Aortic StenosisNCT03466918
China S3: Safety and Effectiveness of Edwards Lifesciences SAPIEN 3 THV in the Chinese Population
A study testing SAPIEN 3 THV with the Commander delivery system in people with Aortic Stenosis and Symptomatic Aortic Stenosis, run by Edwards Lifesciences at 4 sites in China.
Trial summary
To evaluate the safety and effectiveness of the SAPIEN 3 (Edwards Lifesciences, Irvine, California) transcatheter heart valve implantation (TAVI) in Chinese patients with symptomatic severe calcific aortic stenosis who are considered at high risk for surgical valve replacement. Read more about this study
- Who is it for?
- Ages 60 years and older
- Conditions the study is for
- Aortic Stenosis, Symptomatic Aortic Stenosis, Aortic Regurgitation
- What is being tested?
- SAPIEN 3 THV with the Commander delivery system
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 58 participants
- Where
- 4 sitesChina
- Study dates
- 23 May 2018to 19 Jun 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 60 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects who are considered to be operable and high risk for surgical valve replacement: STS Score ≥ 8 and ≤ 15 or Logistic EuroSCORE ≥ 15 and ≤ 40. If STS score is below 8 and Logistic EuroSCORE is below 15, patients should have other clinical or anatomical risk factors that would be considered high risk for surgery and documented by the heart team.
- Severe symptomatic aortic stenosis requiring aortic valve replacement characterized by one or more of the following within 60 days prior to the index procedure: AVA < 0.8 cm2, Indexed AVA <0.5 cm2/m2, mean gradient > 40mmHg, or peak aortic jet velocity > 4.0m/sec.
- NYHA Functional Class II or greater.
- The study patient or the study patient's legal representative has been informed of the nature of the study, agrees to its provisions and has provided written informed consent as approved by the EC of the respective clinical site.
- The study patient agrees to comply with all required postprocedure follow-up visits.
Who cannot join
- Evidence of an acute myocardial infarction ≤ 1 month (30 days) before the intended treatment.
- Aortic valve is a congenital unicuspid or is non-calcified.
- Aortic valve is bicuspid and the patient is less than 60 years old, or the aortic valve is bicuspid with no raphe (Sievers classification type 0).
- Anomalous coronary artery that would interfere with proper placement of the valve.
- Mixed aortic valve disease (aortic stenosis and aortic regurgitation with predominant aortic regurgitation >3+).
Trial locations and contacts
4 sites in 1 country.
China4 sites
Fuwai Hospital, CAMS&PUMC
Beijing
WestChina Hospital, Sichuan University
Chengdu
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou
Zhongshan Hospital Fudan University
Shanghai
About this study
Official title: Safety and Effectiveness of Edwards Lifesciences SAPIEN 3 Transcatheter Heart Valve (THV) in the Chinese Population
To evaluate the safety and effectiveness of the SAPIEN 3 (Edwards Lifesciences, Irvine, California) transcatheter heart valve implantation (TAVI) in Chinese patients with symptomatic severe calcific aortic stenosis who are considered at high risk for surgical valve replacement.
Read the detailed description
Edwards SAPIEN 3 Transcatheter Heart Valve and Commander delivery system will be used for this study.
A maximum of 60 patients with symptomatic severe calcific aortic stenosis requiring transcatheter aortic valve implantation (TAVI), who are considered high risk for surgical valve replacement who received a SAPIEN 3 THV.
- Being tested
- SAPIEN 3 THV with the Commander delivery system
- Keywords
- TAVI, TAVR, CHINA, SAPIEN 3, High Risk, Transcatheter aortic valve implantation, Transcatheter aortic valve replacement
- Medical subject headings
- Aortic Valve Stenosis, Aortic Valve Insufficiency
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SAPIEN 3 THV with the Commander delivery systemDevice
Edwards SAPIEN 3 Transcatheter Heart Valve is implanted using the Commander delivery system
| Study group | Role | What they receive |
|---|---|---|
| Patients with SAPIEN 3 THV | Experimental | Patients will be treated with Edwards SAPIEN 3 Transcatheter Heart Valve and Commander delivery system Receives: Device: SAPIEN 3 THV with the Commander delivery system |
What is being measured
The primary outcome is the main question the study is designed to answer.
All-cause Mortality
All of the deaths that occurred in this population regardless of the cause.
Measured: 30-days
Secondary outcomes (3)
Cardiovascular Mortality
All of the deaths that occurred in this population due to a cardiovascular issue.
