Heart valve drug shows promise in preventing brain and kidney damage
NCT ID NCT05145283
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called conestat alfa in 141 people undergoing a minimally invasive heart valve replacement (TAVI) for severe aortic stenosis. The goal was to see if the drug could reduce the risk of small strokes and kidney damage that can happen after the procedure. Participants received either the drug or a placebo, and brain MRIs were used to measure any new damage.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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141 people
The number who actually took part.
- Started
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Mar 2022
- Finished
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Jan 2026
- 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.
- Ages
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18 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Informed consent as documented by signature * Severe AS and scheduled for transfemoral TAVI Exclusion Criteria: * Contraindications to the class of drugs under study (C1INH), e.g., known hypersensitivity or allergy to class of drugs or the investigational product * History of allergy to rabbits (as rhC1INH is derived from the breast milk of transgenic rabbits) * Women who are pregnant or breast feeding * Hemodynamic instability requiring emergency TAVI * Valve-in-valve procedure * Other access route than transfemoral * Non-cardiac co-morbidity with expected survival \<6 months * Ischemic or hemorrhagic stroke within 30 days before TAVI * Dialysis or estimated glomerular filtration rate (eGFR) \<20 ml/min/1.73m2 * Contraindication for MRI such as a permanent non-MRI compatible pacemaker or severe claustrophobia * Liver cirrhosis (any Child-Pugh score) * Incapacity or inability to provide informed consent * Participation in another study with investigational drug or medical device within the 30 days preceding and during the present study * Previous enrolment into the current study * Any uncontrolled or significant concurrent illness that would put the patient at a greater risk or limit compliance with the study requirements at the discretion of the investigator
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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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Stadtspital Triemli Zürich, Division of Cardiology
Zurich, 8063, Switzerland
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University Hospital Basel, Division of Internal Medicine
Basel, 4031, Switzerland
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Other studies related to the condition(s) this trial covers.
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