AzTrials
AzTrials

Aortic Valve DiseaseCADENCE-MISNCT02672553

EDWARDS INTUITY Valve System CADENCE-MIS Study

A study testing EDWARDS INTUITY Valve System, Model 8300A and Stented Aortic Bioprostheses in people with Aortic Valve Disease and Aortic Stenosis, run by Edwards Lifesciences at 1 site in Germany.

Completed

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

Official record
Search all trials

Trial summary

The study purpose is to compare the EDWARDS INTUITY valve system in a minimal invasive surgical approach (MIS) with any commercially available aortic bioprosthesis in standard full sternotomy surgical approach. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Aortic Valve Disease, Aortic Stenosis
What is being tested?
EDWARDS INTUITY Valve System, Model 8300A and Stented Aortic Bioprostheses
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
1 siteGermany
Study dates
May 2012to Aug 2015
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

  • adult male or female ≥18 years of age
  • symptomatic for aortic stenosis / mixed aortic stenosis and aortic insufficiency disease for which isolated surgical aortic valve replacement without concomitant procedures is planned
  • EuroSCORE <20
  • NYHA Class ≥II
  • Subject has signed and dated the investigation informed consent form prior to study specific procedures are performed
  • Subject is geographically stable and agrees to participate in follow-up assessments as specified in the protocol and informed consent

Who cannot join

  • pure aortic insufficiency
  • previous cardiac surgery (involved FS or MIS approach)
  • congenital true bicuspid / unicuspid aortic valve
  • requires emergency surgery or has had emergency surgery for any reason
  • ≤ 1 month before the intended treatment
  • LVEF <25%
Show all 28Show fewer
  • active endocarditis ≤ 6 months before the intended treatment
  • acute MI ≤ 90 days before the intended treatment
  • had a stroke or transient ischemic attack within six months prior to scheduled aortic valve replacement surgery
  • oxygen or ventilator dependent
  • life expectancy < 12 months
  • substance abuser
  • Female subject is pregnant or lactating
  • documented leukopenia (WBC < 3.5x 103/μL), acute anemia (Hgb < 10.0 gm/dL or < 6.2 mmol/L), thrombocytopenia (platelet count < 100x 103/mL), or history of bleeding diathesis or coagulopathy
  • hemodynamic or respiratory instability requiring inotropic support, mechanical circulatory support, or mechanical ventilation within 30 days of procedure
  • documented echocardiographic evidence of intracardiac mass, thrombus or vegetation
  • renal insufficiency as determined by Serum creatinine ≥ 200 μmol/L (2.27 mg/dL) at screening or end-stage renal disease requiring chronic dialysis
  • documented hyperparathyroidism
  • currently participating in an investigational drug or device trial for which follow-up has not yet been completed
  • Minimally Invasive access to the heart is not possible due to anatomical constraints or any other pre-existing condition
  • Intra-operative Exclusion:
  • has calcium on the anterior mitral leaflet which cannot be removed
  • has extensive calcification of the aortic root
  • Annular deformation which may or may not be caused by too extensive decalcification of the aortic annulus
  • has left atrial thrombus
  • The position of the coronary ostia relative to the EDWARDS INTUITY Valve would result in obstruction of blood flow
  • hemodynamically unstable during the procedure requiring the procedure to be aborted prior to insertion of the study bioprosthesis and delivery system
  • Study device is not available in the correct size for the subject

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Leipzig Heart Center

    Leipzig, Saxony, 04289

Other trials in Germany

About this study

Official title: A Randomized Comparison of the EDWARDS INTUITY Valve System anD commErcially Available Aortic Bioprostheses in Subjects uNdergoing surgiCal Aortic Valve Replacement Using Minimally InvaSive Techniques

The study purpose is to compare the EDWARDS INTUITY valve system in a minimal invasive surgical approach (MIS) with any commercially available aortic bioprosthesis in standard full sternotomy surgical approach.

