About this trial
This study will assess the safety and effectiveness of the SAPIEN 3/SAPIEN 3 Ultra transcatheter heart valve (THV) in patients with a failing aortic bioprosthetic valve.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Failing surgical or transcatheter bioprosthetic valve in the aortic position demonstrating ≥ moderate stenosis and/or ≥ moderate insufficiency.
Bioprosthetic valve with a true internal diameter (True ID) of 18.5 mm to 28.5 mm.
NYHA Functional Class ≥ II.
Heart Team agrees the patient is low to intermediate risk.
Disqualifiers
Surgical or transcatheter valve in the mitral position (mitral rings are not an exclusion)
Severe regurgitation (> 3+) or stenosis of any other valve
Failing valve has moderate or severe paravalvular regurgitation
Failing valve is unstable, rocking, or not structurally intact
Trial design
Single group
Treatments tested in this trial
Edwards SAPIEN 3/SAPIEN 3 Ultra THV
DeviceEdwards SAPIEN 3/SAPIEN 3 Ultra THV system with the associated delivery systems.
Treatment groups
Trial outcomes
Primary outcomes
Safety and Effectiveness - Non-hierarchical composite of all-cause mortality and stroke
Number of patients that died and/or had a stroke
Secondary outcomes
Mean gradient
Measures the mean aortic pressure gradient from the measured velocity. Units used are mmHg.
Peak gradient
Measures the peak aortic pressure gradient from the measured velocity. Units used are mmHg.
Kansas City Cardiomyopathy Questionnaire (KCCQ)
Change from baseline in KCCQ. The KCCQ is a 23-item self-administered questionnaire developed to independently measure the patient's perception of their health status, which includes heart failure symptoms, impact on physical and social function, and how their heart failure impacts their quality of life.
New York Heart Association (NYHA) Classification
Change from baseline in NYHA. NYHA is a functional classification of heart failure based on how much a patient is limited during physical activity. The rating ranges from I - IV, with the lowest (I) as no limitations and the highest (IV) unable to carry on any physical activity without discomfort.
Sponsors and contacts
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