New heart valve shows promise for High-Risk patients
NCT ID NCT03417011
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested a new heart valve called Evolut PRO in 638 people with severe aortic stenosis who were at high risk for open-heart surgery. The valve was implanted using a thin tube through an artery, avoiding major surgery. Results showed that only 3.3% of patients died within 30 days, and most had no or only trace leakage around the new valve.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Evolut PRO heart valve (a device implanted via a catheter to replace the narrowed aortic valve)
- What this could lead to
- If successful, this could confirm that the Evolut PRO valve is a safe and effective option for people with severe aortic stenosis who are at high risk for open-heart surgery.
- What could go wrong
- This was a single-arm study without a comparison group, so results may not prove superiority over other treatments. Long-term risks like valve leakage or need for re-intervention remain possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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638 people
The number who actually took part.
- Started
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Feb 2018
- Finished
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Feb 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with symptomatic native aortic valve stenosis or a stenosed, insufficient, or combined surgical bioprosthetic valve failure necessitating valve replacement within the approved intended use in local geography.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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: * Symptomatic native aortic valve stenosis or a stenosed, insufficient, or combined surgical bioprosthetic valve failure necessitating valve replacement * High or greater risk for surgical aortic valve replacement as estimated by the heart team OR, 75 years or older and at intermediate risk for surgical AVR (STS risk score ≥4% or with an estimated hospital mortality ≥4% as assessed by the heart team) * Acceptable candidate for treatment with the Evolut™ PRO system in conformity with the Instructions for Use and the local regulations * Able and willing to return to the implanting site at the following follow-up visits: 1-year, 3-year and 5-year * Written informed consent obtained without assistance from a legal representative prior to enrollment in the study. Exclusion Criteria: * Known hypersensitivity or contraindication to aspirin, heparin (HIT/HITTS) and bivalirudin, ticlopidine, clopidogrel, Nitinol (Titanium or Nickel), or sensitivity to contrast media, which cannot be adequately premedicated * Preexisting mechanical heart valve in aortic position * Ongoing sepsis, including active endocarditis * Anatomically not suitable for the Evolut™ PRO system * Estimated life expectancy of less than 1 year * Participating in another trial that may influence the outcome of this study * Need for emergency surgery for any reason * Inability to understand and respond to the quality of life questionnaire
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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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AOU Presidio Gaspare Rodolico Policlinico
Catania, Italy
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Asklepios Klinik St. Georg
Hamburg, Germany
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Azienda Ospedaliera Ospedale Niguarda Cà Granda
Milan, Italy
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Azienda Ospedaliera Spedali Civili di Brescia
Brescia, Italy
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Azienda Ospedaliero Universitaria Pisana - Stabilimento di Cisanello
Pisa, Italy
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CHU Bordeaux
Bordeaux, France
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CHU de Liège - Hôpital du Sart Tilman
Liège, Belgium
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Catharina Ziekenhuis Eindhoven
Eindhoven, Netherlands
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Clinique Pasteur
Toulouse, France
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Complejo Hospitalario Universitario de Santiago de Compostela
Santiago de Compostela, Spain
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Deutsches Herzzentrum Berlin
Berlin, Germany
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Deutsches Herzzentrum München Klinik an der TU München
Munich, Germany
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Erasmus Medisch Centrum
Rotterdam, Netherlands
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Hadassah Medical Organisation
Jerusalem, Israel
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Herz- und Diabeteszentrum NRW - Ruhr-Universität Bochum
Bad Oeynhausen, Germany
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Herzzentrum Dresden GmbH Universitätsklinik
Dresden, Germany
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Herzzentrum Leipzig GmbH
Leipzig, Germany
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Hospital Universitario Central de Asturias
Oviedo, Spain
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Hospital Universitario Virgen de la Victoria
Málaga, Spain
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Hôpital Henri Mondor
Créteil, France
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IRCCS Policlinico San Donato
Milan, Italy
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Inselspital - Universitätsspital
Bern, Switzerland
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LKH - Universitätsklinikum
Graz, Austria
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Onze Lieve Vrouwe Gasthuis
Amsterdam, Netherlands
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Oslo Universitetssykehus-Ullevål
Oslo, Norway
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Rabin Medical Center - Beilinson Hospital
Petah Tikva, Israel
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Rigshospitalet
Copenhagen, Denmark
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Royal Victoria Hospital - Belfast Health and Social Care Trust
Belfast, United Kingdom
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SANA Herzchirurgie Stuttgart GmbH
Stuttgart, Germany
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Sana-Herzzentrum Cottbus GmbH
Cottbus, Germany
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St. George's Hospital
London, United Kingdom
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The Royal Wolverhampton Hospitals NHS - New Cross Hospital
Wolverhampton, United Kingdom
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Turun Yliopistollinen Keskussairaala
Turku, Finland
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Universitair Ziekenhuis Antwerpen
Antwerp, Belgium
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University Medical Centre
Ljubljana, Slovenia
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Universitätsklinikum Bonn
Bonn, Germany
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Universitätsklinikum Düsseldorf
Düsseldorf, Germany
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Universitätsklinikum Essen
Essen, Germany
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Universtitätsspital Zürich
Zurich, Switzerland
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Other studies related to the condition(s) this trial covers.
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- Why do animal heart valves wear out? immune system under investigation
- One scan to rule them all? new CT aims to replace multiple heart tests
- Which heart valve design wins for small aortic openings?
- Can a less invasive valve replacement tame a failing aortic valve?
- Can a new heart valve match the safety of proven ones?