Read the detailed description

This is a randomized study to compare the cross-clamp time (XCT) and cardiopulmonary bypass time (CPBT) of the EDWARDS INTUITY valve system in a minimally invasive surgical approach (MIS) with any commercially available aortic bioprosthesis in standard full sternotomy surgical approach, in patients with logistic EuroScore < 20 undergoing elective isolated aortic valve replacement (AVR) surgery.

Additionally, the aim is to gather sufficient data to quantify the effect size of short term patient benefit outcomes previously identified from literature and to explore additional healthcare resource utilization endpoints.

Being tested
EDWARDS INTUITY Valve System, Model 8300A, Stented Aortic Bioprostheses
Keywords
Aortic Valve Replacement, Minimal Invasive Sternotomy
Medical subject headings
Aortic Valve Disease, Aortic Valve Stenosis

What participants receive

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

  • EDWARDS INTUITY Valve System, Model 8300ADevice

    Also called aortic stenosis, stenosis-based insufficiency, aortic valve replacement

    To evaluate cardiac performance characteristics and adverse events rates associated with the EDWARDS INTUITY Valve in patients undergoing MIS-AVR.

  • Stented Aortic BioprosthesesDevice

    Also called aortic stenosis, stenosis-based insufficiency, aortic valve replacement

    In comparison to control valves available on the market undergoing FS-AVR

Study groups in NCT02672553
Study groupRoleWhat they receive
EDWARDS INTUITYActive comparatorEDWARDS INTUITY Valve System, Model 8300A
Receives: Device: EDWARDS INTUITY Valve System, Model 8300A
Stented Aortic BioprosthesesActive comparatorStented Aortic Bioprostheses
Receives: Device: Stented Aortic Bioprostheses

What is being measured

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

  1. Median Subject Time Spent on Cardiopulmonary Cross Clamp

    Cardiopulmonary cross clamp time is the amount of time that the patient's aorta (blood vessel) is clamped by a surgical instrument used in cardiac surgery. This allows the normal blood flow to be sent to an artificial heart and lung machine to keep it at a constant temperature and oxygen level.

    Measured: At time of surgery; an average of 1 hour

  2. Median Amount of Time Subject Spent on Cardiopulmonary Bypass

    Cardiopulmonary bypass time is the amount of time that the patient's blood circulates through an artificial heart and lung machine during cardiac surgery.

    Measured: At time of surgery; an average of 1 hour

Secondary outcomes (26)
  1. Number of Participants With Change From Baseline in New York Heart Association (NYHA) Class at 2 Years.

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

    Class I. Patients with cardiac disease but without resulting limitation of physical activity.

    Class II. Patients with cardiac disease resulting in slight limitation of physical activity. They are comfortable at rest.

    Class III. Patients with cardiac disease resulting in marked limitation of physical activity. They are comfortable at rest.

    Class IV. Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort. Symptoms of heart failure or the anginal syndrome may be present even at rest.

    Measured: Baseline and 2 Years.

  2. Subject's Average Mean Gradients (mmHg) Measurements Over Time.

    Mean gradient is the average flow of blood through the aortic valve measured in millimeters of mercury. Gradients are evaluated by echocardiography over time. Mean gradient values depend on the size and type of valve.

    Measured: Baseline, Discharge, 30 days, 3 Months, 1 Year

  3. Subject's Average Peak Gradients (mmHg) Measurements Over Time.

    Peak gradient is the maximum value measured of flow of blood through the aortic valve as measured in millimeters of mercury. Gradients are evaluated by echocardiography over time.

    Measured: Baseline, Discharge, 30 days, 3 Months, 1 Year

  4. Subject's Effective Orifice Area (EOA) Measurement Over Time.

    Effective orifice area represents the cross-sectional area of the blood flow downstream of the aortic valve. Effective orifice area is evaluated by echocardiography over time.

    Measured: Baseline, Discharge, 30 days, 3 Months, 1 Year

  5. Amount of Paravalvular Leak Over Time.

    Number of subjects who experienced a Paravalvular Leak shown over various time points.

    Paravalvular leak refers to blood flowing through a channel between the implanted artificial valve and the cardiac tissue as a result of inappropriate sealing.

