Can a tiny valve replace Open-Heart surgery for the long haul?
NCT ID NCT05168826
First seen Aug 12, 2026 · Last updated Aug 13, 2026 · Updated 1 time
Summary
This study follows 250 people with severe aortic stenosis who receive the SAPIEN 3 transcatheter heart valve as part of their standard care. The goal is to see how safe and effective the valve is over the long term in everyday clinical practice. Researchers will track how many patients die from any cause after the procedure. The study includes patients of all surgical risk levels, as determined by their heart team.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- SAPIEN 3 Transcatheter Heart Valve
- What this could lead to
- If successful, this could confirm that the SAPIEN 3 valve is a safe and effective long-term option for people with severe aortic stenosis who cannot have open-heart surgery.
- What could go wrong
- This is an observational registry, not a randomized trial, so it cannot prove the valve is better than other treatments. Long-term risks may include valve deterioration, blood clots, or the need for repeat procedures.
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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250 people
The number who actually took part.
- Started
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Jan 2022
- Expected to finish
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Dec 2035
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.
Who is studied
Subjects who will undergo TAVI with the Edwards SAPIEN 3 System.
- 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: 1. Patient with symptomatic, severe, calcified aortic stenosis who is appropriate for the treatment with transcatheter aortic valve replacement as determined by a heart team and will undergo TAVI with the Edwards SAPIEN 3 System as part of standard-of-care treatment 2. All surgical risks as determined by the site Heart Team 3. 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. Exclusion Criteria: 1. Medical, social, or psychological conditions that preclude appropriate consent and follow-up, including subjects under guardianship 2. Considered to be part of a vulnerable population 3. Pre-existing mechanical or bioprosthetic aortic valve 4. Active SARS-CoV-2 infection or previously diagnosed with COVID-19 with sequelae that could confound endpoint assessments 5. Cannot tolerate an anticoagulation/antiplatelet regimen 6. Evidence of intracardiac mass, thrombus, vegetation, active infection or endocarditis 7. Tortuous or calcified vessels that would prevent safe entry of the dilators and sheath 8. Participating in a drug or device study that has not reached its primary endpoint
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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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First Affiliated Hospital of Sun Yat-sen University
Guangzhou, Guangdong, 510000, China
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First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, 830000, China
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Henan Provincial Chest Hospital
Zhengzhou, Henan, 450000, China
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Peking University Third Hospital
Beijing, Beijing Municipality, 100000, China
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People's Hospital of Xinjiang Uygur Autonomous Region
Ürümqi, Xinjiang, 830000, China
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Shanghai Chest Hospital
Shanghai, Shanghai Municipality, 200000, China
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Shanghai General Hospital
Shanghai, Shangahi, 200000, China
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The First Affiliated Hospital of Xi'an Jiao Tong University
Xi’an, Shanxi, 710000, China
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The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450000, China
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The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009, China
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The Second Xiangya Hospital of Central South University
Changsha, Hunan, 410000, China
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Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology
Wuhan, Hubei, 430022, China
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Xiamen Cardiovascular Hospital Xiamen University
Xiamen, Fujian, 361004, China
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Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a less invasive valve replacement tame a failing aortic valve?
- Heart valve fix without the hospital stay? trial tests Same-Day discharge
- Heart scarring may begin before symptoms — could early valve replacement stop it?
- Heart valve showdown: intermediate sizing may reduce complications in aortic stenosis
- New heart valve could save lives without Open-Heart surgery
- Sound waves instead of surgery: new device aims to soften stiff heart valves