CClinicalTrials.gg
RecruitingNCT04889872PROGRESSUpdated Dec 17, 2025

PROGRESS: Management of Moderate Aortic Stenosis by Clinical Surveillance or TAVR

An interventional study of SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA in Aortic Stenosis, Calcific and Aortic Valve Stenosis, sponsored by Edwards Lifesciences. Recruiting at 80 sites in 6 countries. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2025-12-17.

Sponsored by Edwards Lifesciences · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2021; still recruiting 4 years 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
2,250
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

This study objective is to establish the safety and effectiveness of the Edwards SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA Transcatheter Heart Valve systems in subjects with moderate, calcific aortic stenosis.

Following completion of enrollment, subjects will be eligible for enrollment in the continued access phase of the trial.

Read the detailed description

This is a prospective, randomized, controlled, multicenter study. Subjects will be randomized to either transcatheter aortic valve replacement (TAVR) with the SAPIEN 3 / SAPIEN 3 Ultra /SAPIEN 3 Ultra RESILIA THV or Clinical Surveillance.

02

Conditions studied

  • Aortic Stenosis, Calcific
  • Aortic Valve Stenosis

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Keywords

  • Transcatheter aortic valve replacement (TAVR)
  • SAPIEN 3
  • SAPIEN 3 Ultra
  • SAPIEN 3 Ultra RESILIA
  • Moderate aortic stenosis
  • Aortic stenosis
  • Transcatheter heart valve
03

In context

Aortic Valve Stenosis

985 studies on the registry are indexed under Aortic Valve Stenosis; 283 are open to participants now.

This study's planned enrollment of 2,250 is above the median of 120 across 525 interventional studies indexed under Aortic Valve Stenosis.

Browse Aortic Valve Stenosis studies →

Lead sponsor

Edwards Lifesciences is the lead sponsor of 124 studies on the registry; 19 are open to participants now.

Of its 34 completed or terminated interventional studies of FDA-regulated products, 32 (94%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. 65 years of age or older at time of randomization
  2. Moderate aortic stenosis
  3. Subject has symptoms or evidence of cardiac damage/dysfunction
  4. 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.

Key Exclusion Criteria:

  1. Native aortic annulus size unsuitable for the THV
  2. Anatomical characteristics that would preclude safe transfemoral placement of the introducer sheath or safe passage of the delivery system
  3. Aortic valve is unicuspid or non-calcified
  4. Bicuspid aortic valve with an aneurysmal ascending aorta > 4.5 cm or severe raphe/leaflet calcification
  5. Pre-existing mechanical or bioprosthetic aortic valve
  6. Severe aortic regurgitation
  7. Prior balloon aortic valvuloplasty to treat severe AS
  8. LVEF \< 20%
  9. Left ventricular outflow tract calcification that would increase the risk of annular rupture or significant paravalvular leak post-TAVR
  10. Cardiac imaging evidence of intracardiac mass, thrombus, or vegetation
  11. Coronary or aortic valve anatomy that increases the risk of coronary artery obstruction post-TAVR
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,250 participants (estimated)

Study arms

  • Experimental
    TAVR

    Transcatheter Aortic Valve Replacement (TAVR)

    Device: SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA

  • No intervention
    CS

    Clinical Surveillance (CS)

Interventions

  • DeviceSAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA

    Patients will be implanted with a SAPIEN 3 / SAPIEN 3 Ultra / SAPIEN 3 Ultra RESILIA heart valve

06

What researchers measure

Primary outcomes

  1. Primary Effectiveness Endpoint

    Non-hierarchical composite of death, and heart failure hospitalization or event

    Time frame: 2 years

  2. Primary Safety Endpoint

    Non-hierarchical composite of death, stroke, life threatening or fatal bleeding, acute kidney injury stage 4, hospitalization due to device- or procedure-related complication, and valve dysfunction requiring reintervention

    Time frame: 30 days

Secondary outcomes

  1. Death, stroke, or heart failure hospitalization

    The number of patients that had this event

    Time frame: 2 years

  2. Alive and Kansas City Cardiomyopathy Questionnaire (KCCQ) score improvement ≥10 points from baseline sustained through 2 years

    The number of patients that met all these criteria

    Time frame: 2 years

  3. Heart failure hospitalization

    The number of patients that had this event

    Time frame: 2 years

  4. Left ventricle (LV) mass index

    Echocardiographic measurement of the size of the left ventricle

    Time frame: 2 years

  5. Diastolic dysfunction ≥ Grade 2

    Echocardiographic measurement of the stiffness of the left ventricle.