    Paravalvular leak is evaluated by echocardiography over time. It is assessed on a scale from minimum of 0 to maximum of 4, where 0 = no leak, 1 = a trace leak, 2 = a mild leak, 3 = a moderate leak, and 4 = a severe leak.

    Higher numbers on the scale show a worsening outcome.

    Measured: Discharge, 30 days, 3 month, 1 year

  6. Conversion of Edwards INTUITY Surgical Aortic Valve to Control Surgical Aortic Heart Valves During Surgery.

    Subjects randomized to the Edwards INTUITY group that were converted to the control group and received commercially available surgical aortic heart valves during surgery.

    Measured: Prior to Surgery

  7. Subjects Who Required a Thoracic Resternotomy Over Time

    Number of Subjects who had a surgical opening of their chest after their initial aortic heart valve surgery shown over various time points.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  8. Subjects Who Received a Permanent Pacemaker Over Time.

    Number of Subjects who received a Permanent Pacemaker shown over various time points.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  9. Subjects With a Paravalvular Leak > or Equal to 3+ and/or Requiring Intervention Over Time

    Number of subjects who experienced a Paravalvular Leak shown over various time points.

    Paravalvular leak refers to blood flowing through a channel between the implanted artificial valve and the cardiac tissue as a result of inappropriate sealing.

    Paravalvular leak is evaluated by echocardiography over time. It is assessed on a scale from 0 to 4, where 0 = no leak, 1 = a trace leak, 2 = a mild leak, 3 = a moderate leak, and 4 = a severe leak.

    Higher numbers on the scale show a worsening outcome.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  10. Subjects Who Experienced Major Bleeding Over Time.

    Number of subjects who experienced Major Bleeding shown over various time points.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  11. Subjects Who Experienced Respiratory Failure Over Time

    Number of subjects who experienced a Respiratory Failure shown over various time points. Respiratory failure happens when not enough oxygen passes from your lungs to your blood.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  12. Subjects With a Cerebral Vascular Accident or Permanent Stroke Over Time

    Number of subjects who experienced a Cerebral Vascular Accident or Permanent Stroke shown over various time points.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  13. Subjects With Renal Failure Over Time

    Number of subjects who experienced Renal (kidney) Failure shown over various time points.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  14. Subjects With Endocarditis Over Time

    Number of subjects who experienced Endocarditis shown over various time points. Endocarditis is an infection of the endocardium, which is the inner lining of your heart chambers and heart valves.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  15. Subjects With a Deep Sternal Would Infection Over Time

    Number of subjects who experienced a Deep Sternal Wound Infection shown over various time points.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  16. Subjects With a Myocardial Infarction Over Time

    Number of subjects who experienced a Myocardial Infarction shown over various time points. A Myocardial infarction, commonly known as a heart attack, occurs when blood flow decreases or stops to a part of the heart, causing damage to the heart muscle.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  17. Subjects With a Thromboembolism Over Time

    Number of subjects who experienced a Thromboembolism shown over various time points. A thromboembolism is an obstruction of a blood vessel by a blood clot that has become dislodged from another site in the circulation.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  18. Subjects With a Cardiac Tamponade Over Time

    Number of subjects who experienced a Cardiac Tamponade shown over various time points. Cardiac tamponade is when fluid in the pericardium (the sac around the heart) builds up and results in compression (squeezing) of the heart.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  19. Subjects With a Cardiac Reoperation for Any Reason Over Time

    Number of subjects who experienced a Cardiac reoperation for any reason shown over various time points.

    Measured: 30 days, 3 Months, 1 Year, 2 Years.

  20. Conversion of Subjects Undergoing Minimally Invasive Surgical Incision to Full Sternotomy for the Randomized to Edwards INTUITY Group During Surgery.

    Subjects Randomized to Edwards INTUITY Group's Surgical Aortic Valve undergoing Minimally Invasive Surgical incision being converted to a Full Sternotomy open procedure During Surgery.

