Could a simple valve fix beat waiting for heart patients?
NCT ID NCT04889872
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two approaches for people aged 65+ with moderate aortic stenosis (a narrowed heart valve): either getting a new valve placed through a thin tube (TAVR) or just having regular check-ups. The goal is to see if early treatment prevents death or heart failure better than waiting. About 2,250 participants will be followed for at least two years.
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
-
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
-
About 2,250 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Oct 2021
- Expected to finish
-
Jun 2037
An estimate. End dates often move.
- Lead sponsor
-
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
-
65 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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. 65 years of age or older at time of randomization 2. Moderate aortic stenosis 3. Subject has symptoms or evidence of cardiac damage/dysfunction 4. The subject or subject's legal representative has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent. Key Exclusion Criteria: 1. Native aortic annulus size unsuitable for the THV 2. Anatomical characteristics that would preclude safe transfemoral placement of the introducer sheath or safe passage of the delivery system 3. Aortic valve is unicuspid or non-calcified 4. Bicuspid aortic valve with an aneurysmal ascending aorta \> 4.5 cm or severe raphe/leaflet calcification 5. Pre-existing mechanical or bioprosthetic aortic valve 6. Severe aortic regurgitation 7. Prior balloon aortic valvuloplasty to treat severe AS 8. LVEF \< 20% 9. Left ventricular outflow tract calcification that would increase the risk of annular rupture or significant paravalvular leak post-TAVR 10. Cardiac imaging evidence of intracardiac mass, thrombus, or vegetation 11. Coronary or aortic valve anatomy that increases the risk of coronary artery obstruction post-TAVR
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Aortic stenosis, calcific are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
50 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
AMC Amsterdam
ACTIVE_NOT_RECRUITINGAmsterdam, North Holland, 1105 AZ, Netherlands
-
Alexian Brothers Hospital
RECRUITINGLisle, Illinois, 60532, United States
-
Allegheny Singer Research Institute
RECRUITINGPittsburgh, Pennsylvania, 15212, United States
-
Ascension Texas Cardiovascular
RECRUITINGAustin, Texas, 78705, United States
-
Ascension Via Christi St. Francis
RECRUITINGWichita, Kansas, 67226, United States
-
Atlantic Health System Hospital Corp - Morristown Medical Center
RECRUITINGMorristown, New Jersey, 07960, United States
-
Baptist Health Research Center
RECRUITINGJacksonville, Florida, 32207, United States
-
Baptist Memorial Hospital Memphis
RECRUITINGGermantown, Tennessee, 38138, United States
-
Bay Area Structural Heart at Sutter Health
RECRUITINGSan Francisco, California, 94109, United States
-
Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
-
CentraCare Heart and Vascular Center
RECRUITINGSaint Cloud, Minnesota, 56303, United States
-
Columbia University Irving Medical Center/NYPH
ACTIVE_NOT_RECRUITINGNew York, New York, 10032, United States
-
Eisenhower Desert Cardiology Center
RECRUITINGRancho Mirage, California, 92270, United States
-
Emory University Atlanta
RECRUITINGAtlanta, Georgia, 30308, United States
-
Erasmus Rotterdam
ACTIVE_NOT_RECRUITINGRotterdam, South Holland, 3015, Netherlands
-
Flinders Medical Centre
ACTIVE_NOT_RECRUITINGBedford Park, South Australia, 5042, Australia
-
HCA Houston Healthcare Medical Center
RECRUITINGHouston, Texas, 77004, United States
-
Hamiton Health Services
ACTIVE_NOT_RECRUITINGHamilton, Onterio, L8L 2X2, Canada
-
Heart Center LLC, Huntsville
RECRUITINGHuntsville, Alabama, 35801, United States
-
Huntington Hospital
WITHDRAWNPasadena, California, 91105, United States
-
Hôpitaux Universitaire de Genève
ACTIVE_NOT_RECRUITINGGeneva, 1205, Switzerland
-
Jersey Shore University Medical Center
RECRUITINGNeptune City, New Jersey, 07753, United States
-
Kaiser Mid Atlantic
RECRUITINGMcLean, Virginia, 22102, United States
-
Kaiser Permanente Northwest
ACTIVE_NOT_RECRUITINGClackamas, Oregon, 97015, United States
-
Kaiser San Francisco Medical Center
ACTIVE_NOT_RECRUITINGSan Francisco, California, 94118, United States
-
Keio University Hospital
ACTIVE_NOT_RECRUITINGShinjuku, Tokyo, 160-8582, Japan
-
Kokura Memorial Hospital
ACTIVE_NOT_RECRUITINGFukuoka, Kyushu, 802-8555, Japan
-
Lankenau Medical Center
