Second Time's the charm? new study tests replacing heart valves again without surgery
NCT ID NCT06557798
First seen Jun 26, 2026 · Last updated Aug 26, 2026 · Updated 4 times
Summary
This study follows 550 patients whose first TAVI heart valve has failed. Researchers will compare a second TAVI procedure (redo TAVI) with open-heart surgery or medication alone. The goal is to see which approach works best and why, helping doctors make better decisions for future patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Transcatheter aortic valve (Edwards or Medtronic)
- What this could lead to
- If successful, this could establish redo TAVI as a safe, effective standard treatment for patients whose first TAVI valve fails, avoiding open-heart surgery.
- What could go wrong
- This is an observational study, not a randomized trial, so results may not prove superiority. Redo TAVI carries risks like coronary obstruction or valve leakage, and long-term outcomes are still unknown.
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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About 550 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Mar 2033
An estimate. End dates often move.
- 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.
Who is studied
All patients presenting to the Heart Team with bio-prosthetic valve failure affecting a transcatheter aortic valve
- 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.
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: 1\. Bio-prosthetic Valve Failure (BVF) of a Transcatheter Aortic Valve requiring possible reintervention Exclusion Criteria: 1. Bio-prosthetic Valve Failure due solely to paravalvular aortic regurgitation 2. Active endocarditis 3. Untreated acute valve thrombosis 4. Life-expectancy less than 1 year 5. Subject is less than legal age of consent, legally incompetent, or otherwise vulnerable 6. Pregnant or nursing
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Aortic valve stenosis are added.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
71 sites in 11 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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ASST Spedali Civili Di Brescia
RECRUITINGBrescia, Italy
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Aalborg Universitethospital
RECRUITINGAalborg, Denmark
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Amphia Hospital
RECRUITINGBreda, Netherlands
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Asklepios Klinik St. Georg
RECRUITINGHamburg, Germany
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Azienda Ospedaliera Ordine Mauriziano di Torino
RECRUITINGTorino, Italy
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Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele
RECRUITINGCatania, Italy
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Brest University Hospital Centre
RECRUITINGBrest, France
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Bristol Royal Infirmary
RECRUITINGBristol, United Kingdom
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CHRU Hospitals of Tours
RECRUITINGTours, France
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Centre Hospitalier Universitaire de Montpellier
RECRUITINGMontpellier, France
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Centre Hospitalier Universitaire de Toulouse, Hospital Rangueil
RECRUITINGToulouse, France
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Centro Cardiologico Monzino
RECRUITINGMilan, Italy
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Clinical Saint Augustin - Elsan
RECRUITINGBordeaux, France
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Clinique Pasteur Toulouse
RECRUITINGToulouse, France
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Deutsches Herzzentrum Berlin
WITHDRAWNBerlin, Germany
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Deutsches Herzzentrum München (German Heartcentre Munich)
RECRUITINGMünchen, Germany
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Edith Wolfson Medical Center
RECRUITINGHolon, Israel
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Erasmus University Medical Center
RECRUITINGRotterdam, Netherlands
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Fondazione Poliambulanza Istituto Ospedaliero
RECRUITINGBrescia, Italy
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Freeman Hospital
RECRUITINGNewcastle upon Tyne, United Kingdom
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Glenfield Hospital
RECRUITINGLeicester, United Kingdom
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Golden Jubilee National Hospital
RECRUITINGGlasgow, United Kingdom
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Guys and St Thomas' NHS Foundation Trust
RECRUITINGLondon, United Kingdom
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HELIOS Herzzentrum Leipzig GmbH
RECRUITINGLeipzig, Germany
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HUS Helsinki University Hospital
RECRUITINGHelsinki, Finland
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Haukeland Sykehus
RECRUITINGBergen, Norway
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Henri Mondor University Hospital
RECRUITINGCréteil, France
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Herz- und Diabeteszentrum NRW
RECRUITINGBad Oeynhausen, Germany
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Herzzentrum Dresden Universitätsklinik
RECRUITINGDresden, Germany
