UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000036810
Receipt number R000041905
Scientific Title Study on postoperative prosthetic valve related complication prediction index by hemodynamics evaluation before and after aortic valve replacement in patients with severe aortic stenosis using time resolved 3D phase contrast MRI (4D flow MRI)
Date of disclosure of the study information 2019/05/21
Last modified on 2019/05/21 16:26:00

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Study on postoperative prosthetic valve related complication prediction index by hemodynamics evaluation before and after aortic valve replacement in patients with severe aortic stenosis using time resolved 3D phase contrast MRI (4D flow MRI)

Acronym

Study on postoperative prosthetic valve related complication prediction index by hemodynamics evaluation before and after aortic valve replacement in patients with severe aortic stenosis using time resolved 3D phase contrast MRI (4D flow MRI)

Scientific Title

Study on postoperative prosthetic valve related complication prediction index by hemodynamics evaluation before and after aortic valve replacement in patients with severe aortic stenosis using time resolved 3D phase contrast MRI (4D flow MRI)

Scientific Title:Acronym

Study on postoperative prosthetic valve related complication prediction index by hemodynamics evaluation before and after aortic valve replacement in patients with severe aortic stenosis using time resolved 3D phase contrast MRI (4D flow MRI)

Region

Japan


Condition

Condition

Aortic stenosis (AS)

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Our objective is to investigate the relationship between changes of blood flow velocity, blood flow pattern, wall shear stress, and energy loss measured by 4D Flow-MRI before and after transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement (SAVR) in patients with severe AS, and structural valve degeneration and leaflet thrombosis.

Basic objectives2

Others

Basic objectives -Others

identification of predictors

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

to investigate the relationship between changes in blood flow dynamics (blood flow velocity, blood flow pattern, wall shear stress, energy loss) before and after TAVI or SAVR and structural valve degeneration and leaflet thrombosis

Key secondary outcomes

The prespecified secondary outcomes of the study are described below.
1. To compare changes in blood flow dynamics before and after TAVI or SAVR between TAVI and SAVR groups
2. To investigate factors associated with changes in blood flow dynamics before and after TAVI or SAVR
3. To investigate the relationship between changes in blood flow dynamics before and after TAVI or SAVR and the composite of structural valve degeneration, leaflet thrombosis, rehospitalization due to heart failure, and death


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients diagnosed as severe AS in echocardiography and scheduled for TAVI or SAVR at Hokkaido University Hospital.
2. Patients 20 years of age and older are eligible.
3. All patients receive from physicians the information necessary to give informed consent in writing.

Key exclusion criteria

Exclusion criteria in patient's eligibility are described below.
1. Patients unsuitable for MRI
2. Patients judged to be inappropriate as research subjects by the researcher

Target sample size

315


Research contact person

Name of lead principal investigator

1st name Toshihisa
Middle name
Last name Anzai

Organization

Hokkaido University Faculty of Medicine

Division name

Department of Cardiovascular Medicine

Zip code

060-8638

Address

Kita-15, Nishi-7, Kita-ku, Sapporo, Japan

TEL

011-706-6973

Email

anzai@med.hokudai.ac.jp


Public contact

Name of contact person

1st name Kiwamu
Middle name
Last name Kamiya

Organization

Hokkaido University Faculty of Medicine

Division name

Department of Cardiovascular Medicine

Zip code

060-8638

Address

Kita-15, Nishi-7, Kita-ku, Sapporo, Japan

TEL

011-706-6973

Homepage URL


Email

k-kamiya@med.hokudai.ac.jp


Sponsor or person

Institute

Department of Cadiovascular Medicine, Hokkaido University Faculty of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Science and Technology Agency

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hokkaido University Hospital Division of Clinical Research Administration

Address

Kita-14, Nishi-5, Kita-ku, Sapporo, Japan

Tel

011-706-7636

Email

crjimu@huhp.hokudai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道大学病院(北海道)


Other administrative information

Date of disclosure of the study information

2019 Year 05 Month 21 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

2019 Year 05 Month 16 Day

Date of IRB

2019 Year 05 Month 16 Day

Anticipated trial start date

2019 Year 05 Month 17 Day

Last follow-up date

2027 Year 07 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We will prospectively perform this exploratory observational research. We will investigate the relationship between changes in blood flow dynamics (blood flow velocity, blood flow pattern, wall shear stress, energy loss) before and after TAVI or SAVR, and the following information.
1. Physical measurement
2. Laboratory data
3. Physiological function testing
4. Imaging tests, including echocardiography, coronary angiography, contrast-enhanced CT, and cardiovascular MRI
5. medications
6. structural valve degeneration and leaflet thrombosis
7. the composite of structural valve degeneration, leaflet thrombosis, rehospitalization due to heart failure, and death

And we will compare changes in blood flow dynamics before and after TAVI or SAVR between TAVI and SAVR groups.


Management information

Registered date

2019 Year 05 Month 21 Day

Last modified on

2019 Year 05 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041905


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name