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Symptomatic Severe Aortic StenosisPII S3iNCT03222128

PARTNER II Trial: Placement of AoRTic TraNscathetER Valves II - S3 Intermediate

A study testing TAVR in people with Symptomatic Severe Aortic Stenosis, run by Edwards Lifesciences at 51 sites in United States.

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 this trial is to determine the safety and effectiveness of the Edwards SAPIEN 3 transcatheter heart valve and delivery systems which are intended for use in patients with symptomatic, calcific, and severe aortic stenosis, and those with intermediate risk. Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Symptomatic Severe Aortic Stenosis
What is being tested?
TAVR
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,074 participants
Where
51 sitesUnited States
Study dates
17 Feb 2014to 9 Oct 2024
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 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient has senile degenerative aortic valve stenosis with echocardiographically derived criteria: mean gradient >40 mmHg or jet velocity greater than 4.0 m/s and an initial aortic valve area (AVA) of <0.8 cm2 or indexed EOA < 0.5 cm2/m2 Qualifying echo must be within 60 days of the date of the procedure.
  • Patient is symptomatic from his/her aortic valve stenosis, as demonstrated by NYHA Functional Class II or greater.
  • The heart team agrees (and verified in the case review process) that valve implantation will likely benefit the patient.
  • The study patient or the study patient's legal representative has been informed of the nature of the study, agrees to its provisions and has provided written informed consent as approved by the Institutional Review Board (IRB) of the respective clinical site.
  • The study patient agrees to comply with all required post-procedure follow-up visits including annual visits through 5 years and analysis close date visits, which will be conducted as a phone follow-up.

Who cannot join

  • Heart team assessment of inoperability (including examining cardiac surgeon).
  • Complex coronary artery disease
  • Unprotected left main coronary artery
  • Syntax score > 32 (in the absence of prior revascularization)
  • Hemodynamic or respiratory instability requiring inotropic support, mechanical ventilation, or mechanical heart assistance within 30 days of screening evaluation.
  • Need for emergency surgery for any reason.

Trial locations and contacts

51 sites in 1 country.

