New heart valve could save lives without Open-Heart surgery
NCT ID NCT05172960
First seen Jun 25, 2026 · Last updated Aug 12, 2026 · Updated 5 times
Summary
This trial is testing a new heart valve called SAPIEN X4/X4S in over 1,200 people with severe aortic stenosis, a condition where the heart's aortic valve narrows. The valve is inserted through a catheter, avoiding open-heart surgery. Researchers are measuring how many patients die or have a stroke, and whether patients feel better and can do more activities.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- SAPIEN X4/X4S transcatheter heart valve
- What this could lead to
- If successful, this could provide a safer, less invasive treatment option for people with severe aortic stenosis, potentially reducing death and stroke risks.
- What could go wrong
- This is an early-stage device trial without a control group, so results may not prove superiority over existing valves. Risks include stroke, death, and valve complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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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Alexian Brothers Hospital Network
RECRUITINGElk Grove Village, Illinois, 60007, United States
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Allegheny General Hospital
ACTIVE_NOT_RECRUITINGPittsburgh, Pennsylvania, 15212, United States
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Ascension Via Christi St. Francis (Cardiovascular Research Institute of Kansas)
RECRUITINGWichita, Kansas, 67226, United States
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Atlantic Health System Morristown
RECRUITINGMorristown, New Jersey, 07960, United States
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Bay Area Structural Heart at Sutter Health
RECRUITINGSan Francisco, California, 94109, United States
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Baylor Heart and Vascular Hospital
RECRUITINGDallas, Texas, 75226, United States
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Brigham and Women's Hospital
ACTIVE_NOT_RECRUITINGBoston, Massachusetts, 02115, United States
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Carolinas Health System
ACTIVE_NOT_RECRUITINGCharlotte, North Carolina, 28203, United States
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Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
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Centennial Medical Center
RECRUITINGNashville, Tennessee, 37203, United States
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CentraCare Heart and Vascular Center
ACTIVE_NOT_RECRUITINGSaint Cloud, Minnesota, 56303, United States
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Christchurch Hospital
ACTIVE_NOT_RECRUITINGChristchurch, 8011, New Zealand
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Columbia University Medical Center/NYPH
RECRUITINGNew York, New York, 10032, United States
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Cornell Medical Center
RECRUITINGNew York, New York, 10021, United States
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Dartmouth-Hitchcock Medical Center, Hanover
RECRUITINGLebanon, New Hampshire, 03756, United States
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Emory University Atlanta
ACTIVE_NOT_RECRUITINGAtlanta, Georgia, 30322, United States
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HCA Houston Healthcare Medical Center
ACTIVE_NOT_RECRUITINGHouston, Texas, 77004, United States
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Hamilton Health Services
ACTIVE_NOT_RECRUITINGHamilton, Ontario, L8L 2X2, Canada
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Hartford Hospital
ACTIVE_NOT_RECRUITINGHartford, Connecticut, 06102, United States
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Henry Ford Hospital
ACTIVE_NOT_RECRUITINGDetroit, Michigan, 48202, United States
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Hoag Memorial Hospital Presbyterian
ACTIVE_NOT_RECRUITINGNewport Beach, California, 92663, United States
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Institut Universitaire de Cardiologie et de Pneumologie de Quebec- Universite Laval
ACTIVE_NOT_RECRUITINGQuébec, Quebec, G1V 4G5, Canada
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Kaiser Los Angeles
ACTIVE_NOT_RECRUITINGLos Angeles, California, 90027, United States
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Kaiser Portland
RECRUITINGClackamas, Oregon, 97015, United States
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Kaiser San Francisco Medical Center
ACTIVE_NOT_RECRUITINGSan Francisco, California, 94115, United States
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Mayo Clinic Rochester
ACTIVE_NOT_RECRUITINGRochester, Minnesota, 55905, United States
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Medical City Dallas Hospital
ACTIVE_NOT_RECRUITINGDallas, Texas, 75230, United States
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Medstar Union Memorial Hospital
RECRUITINGBaltimore, Maryland, 21218, United States
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Methodist Le Bonheur Healthcare
ACTIVE_NOT_RECRUITINGGermantown, Tennessee, 38138, United States
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Montefiore Medical Center
ACTIVE_NOT_RECRUITINGNew York, New York, 10458, United States
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Naples Community Hospital Healthcare System
