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Transcatheter Aortic Valve Implantation (TAVI)BENCHMARKNCT04579445

Setting a Benchmark for Resource Utilization and Quality of Care in Patients Undergoing TAVI in Europe

An observational study of Transcatheter Aortic Valve Implantation (TAVI), run by Institut für Pharmakologie und Präventive Medizin at 28 sites in 7 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

Non-interventional, multi-center, international registry in patients with severe aortic stenosis (sAS) undergoing transcatheter aortic valve implantation (TAVI). The BENCHMARK Registry aims to implement standardized, reproducible and scalable quality improvement measures, which will help to reduce resource… Read more about this study

Who is it for?
Ages 18 to 115 years
What is being tested?
Education on tailored Quality Improvement measures
How many people
2,408 participants
Where
28 sitesin 7 countries
Study dates
3 May 2021to 1 Aug 2024
How long will I take part?
12 Months
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 18 to 115 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Prospective phase: 50 severe Aortic stenosis patients undergoing transcatheter aortic valve implantation will be recruited within the prospective part per center. Retrospective phase: Retrospective documentation of 30 severe aortic stenosis pateints per center, who underwent a transcatheter aortic valve implantation will be performed.

Who may be able to join

  • Retrospective phase:
  • Consecutive, severe symptomatic aortic stenosis patients who underwent transcatheter aortic valve implantation with a balloon-expandable transcatheter aortic valve prior to the center education on BENCHMARK QoC (Quality of Care) improvement measure (prior to the first education call)).
  • Patient is or was scheduled to undergo a 30 Day and 12 Months follow-up (30 Day and 12 Months follow-up: hospital visit or phone call)
  • All patients irrespective of valve type or access route will be documented in an electronic Case Report Form (eCRF) based patient logbook.
  • Prospective phase:
  • Consecutive patients with a diagnosis of severe symptomatic aortic stenosis admitted for TAVI with a balloon-expandable transcatheter heart valve after center education on BENCHMARK Quality of Care measures and after the center has passed the implementation phase.
  • All patients irrespective of valve type or access route will be documented in an eCRF based patient logbook.

Who cannot join

  • Retrospective phase:
  • Patients with largely incomplete data with respect to the aims of the project.
  • Patients without signed informed consent / data protection statement (according to requirements of local ethical committee).
  • Pregnant women at the time of the TAVI.
  • Prospective phase:
  • Patients without signed informed consent prior to the TAVI procedure (data protection statement included; ideally covered by hospital routine to enable consecutiveness).
  • Pregnant women at the time of the TAVI.

Trial locations and contacts

28 sites in 7 countries.

28 sites in 7 countries

France9 sites
  • Centre Hospitalier Universitaire de Besancon

    Besançon, 25030

  • Polyclinique Du Bois

    Lille, 59000

  • Infirmerie Protestante de Lyon

    Lyon, 69641

  • Hopital Saint Joseph

    Marseille, 13008

  • Centre Hospitalier Universitaire de Montpellier

    Montpellier, 34295

  • IMM (Institut Mutualiste Montsouris) Paris

    Paris, 74014

  • Pitie Salpetriere Hospital Paris

    Paris, 75013

  • CHU Rennes

    Rennes, 35000

  • CHRU Tours

    Tours, 37000

Other trials in France

Germany6 sites
  • Herzzentrum Köln

    Cologne, 50670

  • University Medical Center Göttingen

    Göttingen, 37075

  • University Hospital Heidelberg

    Heidelberg, 69120

  • Saarland University Medical Center

    Homburg, 66421

  • CKMS Munich, Artemed Clinics

    Munich, 81379

  • Brüderkrankenhaus Trier

    Trier, 54292

Other trials in Germany

Spain5 sites
  • Hospital de la Santa Creu i Sant Pau

    Barcelona, 08025

  • Hospital Bellvitge

    Barcelona, 08905

  • Hospital Clinico San Carlos

    Madrid, 28040

  • Hospital Regional Universitario de Málaga

    Málaga, 29001

  • Hospital Universitari Son Espases

    Palma de Mallorca, 07020

Other trials in Spain

Italy4 sites
  • L'Ospedale S.Giuseppe Moscati di Avellino

    Avellino, 83100

  • Careggi Hospital

    Florence, 50134

  • Centro Cardiologico, Monzino Hospital

    Milan, 20141

  • Azienda Ospedaliera Ordine Mauriziano di Torino

    Torino, 10128

Other trials in Italy

Austria2 sites
  • St. Pölten University Hospital

    Sankt Pölten, 3100

  • KH Nord, Klinik Floridsdorf

    Vienna, 1210

Other trials in Austria

Czechia1 site
  • IKEM Prague

    Prague, 14021

Other trials in Czechia

Romania1 site
  • Institutul de Urgenta pentru Boli Cardiolvasculaire

    Bucharest, 022322

Other trials in Romania

About this study

Official title: Setting a Benchmark for Resource Utilization and Quality of Care in Patients Undergoing Transcatheter Aortic Valve Implantation in Europe - The BENCHMARK Registry

Non-interventional, multi-center, international registry in patients with severe aortic stenosis (sAS) undergoing transcatheter aortic valve implantation (TAVI). The BENCHMARK Registry aims to implement standardized, reproducible and scalable quality improvement measures, which will help to reduce resource requirements, intensive care unit bed occupancy and overall length of hospitalization with uncompromised patient safety.

