in the preparation or performance of the intervention or the post-implantation management from this protocol
  • Severe coagulation conditions
  • Inability to tolerate anticoagulation therapy
  • Contraindication to contrast media or allergy to nitinol
Show all 15Show fewer
  • Active infection, including endocarditis
  • Congenital aortic stenosis or unicuspid or bicuspid aortic valve
  • Non-valvular aortic stenosis
  • Hypertrophic obstructive cardiomyopathy
  • New or untreated echocardiographic evidence of intracardiac mass, thrombus, or vegetation
  • Non-calcific acquired aortic stenosis
  • Severe eccentricity of calcification
  • Anatomy not appropriate for transfemoral implant due to size, disease and degree of calcification or tortuosity of the aorta or ilio-femoral arteries
  • Severe mitral regurgitation

Trial locations and contacts

23 sites in 6 countries.

23 sites in 6 countries

Germany11 sites
  • University Hospital Aachen

    Aachen, 52074

  • Herz- und Diabeteszentrum NRW

    Bad Oeynhausen, 32545

  • Deutsches Herzzentrum Berlin

    Berlin, 13353

  • Herzzentrum Brandenburg, Immanuel Klinikum Bernau

    Bernau bei Berlin, 16321

  • St.-Johannes-Hospital

    Dortmund, 44137

  • Technische Universität Dresden

    Dresden, 01307

  • Elisabeth-Krankenhaus Essen

    Essen, 45138

  • Goethe-University Frankfurt

    Frankfurt, 60323

  • Herzzentrum Leipzig - Universitätsklinik

    Leipzig, 04289

  • Deutsches Herzzentrum München des Freistaates Bayern

    Munich, 80636

  • Klinik für Herz- & Kreislauferkrankungen - Deutsches Herzzentrum München

    Munich, 80636

Other trials in Germany

France4 sites
  • CHRU Brest Cavale Blanche

    Brest, 29200

  • Centre Hospitalier Universitaire de Lille

    Lille, 59037

  • Hôpital Jacques Cartier

    Massy, 91300

  • Clinique Pasteur

    Toulouse, 31076

Other trials in France

Italy4 sites
  • University of Catania, Ferrarotto Hospital

    Catania, 95124

  • Istituto Clinico Humanitas

    Rozzano- (MI), 20089

  • IRCCS Policlinico San Donato

    San Donato, 20097

  • Ospedale San Raffaele

    San Raffaele, 20132

Other trials in Italy

United Kingdom2 sites
  • Brighton and sussex University hospital NHS trust

    Brighton, England, BN25BE

  • The Leeds Teaching Hospitals NHS TRUST

    Leeds

Other trials in United Kingdom

Denmark1 site
  • Heart Center, Rigshospitalet, University of Copenhagen

    Copenhagen, DK-2100

Other trials in Denmark

Spain1 site
  • Complejo Hospitalario Universitario de Santiago de Compostela

    Santiago de Compostela, 15706

Other trials in Spain

About this study

Official title: Safety and Efficacy Comparison Of Two TAVI Systems in a Prospective Randomized Evaluation II: A Randomized, Controlled, Non-inferiority Trial Evaluating Safety and Clinical Efficacy of the Symetis ACURATE Neo Compared to the Medtronic Evolut R Bioprosthesis in Transfemoral Transcatheter Aortic Valve Implantation

Current care randomized clinical trial comparing the CE marked Symetis ACURATE neo™ Aortic Bioprosthesis and ACURATE TF™ Transfemoral Delivery System with the CE marked Medtronic CoreValve Evolut R TAVI system (or any future CE-marked CoreValve versions).

Read the detailed description

Transcatheter aortic valve implantation (TAVI) is an established and valuable treatment option for patients with severe symptomatic aortic stenosis and at high surgical risk for aortic valve replacement. The use of TAVI is rapidly expanding worldwide and its indications are widening into intermediate and lower risk populations. However, device comparisons by use of randomized trials are scarce in particular for newer generation transcatheter valves.

The Symetis ACURATE neo™, a self-expanding transcatheter valve delivered via transfemoral access, is a second-generation device that gained CE mark approval in June 2014.

The SCOPE-II trial will compare the safety and performance of the Symetis ACURATE neo™ with the self-expanding Medtronic Evolut R system, a widely used and well-established transcatheter heart valve, which obtained CE mark in 8NOV2006 and HAS approval on 13JAN2015.

