UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000050294
Receipt number R000057264
Scientific Title Risk of coronary obstruction due to sinus sequestration by redo transcatheter aortic valve implantation in Japanese patients with SAPIEN 3
Date of disclosure of the study information 2023/02/14
Last modified on 2023/02/09 20:43:58

* 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

Risk of coronary artery occlusion at second transcatheter aortic valve implantation

Acronym

Risk of coronary artery occlusion at second transcatheter aortic valve implantation

Scientific Title

Risk of coronary obstruction due to sinus sequestration by redo transcatheter aortic valve implantation in Japanese patients with SAPIEN 3

Scientific Title:Acronym

Risk of coronary obstruction due to sinus sequestration by redo transcatheter aortic valve implantation in Japanese patients with SAPIEN 3

Region

Japan


Condition

Condition

Aortic stenosis

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the proportion of Japanese patients who are expected to have difficulty undergoing a second transcatheter aortic valve implantation (TAVI) procedure, and to examine the possibility of reducing the risk of coronary artery occlusion by sinus of Valsalva (SOV) sequestration.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

This study aims to clarify the proportion of the risk of sinus of Valsalva sequestration during TAV-in-TAV in Japanese patients.

Key secondary outcomes

To identify preoperative CT and echocardiographic parameters that predict the risk of sinus of Valsalva sequestration.


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

60 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

Patients who underwent TAVI for severe aortic stenosis at Iwate Medical University Hospital and had SAPIEN3 (balloon-expanded transcatheter bioprosthetic valve) implanted. Patients who underwent aortography after implantation of the bioprosthetic valve.

Key exclusion criteria

Patients who underwent aortography but could not be adequately evaluated.
In addition, patients who were denied opt out.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Ryo
Middle name
Last name Ninomiya

Organization

Iwate Medical University Hospital

Division name

Department of Internal Medicine, Division of cardiology

Zip code

028-3695

Address

Idaidori 2-1 -1, Yahaba-cho, Siwa, Iwate prefecture, Japan 028-3695

TEL

019-613-7111

Email

rnino0123@gmail.com


Public contact

Name of contact person

1st name Ryo
Middle name
Last name Ninomiya

Organization

Iwate Medical University Hospital

Division name

Department of Internal Medicine, Division of cardiology

Zip code

028-3695

Address

Idaidori 2-1 -1, Yahaba-cho, Siwa, Iwate prefecture, Japan

TEL

019-613-7111

Homepage URL


Email

rnino0123@gmail.com


Sponsor or person

Institute

Iwate Medical University Hospital

Institute

Department

Personal name

Ryo Ninomiya


Funding Source

Organization

self-procurement

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Iwate Medical University Hospital

Address

Department of Internal Medicine, Division of cardiology

Tel

019-613-7111

Email

rnino0123@gmail.com


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



Other administrative information

Date of disclosure of the study information

2023 Year 02 Month 14 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

308

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

No longer recruiting

Date of protocol fixation

2023 Year 02 Month 14 Day

Date of IRB

2023 Year 02 Month 13 Day

Anticipated trial start date

2023 Year 02 Month 14 Day

Last follow-up date

2023 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Study items:
Patient background (age, gender, height, weight, BSA, STS score
Patient background (age, gender, height, weight, BSA, STS score, Clinical Frailty scale, hypertension, lipid abnormality, diabetes, atrial fibrillation)
Echocardiography (left ventricular ejection fraction, aortic valve orifice area, maximum aortic valve velocity, mean aortic valve pressure gradient, aortic valve annulus diameter, STJ diameter, left ventricular diameter, left ventricular wall thickness)
Preoperative CT (aortic valve annulus area, mean aortic valve annulus diameter, STJ height and diameter, left coronary artery height, Valsalva sinus diameter)
Size of the implanted valve
Fluoroscopic images (depth of implantation of biological valve, distance between biological valve and aortic valve annulus, and height relationship between STJ and biological valve commissure)
Methods of investigation:
(1) The above items were extracted using the preoperative medical data in the medical records.
2) Measurements will be made using fluoroscopic images of aortography.
(3) The distance between the left margin of the bioprosthetic valve and the aorta will be less than 2 mm, and the height of the commissure will be lower than the STJ.


Management information

Registered date

2023 Year 02 Month 10 Day

Last modified on

2023 Year 02 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000057264


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name