    Time frame: 2 years

07

Study locations

50 of 80 sites recruiting
  • Heart Center LLC, Huntsville
    Huntsville, Alabama 35801, United States
    Recruiting
  • Tucson Medical Center
    Tucson, Arizona 85712, United States
    Active, not recruiting
  • Cedars-Sinai Medical Center
    Los Angeles, California 90048, United States
    Recruiting
  • Huntington Hospital
    Pasadena, California 91105, United States
    Withdrawn
  • Eisenhower Desert Cardiology Center
    Rancho Mirage, California 92270, United States
    Recruiting
  • Bay Area Structural Heart at Sutter Health
    San Francisco, California 94109, United States
    Recruiting
  • Kaiser San Francisco Medical Center
    San Francisco, California 94118, United States
    Active, not recruiting
  • University of California San Francisco
    San Francisco, California 94143, United States
    Recruiting
  • Santa Barbara Cottage Hospital
    Santa Barbara, California 93105, United States
    Recruiting
  • Stanford Univeristy
    Stanford, California 94305, United States
    Recruiting
  • UC Health Medical Center of the Rockies
    Loveland, Colorado 80538, United States
    Recruiting
  • Yale Universtiy
    New Haven, Connecticut 06510, United States
    Recruiting
  • The Cardiac & Vascular Institute Research Foundation
    Gainesville, Florida 32605, United States
    Withdrawn
  • Baptist Health Research Center
    Jacksonville, Florida 32207, United States
    Recruiting
  • Sarasota Memorial Health Care System
    Sarasota, Florida 34239, United States
    Recruiting
  • Emory University Atlanta
    Atlanta, Georgia 30308, United States
    Recruiting
  • Piedmont Heart Institute
    Atlanta, Georgia 30309, United States
    Recruiting
  • Saint Alphonsus
    Boise, Idaho 83704, United States
    Recruiting
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
    Recruiting
  • Alexian Brothers Hospital
    Lisle, Illinois 60532, United States
    Recruiting
  • Ascension Via Christi St. Francis
    Wichita, Kansas 67226, United States
    Recruiting
  • Louisiana State University
    New Orleans, Louisiana 70112, United States
    Recruiting
  • Ochsner Clinical Foundation
    New Orleans, Louisiana 70121, United States
    Active, not recruiting
  • Massachusetts General Hospital Boston
    Boston, Massachusetts 02114, United States
    Recruiting
  • Minneapolis Heart Institue, St. Paul's
    Minneapolis, Minnesota 55102, United States
    Recruiting
  • CentraCare Heart and Vascular Center
    Saint Cloud, Minnesota 56303, United States
    Recruiting
  • Saint Luke's Hospital of Kansas City Mid America
    Kansas City, Missouri 64111, United States
    Recruiting
  • St. Patrick Hospital
    Missoula, Montana 59802, United States
    Active, not recruiting
  • Mary Hitchcock Memorial Hospital
    Lebanon, New Hampshire 03756, United States
    Recruiting
  • Atlantic Health System Hospital Corp - Morristown Medical Center
    Morristown, New Jersey 07960, United States
    Recruiting
  • Jersey Shore University Medical Center
    Neptune City, New Jersey 07753, United States
    Recruiting
  • Rutgers Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08901, United States
    Recruiting
  • The Valley Hospital
    Ridgewood, New Jersey 07450, United States
    Recruiting
  • University of Buffalo Kaleida Health
    Buffalo, New York 14203, United States
    Recruiting
  • NYU Langone Hospital - Long Island
    Mineola, New York 11501, United States
    Recruiting
  • NYU Langone Health
    New York, New York 10016, United States
    Withdrawn
  • Columbia University Irving Medical Center/NYPH
    New York, New York 10032, United States
    Active, not recruiting
  • Rochester General Hospital
    Rochester, New York 14621, United States
    Recruiting
  • St. Francis Hospital
    Roslyn, New York 11576, United States
    Recruiting
  • Montefiore Medical Center
    The Bronx, New York 10467, United States
    Recruiting
  • Moses Cone Memorial Hospital
    Greensboro, North Carolina 27401, United States
    Recruiting
  • The Christ Hospital
    Cincinnati, Ohio 45219, United States
    Active, not recruiting
  • Mount Carmel Health System
    Columbus, Ohio 43213, United States
    Active, not recruiting
  • Oklahoma Heart Institute
    Tulsa, Oklahoma 74104, United States
    Recruiting
  • Kaiser Permanente Northwest
    Clackamas, Oregon 97015, United States
    Active, not recruiting
  • Providence Heart & Vascular Institute Portland
