ClinicalTrials.gg
Enrolling by invitationNCT05932615ENVISIONUpdated Sep 11, 2026

ENVISION IDE Trial: Safety and Effectiveness of NAVITOR in Transcatheter Aortic Valve Implantation

An interventional study of Navitor Transcatheter Aortic Valve Implantation (TAVI) System and Any Commercially Available Transcatheter Aortic Valve (CAV) System in Aortic Valve Stenosis, Heart Valve Diseases and Aortic Valve Disease, sponsored by Abbott Medical Devices. Enrolling by invitation at 107 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-11.

Sponsored by Abbott Medical Devices (part of Abbott) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
1,500
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 26 studies in Aortic Valve Stenosis by Abbott Medical Devices — 4 open to participants now, 9 under way, none of them phase 3. Aortic Valve Stenosis · Abbott Medical Devices.

Planned enrollment
Largest of 20
1,500 · median 150
Started
2024
with 1 other
No phase
19 of 26
2 open now
Registered
21st of 26
by date

Among the 26 studies in Aortic Valve Stenosis by Abbott Medical Devices, this one has the largest planned enrollment of the 20 interventional ones that give a count, is one of 2 that started in 2024, is one of 19 with no phase, and was the 21st registered.

Aortic Valve Stenosis

1,025 studies on the registry are indexed under Aortic Valve Stenosis; 293 are open to participants now.

This study's planned enrollment of 1,500 is above the median of 126 across 554 interventional studies indexed under Aortic Valve Stenosis.

Browse Aortic Valve Stenosis studies →

Open to participants now

4 of the 26 studies in Aortic Valve Stenosis by Abbott Medical Devices are open now, in 12 countries. Each count lists the studies.

All 4 open studies →

Who these studies take

Of the 209 Aortic Valve Stenosis studies recruiting now, 163 (78%) set no upper age limit and 9 (4%) stop at 75 or younger; 25 take children under 18; 14 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 26 studies in Aortic Valve Stenosis by Abbott Medical Devices, or all of them as a file.
02

Study summary

The objective of ENVISION is to evaluate the safety and effectiveness of the Navitor Transcatheter Aortic Valve Implantation (TAVI) System for treating patients with symptomatic, severe native aortic stenosis who are considered intermediate or low risk for surgical mortality.

The trial will also evaluate the safety and effectiveness of the Navitor TAVI System in a valve-in-valve (ViV) application in patients with symptomatic heart disease due to failure of a surgical or transcatheter bioprosthetic aortic valve who are at high or greater surgical risk.

In addition, the trial will assess the safety of the Navitor TAVI System for the treatment of symptomatic, severe native aortic stenosis in patients with bicuspid aortic valve anatomy, irrespective of surgical risk classification.

Read the detailed description

ENVISION is a prospective, multi-center clinical investigation at up to 135 sites globally. The objective of this clinical investigation is to evaluate the safety and effectiveness of the Navitor TAVI System for treating patients with symptomatic, severe native aortic stenosis who are considered intermediate or low risk for surgical mortality. The trial will register subjects in three separate cohorts: (1) a pivotal randomized cohort, (2) a valve-in-valve (ViV) cohort and (3) a bicuspid cohort.

The objective of the pivotal randomized cohort is to evaluate the safety and effectiveness of the Navitor TAVI System for treating patients with symptomatic, severe native aortic stenosis who are considered intermediate or low risk for surgical mortality.

The Randomization Cohort will enroll approximately 1500 subjects and will be randomized between the Navitor TAVI Implantation System (test arm) and any commercially available transcatheter aortic valve system (CAV) (control arm) in a 1:1 ratio.

The ViV cohort will be conducted as a separate prospective, multicenter, open label, two-group registry within the ENVISION IDE trial. A total of 250 subjects deemed to be at high or greater risk for open surgical therapy will be enrolled concurrently across two separate groups: 125 subjects undergoing transcatheter Aortic Valve-in-Surgical Aortic Valve replacement (TAV-in-SAV) and 125 subjects undergoing Transcatheter Aortic Valve-in-Transcatheter Aortic Valve replacement (TAV-in-TAV).

