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Aortic StenosisPROMIS-BAVNCT06597188

TAVR vs. SAVR Study of VitaFlow Liberty® for Severe BAV Stenosis

A study testing VitaFlow Liberty and Commercially available surgical bioprosthetic valve in people with Aortic Stenosis and Bicuspid Aortic Valve (BAV), run by Shanghai MicroPort CardioFlow Medtech Co., Ltd. at 1 site in China.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

To evaluate the safety and effectiveness of the Transcatheter aortic valve and retrievable delivery system (VitaFlow Liberty®) for the treatment of severe bicuspid aortic valve (BAV) stenosis. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Aortic Stenosis, Bicuspid Aortic Valve (BAV)
What is being tested?
VitaFlow Liberty and Commercially available surgical bioprosthetic valve
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
452 participants
Where
1 siteChina
Study dates
8 Sep 2025to 30 Sep 2032
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject aged ≤ 75 years;
  • With symptomatic severe bicuspid aortic stenosis, defined as: peak flow velocity ≥ 4.0m/s, or mean trans-aortic pressure gradient ≥ 40mmHg, or aortic orifice area (AVA) ≤ 1.0cm2 (or AVA index ≤ 0.6cm2/m2) confirmed by echocardiography;
  • New York Heart Association (NYHA) cardiac function classification ≥ Class II;
  • With an intermediate or low risk of surgical procedures (STS score ≤8%) assessed by the local heart team;
  • Voluntarily participate in this study and sign the informed consent form.

Who cannot join

  • Known allergy or resistance to study device and control device components such as nitinol or contrast media;
  • Known contraindication or allergy to anticoagulant or antiplatelet medications and inability to tolerate the anticoagulant or antiplatelet therapy;
  • Known presence of active infective endocarditis or other active infection;
  • Known presence of severe vascular disease that precludes safe implantation of the prosthetic valve;
  • Ascending aorta width ≥50mm;
  • Previous prosthetic valve implantation (mechanical or bioprosthetic) in any heart place;
Show all 23Show fewer
  • The aortic root anatomy not suitable for transcatheter aortic valve implantation confirmed by preoperative imaging (including aortic root calcification that influence the sufficient dilatation of the rposthetic valve);
  • Intracardiac mass, left ventricular or left atrial thrombus, vegetations confirmed by preoperative echocardiography;
  • Acute myocardial infarction (defined as Q-wave MI or non-Q-wave MI) within 30 days prior to surgery;
  • Invasive therapeutic cardiac surgery within 30 days prior to surgery (except for temporary pacemaker or implantable cardioverter-defibrillator implantation);
  • Clinically diagnosed stroke or TIA within 3 months prior to surgery;
  • Gastrointestinal bleeding requiring hospitalization or transfusion therapy or other clinically significant bleeding or coagulation disorders within 3 months prior to surgery, which preclude the required antiplatelet therapy in the study;
  • Comorbid with severe native coronary artery lesions that require revascularization therapy;
  • Comorbid with severe mitral or tricuspid regurgitation;
  • Comorbid with cardiogenic shock or hemodynamic instability requiring support from positive inotropic agents or mechanical ventilation or mechanical cardiac assistance;
  • Comorbid with severe left ventricular dysfunction (defined as left ventricular ejection fraction LVEF <20%);
  • Comorbid with end-stage renal diseases requiring chronic dialysis;
  • Comorbid with blood dyscrasias defined as leukopenia (white blood cell count < 3×109/L), thrombocytopenia (platelet count < 50×109/L), history of bleeding diathesis or coagulopathy, or hypercoagulable states;
  • Subjects corresponding to the criteria of a vulnerable population (including patients who are unable to fully understand all aspects of the study, patients lacking capacity in the informed consent procedure and patients with dementia and cognitive impairment);
  • Female subjects known to be pregnant or lactating;
  • Life expectancy is less than 12 months as assessed by the investigator;
  • Subject is participating in or planning to participate in other drug or device clinical studies within 12 months postoperatively;
  • Any other condition that, at the discretion of investigator or heart team, may preclude the subject's safe participation in the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site
  • WEST CHINA Hospital of Sichuan University

    Chengdu, Sichuan, 610041

Other trials in China

About this study

Official title: Comparison of Transcatheter Aortic Valve Replacement With Surgical Aortic Valve Replacecment: A Prospective, Multicenter, International, Randomized Controlled, Non-inferiority Study for Bicuspid Aortic Valve Stenosis (PROMIS-BAV)

To evaluate the safety and effectiveness of the Transcatheter aortic valve and retrievable delivery system (VitaFlow Liberty®) for the treatment of severe bicuspid aortic valve (BAV) stenosis.

Read the detailed description

Transcatheter aortic valve replacement (TAVR) has emerged as the first-line treatment for symptomatic severe AS currently, while TAVR for bicuspid aortic valve (BAV) stenosis has not been well demonstrated in randomized controlled trials, thus more randomized controlled studies of TAVR vs. SAVR are still needed to provide strong evidence that TAVR treatment for patients with BAV stenosis has good safety and effectiveness.

