New heart valve offers hope for High-Risk patients
NCT ID NCT04011722
First seen Jun 27, 2026 · Last updated Jul 22, 2026 · Updated 2 times
Summary
This study tests a next-generation heart valve (Navitor) in 333 people with severe aortic stenosis who are too high-risk for open-heart surgery. The goal is to see if the valve is safe and works well at 30 days, focusing on survival and reducing leaks around the valve. The valve is placed through a tube in the artery, avoiding major surgery.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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333 people
The number who actually took part.
- Started
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Sep 2019
- Expected to finish
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Jan 2033
An estimate. End dates often move.
- 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.
- Ages
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18 to 100 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.
Key Inclusion Criteria: 1. Subjects must have a Society of Thoracic Surgeons (STS) score of ≥7% OR documented heart team agreement of high or extreme risk for surgical aortic valve replacement due to frailty or co-morbidities not captured by the STS score. 2. Subject has symptomatic aortic stenosis as demonstrated by NYHA (New York Heart Association) Functional Classification of II, III, or IV. 3. Subject has senile degenerative aortic valve stenosis with echo-derived criteria, defined as: aortic valve area (AVA) of ≤ 1.0 cm2 (or indexed EOA (effective orifice area) ≤ 0.6 cm2/m2) AND mean gradient ≥40 mmHg or peak jet velocity ≥ 4.0 m/s or doppler velocity index (DVI) ≤0.25. (Qualifying AVA baseline measurement must be within 90 days prior to informed consent). 4. Aortic annulus diameter of 19-30mm and ascending aorta diameter for the specified valve size listed in the IFU (Instructions For Use), as measured by CT (Computed Tomography) Key Exclusion Criteria: 1. Evidence of an acute myocardial infarction (defined as: ST Segment Elevation as evidenced on 12 Lead ECG) within 30 days prior to index procedure. 2. Any percutaneous coronary or peripheral interventional procedure performed within 30 days prior to index procedure. 3. Blood dyscrasias as defined: leukopenia (WBC\<3000 mm3), acute anemia (Hb \< 9 g/dL), thrombocytopenia (platelet count \<50,000 cells/mm³). History of bleeding diathesis or coagulopathy 4. Active peptic ulcer or upper GI bleeding within 3 months prior to index procedure that would preclude anticoagulation 5. Recent (within 6 months prior to index procedure date) cerebrovascular accident (CVA) or a transient ischemic attack (TIA). 6. Mixed aortic valve disease (aortic stenosis and aortic regurgitation with predominant aortic regurgitation 3-4+). 7. Pre-existing prosthetic heart valve or other implant in any valve position, prosthetic ring, severe circumferential mitral annular calcification (MAC) which is continuous with calcium in the left ventricular outflow tract (LVOT), severe (greater than or equal to 3+) mitral insufficiency, or severe mitral stenosis with pulmonary compromise. 8. Minimum access vessel diameter of \<5.0mm for small FlexNav™ Delivery System and \<5.5 mm for large FlexNav™ Delivery System
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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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Advocate Christ Medical Center
Oak Lawn, Illinois, 60453, United States
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Albany Medical Center
Albany, New York, 12208, United States
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Atlantic Health System - Morristown Memorial Hospital
Morristown, New Jersey, 07962, United States
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Baptist Memorial Hospital
Memphis, Tennessee, 38120, United States
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Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
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Columbia University Medical Center/NYPH
New York, New York, 10032, United States
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Fiona Stanley Hospital
Murdoch, Western Australia, 6150, Australia
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Intermountain St. George Regional Hospital
St. George, Utah, 84790, United States
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Los Robles Regional Medical Center
Thousand Oaks, California, 91360, United States
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Minneapolis Heart Institute
Minneapolis, Minnesota, 55407, United States
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Mission Health & Hospitals
Asheville, North Carolina, 28801, United States
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Montefiore Medical Center - Moses Division
New York, New York, 10467, United States
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Morriston Hospital - ABM University Health Board
Morriston, SWANSEA, SA6 6NL, United Kingdom
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Policlinico San Donato
San Donato Milanese, Lombard, 20097, Italy
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Providence St. Vincent Medical Center
Portland, Oregon, 97225, United States
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Rigshospitalet
Copenhagen, 2100, Denmark
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Royal Victoria Hospital
Belfast, Northern Ireland, BT12 6BA, United Kingdom
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Sentara Norfolk General Hospital
Norfolk, Virginia, 23507, United States
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Sparrow Clinical Research Institute
Lansing, Michigan, 48912, United States
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St. Andrew's Hospital
Adelaide, South Australia, 5000, Australia
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St. Vincent Hospital
Indianapolis, Indiana, 46240, United States
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The Alfred Hospital
Melbourne, Victoria, 3004, Australia
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The Heart Hospital Baylor Plano
Plano, Texas, 75093, United States
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The Methodist Hospital
Houston, Texas, 77030, United States
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University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232, United States
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Via Christi Regional Medical Center
Wichita, Kansas, 67214, United States
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Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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