The bicuspid cohort will be conducted as a separate, prospective multicenter, open label study within the ENVISION IDE trial. A total of 250 symptomatic, severe aortic stenosis subjects with bicuspid aortic valve anatomy who are deemed suitable for transcatheter aortic valve implantation with a Navitor valve will be enrolled.

03

Conditions studied

  • Aortic Valve Stenosis
  • Heart Valve Diseases
  • Aortic Valve Disease
  • Heart Disease Structural Disorder

Keywords

  • NAVITOR
  • Heart disease
  • Transcatheter aortic valve implantation (TAVI)
  • Aortic stenosis
  • Cardiovascular diseases
04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  1. Subject who is deemed to be at intermediate or low risk for open surgical aortic valve replacement:

    1. Intermediate risk: estimated risk of overall surgical mortality ≥ 3% and \< 8% at 30 days
    2. Low risk: estimated risk of overall surgical mortality \< 3% at 30 days Estimated risk of overall surgical mortality includes consideration of the Society of Thoracic Surgeons (STS) risk score, overall clinical status, and other clinical co-morbidities unmeasured by the risk calculator
  2. (NYHA) Functional Classification of II, III, or IV
  3. Degenerative aortic valve stenosis

Key Exclusion Criteria:

  1. In the opinion of the Investigator, is less than 2 years
  2. Evidence of an acute myocardial infarction [defined as ST-segment elevation myocardial infarction (STEMI) or non-ST-segment elevation myocardial infarction (NSTEMI) with acute ischemia symptoms and troponin elevation] within 30 days prior to index procedure
  3. Untreated coronary artery disease requiring revascularization
  4. Any percutaneous coronary or peripheral interventional procedure performed within 30 days prior (except pacemaker or implantable cardioverter defibrillator (ICD) implant) to index procedure or planned within 30 days following the index procedure
  5. Blood dyscrasias as defined: leukopenia (WBC \< 3000 mm3), acute anemia ( \< 9 g/dL), thrombocytopenia ( count \< 50,000 cells/mm³); history of bleeding diathesis or coagulopathy
  6. Active peptic ulcer or upper GI bleeding within 3 months prior to index procedure that would preclude anticoagulation
  7. Recent (within 6 months prior to index procedure date) cerebrovascular accident (CVA) or a (TIA)
  8. Renal insufficiency (creatinine > 3.0 mg/dL or \< 30 ml/min/1.73m2) and/or end stage renal disease requiring chronic dialysis
  9. Hostile chest or conditions or complications from prior surgery that would make the subject be considered high surgical risk (i.e., mediastinitis, radiation damage, abnormal chest wall, porcelain aorta, adhesion of aorta or internal mammary artery to sternum, etc.)
  10. Significant frailty as determined by the heart team (after objective assessment of frailty parameters) that would indicate high or extreme surgical risk
  11. Mixed aortic valve disease (aortic stenosis and aortic regurgitation with predominant aortic regurgitation 3-4+)
  12. Aortic valve is a unicuspid or bicuspid valve as verified by echocardiography or CT.
  13. Severe ventricular dysfunction with \< 30% as measured by resting echocardiogram
  14. Pre-existing prosthetic heart valve or other implant (such as prosthetic ring or transcatheter edge-to-edge repair (TEER) clip) in any valve position
  15. Severe circumferential mitral annular calcification (MAC) which is continuous with calcium in the left ventricular outflow tract (LVOT)
  16. Severe (greater than or equal to 3+) mitral regurgitation or severe mitral stenosis
  17. Minimum access vessel diameter of \< 5.0 mm for small FlexNav Delivery System and \< 5.5 mm for large FlexNav Delivery System
  18. Eccentricity ratio of the annulus \< 0.73

