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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04734392
Other study ID # 01/2021
Secondary ID
Status Completed
Phase
First received
Last updated
Start date January 1, 2020
Est. completion date November 28, 2023

Study information

Verified date November 2023
Source University of Ulm
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Hypothesis of the study is that a modified and improved implantation protocol (regarding membranous septum length and implantation depth) will decrease the need for permanent pacemaker stimulation follow TAVR-procedures.


Description:

Project objectives or hypothesis Hypothesis of the study is that a modified and improved implantation protocol (regarding membranous septum length and implantation depth) will decrease the need for permanent pacemaker stimulation following TAVR-procedures. Patient profile and sample size The study cohort will comprise of patients referred to transcatheter aortic valve replacement. Patients will be prospectively and consecutively screened and enrolled at a tertiary high-volume center in Germany. TAVR will be performed according to a modified implantation technique regarding membranous septum length. Pacemaker rates will be analyzed and compared to a historical control. Taking into account a contemporary pacemaker rate of 15%, a reduction to 7% will require a sample size of 239 patients per group to achieve statistically significance (Chi-squared test, alpha 0.05, beta 0.80). Regarding the prospective cohort, interims analysis will be performed after each 10 TAVR procedures. In case a signal towards worse outcomes with the modified implantation technique will be observed, the institutional safety and endpoint adjudication committee will stop further execution of the study.


Recruitment information / eligibility

Status Completed
Enrollment 300
Est. completion date November 28, 2023
Est. primary completion date June 30, 2023
Accepts healthy volunteers No
Gender All
Age group 65 Years and older
Eligibility Inclusion Criteria: - All patients referred to TAVR procedure due to severe aortic stenosis Exclusion Criteria: - PM-implantation before TAVR - Valve-in-valve procedures

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
TAVR
TAVR implantation in cusp overlay technique

Locations

Country Name City State
Germany Ulm University Ulm

Sponsors (1)

Lead Sponsor Collaborator
University of Ulm

Country where clinical trial is conducted

Germany, 

Outcome

Type Measure Description Time frame Safety issue
Primary Pacemaker implantation rate Primary endpoint Day 5 after TAVR
Secondary Extent of paravalvular leak Secondary endpoint Day 5 after TAVR
Secondary Number of patients alive Secondary endpoint 30 days