Being tested
Symetis ACURATE neo™ transfemoral TAVI system, Medtronic CoreValve Evolut R TAVI System
Medical subject headings
Aortic Valve Stenosis

What participants receive

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

  • Symetis ACURATE neo™ transfemoral TAVI systemDevice

    Symetis ACURATE neo™ transfemoral TAVI system: Support frame made of nitinol, supra-annular processed tri-leaflet porcine pericardial valve and an outer skirt to mitigate paravalvular regurgitation (manufactured by Symetis SA, Ecublens, Switzerland).

  • Medtronic CoreValve Evolut R TAVI SystemDevice

    Medtronic CoreValve Evolut R Transcatheter Aortic Valve Implantation (TAVI) System (or any future CE-marked Corevalve versions): The support frame is manufactured from nitinol, which has multilevel, self-expanding properties and is radiopaque. The bioprosthesis is manufactured by suturing valve leaflets and a skirt from porcine pericardium into a tri-leaflet configuration (manufactured by Medtronic CoreValve LLC, Santa Ana, USA).

Study groups in NCT03192813
Study groupRoleWhat they receive
Symetis ACURATE neo™ transfemoral TAVI systemPatient assigned to this group will be implanted with Symetis ACURATE neo™ transfemoral TAVI system.
Receives: Device: Symetis ACURATE neo™ transfemoral TAVI system
Medtronic CoreValve Evolut R TAVI SystemPatient assigned to this group will be implanted with Medtronic CoreValve Evolut R Transcatheter Aortic Valve Implantation (TAVI) System.
Receives: Device: Medtronic CoreValve Evolut R TAVI System

What is being measured

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

  1. Composite of all-cause mortality or stroke rates

    The primary objective is to compare the composite of all-cause mortality or stroke rates at 1 year (powered for non-inferiority).

    Measured: 1 year

Secondary outcomes (37)
  1. New permanent pacemaker rate

    The first secondary objective is to compare the new permanent pacemaker rate at 30 days (powered for superiority).

    Measured: 30 days

  2. All cause mortality at 30 days

    All cause mortality

    Measured: 30 days

  3. Stroke at 30 days

    Stroke

    Measured: 30 days

  4. Valve malpositioning at 30 days

    Valve malpositioning

    Measured: 30 days

  5. Peri-procedural myocardial infarction at 30 days

    Peri-procedural myocardial infarction

    Measured: 30 days

  6. Cardiac Tamponade at 30 days

    Cardiac Tamponade

    Measured: 30 days

  7. Implantation of multiple valves (TAV-in-TAV deployment) at 30 days

    Implantation of multiple valves (TAV-in-TAV deployment)

    Measured: 30 days

  8. Annular rupture/dissection at 30 days

    • Annular rupture/dissection

    Measured: 30 days

  9. Left ventricular perforation at 30 days

    • Left ventricular perforation

    Measured: 30 days

  10. Conversion to open heart surgery at 30 days

    • Conversion to open heart surgery

    Measured: 30 days

  11. Intra-procedural mortality (during index procedure)

    • Intra-procedural mortality (during index procedure)

    Measured: Procedurally

  12. Procedural mortality (up to 72 hours after procedure)

    • Procedural mortality (up to 72 hours after procedure)

    Measured: Procedurally and up to 72 hours post-procedurally

  13. Mortality (cardiac/non-cardiac) at 30 days and 1 year

    • Mortality (cardiac/non-cardiac)

    Measured: 30 days and 1 year

  14. All stroke (disabling/non disabling) at 30 days and 1 year

    • All stroke (disabling/non disabling)

    Measured: 30 days and 1 year

  15. Composite of all-cause mortality or disabling stroke at 30 days and 1 year

    • Composite of all-cause mortality or disabling stroke

    Measured: 30 days and 1 year

  16. Hospitalization for valve-related symptoms or worsened congestive heart at 30 days and 1 year

    • Hospitalization for valve-related symptoms or worsened congestive heart failure

    Measured: 30 days and 1 year

  17. Life-threatening/major bleeding at 30 days and 1 year

    • Life-threatening/major bleeding (BARC 3b or more)