51 sites in 1 country

United States51 sites
  • Emory University

    Atlanta, Georgia, 30322

  • Austin Heart, PLLC

    Austin, Texas, 78756

  • University of Maryland, Baltimore

    Baltimore, Maryland, 21201

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • University of Virginia

    Charlottesville, Virginia, 22904

  • Northwestern University

    Chicago, Illinois, 60611

  • Rush University Medical Center

    Chicago, Illinois, 60612

  • The Lindner Center for Research & Education at The Christ Hospital

    Cincinnati, Ohio, 45219

  • Morton Plant Hospital

    Clearwater, Florida, 33756

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195

  • The Heart Hospital Baylor Plano

    Dallas, Texas, 75093

  • Medical City Dallas

    Dallas, Texas, 75230

  • University of Colorado Hospital

    Denver, Colorado, 80045

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • Duke University

    Durham, North Carolina, 27712

  • Northshore

    Evanston, Illinois, 60201

  • University of Florida

    Gainesville, Florida, 32615

  • East Carolina Heart Institute at East Carolina University

    Greenville, North Carolina, 27834

  • The University of Texas Health Science Center at Houston

    Houston, Texas, 77030

  • Indiana University Health-Methodist Hospital

    Indianapolis, Indiana, 46202

  • St. Vincent Medical Group, Inc./St. Vincent Heart Center of Indiana, LLC

    Indianapolis, Indiana, 46290

  • The University of Iowa

    Iowa City, Iowa, 52242

  • St. Luke's Hospital - Mid America Heart Institute

    Kansas City, Missouri, 64111

  • Scripps Green Hospital

    La Jolla, California, 92037

  • Nebraska Heart Institute

    Lincoln, Nebraska, 68526

  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

  • The Jewish Hospital Medical Center

    Louisville, Kentucky, 40202

  • University of Wisconsin - Madison

    Madison, Wisconsin, 53792

  • Winthrop University Hospital

    Mineola, New York, 11501

  • Minneapolis Heart Institute Foundation

    Minneapolis, Minnesota, 55407

  • Intermountain Medical Center

    Murray, Utah, 84157

  • Northshore Long Island Jewish Health System

    New Hyde Park, New York, 11040

  • Ochsner Clinic Foundation

    New Orleans, Louisiana, 70121

  • Cornell University

    New York, New York, 10021

  • Columbia University Medical Center

    New York, New York, 10032

  • Newark Beth Israel Medical Center

    Newark, New Jersey, 07112

  • Sentara Norfolk General Hospital

    Norfolk, Virginia, 23507

  • Oklahoma Cardiovascular Research Group

    Oklahoma City, Oklahoma, 73120

  • University of Pennsylvania Hospital

    Philadelphia, Pennsylvania, 19104

  • Providence Heart & Vascular Institute at Providence St. Vincent Medical Center

    Portland, Oregon, 97225

  • Mayo Clinic-Saint Marys Hospital

    Rochester, Minnesota, 55905

  • William Beaumont Hospital

    Royal Oak, Michigan, 48073

  • Mercy General Hospital

    Sacramento, California, 95816

  • University of Texas Health Science Center at San Antonio (UTHSCSA)

    San Antonio, Texas, 78229-3900

  • University of Washington

    Seattle, Washington, 98195

  • Prairie Education and Research Cooperative

    Springfield, Illinois, 62701

  • Washington University - Barnes Jewish Hospital

    St Louis, Missouri, 63110

  • Stanford University Medical Center

    Stanford, California, 94305

  • Washington Hospital Center

    Washington D.C., District of Columbia, 20010

  • York Hospital

    York, Pennsylvania, 17403

Other trials in United States

About this study

Official title: Edwards SAPIEN 3 Transcatheter Heart Valve Therapy for Intermediate Risk Patients

The purpose of this trial is to determine the safety and effectiveness of the Edwards SAPIEN 3 transcatheter heart valve and delivery systems which are intended for use in patients with symptomatic, calcific, and severe aortic stenosis, and those with intermediate risk.

Read the detailed description

This study design consists of PIIS3i cohort.

The PIIS3i cohort is a single arm non-randomized, historical-controlled study. Patients recruited to the treatment arm will receive an Edwards SAPIEN 3 THV with either transfemoral, transapical or transaortic delivery access.

To ensure that patients are of "intermediate" risk, an STS score of 4 - 8% has been selected.

Being tested
TAVR
Keywords
SAPIEN 3, Transfemoral, Transapical, Transaortic, NovaFlex, TAVI, Aortic Stenosis, THV, Aortic Valve, Transcatheter Heart Valve, TAVR
Medical subject headings
Aortic Valve Stenosis

What participants receive

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

  • TAVRDevice

    Implantation of the SAPIEN 3

Study groups in NCT03222128
Study groupRoleWhat they receive
PIIS3i - SAPIEN 3ExperimentalPIIS3i - SAPIEN 3 is Operable Group
Receives: Device: TAVR

What is being measured

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

  1. Number of Participants With Composite of All-cause Death, All Stroke and Aortic Insufficiency (AI) ≥ Moderate

    Measured: 1 year

Secondary outcomes (1)
  1. Composite of All-cause Death, All Stroke, Life Threatening (Disabling)/ Major Bleeding and Major Vascular Complication at 30 Days

    Measured: 30 Days

Timeline

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

  1. First posted19 Jul 2017
  2. Study start17 Feb 2014
  3. Primary completion18 Nov 2015
  4. Study completion9 Oct 2024