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Hospital Marie Lannelongue
RECRUITINGParis, France
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Humanitas Research Hospital - RCCS Istituto Clinico Humanitas di Milano
WITHDRAWNMilan, Italy
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ICPS Hôpital privé Jacques-Cartier
RECRUITINGMassy, France
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IRCCS Ospedale San Raffaele
RECRUITINGMilan, Italy
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IRCSS Policlinico San Donato
RECRUITINGSan Donato Milanese, Italy
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Inselspital - Universitätsspital Bern
RECRUITINGBern, Switzerland
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Institute Mutualiste Montsouris
RECRUITINGParis, France
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Istituto Mediterraneo per i Trapianti Ismett IRCCS
RECRUITINGPalermo, Italy
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Kerckhoff Klinik
RECRUITINGBad Nauheim, Germany
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Klinikum Dortmund GmbH - St. Johannes Hospital
RECRUITINGDortmund, Germany
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LMU Klinikum
RECRUITINGMünchen, Germany
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Leeds Teaching Hospitals NHS Trust
RECRUITINGLeeds, LS1 3EX, United Kingdom
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Les Hospital Universitaires de Strasbourg
RECRUITINGStrasbourg, France
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Luzerner Kantonsspital
RECRUITINGLucerne, Switzerland
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Maastricht University Medical Center (MUMC)
RECRUITINGMaastricht, Netherlands
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Manchester Royal Infirmary
WITHDRAWNManchester, United Kingdom
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Medipole Lyon-Villeurbanne
RECRUITINGVilleurbanne, France
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NCT - Saint-Gatien - Alliance
RECRUITINGSaint-Cyr-sur-Loire, France
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New Cross Hospital
RECRUITINGWolverhampton, United Kingdom
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Nya Karolinska Sjukhuset Solna
RECRUITINGSolna, Sweden
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Oslo University Hospital
RECRUITINGOslo, Norway
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Ospedale Borgo Trento - Azienda Ospedaliera Universitaria Integrata Verona
RECRUITINGVerona, Italy
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Ospedale San Martino - IRCCS Ospedale Policlinico
RECRUITINGGenova, Italy
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Oxford University Hospitals NHS Foundation Trust
RECRUITINGOxford, OX3 9DU, United Kingdom
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Queen Elizabeth Hospital
RECRUITINGBirmingham, United Kingdom
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Rabin Medical Center - Belinson Campus
RECRUITINGPetah Tikva, Israel
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Radboud Universitair Medisch Centrum
WITHDRAWNNijmegen, Netherlands
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Rigshospitalet
RECRUITINGCopenhagen, Denmark
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Royal Sussex County Hospital
RECRUITINGBrighton, BN2 1ES, United Kingdom
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Sahlgrenska University Hospital
RECRUITINGGothenburg, Sweden
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Shaare Zedek Medical Center
RECRUITINGJerusalem, Israel
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Skånes Universitetssjukhus Lund
RECRUITINGLund, Sweden
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St. George's Hospital
RECRUITINGLondon, United Kingdom
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Turku University Hospital
RECRUITINGTurku, Finland
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Universitatsklinikum Dusseldorf (University Hospital Dusseldorf)
RECRUITINGDüsseldorf, Germany
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Universitatsklinikum Frankfurt
RECRUITINGFrankfurt, Germany
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Universitatsklinikum Koln (AoR)
RECRUITINGCologne, Germany
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Universitatsklinikum Tubingen
RECRUITINGTübingen, Germany
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Universitatsklinikum Ulm (University Hospital Ulm)
RECRUITINGUlm, Germany
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University Hospital Southampton NHS Foundation Trust
RECRUITINGSouthampton, SO16 6YD, United Kingdom
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University Hospital of Nimes
RECRUITINGNîmes, France
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University Hospital of Wales
RECRUITINGCardiff, CF14 4XW, United Kingdom
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Universitätsklinikum Schleswig-Holstein (UKSH)
RECRUITINGKiel, Germany
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Universitätsklinikum Schleswig-Holstein (UKSH)
RECRUITINGLübeck, Germany
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Uppsala University
RECRUITINGUppsala, Sweden
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Århus Universitetshospital
RECRUITINGAarhus, Denmark
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?