This study is a prospective, international multicenter, randomized controlled, non-inferiority clinical study, in which the study device (VitaFlow Liberty®) for TAVR is to be demonstrated as non-inferior to the control device (a commercially available surgical bioprosthetic valve) for SAVR in terms of the incidence of composite endpoint events (all-cause mortality, all strokes and re-hospitalizations) at 12 months postoperatively.

In this study, 452 eligible subjects will be randomly assigned to the study group (n=226) or the control group (n=226) in a 1:1 ratio. The subjects in study group will be treated with the TAVR surgery using the study device (VitaFlow Liberty®) , while the subjects in control group will be treated with the SAVR surgery using the control device (a commercially available surgical bioprosthetic valve), and clinical follow-ups will be performed at discharge (or 7 days after surgery), 30 days, 6 months, 12 months, and 2, 3, 4, 5 years after surgery, respectively.

Being tested
VitaFlow Liberty, Commercially available surgical bioprosthetic valve
Keywords
Aortic stenosis, Bicuspid Aortic Valve (BAV), TAVR, SAVR
Medical subject headings
Aortic Valve Stenosis, Bicuspid Aortic Valve Disease

What participants receive

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

  • VitaFlow LibertyDevice

    All subjects randomized to the TAVR group will receive transcatheter aortic valve replacement (TAVR) with the study device of VitaFlow Liberty

  • Commercially available surgical bioprosthetic valveDevice

    All subjects randomized to the SAVR group will receive surgical aortic valve replacement (SAVR) with the control device of a commercially available surgical bioprosthetic valve.

Study groups in NCT06597188
Study groupRoleWhat they receive
TAVR groupExperimentalTAVR with the study device will be performed in the TAVR group
Receives: Device: VitaFlow Liberty
SAVR groupActive comparatorSAVR with a commercially available surgical bioprosthetic valve will be performed in the control group
Receives: Device: Commercially available surgical bioprosthetic valve

What is being measured

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

  1. Incidence of composite endpoint events (all-cause mortality, all strokes, and re-hospitalizations [surgery, valve or heart failure related re-hospitalizations])

    The composite endpoint event at 12 months postoperatively refers to all-cause mortality, all strokes, and re-hospitalizations related to procedure, valve or heart failure that occur within 12 months postoperatively.

    Measured: 12 months postoperatively

Secondary outcomes (20)
  1. Device success rate

    Device success is defined as meeting all the following criteria:

    1. Correct positioning of a single prosthetic heart valve into the proper anatomical location;
    2. Successful access, delivery of the device, and retrieval of the delivery system;
    3. Freedom from mortality;
    4. Freedom from surgery or intervention related to the devicea or to a major vascular or access-related or cardiac structural complication;
    5. Intended performance of the valvec (mean gradient <20mmHg, peak velocity <3 m/s, Doppler velocity index ≥ 0.25, and less than moderate aortic regurgitation).

    Measured: 30 days postoperatively

  2. Prosthetic valve performance evaluation

    The prosthetic valve performance will be evaluated independently by the corelab based on the echocardiography.

    Measured: 30 days, 6 months, 12 months, 2-5 years postoperatively

  3. New York Heart Association grading assessment of cardiac function

    New York Heart Association (NYHA) grading system includes four gradings with higher grading means severer outcome.

    Measured: Discharge, 30 days, 6 months, 12 months, 2-5 years postoperatively

  4. Quality of life assessment (Kansas City Cardiomyopathy Questionnaire score)

    Kansas City Cardiomyopathy Questionnaire (KCCQ) score is ranged from 0 to 100 with higher score means better quality of life.

    Measured: 30 days, 6 months, 12 months postoperatively

  5. All-cause mortality

    According to the VARC3 criteria, all-cause mortality includes cardiovascular mortality and non-cardiovascular mortality.

    Measured: 30 days, 6 months, 12 months, 2-5 years postoperatively

  6. Incidence of all strokes

    According to the VARC3 criteria, all strokes include ischemic strokes (including TIAs), hemorrhagic strokes, and unspecified strokes, as well as disabling and non-disabling strokes.

    Measured: 30 days, 6 months, 12 months, 2 to 5 years postoperatively

  7. Incidence of myocardial infarction

    Myocardial infarction in this study is defined according to the VARC3 criteria.

    Measured: Discharge, 30 days, 6 months, 12 months, 2-5 years postoperatively

  8. Incidence of major adverse cardiovascular and cerebrovascular events (MACCE)

    MACCE includes all-cause mortality, myocardial infarction, all strokes, and reoperation due to valvular dysfunction, with each event defined according to the VARC3 criteria.

    Measured: 30 days, 6 months, 12 months postoperatively

  9. Incidence of life-threatening or disabling major bleeding

    Life-threatening or disabling major bleeding is defined as types 3 and 4 bleeding according to the VARC3 criteria.

    Measured: 30 days, 6 months, 12 months, 2-5 years postoperatively

  10. Incidence of acute kidney injury (AKI)

    According to the VARC3 criteria, AKI is defined as stages 2-4 acute kidney injury.

