AzTrials
AzTrials

Aortic RegurgitationALIGN-ARNCT04415047

The JenaValve ALIGN-AR Pivotal Trial

A study testing JenaValve Trilogy Heart Valve System in people with Aortic Regurgitation and Aortic Valve Insufficiency, run by JenaValve Technology, Inc. at 30 sites in United States.

Active, not recruiting

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

Official record
Search all trials

Trial summary

To collect information about treatment for symptomatic severe Aortic Regurgitation (AR), which affects the aortic valve in the heart. Aortic regurgitation is a condition where aortic valve in the heart does not close tightly and allows some blood to leak back into the heart chamber. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
JenaValve Trilogy Heart Valve System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
30 sitesUnited States
Study dates
22 May 2020to Aug 2028
Phase
Interventional
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient with severe aortic regurgitation (AR).
  • Patient at high risk for open surgical valve replacement
  • Patient symptomatic according to NYHA functional class II or higher
  • The study patient has been informed of the nature of the study, agrees to its provisions and has provided written informed consent as approved by the Institutional Review Board (IRB)/ Ethics Committee (EC) of the respective clinical site.

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
  • Severe mitral regurgitation

Trial locations and contacts

30 sites in 1 country.

30 sites in 1 country

United States30 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Piedmont Healthcare

    Atlanta, Georgia, 30309

  • Emory University Hospital

    Atlanta, Georgia, 30322

  • University of Maryland Medical Center

    Baltimore, Maryland, 21201

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • The Christ Hospital

    Cincinnati, Ohio, 45219

  • Morton Plant/ BayCare Health

    Clearwater, Florida, 33756

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • Ohio Health Research Institute

    Columbus, Ohio, 43214

  • Baylor Scott & White Research Institute

    Dallas, Texas, 75201

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Houston Methodist

    Houston, Texas, 77030

  • Memorial Hermann - Texas Medical Center

    Houston, Texas, 77030

  • Cedars Sinai Medical Center

    Los Angeles, California, 90048

  • Methodist Le Bonheur Healthcare

    Memphis, Tennessee, 38104

  • Minneapolis Heart Institute/ Abbott Northwestern

    Minneapolis, Minnesota, 55407

  • New York-Presbyterian/ Columbia University Medical Center

    New York, New York, 10032

  • Sentara Hospitals

    Norfolk, Virginia, 23502

  • Cardiac Surgery Clinical Research Center Inc./ Advocate Aurora Health

    Oak Lawn, Illinois, 60453

  • Rutgers Robert Wood Johnson Medical School/ Rutgers Robert Wood University Hospital

    Piscataway, New Jersey, 08901

  • Allegheny-Singer Health Network

    Pittsburgh, Pennsylvania, 15212

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • Intermountain Medical Center Heart Institute

    Salt Lake City, Utah, 84111

  • Scripps Hospital

    San Diego, California, 92121

  • California Pacific Medical Center Research Institute

    San Francisco, California, 94109

  • University of Washington

    Seattle, Washington, 98195

  • Barnes-Jewish Hospital / Washington University

    St Louis, Missouri, 63110

  • TMC HealthCare & PIMA Heart

    Tucson, Arizona, 85712

  • MedStar Washington Hospital Center

    Washington D.C., District of Columbia, 20010

  • Lankenau

    Wynnewood, Pennsylvania, 19096

Other trials in United States

About this study

Official title: A Study to Assess Safety and Effectiveness of the JenaValve Trilogy™ Heart Valve System in the Treatment of High Surgical Risk Patients With Symptomatic, Severe Aortic Regurgitation (AR)

To collect information about treatment for symptomatic severe Aortic Regurgitation (AR), which affects the aortic valve in the heart. Aortic regurgitation is a condition where aortic valve in the heart does not close tightly and allows some blood to leak back into the heart chamber. Symptoms of aortic regurgitation may include fatigue and shortness of breath. The preferred treatment for severe aortic regurgitation is aortic valve replacement surgery.

Read the detailed description

This study will examine the use of TAVR (Transcatheter Aortic Valve Replacement), which is a minimally invasive procedure designed to replace the aortic valve inside the heart. In this study, TAVR will be performed using the JenaValve Pericardial TAVR System, which is intended to help treat symptomatic severe aortic regurgitation.

Being tested
JenaValve Trilogy Heart Valve System
Keywords
Valvular Heart Disease, Aortic Incompetence, Aortic Valve Incompetence
Medical subject headings
Aortic Valve Insufficiency, Aortic Valve Disease, Heart Valve Diseases

What participants receive

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

  • JenaValve Trilogy Heart Valve SystemDevice

    TAVR with JenaValve Trilogy Heart Valve System

Study groups in NCT04415047
Study groupRoleWhat they receive
Transcatheter Aortic Valve Replacement (TAVR)ExperimentalTAVR with JenaValve Trilogy Heart Valve System Intervention Device: JenaValve Trilogy Heart Valve System
Receives: Device: JenaValve Trilogy Heart Valve System

