RecruitingNot ApplicableNCT06049654

Comparison of Allegra vs Sapien Transcatheter Aortic Valves in Valve-In-Valve Indication

Clinical Trial of the Results of Allegra vs Sapien Transcatheter Aortic Valves in Valve-In-Valve Indication


Sponsor

Fundación EPIC

Enrollment

104 participants

Start Date

Feb 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The VIVALL-2 study is a randomized trial to compare the self-expandable supra-annular Allegra and the balloon-expandable intra-annular Edwards transcatheter valve systems in patients with degenerated biological aortic surgical valve.


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Patients meeting ALL the following criteria will be included:
  • Patients aged ≥ 18 years.
  • Severe haemodynamical valve deterioration of a biological aortic valve implanted surgically, including severe valve stenosis (effective aortic valve area < 1.0 cm2) and/or severe valve regurgitation.
  • The patient has cardiac symptoms and/or deterioration of left ventricular ejection fraction attributable to the aortic valve disease.
  • Heart team decision of VIV procedure.
  • Patient is willing to return at 30 days for TTE and to be clinically contacted at 1 year.

Exclusion Criteria11

  • Patients meeting, at least, 1 of the following criteria will be excluded:
  • Patients who openly express their refusal to participate in the study.
  • Female patients in gestational age.
  • Presence or suspicious of biological aortic valve thrombosis.
  • Known hypersensitivity or contraindication to antithrombotic therapy (or inability to be anticoagulated during the procedure), nitinol, or sensitivity to contrast media which cannot be adequately pre-medicated.
  • Ongoing sepsis and/or suspicious or diagnosis of endocarditis.
  • Patients whose life expectancy is < 1 year due to non-cardiac comorbid conditions.
  • Medical, social, or psychological conditions that preclude the subject from appropriate consent or adherence to the protocol required follow-up exams.
  • True inner diameter of the prosthetic valve > 27 mm.
  • Transfemoral access inadequate to accommodate an 18F sheath.
  • Patients included in other clinical trials (excluding registries).

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Interventions

DEVICENVT ALLEGRA TAVI System TF

Transcatheter aortic valve implantation of a NVT ALLEGRA TAVI System TF in patients with severe haemodynamical valve deterioration of a biological aortic valve implanted surgically

DEVICEEDWARDS SAPIEN 3 or SAPIEN ULTRA SYSTEM

Transcatheter aortic valve implantation of an EDWARDS SAPIEN 3 SYSTEM in patients with severe haemodynamical valve deterioration of a biological aortic valve implanted surgically


Locations(9)

Hospital Universitari de Bellvitge

L'Hospitalet de Llobregat, Spain

Hospital Clinico San Carlos

Madrid, Spain

Hospital Universitario de La Paz

Madrid, Spain

Hospital Universitario Puerta De Hierro

Majadahonda, Spain

Hospital Clínico Universitario de Salamanca

Salamanca, Spain

Hospital Universitari I Politècnic de La Fe

Valencia, Spain

Manchester University NHS Foundation Trust

Manchester, United Kingdom

Freeman Hospital

Newcastle, United Kingdom

Morriston Hospital, Swansea

Swansea, United Kingdom

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NCT06049654


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