Comparison of Myval THV Series With Guideline-Directed Medical Therapy in Participants With Moderate Aortic Stenosis

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorMeril Life Sciences Pvt. Ltd.

About this trial

The primary objective of this trial is to evaluate the safety and effectiveness of Meril's Myval THV series in comparison to Guideline-Directed Medical Therapy in participants with moderate aortic stenosis. The trial includes a total of 778 participants (389:389) from approximately 50 investigator sites globally.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants with ≥ 65 years of age.

Participant has provided written informed consent as approved Institutional Review Board (IRB)/Independent Ethics Committee (IEC)/Ethics Committee (EC) of the investigational site to participate in the study.

Participant with moderate aortic stenosis, defined as one of the following

Peak aortic jet velocity (Vmax) ≥ 3.0 m/s and < 4.0 m/s, or

Disqualifiers

Participants with moderate aortic stenosis undergoing concomitant CABG or surgical intervention on the ascending aorta or another valve.

Aortic valve is unicuspid or non-calcified as verified by echocardiography/CT.

Renal insufficiency with glomerular filtration rate (GFR) < 30 mL/min and/or need for renal replacement therapy.

Participants with ≥ moderate concomitant aortic regurgitation (≥ 3 grade).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Transcatheter aortic valve Implantation

    Device

    Myval THV Series will include Myval/Myval Octacor/ OctaPro/OctaPro+ THV or any subsequent advanced version commercially available at the investigator site.

Treatment groups

778 Participants
are divided into 2 treatment groups
Group A: Guideline-directed medical therapyNo intervention 0 interventions
Group B: Transcatheter Aortic Valve ImplantationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Primary Efficacy Endpoint

It is the composite of following: All-cause mortality, Disabling stroke, Aortic valve replacement due to advanced valve syndrome (AVS), Heart failure hospitalization, Deterioration in quality of life by Kansas City Cardiomyopathy Questionnaire (KCCQ) at 2 years or at the time of conversion to AVR in the GDMT arm.

Time frame
2-year

Secondary outcomes

1

All-cause mortality

As per VARC-3 defined criteria

Time frame
Predischarge, 30-day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year, 4- year, 5-year, 6-year, 7-year and 10-year
2

All stroke

As per VARC-3 defined criteria

Time frame
Pre-discharge, 30- day, 6-month, 1-year, 1.5-year, 2-year, 2.5-year, 3-year and 5-year
3

Acute Kidney Injury (AKI)

As per VARC-3 defined criteria

Time frame
Pre-discharge, 30-day
4

Bleeding (Type 2, 3 and 4)

As per VARC-3 defined criteria

Time frame
Predischarge, 30-day

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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