UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051216
Receipt number R000058407
Scientific Title Evolut PRO+ System (chronic dialysis patients) Use-Results Surveillance
Date of disclosure of the study information 2023/05/31
Last modified on 2024/12/09 17:52:48

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Basic information

Public title

Evolut PRO+ System (chronic dialysis patients) Use-Results Surveillance

Acronym

Evolut PRO+ System (chronic dialysis patients) Use-Results Surveillance

Scientific Title

Evolut PRO+ System (chronic dialysis patients) Use-Results Surveillance

Scientific Title:Acronym

Evolut PRO+ System (chronic dialysis patients) Use-Results Surveillance

Region

Japan


Condition

Condition

aortic stenosis

Classification by specialty

Cardiology Cardiovascular surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To confirm the safety and efficacy of the product when used in chronic dialysis patients under actual conditions of post-marketing use in Japan.
Based on the results of this surveillance, we will promote the proper use of the product and disseminate safety information.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1)All-cause death or disabling stroke at 1 year
2)Major Adverse Cardiovascular and Cerebrovascular Event (MACCE) event-free rates and the occurrence of individual MACCE components at 30 days, 6 months, 1year and annually up to 5 years
-all-cause death
-myocardial infarction (MI)
-all stroke
-reintervention
3)Major Adverse Events (MAE) at 30 days, 6 months, 1 year and annually up to 5 years
-MACCE
-Acute kidney Injury
-Cardiac tamponade
-Prosthetic valve dysfunction
-Cardiogenic shock
-Valve endocarditis
-Life-threatening, disabling or major bleeding
-Serious vascular complication
-Cardiac perforation
-Device migration/Valve embolism
4)Conduction disturbance requiring permanent pacemaker implantation at 30 days, 6 months, 1 year and annually up to 5 years
5)Change in NYHA class from baseline at 30 days, 6 months, 1year and annually up to 5 years
6)Echocardiographic assessment of valve performance at 30 days, 6 months, 12 months and annually up to 5 years
-transvalvular mean gradient
-effective orifice area (EOA)
-degree of aortic valve regurgitation
7)Cardiovascular deaths and valve-related deaths at 30 days, 6 months, 1 year and annually up to 5 years
Cardiovascular death:
-Any death due to proximate cardiac cause (e.g. MI, cardiac tamponade, worsening heart failure)
-All procedure-related deaths, including those related to a complication of the procedure or treatment for a complication of the procedure
-Death caused by non-coronary vascular conditions such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular disease
Valve-related death:
-Any death caused by prosthetic valve dysfunction, valve thrombosis, embolism, bleeding event, or implanted valve endocarditis
-Death related to reintervention on the operated valve.
8)Strokes (of any severity) and TIAs at 30 days, 6 months, 1 year and annually up to 5 years
9)Device success
10)Procedural success
defined as device success and absence of in-hospital MACCE

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

In the surveillance, chronic dialysis patients* who are used the product at the surveillance sites (PRO+model: 23 mm, 26 mm, 29 mm, 34 mm, FX model: 23 mm, 26 mm, 29 mm, 34 mm) are subjects to be surveyed.

This product is a self-expanding percutaneous aortic valve system (porcine pericardium tissue valve) which used for the percutaneous heart valve replacement and indicated for the following patients.
-Patients with severe symptomatic native aortic stenosis caused by the calcification of native aortic valve leaflets and whom are determined that the therapy using this product is the most suitable treatment. However, in the case of chronic dialysis patients, it is limited to those patients who are unable to undergo surgery, and whom are determined that the therapy using this product is the most suitable treatment.
-Patients with valvular disease caused by failure (stenosed, insufficient, or combined) of a surgical bioprosthetic aortic valve, and who are unable to undergo surgery, and whom are determined that the therapy using this product is the most suitable treatment. 34 mm size TAV is only for the native aortic.

Key exclusion criteria

N/A

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Ai
Middle name
Last name Tajima

Organization

Medtronic Japan

Division name

Clinical Research and Medical Science

Zip code

108-0075

Address

Shinagawa Season Terrace, 1-2-70 Konan, Minato-ku, Tokyo

TEL

03-6776-0007

Email

ai.tajima2@medtronic.com


Public contact

Name of contact person

1st name Ai
Middle name
Last name Tajima

Organization

Medtronic Japan

Division name

Clinical Research and Medical Science

Zip code

108-0075

Address

Shinagawa Season Terrace, 1-2-70 Konan, Minato-ku, Tokyo

TEL

03-6776-0007

Homepage URL


Email

ai.tajima2@medtronic.com


Sponsor or person

Institute

Medtronic Japan

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

N/A

Address

N/A

Tel

N/A

Email

N/A


Secondary IDs

Secondary IDs

YES

Study ID_1

jRCT2052230032

Org. issuing International ID_1

jRCT

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 05 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2023 Year 04 Month 22 Day

Date of IRB

2023 Year 08 Month 22 Day

Anticipated trial start date

2023 Year 06 Month 01 Day

Last follow-up date

2030 Year 11 Month 07 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

N/A


Management information

Registered date

2023 Year 05 Month 31 Day

Last modified on

2024 Year 12 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058407