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Coronary Artery DiseaseNCT01171625

Carpentier-Edwards PERIMOUNT Magna Ease Pericardial Bioprosthesis, Model 3300TFX

A study testing Implantation of CEP Magna Ease Model 3300TFX in people with Coronary Artery Disease and Aortic Valve Disorder, run by Edwards Lifesciences at 13 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to demonstrate the long term safety and effectiveness of the Carpentier-Edwards PERIMOUNT Magna Ease Valves in patients undergoing aortic valve replacement with or without concomitant procedures requiring cardiopulmonary bypass. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Implantation of CEP Magna Ease Model 3300TFX
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
283 participants
Where
13 sitesin 6 countries
Study dates
Oct 2007to Sep 2018
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

Who may be able to join

  • The patient requires, as indicated in the preoperative evaluation, a replacement aortic valve.
  • The patient is an average or better operative risk.
  • The patient is geographically stable and agrees to attend follow-up assessments at the hospital of surgical services for at least 8 years.
  • The patient is 18 years or older.
  • The patient has signed and dated the subject informed consent form prior to surgery.

Who cannot join

  • The patient has any known non-cardiac life-threatening disease, which will limit the patient's life expectancy below 1 year.
  • The patient presents with active endocarditis within the last 3 months.
  • The patient has an abnormal calcium metabolism (e.g., chronic renal failure, hyperparathyroidism).
  • The patient has an aneurismal aortic degenerative condition (e.g., cystic medial necrosis, Marfan's syndrome).
  • The patient is pregnant or lactating.
  • The patient is an intravenous drug abuser.
Show all 12Show fewer
  • The patient is currently a prison inmate.
  • The patient is currently participating in a study of an investigational drug or device.
  • The patient requires replacement of a native or prosthetic mitral, tricuspid or pulmonic valve.
  • The patient requires a repair of the mitral or tricuspid valve with the use of an annuloplasty device.
  • The patient was previously enrolled in the study.
  • The patient had a prior mitral, tricuspid or pulmonic valve surgery, which included implantation of a bioprosthetic valve, mechanical valve, or annuloplasty ring that will remain in situ.

Trial locations and contacts

13 sites in 6 countries.

13 sites in 6 countries

United States5 sites
  • Cooper University Hospital

    Camden, New Jersey, 08103

  • Morristown Memorial Hospital

    Morristown, New Jersey, 09762

  • Providence Heart & Vascular Institute

    Portland, Oregon, 97225

  • Mercy General Hospital

    Sacramento, California, 95819

  • St. Marks Hospital

    Salt Lake City, Utah, 84124

Other trials in United States

Canada2 sites
  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N 3M5

  • St. Paul's Hospital

    Vancouver, V6Z 1Y6

Other trials in Canada

Germany2 sites
  • Klinik fur Herz-, Thorax-, Transplantations- und Gefabchirurgie

    Hanover, D-30625

  • Liknik fur Herz und BefaBchirurgie Im Deuschen Herzzentrum

    Munich, Lazarettstr, 36

Other trials in Germany

United Kingdom2 sites
  • Blackpool Victoria Hospital

    Blackpool, Lancashire, FY8 8NR

  • Papworth Hospital NHS foundation Trust

    Papworth Everard, Cambridge, CV23 3RE

Other trials in United Kingdom

Austria1 site
  • Universitatslinik fur Chirurgie

    Innsbruck, 6020

Other trials in Austria

Spain1 site
  • Hospital Peutra de Hierro

    San Martin de Porres 4, Madrid, CP-28035

Other trials in Spain

About this study

Official title: Carpentier-Edwards PERIMOUNT Magna Ease Pericardial Bioprosthesis in the Aortic Position, Model 3300TFX

The purpose of the study is to demonstrate the long term safety and effectiveness of the Carpentier-Edwards PERIMOUNT Magna Ease Valves in patients undergoing aortic valve replacement with or without concomitant procedures requiring cardiopulmonary bypass.

Read the detailed description

This is a prospective, single-arm, multi-center, interventional study to be conducted in the US and outside the US (OUS). This study will enroll a minimum of 225 patients implanted with the study valve in order to achieve 101 aortic valve replacement subjects each followed for a minimum of 8 years. The study will include male and female patients, 18 years or older, requiring replacement for a diseased, damaged or malfunctioning natural or prosthetic aortic valve. Patients will be followed and assessed after implant at discharge, 6 months, one year, and annually for a minimum of 8 years.