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
1,074 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03222128
Sponsor's protocol ID
2010-12 PIIS3i
Acronym
PII S3i
Status last verified
Dec 2024
First submitted
17 Jul 2017
Last updated
3 Jan 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Nazif TM, Simonato M, Makkar RR, Thourani VH, Desai ND, Babaliaros V, Greason K, Rovin J, Waxman S, Davidson C, Kereiakes DJ, Gupta A, Satler L, Schwartz R, Kapadia S, Wong SC, Smalling RW, Ghani M, Teirstein P, George I, Potluri S, Szerlip M, Xu K, Cohen DJ, Sharma RP, Pibarot P, Hahn RT, Mack MJ, Leon MB; PARTNER 2 Investigators. 10-Year Outcomes of SAPIEN 3 Transcatheter Aortic Valve Replacement or Surgery in Intermediate-Risk Patients. J Am Coll Cardiol. 2026 Jun 16;87(23):3296-3308. doi: 10.1016/j.jacc.2026.03.170.

    PubMed 42300820
  • Madhavan MV, Kodali SK, Thourani VH, Makkar R, Mack MJ, Kapadia S, Webb JG, Cohen DJ, Herrmann HC, Williams M, Greason K, Pibarot P, Hahn RT, Jaber W, Xu K, Alu M, Smith CR, Leon MB. Outcomes of SAPIEN 3 Transcatheter Aortic Valve Replacement Compared With Surgical Valve Replacement in Intermediate-Risk Patients. J Am Coll Cardiol. 2023 Jul 11;82(2):109-123. doi: 10.1016/j.jacc.2023.04.049.

    PubMed 37407110
  • Vincent F, Thourani VH, Ternacle J, Redfors B, Cohen DJ, Hahn RT, Li D, Crowley A, Webb JG, Mack MJ, Kapadia S, Russo M, Smith CR, Alu MC, Leon MB, Pibarot P. Time-of-Day and Clinical Outcomes After Surgical or Transcatheter Aortic Valve Replacement: Insights From the PARTNER Trials. Circ Cardiovasc Qual Outcomes. 2022 Jan;15(1):e007948. doi: 10.1161/CIRCOUTCOMES.121.007948. Epub 2022 Jan 18.

    PubMed 35041482
  • Herrmann HC, Cohen DJ, Hahn RT, Babaliaros VC, Yu X, Makkar R, McCabe J, Szerlip M, Kapadia S, Russo M, Malaisrie SC, Webb JG, Szeto WY, Kodali S, Thourani VH, Mack MJ, Leon MB. Utilization, Costs, and Outcomes of Conscious Sedation Versus General Anesthesia for Transcatheter Aortic Valve Replacement. Circ Cardiovasc Interv. 2021 Jul;14(7):e010310. doi: 10.1161/CIRCINTERVENTIONS.120.010310. Epub 2021 Jun 16.

    PubMed 34130476
  • Brener MI, George I, Kosmidou I, Nazif T, Zhang Z, Dizon JM, Garan H, Malaisrie SC, Makkar R, Mack M, Szeto WY, Fearon WF, Thourani VH, Leon MB, Kodali S, Biviano AB. Atrial Fibrillation Is Associated With Mortality in Intermediate Surgical Risk Patients With Severe Aortic Stenosis: Analyses From the PARTNER 2A and PARTNER S3i Trials. J Am Heart Assoc. 2021 Apr 6;10(7):e019584. doi: 10.1161/JAHA.120.019584. Epub 2021 Mar 23.

    PubMed 33754803
  • Ong G, Pibarot P, Redfors B, Weissman NJ, Jaber WA, Makkar RR, Lerakis S, Gopal D, Khalique O, Kodali SK, Thourani VH, Anwaruddin S, McAndrew T, Zhang Y, Alu MC, Douglas PS, Hahn RT. Diastolic Function and Clinical Outcomes After Transcatheter Aortic Valve Replacement: PARTNER 2 SAPIEN 3 Registry. J Am Coll Cardiol. 2020 Dec 22;76(25):2940-2951. doi: 10.1016/j.jacc.2020.10.032.

