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Aortic Valve StenosisNCT04655248

ACURATE neo2™ Post Market Clinical Follow up Study

An observational study of Aortic Valve Stenosis and Aortic Valve Calcification, run by Boston Scientific Corporation at 19 sites in 8 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

The ACURATE Neo2 PMCF is aimed at collecting clinical and device performance outcomes data with the ACURATE neo2™ Transfemoral Aortic Valve System as used in routine clinical practice for the treatment of severe calcific aortic stenosis. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Transcatheter Aortic Valve Implantation/Replacement
Type of treatment
Medical device
How many people
250 participants
Where
19 sitesin 8 countries
Study dates
16 Dec 2020to 31 Dec 2026
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with symptomatic heart disease due to severe native calcific aortic stenosis

Who may be able to join

  • There are no specific inclusion criteria set for this post-market surveillance study. A subject must sign an IEC-approved ICF and the ACURATE neo2 Transfemoral Aortic Valve System should be used according to the commercial IFU.

Who cannot join

  • EC1. Subject has a previous bioprosthesis in the aortic position.
  • EC2. Subject has eGFR <30 mL/min (chronic kidney disease stage IV or stage V).
  • EC3. Subject has atrial fibrillation that cannot be rate controlled to ventricular response rate < 60 bpm.
  • EC4. Subject is expected to undergo chronic anticoagulation therapy after the TAVI procedure
  • Note : Subjects treated with short-term anticoagulation post-procedure can be included; in these subjects the 30-day imaging will be performed 30 days after discontinuation of anticoagulation.

Trial locations and contacts

19 sites in 8 countries.

19 sites in 8 countries

Germany4 sites
  • Kerckhoff-Klinik GmbH Herz und Thorax Zentrum Abteilung Kardiologie/Kardiochirurgie

    Bad Nauheim

  • HDZ Bad Oeynhausen

    Bad Oeynhausen

  • St.-Johannes-Hospital

    Dortmund

  • Universitätsklinik Regensburg

    Regensburg

Other trials in Germany

Denmark3 sites
  • Aarhus Universitetshospital

    Aarhus

  • Rigshospitalet

    Copenhagen

  • Odense University Hospital

    Odense

Other trials in Denmark

Italy3 sites
  • A.O.U Policlinico "G.Rodolico - San Marco"

    Catania, CA, 95123

  • San Raffaele Hospital

    Milan

  • Azienda Ospedaliera Pisana

    Pisa

Other trials in Italy

Netherlands2 sites
  • Erasmus Medical Center

    Rotterdam

  • UMC Utrecht

    Utrecht

Other trials in Netherlands

Spain2 sites
  • Hospital Clinico de Santiago

    Santiago de Compostela

  • Hospital Clinico Universitario Valladolid

    Valladolid, 47005

Other trials in Spain

Sweden2 sites
  • Lund University, Cardiology department

    Lund

  • Karolinska Universitetssjukhuset

    Stockholm

Other trials in Sweden

United Kingdom2 sites
  • Liverpool Heart and Chest Hospital

    Liverpool

  • John Radcliffe Hospital

    Oxford

Other trials in United Kingdom

Switzerland1 site
  • Universitätsspital Zürich

    Zurich

Other trials in Switzerland

About this study

The ACURATE Neo2 PMCF is aimed at collecting clinical and device performance outcomes data with the ACURATE neo2™ Transfemoral Aortic Valve System as used in routine clinical practice for the treatment of severe calcific aortic stenosis.

Read the detailed description

ACURATE neo2 PMCF is a prospective, open-label, single-arm, multicenter, observational post-market surveillance study. All subjects deemed treatable with the ACURATE neo2 valve will be approached to participate in the study.

A subject who provides an Informed Consent Form (ICF) approved by the Independent Ethics Committee (IEC) and signed by the subject or the subject's legally authorized representative is considered enrolled once an attempt is made to insert the commercially available ACURATE neo2 Transfemoral Delivery System. Approximately 200 subjects will be enrolled.

Follow-up will occur at pre-discharge, 30 days, 1 year, and then annually from 2 through 5 years post index procedure per standard of care. Visits are in-person through 1 year and in-person (preferred) or via telephone interview in years 2 through 5. All subjects will undergo 4D computed tomography (CT) imaging at 30 days and 1 year.

