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Prosthetic Valve
MRI-Guided Valve Replacement for Aortic Valve Stenosis (MRI-TAVR Trial)
N/A
Recruiting
Led By Sadeer Al-Kindi, MD
Research Sponsored by University Hospitals Cleveland Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Planned transfemoral TAVR; 18 years of age or older
Aortic valve stenosis with clinical indication for valve replacement decided by a dedicated heart team
Must not have
Significant non-treated coronary artery disease
History of surgical aortic valve replacement or patients who undergo a valve-in-valve TAVR procedures
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1-year
Awards & highlights
No Placebo-Only Group
Summary
This trial aims to compare 2 types of mitral valve replacement, SEV & BEV, to see which is better in terms of blood flow & exercise capacity, using CMR for a more precise assessment.
Who is the study for?
This trial is for adults with aortic valve stenosis who need a valve replacement and can undergo the procedure through their leg artery. They must be able to consent, have no severe heart issues like reduced heart function or untreated coronary disease, no history of valve replacements, and no implants that are unsafe for MRI.
What is being tested?
The study tests if self-expanding valves (Medtronic Evolut FX) provide better blood flow and exercise capacity compared to balloon-expanding valves (Edwards Sapien 3 Ultra), using stress cardiac MRI to measure differences in heart performance.
What are the potential side effects?
Potential side effects may include discomfort from the MRI process, risks associated with transcatheter aortic valve replacement such as bleeding or vascular complications, and possible allergic reactions to materials used.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am over 18 and scheduled for a transfemoral TAVR procedure.
Select...
My heart team has decided I need a valve replacement due to aortic valve stenosis.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have untreated heart artery problems.
Select...
I have had a surgical aortic valve replacement or a valve-in-valve TAVR procedure.
Select...
My heart's pumping ability is reduced.
Select...
My heart rhythm is stable and does not interfere with heart imaging tests.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 1-year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1-year
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Effective orifice area (EOA)
Mean gradient
Peak gradient
Secondary study objectives
Morbidity - disease rate
EOA by echo
Echotomography, Computer
+5 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Active Control
Group I: TAVR using the self-expanding valve Evolut FXActive Control1 Intervention
Transcatheter aortic valve replacement (TAVR) using the bioprosthesis Medtronic Evolut FX supra-annular self-expanding valve
Group II: TAVR using the balloon-expandable valve Sapien 3 UltraActive Control1 Intervention
Transcatheter aortic valve replacement (TAVR) using the bioprosthesis Edwards Sapien 3 Ultra valve
Find a Location
Who is running the clinical trial?
University Hospitals Cleveland Medical CenterLead Sponsor
330 Previous Clinical Trials
391,596 Total Patients Enrolled
1 Trials studying Aortic Valve Stenosis
60 Patients Enrolled for Aortic Valve Stenosis
Guilherme Attizzani, MDLead Sponsor
Sadeer Al-Kindi, MDPrincipal InvestigatorUniversity Hospitals Cleveland Medical Center
2 Previous Clinical Trials
7,013 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have untreated heart artery problems.I have had a surgical aortic valve replacement or a valve-in-valve TAVR procedure.My heart's pumping ability is reduced.I am over 18 and scheduled for a transfemoral TAVR procedure.My heart team has decided I need a valve replacement due to aortic valve stenosis.You have a permanent pacemaker or implantable defibrillator.You have implants that are not safe for MRI scans.You have extreme fear of being in small or confined spaces.My heart rhythm is stable and does not interfere with heart imaging tests.You are unable to do an exercise bike stress test, or it's not safe for you to do it.
Research Study Groups:
This trial has the following groups:- Group 1: TAVR using the self-expanding valve Evolut FX
- Group 2: TAVR using the balloon-expandable valve Sapien 3 Ultra
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.