Being tested
Implantation of CEP Magna Ease Model 3300TFX
Keywords
PERIMOUNT, Aortic valve replacement/regurgitation
Medical subject headings
Coronary Artery Disease, Aortic Valve Disease, Heart Failure, Aortic Valve Stenosis, Aortic Valve Insufficiency, Gastroesophageal Reflux

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Implantation of CEP Magna Ease Model 3300TFXDevice

    Also called CEP Magna Ease MOdel 3300TFX

    Heart Valve Surgery

Study groups in NCT01171625
Study groupRoleWhat they receive
CEP Aortic Bioprothesis, model 3300TFXOtherNot described
Receives: Device: Implantation of CEP Magna Ease Model 3300TFX

What is being measured

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

  1. Subject's Percentage of Long Term Safety Performance

    Long term safety performance will be evaluated by comparing the linearized yearly rates to the objective performance criteria (OPC) referenced in the Food and Drug Administration (FDA) 1994 Draft Heart Valve Guidance.

    Expressed as the Number of late events divided by the total number of late patient years times 100. Late patient years are calculated from 31 days post-implant to the date of the last contact (follow up or adverse event).

    Measured: 31 days through 8 years post-implant

  2. Number of Subject's in NYHA Functional Class I or II at 8 Year Post-Implant

    The New York Heart Association (NYHA) functional classification system relates symptoms to everyday activities and the patient's quality of life.

    Class I. No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).

    Class II. Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).

    Measured: 8 years post-implant

  3. Subject's New York Heart Association (NYHA) Functional Class at 8 Years Post-Implant Compared to Baseline

    The New York Heart Association (NYHA) functional classification system relates symptoms to everyday activities and the patient's quality of life.

    Class I. No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).

    Class II. Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).

    Class III. Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.

    Class IV. Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases.

    Measured: 8 Years post-implant

Secondary outcomes (20)
  1. Percent of Early Adverse Events

    Number of early adverse events occurring within 30 days of procedure divided by the number of enrolled subjects times 100.

    Measured: Events occurring within 30 days of procedure

  2. Percentage of Late Adverse Events

    Number of late events divided by the total number of late patient years times 100. Late patient years are calculated from 31 days post-implant to the date of the last contact (follow up or adverse event).

    Measured: Events occurring >= 31 days and up through 8 years post-implant

  3. Percent of Subjects With Freedom From Serious Adverse Events (SAE) Post-implant > 30 Days

    Subject's freedom from Serious Adverse Events at > 30 days post-implant. Time to events were estimated by Kaplan-Meier method.

    Measured: 1 Year, 2 Years, 3 Years, 4 Years, 5 Years, 6 Years, 7 Years, and 8 Years post-implant

  4. Subject's Average Peak Systolic Gradient (mmHg) Measurements at 8 Years Post-implant

    Peak systolic gradient is the maximum value measured of flow of blood through the aortic valve as measured in millimeters of mercury. The data summary will be stratified by valve size.

    Measured: 8 years post-implant

  5. Subject's Average Mean Systolic Gradient (mmHg) Measurements at 8 Years Post-implant.

    Mean systolic gradient is the average flow of blood through the aortic valve measured in millimeters of mercury. Mean gradient values depend on the size and type of valve. The data summary will be stratified by valve size.

    Measured: 8 years post-implant

  6. Subject's Average Effective Orifice Area Measurements at 8 Years Post-implant.

    Effective orifice area represents the cross-sectional area of the blood flow downstream of the aortic valve. The data summary will be stratified by valve size.

    Measured: 8 years post-implant

  7. Subject's Average Effective Orifice Area Index (EOAI) Measurements at 8 Years Post-implant.

    Effective orifice area index represents the minimal cross-sectional area of the blood flow downstream of the aortic valve divided by the person's body surface area. The data summary will be stratified by valve size.

    Measured: 8 years post-implant

  8. Subject's Average Performance Index Measurements at 8 Years Post-implant.

    Performance index is defined as the subject's effective orifice area (the cross-sectional area of the blood flow downstream of the aortic valve) divided by the subject's native orifice area. The data summary will be stratified by valve size.

    Measured: 8 years post-implant

  9. Subject's Average Cardiac Output Measurements at 8 Years Post-implant.

    The amount of blood the heart pumps through the circulatory system in a minute. The data summary will be stratified by valve size.

    Measured: 8 years post-implant

  10. Subject's Average Cardiac Index Measurements at 8 Years Post-implant.

    Cardiac index is an assessment that divides the cardiac output from left ventricle in one minute by the person's body surface area (BSA), thus relating heart performance to the size of the individual. The data summary will be stratified by valve size.