The registry will consist of the following phases:

  • Retrospective phase (purpose: capture the status quo of each site prior to any Quality of Care improvement measures): The TAVI of patients being eligible for retrospective documentation must have been performed prior to the site's enrollment into the BENCHMARK prospective phase (follow-up: 30 days, 12 months).
  • Education phase: Each center will undergo an online BENCHMARK education. The contents of the education will be: Reflection on treatment pathways with the TAVI team, education on 8 defined Quality of Care improvement measures, followed by a center self-assessment (to self-assess the current alignment of hospital performance with the BENCHMARK Quality od Care measures).
  • Implementation phase: After having self-assessed the current alignment of hospital performance with the following BENCHMARK Quality of care measures, each center will start to introduce the tailored Quality of Care improvement measures to their hospital routine within a time frame of 2 months.
  • Prospective phase (purpose: to document the effects of defined quality of care improvement measure and to make sure patient safety is as least as good as in the retrospective phase. (8 months of recruitment, Follow-up: 30 days, 12 months)
Read the detailed description

Transcatheter aortic valve implantation (TAVI) has become standard of care in patients suffering from severe, symptomatic aortic stenosis, irrespective of risk. However, despite the advances in valve technology and implantation techniques, there is still no consensus on how to effectively screen, manage and discharge patients undergoing such an intervention.

In an effort not to lose grounds because of an increasing inner-hospital competition for resources including intensive care unit (ICU) and general hospital beds, there is a need for a streamlined Quality of Care (QoC) pathway that delivers the procedure more efficient, but with at least the same patient safety. In this context, the recent FAST-TAVI (Feasibility And Safety of early discharge after Transfemoral TAVI) and North American Multidisciplinary, Multimodality, But Minimalist (3M) studies have shown that optimized risk assessment and patient management results in a more effective, as least as safe treatment pathway and a reduced length of stay (LoS).

The results gain importance especially in a situation where patients suffering from the coronavirus disease compete for hospital resources throughout Europe. Using a clear set of Quality of Care criteria, the BENCHMARK registry aims to document the progress that can be made if tailored Quality of Care improvement measures are initiated.

The hypothesis is that the implementation of standardized, reproducible and scalable Quality of Care improvement measures will help reducing resource requirements, intensive care unit bed occupancy and overall length of hospitalization with uncompromised patient safety.

There will be up to 30 centers participating across Europe (Germany, Austria, Italy, France, Spain, Czech Republic, Romania). Each center will enroll 80 patients (retrospective documentation of 30 patients, prospective enrollment of 50 patients), resulting in 2400 patients in total.

Being tested
Education on tailored Quality Improvement measures
Keywords
TAVI, Severe Aortic Stenosis, Optimizing TAVI patient outcomes, Optimizing TAVI care pathways
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.

  • Education on tailored Quality Improvement measuresOther

    Also called Education on Quality of Care Improvement measures

    Centers will undergo an education on defined Quality of Care measures, with the aim to implement a standardized pathway which is reproducible, scalable and which will allow increased access. The implementation of these measures will help to reduce resource requirements, intensive care bed occupancy and overall length of hospital stay with uncompromised patient safety.

Study groups in NCT04579445
Study groupRoleWhat they receive
TAVI patientsConsecutive, severe aortic stenosis patients undergoing transcatheter aortic valve implantation (TAVI) (there will be a retrospective part: documentation of 30 patients who underwent transfemoral TAVI; and a prospective part enrolling 50 patients undergoing transfemoral TAVI)
Receives: Other: Education on tailored Quality Improvement measures

What is being measured

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

  1. Evaluation of differences in length of stay (LoS)

    LoS in days

    Measured: 12 months

  2. Complication rate (AEs), TAVI related safety outcomes

    According to Valve Academic Research Consortium-2 consensus (VARC-2) criteria

    Measured: 30 days

  3. Complication rate (AEs), TAVI related safety outcomes

    According to Valve Academic Research Consortium-2 consensus (VARC-2) criteria

    Measured: 12 months

  4. Quality of Life assessment: Toronto Aortic Stenosis Quality of Life Questionnaire

    Assess the Quality of Life by using the Toronto Aortic Stenosis Quality of Life Questionnaire (TASQ). Each question has a maximum score of 7 (response options from "not very much" to "very much"), giving the complete questionnaire a maximum total score of 112 with a higher score indicating improved Quality of Life.