    Measured: Discharge, 30 days postoperatively

  11. Incidence of conduction disturbance and arrhythmias

    Conduction disturbance and arrhythmias are defined according to the VARC3 criteria.

    Measured: 30 days, 6 months, 12 months, 2-5 years postoperatively

  12. Incidence of permanent pacemaker implantation

    Defined as the percentage of subjects with newly permanent pacemaker implantation occurring after surgery among all subjects enrolled in each group.

    Measured: 30 days, 6 months, 12 months, 2-5 years postoperatively

  13. Incidence of serious vascular complications

    Serious vascular complications are defined according to the VARC3 criteria.

    Measured: 30 days, 6 months, 12 months postoperatively

  14. Incidence of other TAVR-related complications

    Other TAVR-related complications include: conversion to surgery, unplanned cardiopulmonary mechanical assistance, coronary artery occlusion requiring intervention, ventricular septal perforation, mitral valve damage or dysfunction, cardiac tamponade, endocarditis, valvular thrombosis, valvular dyslocation (displacement, embolization, false release), and reoperation due to valve dysfunction (including surgical or interventional therapy).

    Measured: Immediately, 30 days, 6 months, 12 months, 2-5 years postoperatively

  15. Incidence of Bioprosthetic valve dysfunction (BVD)

    BVD includes structural valve deterioration (SVD), moderate and severe prosthesis-patient mismatch (PPM), moderate and severe paravalvular leak (PVL), thrombosis or endocarditis.

    Measured: 12 months, 2-5 years postoperatively

  16. Moderate to severe structural valvular deterioration (HVD)

    Moderate HVD is defined as an increase in mean transvalvular gradient ≥ 10mmHg resulting in mean gradient ≥ 20mmHgc with concomitant decrease in EOA ≥ 0.3cm2 or ≥ 25% and/or decrease in Doppler velocity index ≥ 0.1 or ≥ 20% compared with echocardiographic assessment performed 1-3 months post-procedure, OR new occurrence or increase of ≥ 1 graded of intraprosthetic AR resulting in ≥ moderate AR.

    Severe HVD is defined as an increase in mean transvalvular gradient ≥ 20mmHg resulting in mean gradient ≥ 30mmHgc with concomitant decrease in EOA ≥ 0.6cm2 or ≥50% and/or decrease in Doppler velocity index ≥0.2 or ≥40% compared with echocardiographic assessment performed 1-3 months post-procedure, OR new occurrence, or increase of ≥ 2 grades,d of intraprosthetic AR resulting in severe AR

    Measured: 12 months, 2-5 years postoperatively

  17. Bioprosthetic valve dysfunction (BVF)

    BVF is a composite endpoint, including severe HVD, aortic valve reintervention, and valve-related mortality (investigator assessment).

    Measured: 12 months, 2-5 years postoperatively

  18. Re-hospitalization related to procedure, valve or heart failure

    Re-hospitalization related to procedure, valve or heart failure is defined according to the VARC3 criteria.

    Measured: 30 days, 6 months, 12 months, 2-5 years postoperatively

  19. Incidence of adverse events (AEs)

    An AE is an untoward medical occurrence during the course of the clinical study, regardless of whether or not related to the study device

    Measured: throughout the clinical study period

  20. Incidence of serious adverse events (SAEs)

    Serious adverse event (SAE) refers to any adverse event that occurs during the clinical study of a medical device that results in any of the following:

    1. Leads to death, or
    2. Leads to serious deterioration of the health conditions, including: Fatal disease or injury Permanent defect in the physical structure or physical function Requiring hospitalization or prolongation of hospital stay Any event which requires medical or surgical intervention to prevent persistent disability/incapacity
    3. Leads to fetal distress, fetal death or congenital abnormality or congenital defect, etc.

    Note: Planned hospitalizations due to pre-existing disease conditions, or events that do not result in significant deterioration in health status due to procedures required by the clinical study program are not considered SAEs.

    Measured: throughout the clinical study period

Timeline

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

  1. First posted19 Sep 2024
  2. Study start8 Sep 2025
  3. Primary completion30 Sep 2028 (estimated)
  4. Study completion30 Sep 2032 (estimated)

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
Single blind
Who is masked
Outcomes assessor
Enrolment
452 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06597188
Sponsor's protocol ID
PROMIS-BAV-2024
Acronym
PROMIS-BAV
Status last verified
Sep 2025
First submitted
10 Sep 2024
Last updated
16 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing VitaFlow Liberty and Commercially available surgical bioprosthetic valve in people with Aortic Stenosis and Bicuspid Aortic Valve (BAV), run by Shanghai MicroPort CardioFlow Medtech Co., Ltd. at 1 site in China.

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 23 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: enrolling by invitation, as of the sponsor's last update on 16 Sep 2025. 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 China. 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?

This study is still under way. Results are not available in the source record yet.

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?

Incidence of composite endpoint events (all-cause mortality, all strokes, and re-hospitalizations [surgery, valve or heart failure related re-hospitalizations]) (time frame: 12 months postoperatively). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 16 Sep 2025; AzTrials last refreshed its copy on 26 Oct 2026.

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