Measured: 30-days
Non-Cardiovascular Mortality
All of the deaths that occurred in this population due to a non-cardiovascular issue.
Measured: 30-days
Number of Participants With a Stroke
Total number of participates with 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 posted15 Mar 2018
- Study start23 May 2018
- Primary completion3 Jul 2019
- Study completion19 Jun 2024
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.
- 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 58 participants (actual)
Sponsor and investigators
- Lead sponsor
- Edwards Lifesciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Prof Junbo GE, Principal investigator, Zhongshan Hospital and Fudan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03466918
- Sponsor's protocol ID
- 2017-08
- Status last verified
- Aug 2025
- First submitted
- 22 Feb 2018
- Last updated
- 10 Sep 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safety and Effectiveness of Edwards Lifesciences SAPIEN 3 Transcatheter Heart Valve (THV) in the Chinese Population
- ClinicalTrials.gov ID
- NCT03466918
- Acronym / sponsor ID
- 2017-08
- Keywords
- TAVI, TAVR, CHINA, SAPIEN 3, High Risk, Transcatheter aortic valve implantation, Transcatheter aortic valve replacement
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 58 participants (actual)
- Lead sponsor
- Edwards LifesciencesIndustry (pharma, biotech, devices)
- Study start
- 23 May 2018 (actual)
- Primary completion
- 3 Jul 2019 (actual)
- Study completion
- 19 Jun 2024 (actual)
- First posted
- 15 Mar 2018 (actual)
- Results
- Posted 15 Jul 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety and effectiveness of the SAPIEN 3 (Edwards Lifesciences, Irvine, California) transcatheter heart valve implantation (TAVI) in Chinese patients with symptomatic severe calcific aortic stenosis who are considered at high risk for surgical valve replacement.
Detailed description
Edwards SAPIEN 3 Transcatheter Heart Valve and Commander delivery system will be used for this study.
A maximum of 60 patients with symptomatic severe calcific aortic stenosis requiring transcatheter aortic valve implantation (TAVI), who are considered high risk for surgical valve replacement who received a SAPIEN 3 THV.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Patients with SAPIEN 3 THV | Experimental | Device: SAPIEN 3 THV with the Commander delivery systemPatients will be treated with Edwards SAPIEN 3 Transcatheter Heart Valve and Commander delivery system |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Subjects who are considered to be operable and high risk for surgical valve replacement: STS Score ≥ 8 and ≤ 15 or Logistic EuroSCORE ≥ 15 and ≤ 40. If STS score is below 8 and Logistic EuroSCORE is below 15, patients should have other clinical or anatomical risk factors that would be considered high risk for surgery and documented by the heart team.
- Severe symptomatic aortic stenosis requiring aortic valve replacement characterized by one or more of the following within 60 days prior to the index procedure: AVA < 0.8 cm2, Indexed AVA <0.5 cm2/m2, mean gradient > 40mmHg, or peak aortic jet velocity > 4.0m/sec.
- NYHA Functional Class II or greater.
- The study patient or the study patient's legal representative has been informed of the nature of the study, agrees to its provisions and has provided written informed consent as approved by the EC of the respective clinical site.
- The study patient agrees to comply with all required postprocedure follow-up visits.
Key exclusion criteria (5 listed)
- Evidence of an acute myocardial infarction ≤ 1 month (30 days) before the intended treatment.
- Aortic valve is a congenital unicuspid or is non-calcified.
- Aortic valve is bicuspid and the patient is less than 60 years old, or the aortic valve is bicuspid with no raphe (Sievers classification type 0).
- Anomalous coronary artery that would interfere with proper placement of the valve.
- Mixed aortic valve disease (aortic stenosis and aortic regurgitation with predominant 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 |
|---|---|---|
| SAPIEN 3 THV with the Commander delivery systemEdwards SAPIEN 3 Transcatheter Heart Valve is implanted using the Commander delivery system | Device | Patients with SAPIEN 3 THV |
Primary outcome
All-cause Mortality
Time frame: 30-days
All of the deaths that occurred in this population regardless of the cause.
3 secondary outcomes
Cardiovascular Mortality
Time frame: 30-days
Non-Cardiovascular Mortality
Time frame: 30-days
Number of Participants With a 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 10 Sep 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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.
Prof Junbo GE principal investigator
Zhongshan Hospital and Fudan University
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing SAPIEN 3 THV with the Commander delivery system in people with Aortic Stenosis and Symptomatic Aortic Stenosis, run by Edwards Lifesciences at 4 sites in China.
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 10 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in China. 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 15 Jul 2020). 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-days). 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 10 Sep 2025.