ACTIVE_NOT_RECRUITINGNorth Naples, Florida, 34102, United States
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NorthShore University HealthSystem Research Institute Evanston
ACTIVE_NOT_RECRUITINGEvanston, Illinois, 60201, United States
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Northwestern University Chicago
ACTIVE_NOT_RECRUITINGEvanston, Illinois, 60611, United States
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Novant Health and Heart Vascular Institute
RECRUITINGCharlotte, North Carolina, 28204, United States
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Oklahoma Cardiovascular Research Group Oklahoma City
ACTIVE_NOT_RECRUITINGOklahoma City, Oklahoma, 73120, United States
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Oklahoma Heart Institute
RECRUITINGTulsa, Oklahoma, 74104, United States
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Piedmont Heart Institute
ACTIVE_NOT_RECRUITINGAtlanta, Georgia, 30309, United States
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Pinnacle Health Harrisburg
COMPLETEDHarrisburg, Pennsylvania, 17101, United States
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Providence Heart & Vascular Institute Portland
ACTIVE_NOT_RECRUITINGPortland, Oregon, 97225, United States
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Royal Adelaide Hospital
ACTIVE_NOT_RECRUITINGAdelaide, South Australia, 5000, Australia
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Rush University Medical Center Chicago
ACTIVE_NOT_RECRUITINGChicago, Illinois, 60612, United States
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Rutgers Robert Wood Johnson Medical School
RECRUITINGNew Brunswick, New Jersey, 08901, United States
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Saint Luke's Hospital
ACTIVE_NOT_RECRUITINGKansas City, Missouri, 64111, United States
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Saint Thomas Health
RECRUITINGNashville, Tennessee, 37205, United States
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Scripps Memorial Hospital La Jolla
ACTIVE_NOT_RECRUITINGLa Jolla, California, 92037, United States
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Sentara Norfolk General Hospital
ACTIVE_NOT_RECRUITINGNorfolk, Virginia, 23507, United States
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Silver Cross Hospital
RECRUITINGNew Lenox, Illinois, 60541, United States
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St. Andrews War Memorial Hospital
ACTIVE_NOT_RECRUITINGSpring Hill, Queensland, 4000, Australia
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St. Patrick Hospital
ACTIVE_NOT_RECRUITINGMissoula, Montana, 59802, United States
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St. Paul's Hospital System
ACTIVE_NOT_RECRUITINGVancouver, British Columbia, V6E 1M7, Canada
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St. Vincent Medical Group, Inc./ St. Vincent Heart Center of Indiana, LLC
ACTIVE_NOT_RECRUITINGCarmel, Indiana, 46290, United States
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Stanford University
ACTIVE_NOT_RECRUITINGStanford, California, 94305, United States
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The Christ Hospital
RECRUITINGCincinnati, Ohio, 45219, United States
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The Cleveland Clinic Foundation
ACTIVE_NOT_RECRUITINGCleveland, Ohio, 44195, United States
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The Heart Hospital Baylor Plano
ACTIVE_NOT_RECRUITINGPlano, Texas, 75093, United States
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The Royal Melbourne Hospital
ACTIVE_NOT_RECRUITINGParkville, 3050, Australia
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The Valley Hospital
ACTIVE_NOT_RECRUITINGRidgewood, New Jersey, 07450, United States
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UC Davis Medical Center Sacramento
ACTIVE_NOT_RECRUITINGSacramento, California, 95817, United States
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UC Health Northern Colorado (Medical Center of the Rockies)
ACTIVE_NOT_RECRUITINGLoveland, Colorado, 80538, United States
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University at Buffalo - Kaleida Health
RECRUITINGBuffalo, New York, 14203, United States
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University of Kansas Medical Center
ACTIVE_NOT_RECRUITINGKansas City, Kansas, 66160, United States
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University of Texas Memorial Hermann
ACTIVE_NOT_RECRUITINGHouston, Texas, 77030, United States
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University of Washington Seattle
ACTIVE_NOT_RECRUITINGSeattle, Washington, 98195, United States
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Vanderbilt University Medical Center
ACTIVE_NOT_RECRUITINGNashville, Tennessee, 37232, United States
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Washington University - Barnes-Jewish Hospital Saint Louis
ACTIVE_NOT_RECRUITINGSt Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a tiny valve replace Open-Heart surgery for the long haul?
- Heart valve fix without the hospital stay? trial tests Same-Day discharge
- Heart scarring may begin before symptoms — could early valve replacement stop it?
- Heart valve showdown: intermediate sizing may reduce complications in aortic stenosis
- Sound waves instead of surgery: new device aims to soften stiff heart valves
- Can TAVI be done safely without a surgery team on standby?