    Measured: 8 years post-implant

  11. Subject's Amount of Aortic Valvular Regurgitation at 8 Years Post-Implant.

    Aortic valvular regurgitation occurs when the aortic valve in the heart does not close tightly allowing some of the blood that was pumped out of the heart to leak back into it. Aortic valvular regurgitation is evaluated by echocardiography over time. It is assessed on a scale from 0 to 4, where 0 represents no regurgitation and 4 represents severe regurgitation.

    Measured: 8 years post-implant

  12. Subject's Average White Blood Cell Count Measurement Over Time.

    Laboratory analysis of White Blood Cell Count on blood drawn from subject; WBC fight infection.

    Measured: 6 months and annually for 8 years post-implant

  13. Subject's Average Red Blood Cells Count Over Time.

    Laboratory Analysis of Red Blood Cell (RBC) Count on blood drawn from subjects; RBC carry oxygen.

    Measured: 6 months and annually for 8 years post-implant

  14. Subject's Average Hematocrit Percentage Over Time.

    Laboratory Analysis of Hematocrit Percentage on blood drawn from subjects. Hematocrit is the proportion of red blood cells to the fluid component (plasma) in the blood.

    Measured: 6 months and annually for 8 years post-implant

  15. Subject's Average Hemoglobin Count Over Time.

    Laboratory Analysis of Hemoglobin Count on blood drawn from subjects. Hemoglobin is an oxygen-carrying protein in red blood cells.

    Measured: 6 months and annually for 8 years post-implant

  16. Subject's Average Platelet Count Over Time.

    Laboratory Analysis of Platelet Count on blood drawn from subjects; platelets help with blood clotting.

    Measured: 6 months and annually for 8 years post-implant

  17. Subject's Average Serum Lactate Dehydrogenase (LDH) Over Time.

    Laboratory Analysis of Serum Lactate Dehydrogenase on blood drawn from subjects; The lactate dehydrogenase (LDH) test looks for signs of damage to the body's tissues.

    Measured: 6 months and annually for 8 years post-implant

  18. Subject's Average Haptoglobin Measurement Over Time.

    Laboratory Analysis of haptoglobin on blood drawn from subjects; haptoglobin is a protein produced by the liver.

    Measured: 6 months and annually for 8 years post-implant

  19. Subject's Average Reticulocytes Percentage Over Time.

    Laboratory Analysis of reticulocytes on blood drawn from subjects. Reticulocytes are newly produced immature red blood cells; a reticulocyte blood test measures the amount of these cells in the blood.

    Measured: 6 months and annually for 8 years post-implant

  20. Subject's Average Score on the EQ-5D- Quality of Life Questionnaire at Baseline and 6 Months Post-Implant.

    The EQ-5D is a standardized questionnaire that asks subjects to rate themselves (no problems, some problems, extreme problems) on mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The scale ranges from a minimum of 0 and a maximum of 100 where zero is the 'worst state imaginable' and 100 is the 'best state imaginable'.

    Measured: Baseline and 6 Months Post-Implant

Timeline

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

  1. First posted28 Jul 2010 (estimated)
  2. Study startOct 2007
  3. Primary completionSep 2018
  4. Study completionSep 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
283 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01171625
Sponsor's protocol ID
2007-08
Status last verified
Apr 2020
First submitted
26 Jul 2010
Last updated
17 Apr 2020
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Wahlers TCW, Andreas M, Rahmanian P, Candolfi P, Zemanova B, Giot C, Ferrari E, Laufer G. Outcomes of a Rapid Deployment Aortic Valve Versus Its Conventional Counterpart: A Propensity-Matched Analysis. Innovations (Phila). 2018 May/Jun;13(3):177-183. doi: 10.1097/IMI.0000000000000509.

    PubMed 29912142

Questions about this trial

What is this clinical trial studying?

A study testing Implantation of CEP Magna Ease Model 3300TFX in people with Coronary Artery Disease and Aortic Valve Disorder, run by Edwards Lifesciences at 13 sites in 6 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 5 inclusion and 12 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: finished, as of the sponsor's last update on 17 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States, Canada, Germany, United Kingdom, Austria and 1 more country. 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?

Yes. Results are posted in the registry (first posted 17 Apr 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Subject's Percentage of Long Term Safety Performance (time frame: 31 days through 8 years post-implant). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01171625, which also lists 1 linked publication.

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 17 Apr 2020.

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