ClinicalTrials.gg
Not yet recruitingNCT07450196ASCENTUpdated May 7, 2026

A Prospective, Multicenter, Observational Study Evaluating Safety and Effectiveness of SAPIEN 3 Transcatheter Aortic Valve Replacement for Type-0 Bicuspid Aortic Valve Stenosis Patients in China

An observational study in Aortic Stenosis and AORTIC VALVE DISEASES, sponsored by Chinese Academy of Medical Sciences, Fuwai Hospital. Not yet recruiting at 1 site in China. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-05-07.

Sponsored by Chinese Academy of Medical Sciences, Fuwai Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
170
Ages
50 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
14th of 20
170 · median 465
Started
2026
with 5 others
Observational
20 of 67
14 open now
Primary completion
2028-08
later than 41 of 48 live
Registered
63rd of 67
by date
Lead sponsor
4 of 67
Chinese Academy of Medical Sciences, Fuwai Hospital

Among the 67 studies in Aortic Valve Stenosis with a site in China, this one is the 14th largest by planned enrollment of the 20 observational ones that give a count, is one of 6 that started in 2026, is one of 20 observational ones, reaches primary completion later than 41 of the 48 other live ones, and was the 63rd registered.

Aortic Valve Stenosis

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

Browse Aortic Valve Stenosis studies →

Open to participants now

41 of the 67 studies in Aortic Valve Stenosis with a site in China are open now. Recruiting first, the newest first:

36 more — sign in →

All 41 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

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: 50 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With 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

In China, bicuspid aortic valve (BAV) represents a significantly high proportion of the transcatheter aortic valve replacement (TAVR) population. The application of TAVR in patients with BAV is challenging due to complex anatomy. To date, no prospective study has evaluated the Sapien 3 TAVR in patients with Type-0 BAV.

03

Conditions studied

  • Aortic Stenosis
  • AORTIC VALVE DISEASES

Keywords

  • Balloon-expandable transcatheter heart valve
  • TAVR
  • aortic stenosis
04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

severe symptomatic aortic valve stenosis (AS) patients with type-0 bicuspid anatomy

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

  • Age ≥50 years, and after thorough physician-patient discussion and shared decision-making, willing to undergo or accept TAVR.
  • Severe AS, defined as follows:

    a) For symptomatic patients: i) Aortic valve area ≤1.0 cm2 (or aortic valve area index of ≤0.6 cm2/m2), OR mean gradient ≥40 mm Hg, OR Maximal aortic valve velocity ≥4.0 m/sec by transthoracic echocardiography at rest b) For asymptomatic patients: i) Very severe AS with an aortic valve area of ≤1.0 cm2 (or aortic valve area index of ≤0.6 cm2/m2), AND maximal aortic velocity ≥5.0 m/sec, or mean gradient ≥60 mm Hg by transthoracic echocardiography at rest, OR ii) Aortic valve area of ≤1.0 cm2 (or aortic valve area index of ≤0.6 cm2/m2), AND a mean gradient ≥40 mm Hg or maximal aortic valve velocity ≥4.0 m/sec by transthoracic echocardiography at rest, AND an exercise tolerance test that demonstrates a limited exercise capacity, abnormal BP response, or arrhythmia OR iii) Aortic valve area of ≤1.0 cm2 (or aortic valve area index of ≤0.6 cm2/m2), AND mean gradient ≥40 mmHg, or maximal aortic valve velocity ≥4.0 m/sec by transthoracic echocardiography at rest, AND a \<50%.

  • Type-0 bicuspid aortic valve anatomy confirmed by multi-detector computed tomography (MDCT).
  • The subject and the treating physician agree that the subject will return for all required post-procedure follow-up visits.
  • Adequate iliofemoral access and acceptable level of vessel calcification and tortuosity for safe device implant.
  • The study patient has provided written .

Exclusion criteria

Exclusion Criteria:

  • Challenging calcification based on physician's experience and discretion
  • Aortic valve is a congenital unicuspid valve, congenital Type-1 or Type-2 bicuspid valve, tricuspid or quadricuspid valve
  • Severe femoral, iliac or aortic atherosclerosis, calcification, coarctation, aneurysm or tortuosity, which prevents transfemoral TAVR
  • Need for open heart surgery (including severe aortic regurgitation, mitral regurgitation or stenosis, or tricuspid regurgitation, congenital heart disease, AF, complex coronary artery disease)
  • Pre-existing mechanical or bioprosthetic valve in any position
  • Hemodynamic or respiratory instability requiring inotropic support, mechanical ventilation or mechanical heart assistance within 30 days of the screening visit
  • Emergency interventional/surgical procedures within 30 days of the valve implant procedure
  • Hypertrophic cardiomyopathy with obstruction
  • Ventricular dysfunction with \< 30%
  • Cardiac imaging (echo, CT, and/or MRI) evidence of ventricular mass, thrombus or vegetation
  • Renal replacement therapy at the time of screening
  • Estimated \< 12 months
  • Currently participating in an drug or another device study. Note: Trials requiring extended follow-up for products that were investigational, but have since become commercially available, are not considered investigational trials. Observational studies are not considered exclusionary.
Terms in these criteria, in plain language(4)

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.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
170 participants (estimated)
Patient registry
No

Groups and cohorts

  • patients with Type-0 bicuspid aortic stenosis

    patients with severe, calcific aortic stenosis and with Type-0 bicuspid anatomy confirmed by MDCT.