    Measured: Prior to Surgery

  21. Subject's Average Score on the EQ-5D - Quality of Life Questionnaire Over Time

    The EuroQol-5 Dimension (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 is indexed and ranges from a minimum of 0.275 and a maximum of 1.000. A lower number indicates the participants experiences more problems and a higher number indicates the participants experiences fewer problems.

    Measured: Baseline, 30 days, 3 Months, 1 Year

  22. Subject's Average Score SF-12 - Quality of Life Questionnaire Over Time

    Subject's Average Score at Baseline and at each follow-up interval until 2 year - SF-12.

    The Medical Outcomes Study Short-Form 12 (SF-12) - Physical Component Summary (PCS) and Mental Component Summary (MCS).

    The SF-12 questionnaire scale ranges from 100, which reflects the best health status to 0, which reflects the worse health status.

    Measured: Baseline, 30 days, 3 Months, 1 Year

  23. Subject's Average Score on the KCCQ - Quality of Life Questionnaire Over Time

    The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. Scores range from 0-100, in which higher scores reflect better health status. Subjects took this questionnaire at Baseline, 30 days, 3 Months,and 1 Year.

    Measured: Baseline, 30 days, 3 Months, 1 Year

  24. Health Care Utilization

    The average amount of time the subjects spent in the intensive care unit, the intermediate care length of stay, and the average total length of hospital stay after their heart valve replacement procedure.

    Measured: Day of surgical procedure through discharge from the hospital, an average of 1.5 weeks

  25. Subject's Effective Orifice Area Index (EOAI) Measurement Over Time.

    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. Effective orifice area index is evaluated by echocardiography over time.

    Measured: Baseline, Discharge, 30 days, 3 Months, 1 Year

  26. Amount of Aortic Valvular Regurgitation Over Time.

    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.

    Higher numbers on the scale show a worsening outcome.

    Measured: Discharge, 30 days, 3 month, 1 year

Timeline

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

  1. First posted3 Feb 2016 (estimated)
  2. Study startMay 2012
  3. Primary completionMar 2015
  4. Study completionAug 2015

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02672553
Sponsor's protocol ID
2011-12
Acronym
CADENCE-MIS
Status last verified
Aug 2018
First submitted
6 Nov 2015
Last updated
28 Jan 2019
Data monitoring committee
No
Individual data sharing
No: As of this date no IPD plan has been formulated.

Publications

  • Borger MA, Dohmen PM, Knosalla C, Hammerschmidt R, Merk DR, Richter M, Doenst T, Conradi L, Treede H, Moustafine V, Holzhey DM, Duhay F, Strauch J. Haemodynamic benefits of rapid deployment aortic valve replacement via a minimally invasive approach: 1-year results of a prospective multicentre randomized controlled trial. Eur J Cardiothorac Surg. 2016 Oct;50(4):713-720. doi: 10.1093/ejcts/ezw042. Epub 2016 Mar 2.

    PubMed 26935407
  • Borger MA, Moustafine V, Conradi L, Knosalla C, Richter M, Merk DR, Doenst T, Hammerschmidt R, Treede H, Dohmen P, Strauch JT. A randomized multicenter trial of minimally invasive rapid deployment versus conventional full sternotomy aortic valve replacement. Ann Thorac Surg. 2015 Jan;99(1):17-25. doi: 10.1016/j.athoracsur.2014.09.022. Epub 2014 Nov 20.

    PubMed 25441065

Questions about this trial

What is this clinical trial studying?

A study testing EDWARDS INTUITY Valve System, Model 8300A and Stented Aortic Bioprostheses in people with Aortic Valve Disease and Aortic Stenosis, run by Edwards Lifesciences at 1 site in Germany.

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 6 inclusion and 28 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 28 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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 28 Jan 2019). 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?

Median Subject Time Spent on Cardiopulmonary Cross Clamp (time frame: At time of surgery; an average of 1 hour). The study lists 2 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 NCT02672553, which also lists 2 linked publications.

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 28 Jan 2019.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in
EDWARDS INTUITY Valve System CADENCE-MIS Study | AzTrials