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Aortic Valve StenosisINDURENCT03666741

Inspiris Resilia Durability Registry

An observational study of Aortic Valve Stenosis, run by Institut für Pharmakologie und Präventive Medizin at 21 sites in 9 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Prospective, open-label, multicenter, European registry with a follow-up of 5 years to assess the clinical outcomes of patients younger than 60 years who undergo surgical AVR with the INSPIRIS RESILIA Aortic Valve™. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Aortic Valve Stenosis
What is being tested?
AVR with or without CABG
Type of treatment
Medical device
How many people
400 participants
Where
21 sitesin 9 countries
Study dates
26 Apr 2019to Jul 2026
How long will I take part?
5 Years
Phase
Observational
Are there results?
Not yet: the study is under way

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 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Study population: Patients under the age of 60 with an indication for surgical AVR who will receive an Edwards INSPIRIS RESILIA aortic valve prosthesis.

Who may be able to join

  • Age 18 to 60 years inclusive
  • Subject requiring a planned replacement of their native aortic valve as indicated in a preoperative evaluation
  • Subject is scheduled to undergo planned aortic valve replacement with or without concomitant root replacement and/or coronary bypass surgery
  • Subject is scheduled to attend yearly follow-up visits at the registry center up to 5 years follow-up
  • Subject provides written informed consent prior to the procedure

Who cannot join

  • Active endocarditis/myocarditis or endocarditis/myocarditis within 3 months prior to the scheduled aortic valve replacement surgery
  • Previous aortic valve replacement
  • Valve implantation is not possible in accordance with the device IFU
  • Subject has a life expectancy ≤ 12 months for any reason
  • Intraoperative Exclusion criteria:
  • 1. Valve implantation is not possible in accordance with the device IFU

Trial locations and contacts

21 sites in 9 countries.

21 sites in 9 countries

France4 sites
  • Hopital de la Timone

    Marseille, 13005

  • L'institut du thorax - CHU (Centre Hospitalier Universitaire de Nantes)

    Nantes, 44100

  • Centre Hospitalier Universitaire (CHU) de Rennes

    Rennes, 35033

  • CHRU - Hospital Trousseau

    Tours

Other trials in France

Italy4 sites
  • University Hospital Careggi

    Florence, 50139

  • Centro Cardiologico Monzino

    Milan, 20138

  • European Hospital Rome

    Roma

  • AOU San Giovanni di Dio e Ruggi d'Aragona

    Salerno, 84131

Other trials in Italy

Austria3 sites
  • University Clinics St. Pölten

    Sankt Pölten, 3100

  • Heart Center Hietzing

    Vienna, 1080

  • Medical University Vienna

    Vienna, 1090

Other trials in Austria

United Kingdom3 sites
  • NHS Lothian

    Edinburgh, EH1 3EG

  • Glenfield Hospital

    Glenfield, LE3 9QP

  • King's College Hospital NHS Foundation Trust

    London, SE5 9RS

Other trials in United Kingdom

Canada2 sites
  • Institut de Cardiologie de Montréal, Université de Montréal

    Montreal, H1T 1C8

  • Laval University

    Québec, G1v 0A6

Other trials in Canada

Germany2 sites
  • UNIVERSITÄTSKLINIKUM FREIBURG, Universitäts-Herzzentrum Herz- und Gefäßchirurgie

    Freiburg im Breisgau, Baden-Wurttemberg, 79106

  • Heart Center Leipzig

    Leipzig

Other trials in Germany

Belgium1 site
  • KU Leuven

    Leuven

Other trials in Belgium

Netherlands1 site
  • Erasmus Medisch Centrum

    Rotterdam, 3015 CE

Other trials in Netherlands

Spain1 site
  • University Hospital Virgen de la Arrixaca

    Murcia, 30120

Other trials in Spain

About this study

Official title: Clinical Outcomes of Patients Under the Age of Sixty Undergoing INSPIRIS RESILIA Aortic Valve Replacement

Prospective, open-label, multicenter, European registry with a follow-up of 5 years to assess the clinical outcomes of patients younger than 60 years who undergo surgical AVR with the INSPIRIS RESILIA Aortic Valve™.

Read the detailed description

The INSPIRIS RESILIA Aortic Valve™ is a stented tri-leaflet valve comprised of bovine pericardial tissue. The tissue is created by treating bovine pericardial tissue with Edwards Integrity Preservation. It incorporates a stable capping anticalcification process, which blocks residual aldehyde groups known to bind with calcium. Tissue preservation with glycerol allows the valve to be stored without a traditional liquid-based solution, such as glutaraldehyde. Therefore, valve is stored under dry packaging conditions and consequently does not require rinsing prior to implantation.

