Could a donor heart valve beat Man-Made ones for treating severe valve infections?
NCT ID NCT05253469
First seen Aug 19, 2026 · Last updated Aug 20, 2026 · Updated 1 time
Summary
This study compares two approaches for replacing an infected aortic valve: using a cryopreserved aortic homograft (a preserved human donor valve) versus conventional mechanical or tissue prosthetic valves. The goal is to see which method leads to fewer complications, such as death, recurrent valve leakage, or the need for another surgery. The analysis includes 760 patients with infective endocarditis involving the aortic valve, some of whom also have heart failure. By matching patients with similar characteristics, the researchers aim to determine if the donor valve offers any advantage in this challenging condition.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cryopreserved aortic homograft (a preserved human donor aortic valve) compared with conventional mechanical or stent xenograft prosthetic valves
- What this could lead to
- If this comparison shows that using a preserved human donor valve reduces complications and repeat surgeries, it could establish a better standard for treating complex heart valve infections.
- What could go wrong
- This is an observational analysis, not a randomized trial, so results may be influenced by patient differences. Homografts may also be harder to obtain and may not always outperform prosthetic valves.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 760 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2005
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults with aortic valve endocarditis with or without infection extending to other heart structures who were symptomatic of congestive heart failure and unresponsive to medical therapy and who were eligible for surgical aortic valve replacement. The severity of AMR was assessed by transthoracic echocardiography, performed using the European Society of Echocardiography criteria.
- Ages
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18 to 90 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Duke Criteria * Uncontrolled Infection Local abscess Large vegetation False aneurysm, Fistula, Dehiscence of PV * Embolism Large vegetation \>10mm, persistent infection * Heart Failure Involvement of aortic root, intervalvular fibrosa, pulmonary edema, cardiogenic shock Exclusion Criteria : * Pediatric * Any echocardiographic evidence of absence of IE
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Francesco Nappi
Saint-Denis, France, 93200, France
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