    PubMed 33334422
  • Pibarot P, Ternacle J, Jaber WA, Salaun E, Dahou A, Asch FM, Weissman NJ, Rodriguez L, Xu K, Annabi MS, Guzzetti E, Beaudoin J, Bernier M, Leipsic J, Blanke P, Clavel MA, Rogers E, Alu MC, Douglas PS, Makkar R, Miller DC, Kapadia SR, Mack MJ, Webb JG, Kodali SK, Smith CR, Herrmann HC, Thourani VH, Leon MB, Hahn RT; PARTNER 2 Investigators. Structural Deterioration of Transcatheter Versus Surgical Aortic Valve Bioprostheses in the PARTNER-2 Trial. J Am Coll Cardiol. 2020 Oct 20;76(16):1830-1843. doi: 10.1016/j.jacc.2020.08.049.

    PubMed 33059828
  • Chen S, Redfors B, O'Neill BP, Clavel MA, Pibarot P, Elmariah S, Nazif T, Crowley A, Ben-Yehuda O, Finn MT, Alu MC, Vahl TP, Kodali S, Leon MB, Lindman BR. Low and elevated B-type natriuretic peptide levels are associated with increased mortality in patients with preserved ejection fraction undergoing transcatheter aortic valve replacement: an analysis of the PARTNER II trial and registry. Eur Heart J. 2020 Feb 21;41(8):958-969. doi: 10.1093/eurheartj/ehz892.

    PubMed 31883339
  • Summers MR, Leon MB, Smith CR, Kodali SK, Thourani VH, Herrmann HC, Makkar RR, Pibarot P, Webb JG, Leipsic J, Alu MC, Crowley A, Hahn RT, Kapadia SR, Tuzcu EM, Svensson L, Cremer PC, Jaber WA. Prosthetic Valve Endocarditis After TAVR and SAVR: Insights From the PARTNER Trials. Circulation. 2019 Dec 10;140(24):1984-1994. doi: 10.1161/CIRCULATIONAHA.119.041399. Epub 2019 Nov 6.

    PubMed 31690104
  • Furer A, Chen S, Redfors B, Elmariah S, Pibarot P, Herrmann HC, Hahn RT, Kodali S, Thourani VH, Douglas PS, Alu MC, Fearon WF, Passeri J, Malaisrie SC, Crowley A, McAndrew T, Genereux P, Ben-Yehuda O, Leon MB, Burkhoff D. Effect of Baseline Left Ventricular Ejection Fraction on 2-Year Outcomes After Transcatheter Aortic Valve Replacement: Analysis of the PARTNER 2 Trials. Circ Heart Fail. 2019 Aug;12(8):e005809. doi: 10.1161/CIRCHEARTFAILURE.118.005809. Epub 2019 Aug 1.

    PubMed 31525069
  • Nazif TM, Chen S, George I, Dizon JM, Hahn RT, Crowley A, Alu MC, Babaliaros V, Thourani VH, Herrmann HC, Smalling RW, Brown DL, Mack MJ, Kapadia S, Makkar R, Webb JG, Leon MB, Kodali SK. New-onset left bundle branch block after transcatheter aortic valve replacement is associated with adverse long-term clinical outcomes in intermediate-risk patients: an analysis from the PARTNER II trial. Eur Heart J. 2019 Jul 14;40(27):2218-2227. doi: 10.1093/eurheartj/ehz227.

    PubMed 31505615

Questions about this trial

What is this clinical trial studying?

A study testing TAVR in people with Symptomatic Severe Aortic Stenosis, run by Edwards Lifesciences at 51 sites in United States.

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 6 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 3 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States. 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 14 Aug 2018). 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?

Number of Participants With Composite of All-cause Death, All Stroke and Aortic Insufficiency (AI) ≥ Moderate (time frame: 1 year). 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 NCT03222128, which also lists 11 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 3 Jan 2025.

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