The novel tissue preservation technology significantly improves hemodynamic and anticalcification properties compared with the standard Perimount valve in an ovine model. In this registry, data is collected over a period of 5 years to demonstrate these properties in a clinical real-life setting. Clinical outcomes, hemodynamic as well as safety parameters and quality of life data are documented into e-CRF at baseline, surgery, pre-discharge, 3-6 months and annually up to year 5.

The required sample size was calculated using the online calculator at http://www.surveysystem.com/sscalc.htm. It was estimated, from COMMENCE Trial dataset that freedom from time-related valve safety events at 1 year (composite endpoint according to VARC-2) is around 0.915. The following table illustrates 95% CIs at different levels of risk:

Sample Size Observed freedom from event 95%CI 400 0.900 ± 0.0294 400 0.910 ± 0.0280 400 0.915 ± 0.0214 400 0.920 ± 0.0266 400 0.930 ± 0.0250

20% of registry sites will be monitored with 100% source data verification

Being tested
AVR with or without CABG
Keywords
Heart Valve Diseases, Heart Diseases, Cardiovascular Diseases, Surgical valve
Medical subject headings
Aortic Valve Stenosis, Heart Valve Diseases, Heart Diseases, Cardiovascular Diseases

What participants receive

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

  • AVR with or without CABGDevice

    Surgical aortic valve implantation with INSPIRIS RESILIA Aortic Valve™

What is being measured

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

  1. Time-related valve safety

    Composite endpoint according to VARC-2 depicted as freedom from event:

    • SVD (structural valve deterioration)
    • Valve-related dysfunction
    • Requirement of repeat procedure
    • Prosthetic valve endocarditis
    • Prosthetic valve thrombosis
    • Thromboembolic events (e.g. stroke)
    • Valve-related VARC bleeding

    Measured: Year 1

  2. Freedom from severe SVD (structural valve deterioration)

    Freedom from stage 3 SVD including stenosis and regurgitation determined by echocardiography

    Measured: Year 5

Timeline

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

  1. First posted12 Sep 2018
  2. Study start26 Apr 2019
  3. Primary completionJul 2026 (estimated)
  4. Study completionJul 2026 (estimated)

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 only
Time perspective
Prospective
Enrolment
400 participants (estimated)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT03666741
Sponsor's protocol ID
HVT-R18-IND
Acronym
INDURE
Status last verified
Jun 2025
First submitted
10 Sep 2018
Last updated
15 Jun 2025
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Flameng W, Hermans H, Verbeken E, Meuris B. A randomized assessment of an advanced tissue preservation technology in the juvenile sheep model. J Thorac Cardiovasc Surg. 2015 Jan;149(1):340-5. doi: 10.1016/j.jtcvs.2014.09.062. Epub 2014 Sep 28.

    PubMed 25439467
  • Puskas JD, Bavaria JE, Svensson LG, Blackstone EH, Griffith B, Gammie JS, Heimansohn DA, Sadowski J, Bartus K, Johnston DR, Rozanski J, Rosengart T, Girardi LN, Klodell CT, Mumtaz MA, Takayama H, Halkos M, Starnes V, Boateng P, Timek TA, Ryan W, Omer S, Smith CR; COMMENCE Trial Investigators. The COMMENCE trial: 2-year outcomes with an aortic bioprosthesis with RESILIA tissue. Eur J Cardiothorac Surg. 2017 Sep 1;52(3):432-439. doi: 10.1093/ejcts/ezx158.

    PubMed 28605428
  • Kappetein AP, Head SJ, Genereux P, Piazza N, van Mieghem NM, Blackstone EH, Brott TG, Cohen DJ, Cutlip DE, van Es GA, Hahn RT, Kirtane AJ, Krucoff MW, Kodali S, Mack MJ, Mehran R, Rodes-Cabau J, Vranckx P, Webb JG, Windecker S, Serruys PW, Leon MB; Valve Academic Research Consortium-2. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document. EuroIntervention. 2012 Nov 22;8(7):782-95. doi: 10.4244/EIJV8I7A121.