    Measured: 30 days

  5. Quality of Life assessment: Toronto Aortic Stenosis Quality of Life Questionnaire

    Assess the Quality of Life by using the Toronto Aortic Stenosis Quality of Life Questionnaire (TASQ). Each question has a maximum score of 7 (response options from "not very much" to "very much"), giving the complete questionnaire a maximum total score of 112 with a higher score indicating improved Quality of Life.

    Measured: 12 months

  6. Resource utilization - Early discharge information

    To determine the proportion of early discharges in sAS patients undergoing TAVI

    Measured: 12 months

  7. Resource utilization - Working hours per patient

    To determine the working hours per patient

    Measured: 12 months

  8. Resource utilization - Number of TAVI patients in each center

    To determine the number of patients undergoing TAVI (per center)

    Measured: 12 months

  9. Physician and patient satisfaction

    Satisfaction score, scoring from 0 (extremely dissatisfied) to 40 (extremely satisfied)

    Measured: 30 days

  10. Physician and patient satisfaction

    Satisfaction score, scoring from 0 (extremely dissatisfied) to 40 (extremely satisfied)

    Measured: 12 months

Timeline

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

  1. First posted8 Oct 2020
  2. Study start3 May 2021
  3. Primary completion30 Apr 2023
  4. Study completion1 Aug 2024

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
2,408 participants (actual)
Target duration
12 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT04579445
Sponsor's protocol ID
BENCHMARK Registry
Acronym
BENCHMARK
Status last verified
Sep 2024
First submitted
28 Sep 2020
Last updated
1 Oct 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: no individual participant data (IPD) will be shared

Publications

  • McCalmont G, Durand E, Lauck S, Muir DF, Spence MS, Vasa-Nicotera M, Wood D, Saia F, Chatel N, Luske CM, Kurucova J, Bramlage P, Frank D. Setting a benchmark for resource utilization and quality of care in patients undergoing transcatheter aortic valve implantation in Europe-Rationale and design of the international BENCHMARK registry. Clin Cardiol. 2021 Oct;44(10):1344-1353. doi: 10.1002/clc.23711. Epub 2021 Sep 9.

    PubMed 34499383
  • Frank D, Durand E, Lauck S, Muir DF, Spence M, Vasa-Nicotera M, Wood D, Saia F, Urbano-Carrillo CA, Bouchayer D, Iliescu VA, Saint Etienne C, Leclercq F, Auffret V, Asmarats L, Di Mario C, Veugeois A, Maly J, Schober A, Nombela-Franco L, Werner N, Gomez-Hospital JA, Mascherbauer J, Musumeci G, Meneveau N, Meurice T, Mahfoud F, De Marco F, Seidler T, Leuschner F, Joly P, Collet JP, Vogt F, Di Lorenzo E, Kuhn E, Disdier VP, Hachaturyan V, Luske CM, Rakova R, Wesselink W, Kurucova J, Bramlage P, McCalmont G; BENCHMARK Investigator Group. A streamlined pathway for transcatheter aortic valve implantation: the BENCHMARK study. Eur Heart J. 2024 Jun 1;45(21):1904-1916. doi: 10.1093/eurheartj/ehae147.

    PubMed 38554125
  • Saia F, Lauck S, Durand E, Muir DF, Spence M, Vasa-Nicotera M, Wood D, Urbano-Carrillo CA, Bouchayer D, Iliescu VA, Etienne CS, Leclercq F, Auffret V, Asmarats L, Di Mario C, Veugeois A, Maly J, Schober A, Nombela-Franco L, Werner N, Gomez-Hospital JA, Mascherbauer J, Musumeci G, Meneveau N, Meurice T, Mahfoud F, De Marco F, Seidler T, Leuschner F, Joly P, Collet JP, Vogt F, Di Lorenzo E, Kuhn E, Disdier VP, McCalmont G, Rakova R, Wesselink W, Kurucova J, Hachaturyan V, Luske CM, Bramlage P, Frank D; BENCHMARK Investigator Group. The implementation of a streamlined TAVI patient pathway across five European countries: BENCHMARK registry. Clin Res Cardiol. 2026 Jul;115(7):1107-1119. doi: 10.1007/s00392-025-02638-z. Epub 2025 Apr 22.

    PubMed 40261426

Questions about this trial

What is this clinical trial studying?

An observational study of Transcatheter Aortic Valve Implantation (TAVI), run by Institut für Pharmakologie und Präventive Medizin at 28 sites in 7 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 7 inclusion and 7 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 1 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in France, Germany, Spain, Italy, Austria and 2 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?

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?

Evaluation of differences in length of stay (LoS) (time frame: 12 months). The study lists 10 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 NCT04579445, which also lists 3 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 1 Oct 2024.

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