Additional Exclusion Criteria for Pivotal Randomized Cohort

  1. Hostile Chest or conditions or complications from prior surgery that would make the subject be considered high surgical risk
  2. Significant frailty as determined by the heart team (after objective assessment of frailty parameters) that would indicate high or extreme surgical risk
  3. Mixed aortic valve disease
  4. Aortic valve is a unicuspid or bicuspid valve as verified by echocardiography or CT
  5. Inadequate aortic valve calcification
  6. Pre-existing prosthetic heart valve or other implant (such as prosthetic ring or transcatheter edge-to-edge repair (TEER) clip) in any valve position

Additional Exclusion Criteria for ViV Cohort

  1. Failing valve has moderate or greater paravalvular regurgitation.
  2. Known severe prosthesis-patient mismatch
  3. Failing valve is unstable, rocking, or not structurally intact.
  4. Patient has a pre-existing prosthetic heart valve or other implant (such a prosthetic ring with a rigid support structure or transcatheter edge-to-edge repair clip) in any valve position other than aortic.
  5. Bioprosthetic valve diameter that would not accommodate implantation of the Navitor Valve.
  6. Increased risk of coronary obstruction by prosthetic leaflets of the index valve

Additional Exclusion Criteria for bicuspid cohort

  1. In the opinion of the Investigator life expectancy is less than 1 year
  2. Inadequate or severe aortic valve calcification and/or anatomical features that would preclude safe delivery of the valve
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,500 participants (estimated)

Study arms

  • Experimental
    Navitor Transcatheter Aortic Valve Implantation (TAVI) System

    TAVI with Abbott Navitor Transcatheter Aortic Valve Implantation (TAVI) System

    Device: Navitor Transcatheter Aortic Valve Implantation (TAVI) System

  • Active comparator
    Any Commercially Available Transcatheter Aortic Valve System (CAV)

    TAVI with any FDA approved commercially available Transcatheter Aortic Valve System (CAV)

    Device: Any Commercially Available Transcatheter Aortic Valve (CAV) System

Interventions

  • DeviceNavitor Transcatheter Aortic Valve Implantation (TAVI) System

    TAVI for relief of calcific aortic stenosis in patients with symptomatic heart disease who are at intermediate or low risk for open surgical therapy.

  • DeviceAny Commercially Available Transcatheter Aortic Valve (CAV) System

    TAVI for relief of calcific aortic stenosis in patients with symptomatic heart disease who are at intermediate or low risk for open surgical therapy.

06

What researchers measure

Primary outcomes

  1. Composite of all-cause mortality or all stroke

    Number of patients that had any of the outcome events.

    Time frame: At 12 months post-procedure

07

Study locations

107 sites

Showing the first 100 of 107 sites across 13 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: No — There is not a plan to make IPD available to other researhers.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2024 (actual). Primary completion is estimated for Apr 2027, 37 months after the start.

Of 111 industry-sponsored interventional studies with no phase under Aortic Valve Stenosis, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 54. This study's planned 37 months is above that.

Counting every sponsor, half of 288 studies reached it within 33 months; a quarter within 18 and three quarters within 72.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 27, 2023
First posted
Jul 6, 2023
StartActual
Mar 15, 2024
Primary completionEst.
Apr 2027
CompletionEst.
Apr 2036
Last update
Sep 11, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05932615
Responsible party
Sponsor
First posted
Jul 6, 2023
Start date
Mar 15, 2024
Primary completion
Apr 2027 (estimated)
Completion
Apr 2036 (estimated)
Last update
Sep 11, 2026

Study contacts

Haresh Sachanandani
study director · Abbott Structural Heart
Michael Reardon, MD
study chair · The Methodist Hospital Research Institute
Azeem Azeem, MD
study chair · Montefiore Medical Center
Bassem Chehab, MD
principal investigator · Ascension Via Christi Hospitals Wichita
Ibrahim Sultan, MD
principal investigator

Oversight

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

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