    PubMed 23022744
  • Dvir D, Bourguignon T, Otto CM, Hahn RT, Rosenhek R, Webb JG, Treede H, Sarano ME, Feldman T, Wijeysundera HC, Topilsky Y, Aupart M, Reardon MJ, Mackensen GB, Szeto WY, Kornowski R, Gammie JS, Yoganathan AP, Arbel Y, Borger MA, Simonato M, Reisman M, Makkar RR, Abizaid A, McCabe JM, Dahle G, Aldea GS, Leipsic J, Pibarot P, Moat NE, Mack MJ, Kappetein AP, Leon MB; VIVID (Valve in Valve International Data) Investigators. Standardized Definition of Structural Valve Degeneration for Surgical and Transcatheter Bioprosthetic Aortic Valves. Circulation. 2018 Jan 23;137(4):388-399. doi: 10.1161/CIRCULATIONAHA.117.030729.

    PubMed 29358344
  • Capodanno D, Petronio AS, Prendergast B, Eltchaninoff H, Vahanian A, Modine T, Lancellotti P, Sondergaard L, Ludman PF, Tamburino C, Piazza N, Hancock J, Mehilli J, Byrne RA, Baumbach A, Kappetein AP, Windecker S, Bax J, Haude M. Standardized definitions of structural deterioration and valve failure in assessing long-term durability of transcatheter and surgical aortic bioprosthetic valves: a consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) endorsed by the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur J Cardiothorac Surg. 2017 Sep 1;52(3):408-417. doi: 10.1093/ejcts/ezx244. No abstract available.

    PubMed 28874031
  • De Paulis R, Bakhtiary F, Ahmad AE, Andreas M, Autschbach R, Benedikt P, Binder K, Bonaros N, Borger M, Bourguignon T, Canovas S, Coscioni E, Dagenais F, Demers P, Dewald O, Doll N, Feyrer R, Geissler HJ, Grabenwoger M, Grunenfelder J, Kueri S, Lam KY, Langanay T, Laufer G, Van Leeuwen W, Karimli S, Liebold A, Mariscalco G, Massoudy P, Mehdiani A, Pessotto R, Pollari F, Poling J, Polvani G, Ricci A, Roussel JC, Salamate S, Siepe M, Stefano P, Strauch J, Theron A, Votsch A, Weber A, Wendler O, Thielmann M, Eden M, Botta B, Bramlage P, Meuris B, Zierer A. Gender-based outcomes following surgical aortic valve replacement: a multicentre propensity score matching analysisdagger. Eur J Cardiothorac Surg. 2025 Jul 1;67(7):ezaf099. doi: 10.1093/ejcts/ezaf099.

    PubMed 40608978
  • Meuris B, Roussel JC, Borger MA, Siepe M, Stefano P, Laufer G, Langanay T, Theron A, Grabenwoger M, Binder K, Demers P, Pessotto R, van Leeuwen W, Bourguignon T, Canovas S, Mariscalco G, Coscioni E, Dagenais F, Wendler O, Polvani G, Eden M, Botta B, Bramlage P, De Paulis R. Durability of bioprosthetic aortic valve replacement in patients under the age of 60 years - 1-year follow-up from the prospective INDURE registry. Interdiscip Cardiovasc Thorac Surg. 2023 Oct 4;37(4):ivad115. doi: 10.1093/icvts/ivad115.

    PubMed 37462612
  • Meuris B, Borger MA, Bourguignon T, Siepe M, Grabenwoger M, Laufer G, Binder K, Polvani G, Stefano P, Coscioni E, van Leeuwen W, Demers P, Dagenais F, Canovas S, Theron A, Langanay T, Roussel JC, Wendler O, Mariscalco G, Pessotto R, Botta B, Bramlage P, de Paulis R. Durability of bioprosthetic aortic valves in patients under the age of 60 years - rationale and design of the international INDURE registry. J Cardiothorac Surg. 2020 May 27;15(1):119. doi: 10.1186/s13019-020-01155-6.

    PubMed 32460798

Questions about this trial

What is this clinical trial studying?

An observational study of Aortic Valve Stenosis, run by Institut für Pharmakologie und Präventive Medizin at 21 sites in 9 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 5 inclusion and 6 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 15 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in France, Italy, Austria, United Kingdom, Canada and 4 more countries. 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?

This study is still under way. Results are not available in the source record yet.

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?

Time-related valve safety (time frame: Year 1). The study lists 2 primary outcomes in all. 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 NCT03666741, which also lists 8 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 15 Jun 2025.

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