ClinicalTrials.gg
RecruitingNCT06743568Updated Dec 20, 2024

Efficacy of Self-expandable and Balloon-expandable Valves in Patients With Ascending Aortic Dilation

An interventional study of Transcatheter aortic valve replacement in Aortic Stenosis and Ascending Aortic Dilatation, sponsored by China National Center for Cardiovascular Diseases. Recruiting at 3 sites in China. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2024-12-20.

Sponsored by China National Center for Cardiovascular Diseases · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Oct 2024; still recruiting 2 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Where this study stands

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

Among 67 studies in Aortic Valve Stenosis with a site in China — 41 open to participants now, 49 under way, 3 of them phase 3. Aortic Valve Stenosis · China.

Planned enrollment
27th of 47
100 · median 120
Started
2024
with 9 others
No phase
37 of 67
20 open now
Primary completion
2026-07
later than 24 of 48 live
Registered
47th of 67
by date
Lead sponsor
6 of 67
China National Center for Cardiovascular Diseases

Among the 67 studies in Aortic Valve Stenosis with a site in China, this one is the 27th largest by planned enrollment of the 47 interventional ones, is one of 10 that started in 2024, is one of 37 with no phase, reaches primary completion later than 24 of the 48 other live ones, and was the 47th registered.

By phase

67 studies; the count open now beside each. This study's row is marked.

No phasethis study37 · 20 open
Observational20 · 14 open
Phase 35 · 3 open
Phase 44 · 3 open
Phase 21 · 1 open

By the year they started

First in 2012; this study’s year is marked. 10 started in 2024.

Size and results

Median enrollment 120 across the 47 interventional studies, 465 across the 20 observational. Of the 7 that completed or were terminated, 2 (29%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 67 studies in Aortic Valve Stenosis with a site in China, or all of them as a file.
02

Study summary

This study evaluated the efficacy of self-expandable valves and balloon-expandable valves in patients with ascending aortic dilation who undergo transcatheter aortic valve replacement.

Read the detailed description

Ascending aortic dilation (AAD) is a common feature in patients with aortic stenosis, especially in those with bicuspid aortic valve. According to the 2022 AHA/ACC Guideline for the Diagnosis and Management of Aortic Disease, in patients undergoing surgical aortic valve replacement who have a concomitant AAD with a maximum diameter of ≥45mm, ascending aortic replacement is reasonable when performed by experienced surgeons in a Multidisciplinary Aortic Team (Class 2a, Level B-NR). However, in patients undergoing transcatheter aortic valve replacement, the impact of ascending aortic dilation remains unclear. Therefore, we designed this multicenter prospective randomized controlled trial, aiming to assess the efficacy of self-expandable and balloon-expandable valves in patients with AAD with a maximum diameter of ≥45mm.

03

Conditions studied

  • Aortic Stenosis
  • Ascending Aortic Dilatation

Keywords

  • Transcatheter aortic valve replacement
  • Balloon-expandable valve
  • Self-expandable valve
  • Aortic stenosis
  • Ascending aortic dilation
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Severe AS defined as an aortic valve area (AVA) of 1cm2 or less or an indexed AVA of 0.6 cm2/m2 or less;
  • Evaluation and selection for TAVR by the multidisciplinary heart team;
  • Maximum ascending aortic diameter between 45mm and 54mm on preoperative contrast-enhanced computed tomography (CT) scan
  • Anatomic suitability for a transfemoral vascular access;
  • of more than 12 months;
  • Age ≥65 years.

Exclusion criteria

Exclusion Criteria:

  • Pure aortic regurgitation;
  • History of surgical or transcatheter aortic valve replacement (valve in valve);
  • History of any aortic surgery;
  • Emergent surgery;
  • Patients who refused to be randomized or unable to complete regular follow-up.
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

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

Study arms

  • Other
    Self-expandable valve group

    Patients who undergo transcatheter aortic valve replacement using self-expandable valves

    Device: Transcatheter aortic valve replacement

  • Other
    Balloon-expandable valve group

    Patients who undergo transcatheter aortic valve replacement using balloon-expandable valves

    Device: Transcatheter aortic valve replacement

Interventions

  • DeviceTranscatheter aortic valve replacement

    Eligible patients will be randomized 1:1 to self-expandable valve group or balloon-expandable valve group.

06

What researchers measure

Primary outcomes

  1. Device success

    (1) freedom from mortality; (2) successful access, delivery of the device, and retrieval of the delivery system; (3) correct positioning of a single prosthetic heart valve into the proper anatomical location; (4) freedom from surgery or intervention related to the device or to a major vascular or access-related, or cardiac structural complication; (5) intended performance of the valve (mean gradient \<20mmHg, peak velocity \<3m/s, Doppler velocity index ≥0.25, and less than moderate aortic regurgitation).

    Time frame: Perioperative period

  2. 30-day all-cause mortality

    30-day all-cause mortality

    Time frame: 30 days

  3. 30-day adverse aortic events

    Aortic-related death, aortic dissection, or aortic rupture.

    Time frame: 30 days

Secondary outcomes

  1. 1-year all-cause mortality

    1-year all-cause mortality

    Time frame: 1 year

  2. 1-year cardiovascular mortality

    1-year cardiovascular mortality

    Time frame: 1 year

  3. 1-year adverse aortic events

    Aortic-related death, aortic dissection, or aortic rupture.

    Time frame: 1 year

  4. Aortic expansion rate≥3mm/year

    The aortic expansion rate was defined by the change of AA diameter (before the procedure and at the latest follow-up) divided by the follow-up period.

    Time frame: 1 year

07

Study locations

1 of 3 sites recruiting
  • National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
    Beijing, Beijing, China
    Recruiting
  • Fuwai Shenzhen Hospital
    Shenzhen, Guangdong, China
    Not yet recruiting
  • Fuwai Yunnan Cardiovascular Hospital
    Kunming, Yunnan, China
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: No

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 Oct 2024 (actual). Primary completion is estimated for Jul 2026, 21 months after the start.

Of 177 non-industry interventional studies with no phase under Aortic Valve Stenosis, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 79. This study's planned 21 months is below 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
Dec 17, 2024
First posted
Dec 20, 2024
StartActual
Oct 15, 2024
Primary completionEst.
Jul 31, 2026
CompletionEst.
Jul 31, 2027
Last update
Dec 20, 2024
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 Dec 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06743568
Responsible party
Sponsor
First posted
Dec 20, 2024
Start date
Oct 15, 2024
Primary completion
Jul 31, 2026 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Dec 20, 2024

Study contacts

Kang An, MD
Contact
ankang913@126.com
+86-15801301740

Oversight

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

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