    Measured: 30 days and 1 year

  18. Myocardial infarction at 30 days and 1 year

    • Myocardial infarction

    Measured: 30 days and 1 year

  19. Valve related dysfunction requiring repeat procedure at 30 days and 1 year

    • Valve related dysfunction requiring repeat procedure (BAV, TAVI or SAVR)

    Measured: 30 days and 1 year

  20. Endocarditis at 30 days and 1 year

    • Endocarditis

    Measured: 30 days and 1 year

  21. Valve thrombosis at 30 days and 1 year

    • Valve thrombosis

    Measured: 30 days and 1 year

  22. New AV-conduction disturbances at 30 days and 1 year

    • New AV-conduction disturbances (LBBB only)

    Measured: 30 days and 1 year

  23. New pacemaker implantation at 1 year

    • New pacemaker implantation at 1 year

    Measured: 1 year

  24. Any arrhythmia resulting in hemodynamic instability or requiring therapy at 30 days and 1 year

    Any arrhythmia resulting in hemodynamic instability or requiring therapy

    Measured: 30 days and 1 year

  25. VARC-2 combined endpoints at 30 days

    Composite of device success, early safety, clinical efficacy and time-related valve safety

    Measured: 30 days

  26. Time-related valve safety at 1 year

    Time-related valve safety

    Measured: 1 year

  27. Echocardiographic endpoint (1)

    • Structural valve deterioration

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  28. Echocardiographic endpoint (2)

    • Prosthetic aortic valve stenosis

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  29. Echocardiographic endpoint (3)

    • Patient prosthesis mismatch

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  30. Echocardiographic endpoint (4)

    • Aortic regurgitation (grading), proportion of more than mild regurgitation

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  31. Echocardiographic endpoint (5)

    • Intended valve performance: No prosthesis mismatch, mean aortic valve gradient <20 mmHg or peak velocity <3 m/s, without moderate or severe prosthetic valve aortic regurgitation.

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  32. Echocardiographic endpoint (6)

    • Systolic LV ejection fraction

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  33. Echocardiographic endpoint (7)

    • LV diastolic function

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  34. Echocardiographic endpoint (8)

    • Left atrial volume

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  35. Echocardiographic endpoint (9)

    • Right ventricular (RV) dimension and function

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  36. Echocardiographic endpoint (10)

    • Right atrial (RA) area

    Measured: Post-procedurally [day 1 to 7], at 30 days, 1 year

  37. Echocardiographic endpoint (11)

    • RV/RA-ratio and estimated systolic pulmonary arterial pressure

    Measured: Post-procedurally [day 1 to 7], at 30 days, 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 posted20 Jun 2017
  2. Study start20 Apr 2017
  3. Primary completion4 Jun 2020
  4. Study completion4 Jun 2020

Resources

More details

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

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
796 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03192813
Sponsor's protocol ID
SCOPE II
Acronym
SCOPE II
Status last verified
Jun 2020
First submitted
30 Mar 2017
Last updated
11 Jun 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Tamburino C, Bleiziffer S, Thiele H, Scholtz S, Hildick-Smith D, Cunnington M, Wolf A, Barbanti M, Tchetche D, Garot P, Pagnotta P, Gilard M, Bedogni F, Van Belle E, Vasa-Nicotera M, Chieffo A, Deutsch O, Kempfert J, Sondergaard L, Butter C, Trillo-Nouche R, Lotfi S, Mollmann H, Joner M, Abdel-Wahab M, Bogaerts K, Hengstenberg C, Capodanno D. Comparison of Self-Expanding Bioprostheses for Transcatheter Aortic Valve Replacement in Patients With Symptomatic Severe Aortic Stenosis: SCOPE 2 Randomized Clinical Trial. Circulation. 2020 Dec 22;142(25):2431-2442. doi: 10.1161/CIRCULATIONAHA.120.051547. Epub 2020 Oct 15.

    PubMed 33054367

Questions about this trial

What is this clinical trial studying?

An observational study of Aortic Valve Stenosis, run by Ceric Sàrl at 23 sites in 6 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 8 inclusion and 15 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 11 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in Germany, France, Italy, United Kingdom, Denmark and 1 more country. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Composite of all-cause mortality or stroke rates (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 NCT03192813, which also lists 1 linked publication.

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 11 Jun 2020.

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