What is being measured

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

  1. All-Cause Mortality at 1 Year

    All-cause mortality within the first 12 months post index procedure

    Measured: 1 year

  2. All Stroke

    Number of patients that had a stroke

    Measured: 30 days

  3. Major Bleeding

    Number of patients that had any of these events

    Measured: 30 days

  4. Acute Kidney Injury

    Number of patients that had these events

    Measured: 30 days

  5. Major Vascular Complications

    Number of patients that had these events

    Measured: 30 days

  6. Surgery/intervention related to the device

    Number of patients that had these events

    Measured: 30 days

  7. Permanent pacemaker implantation

    Number of patients that had these events

    Measured: 30 days

  8. Total aortic regurgitation

    Number of patients that had these events

    Measured: 30 days

Secondary outcomes (1)
  1. KCCQ

    KCCQ Improvement

    Measured: 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 posted4 Jun 2020
  2. Study start22 May 2020
  3. Primary completion29 Aug 2023 (estimated)
  4. Study completionAug 2028 (estimated)

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
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04415047
Sponsor's protocol ID
P02C320
Acronym
ALIGN-AR
Status last verified
Sep 2022
First submitted
31 May 2020
Last updated
13 Sep 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
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 28314623
  • Nishimura 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 28298458
  • Iung 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 12831818
  • Geyer M, Tamm AR, Munzel T, Treede H, von Bardeleben RS. Novel Transfemoral TAVR System to Treat Aortic Regurgitation in Degenerated Surgical Aortic Valve Replacement Even in Unfavorable Anatomy. JACC Cardiovasc Interv. 2022 Jun 13;15(11):e135-e136. doi: 10.1016/j.jcin.2022.02.043. Epub 2022 May 11. No abstract available.

    PubMed 35568645
  • Poschner T, Werner P, Kocher A, Laufer G, Musumeci F, Andreas M, Russo M. The JenaValve pericardial transcatheter aortic valve replacement system to treat aortic valve disease. Future Cardiol. 2022 Feb;18(2):101-113. doi: 10.2217/fca-2021-0065. Epub 2021 Oct 14.

    PubMed 34647465
  • Ng VG, Khalique OK, Nazif T, Patel A, Hamid N, George I, Bapat V, Hahn R, Kodali S, Vahl TP. Treatment of Acute Aortic Insufficiency With a Dedicated Device. JACC Case Rep. 2021 Mar 24;3(4):645-649. doi: 10.1016/j.jaccas.2021.01.021. eCollection 2021 Apr.

    PubMed 34317595
  • Tang RS, Li YM, Bao Y, Zeng JD, Yao YJ, Wang JY, Yang XY, Xu YJ, Pu XZ, Jiang WL, Jia YH, Yin Y, Li H, Li W, Yi Z, Chen M. Development of a multi-label deep neural network model for predicting immediate paravalvular leakage and new-onset conduction disturbances after transcatheter aortic valve replacement: A retrospective cohort study. Digit Health. 2026 Mar 31;12:20552076261427502. doi: 10.1177/20552076261427502. eCollection 2026 Jan-Dec.

    PubMed 41928824
  • Makkar RR, Thourani VH, Vahl TP, Yadav PK, McCabe JM, George I, Satler L, Chetcuti S, Daniels DV, Waggoner T, Whisenant B, Russo M, Summers M, Garcia S, Frisoli T, Ramana RK, Stinis C, Golwala H, Zahr F, Greenbaum A, Rovin J, Sanchez C, Szerlip M, Deeb GM, Amoroso N, Patel D, Fahy M, Ranard LS, Gupta A, Chakravarty T, Skaf S, Chuang M, Kodali SK, Figulla HR, Treede H, Baldus S, Pinto DS, Leon MB; ALIGN-AR Investigators. Transcatheter aortic valve implantation with the Trilogy valve for symptomatic native aortic regurgitation (ALIGN-AR): a pivotal, multicentre, single-arm, investigational device exemption study. Lancet. 2025 Dec 13;406(10521):2757-2771. doi: 10.1016/S0140-6736(25)02215-9. Epub 2025 Nov 16.

    PubMed 41260228
  • Vahl TP, Thourani VH, Makkar RR, Hamid N, Khalique OK, Daniels D, McCabe JM, Satler L, Russo M, Cheng W, George I, Aldea G, Sheridan B, Kereiakes D, Golwala H, Zahr F, Chetcuti S, Yadav P, Kodali SK, Treede H, Baldus S, Amoroso N, Ranard LS, Pinto DS, Leon MB. Transcatheter aortic valve implantation in patients with high-risk symptomatic native aortic regurgitation (ALIGN-AR): a prospective, multicentre, single-arm study. Lancet. 2024 Apr 13;403(10435):1451-1459. doi: 10.1016/S0140-6736(23)02806-4. Epub 2024 Mar 26.

    PubMed 38552656
  • Hamid 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

Questions about this trial

What is this clinical trial studying?

A study testing JenaValve Trilogy Heart Valve System in people with Aortic Regurgitation and Aortic Valve Insufficiency, run by JenaValve Technology, Inc. at 30 sites in United States.

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 4 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 13 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in United States. 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?

All-Cause Mortality at 1 Year (time frame: 1 year). The study lists 8 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 NCT04415047, which also lists 10 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 13 Sep 2022.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in