    Device: Transcatheter Aortic Valve Replacement

Interventions

  • DeviceTranscatheter Aortic Valve Replacement

    Transcatheter Aortic Valve Replacement for patients with Type-0 bicuspid aortic stenosis.

    Also known as: TAVR

06

What researchers measure

Primary outcomes

  1. The composite of all-cause mortality, stroke, or rehospitalization

    The composite of all-cause mortality, stroke, or rehospitalization

    Time frame: At 1 year after procedure

Secondary outcomes

  1. The composite of all-cause mortality, stroke, or rehospitalization

    The composite of all-cause mortality, stroke, or rehospitalization

    Time frame: At 30 days after procedure

  2. The composite of device success

    The composite of device success at 30 days comprising the following: freedom from mortality, successful access, delivery of the device, and retrieval of the delivery system, correct positioning of a single prosthetic heart valve into the proper anatomical location, freedom from surgery or intervention related to the device or to a major vascular or access-related, or cardiac structural complication, intended performance of the valve (mean gradient \<20 mmHg, peak velocity \<3 m/s, and less than moderate aortic regurgitation), according to the VARC-3 definition

    Time frame: At 30 days after procedure

  3. Annular rupture

    Annular rupture

    Time frame: At discharge(assessed up to 30 days)

  4. Paravalvular leakage

    Paravalvular leakage

    Time frame: At discharge (assessed up to 30 days) , 30 days, 1year

  5. Technical success

    Technical success (at exit from procedure room): * freedom from mortality * successful access, delivery of the device, and retrieval of the delivery system * correct positioning of a single prosthetic heart valve into the proper anatomical location * freedom from surgery or intervention related to the device or to a major vascular or access-related, or cardiac structural complication

    Time frame: At exit from procedure room

  6. Procedural success

    Procedural success at 30 days defined as meeting all of the following: * Device success * No device or procedure related SAE's as follows: 1. Life-threatening bleed (BARC 3b or greater) 2. Major vascular or cardiac structural complications requiring unplanned reintervention or surgery 3. Stage 2 or 3 AKI (includes new dialysis) 4. MI or need for PCI/CABG 5. Severe heart failure or hypotension requiring IV inotrope \>12 hours, ultrafiltration or mechanical circulatory support 6. Prolonged intubation \> 48 hours 7. Need for a permanent pacemaker implant or continuous atrial fibrillation

    Time frame: At 30 days

  7. Mortality (all cause & cardiovascular)

    Mortality (all cause \& cardiovascular)

    Time frame: At 30 days,1year

  8. Stroke (disabling and nondisabling)

    Stroke (disabling and nondisabling)

    Time frame: At 30 days, 1year

  9. Rehospitalization (procedure, valve and heart failure related)

    Rehospitalization (procedure, valve and heart failure related)

    Time frame: At 30 days, 1year

  10. Major vascular complication

    Major vascular complication

    Time frame: At 30 days, 1year

  11. Major or life-threatening bleeding

    Major or life-threatening bleeding

    Time frame: At 30 days, 1year

  12. Myocardial infarction

    Myocardial infarction

    Time frame: At 30 days, 1year

  13. Acute kidney injury stage 2 or 3

    Acute kidney injury stage 2 or 3

    Time frame: At 30 days, 1year

  14. Need for a permanent pacemaker

    Need for a permanent pacemaker

    Time frame: At 30 days, 1year

  15. New onset atrial fibrillation

    New onset atrial fibrillation

    Time frame: At 30 days, 1year

  16. Valve endocarditis

    Valve endocarditis

    Time frame: At 30 days, 1year

  17. Valve thrombosis

    Valve thrombosis

    Time frame: At 30 days, 1year

  18. New York Heart Association class

    New York Heart Association class

    Time frame: At 30 days, 1year

  19. Patient-prosthesis mismatch

    Patient-prosthesis mismatch

    Time frame: At 30 days, 1year

  20. Index hospitalization days

    Index hospitalization days

    Time frame: At discharge (assessed up to 30 days)

  21. Health status as evaluated by Quality of Life questionnaires - KCCQ

    Health status as evaluated by Quality of Life questionnaires - KCCQ

    Time frame: At baseline, 30 days, 1year

07

Study locations

1 site
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

Start is estimated for Apr 2026; primary completion for Aug 2028, 28 months later.

Of 205 non-industry observational studies under Aortic Valve Stenosis, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 120. This study's planned 28 months is below that.

Counting every sponsor, half of 242 studies reached it within 42 months; a quarter within 23 and three quarters within 86.

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

Registered
Feb 27, 2026
First posted
Mar 4, 2026
StartEst.
Apr 15, 2026
Primary completionEst.
Aug 31, 2028
CompletionEst.
Aug 31, 2029
Last update
May 7, 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 May 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07450196
Responsible party
Pan Xiangbin (Principal Investigator, Chinese Academy of Medical Sciences, Fuwai Hospital) — Principal investigator
First posted
Mar 4, 2026
Start date
Apr 15, 2026 (estimated)
Primary completion
Aug 31, 2028 (estimated)
Completion
Aug 31, 2029 (estimated)
Last update
May 7, 2026

Study contacts

Xiangbin Pan, MD,PhD
Contact
panxiangbin@fuwaihospital.org
+8688396666
Ning Zhou
Contact
fwzhouning@163.com
+8688396666
Xiangbin Pan
principal investigator · Chinese Academy of Medical Sciences, Fuwai Hospital, Beijing

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion