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Aortic Valve StenosisNCT04703699

Myval Global Study of Myval™ THV Series Implanted in Patients With Native Severe Aortic Valve Stenosis.

An observational study of Aortic Valve Stenosis, run by Meril Life Sciences Pvt. Ltd. at 8 sites in 7 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

A retrospective, multinational, multicentre, observational study in patients presenting with native severe aortic valve stenosis and treated with Myval™ Transcatheter Heart Valve Series in real-world setting. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Aortic Valve Stenosis
What is being tested?
Myval Transcatheter Heart Valve Series
Type of treatment
Medical device
How many people
200 participants
Where
8 sitesin 7 countries
Study dates
7 Aug 2020to 30 Nov 2028
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: All patients who have been treated with Myval™ THV series will be selected for the study.

Who may be able to join

  • All patients of this study must have received Myval™ THV series for treatment of native severe aortic stenosis and completed a minimum of 30-day follow-up.

Who cannot join

  • No

Trial locations and contacts

8 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

8 sites in 7 countries

Spain2 sites, 2 recruiting
  • Hospital Universitario de Gran Canaria Dr. Negrin

    Las Palmas de Gran Canaria, 35010

    Dr. Pedro Martin Lorenzo, +34 616 129540 / 928 284105, pemarlor@hotmail.com

    Recruiting
  • Hospital Cliinico Univertistario de Valladolid

    Valladolid, 47003

    Dr. Ignacio A Santos, Medicine & Surgery, +34657923040, ijamat@gmail.com

    Jose R Delgado Arana, Medicine

    Recruiting

Other trials in Spain

Estonia1 site, 1 recruiting
  • North Estonia Medical center

    Tallinn

    Dr. Peep Laanmets, peep.laanmets@regionaalhaigla.ee

    Recruiting

Other trials in Estonia

Italy1 site, 1 recruiting
  • Clinical Institute Saint Ambrogio

    Milan, 20149

    Dr. Alfonso Ielasi, MD, +39 338 8433189, alielasi@hotmail.com

    Recruiting

Other trials in Italy

Netherlands1 site, 1 recruiting
  • Amphia Ziekenhui

    Breda, North Brabant, 4818

    Dr. A. J. J. IJsselmuiden, MD, Ph.D, +31(0)655814502, siisselmuiden@amphia.nl

    Simsek Cihan, Ph.D

    Recruiting

Other trials in Netherlands

Poland1 site, 1 recruiting
  • University of Gdansk

    Gdansk, Bażyńskiego, 80-309

    Prof. Dariusz Jagielak, MD, PhD, +48509487577, darjag@gumed.edu.pl

    Recruiting

Other trials in Poland

Slovenia1 site, 1 recruiting
  • University Medical Centre Ljubljana

    Ljubljana

    Prof. Matjaz Bunc, matjaz.bunc@kclj.si

    Recruiting

Other trials in Slovenia

Turkey (Türkiye)1 site, 1 recruiting
  • Kocaeli University School of Medicine

    Kocaeli

    Prof. Teoman Kilic, kilicteoman@yahoo.com

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: A Retrospective, Multinational, Multicentre, Observational Study in Patients Presenting With Native Severe Aortic Valve Stenosis and Treated With Myval™ Transcatheter Heart Valve Series in Real-world Setting.

A retrospective, multinational, multicentre, observational study in patients presenting with native severe aortic valve stenosis and treated with Myval™ Transcatheter Heart Valve Series in real-world setting.

Read the detailed description

Myval Global Study: A retrospective, multicentre, observational study in patients presenting with native severe aortic valve stenosis and treated with Myval™ Transcatheter Heart Valve Series in real-world setting.

This study shall retrospectively collect the data of minimal 200 consecutive patients treated with Myval™ THV Series approximately 15 participating sites Globally.

Primary Endpoint:

Primary Combined Safety and Effectiveness Endpoint: [Time frame: 30 days]

It is the composite of following:

  • All-cause mortality
  • All stroke
  • Bleeding (type 3 and 4)
  • Acute kidney injury (stage 2 ,3 \& 4)
  • Major vascular complications
  • Moderate or severe prosthetic valve regurgitation
  • Conduction system disturbances resulting in a new permanent pacemaker implantation.

Secondary endpoints:

  1. All-cause mortality (VARC-3 defined criteria) [Time Frame: Through 30 days]
  2. All stroke (VARC-3 defined criteria) [Time Frame: Through 30 days]
  3. Acute Kidney Injury (AKI) based on the Acute Kidney Injury Network (AKIN) System Stage 2, Stage 3 or Stage 4 [Time Frame: Through 30 days]
  4. Bleeding type 3 and 4 (VARC-3 criteria) [Time Frame: Through 30 days]
  5. Moderate or severe prosthetic valve regurgitation [Time Frame: Through 30 days]
  6. New permanent pacemaker implantation [Time Frame: Through 30 days] New permanent pacemaker implantation rates will be analyzed further based on the patient's history of left and/or right bundle branch block.
  7. Conduction disturbances and arrhythmias according to VARC-3 [Time Frame: Through 30 days]
  8. Device success (VARC-3 criteria) [Time Frame: Pre-discharge]
  9. Early safety at 30 days (VARC-3 criteria) [Time Frame: After 30 days of index procedure]
  10. Clinical efficacy after 30 days (VARC-2 criteria) [Time Frame: After 30 days of index procedure]
  11. Time-related valve safety (VARC-2 criteria) [Time Frame: Through 30 days]
  12. Vascular and access related complications (VARC-3 criteria) [Time Frame: Pre-discharge, Through 30 days]
  13. Major vascular complications (VARC-3 criteria) [Time Frame: Pre-discharge, Through 30 days]
  14. Functional improvement from baseline as measured per
  15. NYHA functional classification [Time frame: Baseline, 30 days]
  16. Echocardiographic End Points
  • Effective orifice area (EOA)
  • Index effective orifice area (iEOA)
  • Mean aortic valve gradient
  • Peak aortic valve gradient
  • Peak aortic velocity
  • Transvalvular, paravalvular and total aortic regurgitation
  • Left ventricular ejection fraction (LVEF)
  • Valve calcification
  • Cardiac output and cardiac index [Time frame: Through 30 days]
  1. Patient-prosthesis Mismatch: [Time Frame: Post-procedure, predishcarge, Through 30 days] Severity patient-prosthesis-mismatch will be based on following
  • For subjects with BMI < 30 kg/m2, index effective orifice area (EOAi) 0.85 - 0.66 cm2 /m2 for moderate and ≤0.65 cm2 /m2 for severe
  • For subjects with BMI ≥30 kg/m2, index effective orifice area (EOAi) 0.70 - 0.56 cm2 /m2 for moderate and ≤0.55 cm2 /m2 for severe BMI = weight(kg)/(height (m)) 2
  1. Length of index hospital stay. [Time frame: At discharge]
  • Number of days from hospital admission to discharge.
  1. Re-hospitalization (VARC-3 defined criteria) [Time Frame: Through 30 days]
  2. New onset of atrial fibrillation or atrial flutter [Time Frame: Post-procedure, Pre-discharge and 30 days]
  3. Endocarditis [Time Frame: Through 30 days]
  4. Major bleeding event [Time Frame: Through 30 days]
  5. Other Endpoints:
  • Myocardial rupture [Time Frame: During procedure]
  • Paravalvular leak [Time Frame:Through 30 days]
  • Degree of over- or under-expansion of Myval [Time Frame: During procedure]
  • Accuracy of deployment in relation to the annular plane [Time Frame: During procedure]
  • Pacemaker deployment (and the symptoms resulting in it) [Time Frame: Through 30 days]
  • Interference with the mitral valve; and [Time Frame: During procedure]
  • Interference with the LVOT [Time Frame: During procedure]
  • If the endpoint data is available through 1 year, it will also be collected and analyzed.

Clinical efficacy data will be collected only for patients with availability of data after 30 days follow-up.

Long term clinical follow up by telephonic interview will be conducted for all patients who have completed 30 days safety follow-up, at 1 year, 3 year and 5 years.

Being tested
Myval Transcatheter Heart Valve Series
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.

  • Myval Transcatheter Heart Valve SeriesDevice

    Also called Myval THV

    Myval™ THV is a newer-generation balloon-expandable THV characterized by a nickel-cobalt alloy frame composed of a single element - hexagon arranged in a hybrid honeycomb fashion.

What is being measured

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

  1. Safety and Effectiveness as defined by the Valve Academic Research Consortium-3 (VARC-3)

    It is the composite of following

    • All-cause mortality
    • All stroke (disabling and non-disabling)
    • Life-threatening or disabling bleeding
    • Acute kidney injury (stage 2 or 3)
    • Major vascular complications
    • Moderate or severe prosthetic valve regurgitation
    • Conduction system disturbances resulting in a new permanent pacemaker implantation

    Measured: 30 day

Secondary outcomes (28)
  1. All-cause mortality

    Number of mortality as per VARC - 3 Criteria

    Measured: 30 day

  2. All stroke

    Measured: Through 30 days

  3. Acute Kidney Injury (AKI) based on the Acute Kidney Injury Network (AKIN) System Stage 2, Stage 3 or Stage 4

    Number of participants of AKI as per AKIN Network

    Measured: Through 30 days

  4. Bleeding type 3 and 4

    Number of participants for bleeding as per VARC-3 criteria

    Measured: Through 30 days

  5. Moderate or severe prosthetic valve regurgitation

    Measured: Through 30 days

  6. New permanent pacemaker implantation

    New permanent pacemaker implantation rates will be analyzed further based on the patient's history of left and/or right bundle branch block

    Measured: Through 30 days

  7. Conduction disturbances and arrhythmias

    Number of participants for Conduction disturbances and arrhythmias as per VARC-3 Criteria

    Measured: Through 30 days

  8. Device Success

    Number of participants for Device success as per VARC-3 Criteria

    Measured: During hospital stay or maximum of 7 days after index procedure, whichever is earlier.

  9. Early safety at 30 days

    Number of participants for Early safety as per VARC-3 Criteria

    Measured: After 30 days of index procedure

  10. Clinical efficacy after 30 days

    Number of participants for Clinical efficacy as per VARC-2 Criteria

    Measured: After 30 days of index procedure

  11. Time related valve safety

    Number of participants for Time related valve safety as per VARC-2 Criteria

    Measured: Through 30 days

  12. Vascular and access related complications

    Number of participants for Vascular and access related complications as per VARC-3 Criteria

    Measured: Pre-discharge, Through 30 days

  13. Major vascular complications

    Number of participants for Major vascular complications as per VARC-3 Criteria

    Measured: Pre-discharge, Through 30 days

  14. Functional improvement from baseline as measured

    Number of participants for Functional improvement as per NYHA functional classification

    Measured: Baseline, 30 days

  15. Echocardiographic End Points

    • Effective orifice area (EOA)
    • Index effective orifice area (iEOA)
    • Mean aortic valve gradient
    • Peak aortic valve gradient
    • Peak aortic velocity
    • Transvalvular, paravalvular and total aortic regurgitation
    • Left ventricular ejection fraction (LVEF)
    • Valve calcification
    • Cardiac output and cardiac index

    Measured: Through 30 days]

  16. Patient-prosthesis Mismatch

    Severity patient-prosthesis-mismatch will be based on following For subjects with BMI < 30 kg/m2, index effective orifice area (EOAi) 0.85 - 0.66 cm2/m2 for moderate and ≤0.65 cm2/m2 for severe For subjects with BMI ≥30 kg/m2, index effective orifice area (EOAi) 0.70 - 0.56 cm2 /m2 for moderate and ≤0.55 cm2/m2 for severe BMI = weight(kg)/(height (m)) 2

    Measured: Through 30 days

  17. Length of index hospital stay

    Number of days from hospital admission to discharge

    Measured: At discharge

  18. Re-hospitalization

    Number of participants as per VARC-3 defined criteria

    Measured: Through 30 days

  19. New onset of atrial fibrillation or atrial flutter

    VARC-3 criteria

    Measured: Post-procedure, Pre-discharge and 30 days

  20. Endocarditis

    Number of participants for Endocarditis as per VARC-3 criteria

    Measured: Through 30 days

  21. Major bleeding event

    Number of participants for Major bleeding event as per VARC-3 criteria

    Measured: Through 30 days

  22. Myocardial rupture

    Number of participants for Myocardial rupture

    Measured: During procedure

  23. Paravalvular Leak

    Number of participants for Paravalvular Leak

    Measured: Through 30 days

  24. Degree of over - or Under-expansion of Myval

    Number of participants for Degree of over - or Under-expansion of Myval

    Measured: During Procedure

  25. Accuracy of deployment in relation to the annular plane

    Number of participants for Accuracy of deployment in relation to the annular plane

    Measured: During procedure

  26. Pacemaker deployment (and the symptoms resulting in it)

    Number of participants for Pacemaker deployment (and the symptoms resulting in it)

    Measured: Through 30 days

  27. Interference with the mitral valve

    Number of participants for Interference with the mitral valve

    Measured: During procedure

  28. Interference with the LVOT

    Number of participants for Interference with the LVOT

    Measured: During procedure

Timeline

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

  1. First posted11 Jan 2021
  2. Study start7 Aug 2020
  3. Primary completion30 May 2024 (estimated)
  4. Study completion30 Nov 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
Observational
Observational model
Case only
Time perspective
Retrospective
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04703699
Sponsor's protocol ID
MLS/MYV-3/Global study
Status last verified
Feb 2024
First submitted
22 Dec 2020
Last updated
4 Mar 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Aortic Valve Stenosis, run by Meril Life Sciences Pvt. Ltd. at 8 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 1 inclusion and 1 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: looking for participants now, as of the sponsor's last update on 4 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Spain, Estonia, Italy, Netherlands, Poland 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?

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?

Contact Ashok Thakkar, Ph.D. (+91-260-3063880 ext. 242, Ashok.Thakkar@merillife.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety and Effectiveness as defined by the Valve Academic Research Consortium-3 (VARC-3) (time frame: 30 day). 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 4 Mar 2024.

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