RECRUITINGWynnewood, Pennsylvania, 19096, United States
-
Legacy Emanuel Medical Center
RECRUITINGPortland, Oregon, 97227, United States
-
Leiden Universitair Medisch Centrum
ACTIVE_NOT_RECRUITINGLeiden, South Holland, 2333, Netherlands
-
Louisiana State University
RECRUITINGNew Orleans, Louisiana, 70112, United States
-
Mary Hitchcock Memorial Hospital
RECRUITINGLebanon, New Hampshire, 03756, United States
-
Massachusetts General Hospital Boston
RECRUITINGBoston, Massachusetts, 02114, United States
-
Methodist Hospital of San Antonio
ACTIVE_NOT_RECRUITINGSan Antonio, Texas, 78229, United States
-
Methodist Le Bonheur Healthcare
RECRUITINGGermantown, Tennessee, 38138, United States
-
Minneapolis Heart Institue, St. Paul's
RECRUITINGMinneapolis, Minnesota, 55102, United States
-
Monash Health
ACTIVE_NOT_RECRUITINGClayton, Victoria, 3168, Australia
-
Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10467, United States
-
Moses Cone Memorial Hospital
RECRUITINGGreensboro, North Carolina, 27401, United States
-
Mount Carmel Health System
ACTIVE_NOT_RECRUITINGColumbus, Ohio, 43213, United States
-
NYU Langone Health
WITHDRAWNNew York, New York, 10016, United States
-
NYU Langone Hospital - Long Island
RECRUITINGMineola, New York, 11501, United States
-
Ochsner Clinical Foundation
ACTIVE_NOT_RECRUITINGNew Orleans, Louisiana, 70121, United States
-
Oklahoma Heart Institute
RECRUITINGTulsa, Oklahoma, 74104, United States
-
Parkwest Medical Center
RECRUITINGKnoxville, Tennessee, 37923, United States
-
Piedmont Heart Institute
RECRUITINGAtlanta, Georgia, 30309, United States
-
Pinnacle Health Harrisburg
ACTIVE_NOT_RECRUITINGWormleysburg, Pennsylvania, 17043, United States
-
Providence Heart & Vascular Institute Portland
WITHDRAWNPortland, Oregon, 97225, United States
-
Rochester General Hospital
RECRUITINGRochester, New York, 14621, United States
-
Royal Adelaide Hospital
ACTIVE_NOT_RECRUITINGAdelaide, South Australia, 5000, Australia
-
Rush University Medical Center
RECRUITINGChicago, Illinois, 60612, United States
-
Rutgers Robert Wood Johnson Medical School
RECRUITINGNew Brunswick, New Jersey, 08901, United States
-
Saint Alphonsus
RECRUITINGBoise, Idaho, 83704, United States
-
Saint Luke's Hospital of Kansas City Mid America
RECRUITINGKansas City, Missouri, 64111, United States
-
Saint Thomas Health
RECRUITINGNashville, Tennessee, 37205, United States
-
Sakakibara Heart Institute
ACTIVE_NOT_RECRUITINGFuchū, Tokyo, 183-0003, Japan
-
Santa Barbara Cottage Hospital
RECRUITINGSanta Barbara, California, 93105, United States
-
Sarasota Memorial Health Care System
RECRUITINGSarasota, Florida, 34239, United States
-
Sendai Kousei Hospital
ACTIVE_NOT_RECRUITINGSendai, Miyagi, 981-0914, Japan
-
Sentara Norfolk General Hospital
RECRUITINGNorfolk, Virginia, 23507, United States
-
St. Francis Hospital
RECRUITINGRoslyn, New York, 11576, United States
-
St. Patrick Hospital
ACTIVE_NOT_RECRUITINGMissoula, Montana, 59802, United States
-
St. Paul's Hospital
ACTIVE_NOT_RECRUITINGVancouver, British Columbia, V6E1M7, Canada
-
Stanford Univeristy
RECRUITINGStanford, California, 94305, United States
-
Swedish Medical Center
RECRUITINGSeattle, Washington, 98112, United States
-
The Cardiac & Vascular Institute Research Foundation
WITHDRAWNGainesville, Florida, 32605, United States
-
The Christ Hospital
ACTIVE_NOT_RECRUITINGCincinnati, Ohio, 45219, United States
-
The Heart Hospital Baylor Plano
RECRUITINGPlano, Texas, 75093, United States
-
The Prince Charles Hospital
ACTIVE_NOT_RECRUITINGChermside, Queensland, 4032, Australia
-
The University of Texas Health Science Center
RECRUITINGHouston, Texas, 77030, United States
-
The Valley Hospital
RECRUITINGRidgewood, New Jersey, 07450, United States
-
Tucson Medical Center
ACTIVE_NOT_RECRUITINGTucson, Arizona, 85712, United States
-
UC Health Medical Center of the Rockies
RECRUITINGLoveland, Colorado, 80538, United States
-
UPMC Presbyterian Shadyside
ACTIVE_NOT_RECRUITINGPittsburgh, Pennsylvania, 15213, United States
-
UT Southwestern Medical Center
RECRUITINGDallas, Texas, 75235, United States
-
University of Buffalo Kaleida Health
RECRUITINGBuffalo, New York, 14203, United States
-
University of California San Francisco
RECRUITINGSan Francisco, California, 94143, United States
-
Universitätsspital Zürich
WITHDRAWNZurich, 8091, Switzerland
-
Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
-
Yale Universtiy
RECRUITINGNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can aggressive blood pressure treatment slow aortic valve disease?
- 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?