    Portland, Oregon 97225, United States
    Withdrawn
  • Legacy Emanuel Medical Center
    Portland, Oregon 97227, United States
    Recruiting
  • Allegheny Singer Research Institute
    Pittsburgh, Pennsylvania 15212, United States
    Recruiting
  • UPMC Presbyterian Shadyside
    Pittsburgh, Pennsylvania 15213, United States
    Active, not recruiting
  • Pinnacle Health Harrisburg
    Wormleysburg, Pennsylvania 17043, United States
    Active, not recruiting
  • Lankenau Medical Center
    Wynnewood, Pennsylvania 19096, United States
    Recruiting
  • Baptist Memorial Hospital Memphis
    Germantown, Tennessee 38138, United States
    Recruiting
  • Methodist Le Bonheur Healthcare
    Germantown, Tennessee 38138, United States
    Recruiting
  • Parkwest Medical Center
    Knoxville, Tennessee 37923, United States
    Recruiting
  • Saint Thomas Health
    Nashville, Tennessee 37205, United States
    Recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
    Recruiting
  • Ascension Texas Cardiovascular
    Austin, Texas 78705, United States
    Recruiting
  • UT Southwestern Medical Center
    Dallas, Texas 75235, United States
    Recruiting
  • HCA Houston Healthcare Medical Center
    Houston, Texas 77004, United States
    Recruiting
  • The University of Texas Health Science Center
    Houston, Texas 77030, United States
    Recruiting
  • The Heart Hospital Baylor Plano
    Plano, Texas 75093, United States
    Recruiting
  • Methodist Hospital of San Antonio
    San Antonio, Texas 78229, United States
    Active, not recruiting
  • Kaiser Mid Atlantic
    McLean, Virginia 22102, United States
    Recruiting
  • Sentara Norfolk General Hospital
    Norfolk, Virginia 23507, United States
    Recruiting
  • Swedish Medical Center
    Seattle, Washington 98112, United States
    Recruiting
  • The Prince Charles Hospital
    Chermside, Queensland 4032, Australia
    Active, not recruiting
  • Royal Adelaide Hospital
    Adelaide, South Australia 5000, Australia
    Active, not recruiting
  • Flinders Medical Centre
    Bedford Park, South Australia 5042, Australia
    Active, not recruiting
  • Monash Health
    Clayton, Victoria 3168, Australia
    Active, not recruiting
  • St. Paul's Hospital
    Vancouver, British Columbia V6E1M7, Canada
    Active, not recruiting
  • Hamiton Health Services
    Hamilton, Onterio L8L 2X2, Canada
    Active, not recruiting
  • Kokura Memorial Hospital
    Fukuoka, Kyushu 802-8555, Japan
    Active, not recruiting
  • Sendai Kousei Hospital
    Sendai, Miyagi 981-0914, Japan
    Active, not recruiting
  • Sakakibara Heart Institute
    Fuchū, Tokyo 183-0003, Japan
    Active, not recruiting
  • Keio University Hospital
    Shinjuku, Tokyo 160-8582, Japan
    Active, not recruiting
  • AMC Amsterdam
    Amsterdam, North Holland 1105 AZ, Netherlands
    Active, not recruiting
  • Leiden Universitair Medisch Centrum
    Leiden, South Holland 2333, Netherlands
    Active, not recruiting
  • Erasmus Rotterdam
    Rotterdam, South Holland 3015, Netherlands
    Active, not recruiting
  • Hôpitaux Universitaire de Genève
    Geneva, 1205, Switzerland
    Active, not recruiting
  • Universitätsspital Zürich
    Zurich, 8091, Switzerland
    Withdrawn
08

References and documents

Publications

  • Genereux P, Makkar RR, Bax JJ, Pibarot P, Lindman BR, Prince H, Park B, Cohen DJ, Mack MJ, Leon MB. Design and rationale of the prospective, randomized, controlled trial to assess the management of moderate aortic stenosis by clinical surveillance or transcatheter aortic valve replacement: The PROGRESS Trial. Am Heart J. 2026 Jul;297:107433. doi: 10.1016/j.ahj.2026.107433. Epub 2026 Mar 25. PubMed 41895563 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04889872
Lead sponsor
Edwards Lifesciences
Responsible party
Sponsor
First posted
May 17, 2021
Start date
Oct 12, 2021
Primary completion
Jun 2029 (estimated)
Completion
Jun 2037 (estimated)
Last update
Dec 17, 2025

Study contacts

Edwards THV Clinical Affairs
Contact
THV_CT.gov@Edwards.com
949-250-2500
Philippe Généreux, MD
principal investigator · Morristown Medical Center, Morristown, NJ, USA
Jeroen J Bax, MD, PhD
principal investigator · Leiden University Medical Center, Leiden, The Netherlands
Raj Makkar, MD
principal investigator · Cedars-Sinai Medical Center, Los Angeles, CA, USA

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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