ACURATE neo2 PMCF Study Design Overview Abbreviations: CT=computed tomography; ICF=Informed Consent Form

Being tested
Transcatheter Aortic Valve Implantation/Replacement
Medical subject headings
Aortic Valve Stenosis, Aortic Valve, Calcification of, Aortic Diseases

What participants receive

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

  • Transcatheter Aortic Valve Implantation/ReplacementDevice

    The device is placed in patients heart at the level of aortic valve through a transfemoral access from femoral groin as indicated in device IFU

What is being measured

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

  1. Primary Safety Endpoint:

    All-cause mortality after the index implant procedure

    Measured: 30 days

  2. Primary Imaging Endpoint:

    Hypoattenuated leaflet thickening (HALT) as measured by 4D CT

    Measured: 30 days

Secondary outcomes (6)
  1. Safety endpoints adjudicated by an independent Clinical Events Committee

    All-cause mortality (cardiovascular and non-cardiovascular) Stroke (disabling and non-disabling) Bleeding (life-threatening [or disabling] and major) Vascular complications (major) Hospitalization for valve-related symptoms or worsening congestive heart failure (NYHA class III or IV)

    Measured: all 5 years

  2. Additional Safety Endpoints

    • Myocardial infarction (periprocedural [≤72 hours post index procedure] and spontaneous [>72 hours post index procedure])
    • Acute kidney injury (≤7 days post index procedure) based on the AKIN System Stage 3 (including renal replacement therapy) and Stage 2
    • Repeat procedure for valve-related dysfunction (surgical or interventional therapy)
    • New permanent pacemaker implantation resulting from new or worsened conduction disturbances
    • New onset of atrial fibrillation or atrial flutter
    • Coronary obstruction (≤3 days post index procedure)
    • Ventricular septal perforation (≤3 days post index procedure)
    • Annular rupture (≤3 days post index procedure)
    • Cardiac tamponade (≤3 days post index procedure)
    • Valve migration
    • Valve embolization
    • Ectopic valve deployment
    • Transcatheter aortic valve (TAV)-in-TAV deployment
    • Prosthetic aortic valve thrombosis
    • Prosthetic aortic valve endocarditis

    Measured: all 5 years

  3. Prosthetic Aortic Valve Performance as measured by transthoracic echocardiography (TTE)

    Effective orifice area (EOA), Mean and Peak aortic gradients, peak aortic velocity, and grade of aortic regurgitation/paravalvular leak (PVL).

    Center-reported TTE measures will also be collected annually at 2 through 5 years per local standard of care for TAVI.

    Measured: Discharge, 30 days, annually from year 1 to 5

  4. EuroQoL Quality of Life questionnaire (EQ-5D-5L)

    Health status as evaluated by the EQ-5D-5L Quality Of Life questionnaire

    Measured: Baseline, 30-day, 1-year

  5. New York Heart Association (NYHA) functional classification

    Classification of heart failure symptoms as evaluated by NYHA classification

    Measured: Baseline, Discharge, 30 days, annually from year 1 to 5

  6. Assessments using 4D CT-scan

    • Assessment of leaflet mobility
    • Assessment of hypoattenuated leaflet thickening (HALT)
    • Assessment of leaflet thrombosis

    Measured: 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 posted7 Dec 2020
  2. Study start16 Dec 2020
  3. Primary completion9 Mar 2022
  4. Study completion31 Dec 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
Cohort
Time perspective
Prospective
Enrolment
250 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04655248
Sponsor's protocol ID
S2410
Status last verified
Jun 2025
First submitted
30 Nov 2020
Last updated
25 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: The data and study protocol for this clinical trial may be made available to other researchers in accordance with the Boston Scientific Data Sharing Policy. (http://www.bostonscientific.com/en-US/data-sharing-requests.html)

Publications

  • Kim WK, Mollmann H, Montorfano M, Ellert-Gregersen J, Rudolph TK, Van Mieghem NM, Hilker M, Amat-Santos I, Terkelsen CJ, Petronio AS, Stella P, Gotberg M, Ruck A, Kasel AM, Trillo R, Appleby C, Barbanti M, Blanke P, Asch FM, Modolo R, Allocco DJ, Tamburino C. Outcomes and performance of the ACURATE neo2 transcatheter heart valve in clinical practice: one-yearresults of the ACURATE neo2 PMCF Study. EuroIntervention. 2024 Jan 1;20(1):85-94. doi: 10.4244/EIJ-D-23-00823.

    PubMed 37982152

Questions about this trial

What is this clinical trial studying?

An observational study of Aortic Valve Stenosis and Aortic Valve Calcification, run by Boston Scientific Corporation at 19 sites in 8 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 1 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: under way, not looking for participants, as of the sponsor's last update on 25 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 19 sites in Germany, Denmark, Italy, Netherlands, Spain and 3 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?

Primary Safety Endpoint: (time frame: 30 days). 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 NCT04655248, 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 25 Jun 2025.

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