SAPIEN 3 THV for Pulmonary Valve Disorders

Not currently recruiting at 20 trial locations
ET
Overseen ByEdwards THV Clinical Affairs
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: Edwards Lifesciences
Must be taking: Anticoagulants, Antiplatelets
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests the SAPIEN 3 Transcatheter Heart Valve (THV) System for effectiveness in individuals with specific heart valve issues. It targets those with a faulty right ventricular outflow tract (RVOT) conduit or a surgical valve in the pulmonic position requiring repair. Participants should have moderate to severe valve leakage or a significant blockage. The study aims to assess the effectiveness and safety of this new valve treatment for these heart conditions. As a Phase 3 trial, it represents the final step before FDA approval, providing participants an opportunity to contribute to a potentially groundbreaking treatment.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, you must be able to tolerate an anticoagulation or antiplatelet regimen, which might affect your current medication plan.

What prior data suggests that the SAPIEN 3 THV device is safe for use in the pulmonic position?

Research has shown that the SAPIEN 3 Transcatheter Heart Valve (THV) is generally well-accepted by patients. One study found that the valve performed well and produced positive health outcomes three years post-implantation. Specifically, 98.4% of patients were still alive after three years, indicating high survival rates. Another study reported no major safety issues up to six months after the procedure. However, some patients may be unable to take the necessary blood-thinning medication for this treatment. Overall, the SAPIEN 3 THV has demonstrated promising safety results for suitable candidates.12345

Why are researchers excited about this trial?

The SAPIEN 3 THV is unique because it allows for a less invasive procedure called transcatheter pulmonary valve replacement (TPVR) for those with a dysfunctional right ventricular outflow tract (RVOT) conduit or a previously implanted surgical valve in the pulmonic position. Unlike traditional open-heart surgery, which is the standard of care for these conditions, TPVR involves threading a catheter through the blood vessels to place the new valve, reducing recovery time and hospital stays. Researchers are excited about this treatment because it offers a quicker recovery, potentially lowers the risk of complications, and is specifically designed for patients who have undergone previous heart surgeries.

What evidence suggests that the SAPIEN 3 THV is effective for dysfunctional RVOT conduit or previously implanted surgical valve in the pulmonic position?

Research has shown that the SAPIEN 3 Transcatheter Heart Valve (THV) System effectively treats heart valve problems. In one study, the valve functioned well in 98.5% of patients. After three years, 93.7% of patients did not require another procedure, and 97.1% did not develop endocarditis, a heart infection. The valve maintained good performance and results over three years. In this trial, participants with a dysfunctional RVOT conduit or previously implanted surgical valve in the pulmonic position will undergo transcatheter pulmonary valve replacement (TPVR) using the SAPIEN 3 THV. These findings suggest the SAPIEN 3 THV is a reliable choice for those needing a valve replacement in the pulmonic position.24567

Are You a Good Fit for This Trial?

Inclusion Criteria

Dysfunctional RVOT conduit or previously implanted surgical valve
RVOT/PV with ≥ moderate regurgitation and/or a mean RVOT/PV gradient of ≥ 35 mmHg

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Subjects undergo transcatheter pulmonary valve replacement (TPVR) with the SAPIEN 3 THV System

1-5 days
In-hospital stay for procedure and recovery

Follow-up

Participants are monitored for device success and safety post-implantation

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • SAPIEN 3 THV

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: TPVRExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Edwards Lifesciences

Lead Sponsor

Trials
188
Recruited
67,500+
Founded
1958
Headquarters
Irvine, California, U.S.
Known For
Structural Heart Innovations
Top Products
SAPIEN Transcatheter Heart Valve, EVOQUE System, PASCAL Precision, SAPIEN M3
Todd Brinton profile image

Todd Brinton

Edwards Lifesciences

Chief Medical Officer since 2023

MD from Stanford University

Bernard Zovighian profile image

Bernard Zovighian

Edwards Lifesciences

Chief Executive Officer since 2023

MBA from INSEAD

Citations

3-Year Outcomes of the Edwards SAPIEN Transcatheter ...

Transcatheter pulmonary valve replacement using the Edwards SAPIEN THV demonstrates excellent valve function and clinical outcomes at 3-year follow-up.

3-Year Outcomes of the Edwards SAPIEN Transcatheter ...

Freedom from reintervention was 93.7% and from endocarditis was 97.1% at 3 years. There were no observed stent fractures. Conclusions.

3.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/37874971/

Outcomes of transcatheter pulmonary SAPIEN 3 valve ...

Valve implantation was successful in 98.5% [95% confidence interval (CI), 97.4%-99.2%] of patients. Median follow-up was 20.3 (7.1-38.4) months.

One-Year Clinical Outcomes With SAPIEN 3 Transcatheter ...

A recent report of the 30-day outcomes with the low-profile SAPIEN 3 transcatheter aortic valve replacement system demonstrated very low rates of adverse ...

Transcatheter pulmonary valve replacement

Deliver excellent outcomes, potentially delay reintervention, and improve quality of life for more of your patients. · References · Important Safety Information ...

FDA - Summary of Safety and Effectiveness Data

However, since transcatheter valve replacement with an Edwards SAPIEN 3. THV provides a less invasive alternative to surgical valve replacement, FDA believes.

7.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/33069657/

Alterra Adaptive Prestent and SAPIEN 3 THV for ...

Device success was 100%. No staged procedures were necessary. No THV dysfunction was reported to 6 months. No serious safety signals were ...