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RecruitingNCT07462624REPEATUpdated Mar 10, 2026

REpeat Intervention For Failed Surgical BioProsthEtic AorTic Valves (REPEAT)

An interventional study of Transfemoral transcatheter valve-in-valve implantation and Surgical redo aortic valve replacement in Degenerative Aortic Valve Disease, sponsored by Heart Center Leipzig - University Hospital. Recruiting at 1 site in Germany. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-03-10.

Sponsored by Heart Center Leipzig - University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 1 year later.
Phase
Not applicable
Study type
Interventional
Enrollment
890
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

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

Among 44 studies in Aortic Valve Disease with a site in Germany — 10 open to participants now, 13 under way, none of them phase 3. Aortic Valve Disease · Germany.

Planned enrollment
3rd of 23
890 · median 155
Started
2025
with 1 other
No phase
22 of 44
4 open now
Primary completion
2033-09
later than 12 of 12 live
Registered
42nd of 44
by date

Among the 44 studies in Aortic Valve Disease with a site in Germany, this one is the 3rd largest by planned enrollment of the 23 interventional ones that give a count, is one of 2 that started in 2025, is one of 22 with no phase, reaches primary completion later than 12 of the 12 other live ones, and was the 42nd registered.

Aortic Valve Disease

234 studies on the registry are indexed under Aortic Valve Disease; 70 are open to participants now.

This study's planned enrollment of 890 is above the median of 111 across 125 interventional studies indexed under Aortic Valve Disease.

Browse Aortic Valve Disease studies →

Open to participants now

10 of the 44 studies in Aortic Valve Disease with a site in Germany are open now.

All 10 open studies →

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

Who these studies take

Of the 46 Aortic Valve Disease studies recruiting now, 34 (74%) set no upper age limit and 5 (11%) stop at 75 or younger; 4 take children under 18; 3 take healthy volunteers.

This study: 18 Years to 75 Years · 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 44 studies in Aortic Valve Disease with a site in Germany, or all of them as a file.
02

Study summary

The overall hypothesis is that redo aortic valve replacement (rAVR) is superior to valve-invalve transcatheter aortic valve replacement (ViV-TAVR) for the composite endpoint of freedom from all-cause mortality, all-cause stroke, myocardial infarction, and rehospitalization for heart failure or aortic valve re-intervention at 5 years.

03

Conditions studied

  • Degenerative Aortic Valve Disease

Browse trials for

04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • Indication for repeat intervention for failed surgical aortic bioprosthesis due to structural valve deterioration (SVD; prosthesis stenosis and/or transprosthetic insufficiency);
  • Low to intermediate surgical risk (i.e., Society of Thoracic Surgeons (STS) predicted risk of mortality of \< 8%);
  • Age > 18 and \< 75 years;
  • Both rAVR and ViV-TAVR are judged to be reasonable options based on evaluation by the local Heart Team

Exclusion criteria

Exclusion Criteria:

  • Multiple valvular disease requiring surgical intervention;
  • High-risk coronary anatomy resulting in increased risk of coronary obstruction following ViV-TAVR prosthesis deployment;
  • Complex coronary artery disease requiring revascularization (unprotected left main coronary artery, Syntax score > 32) and Heart Team assessment that optimal revascularization cannot be performed;
  • Failing valve with evidence of bacterial endocarditis or evidence of non-structural valve deterioration (e.g., paravalvular leak, thrombosis);
  • Increased post-procedural gradients (mean > 20 mmHg) or severe patient-prosthesis mismatch (PPM, indexed effective orifice area \< 0.65 cm2/m2) at discharge from index aortic valve replacement (AVR) procedure;
  • Patients who choose to receive a mechanical AVR.
05

Study design

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

Study arms

  • Experimental
    ViV-TAVR

    The intervention under investigation is transcatheter - preferably transfemoral - ViV-TAVR applied for degenerated surgical aortic bioprostheses with an indication for re-intervention in patients at low-to-intermediate surgical risk. An aortic transcatheter bioprosthesis is implanted into the degenerated surgical aortic bioprosthesis.

    Procedure: Transfemoral transcatheter valve-in-valve implantation

  • Active comparator
    redoAVR

    Surgical redoAVR serves as the control intervention. The patient's degenerated aortic bioprosthesis is replaced using conventional open-heart surgery.

    Procedure: Surgical redo aortic valve replacement

Interventions

  • ProcedureTransfemoral transcatheter valve-in-valve implantation

    The intervention under investigation is transcatheter \- preferably transfemoral - ViV-TAVR applied for degenerated surgical aortic bioprostheses with an indication for re-intervention in patients at low-to intermediate surgical risk. An aortic transcatheter bioprosthesis is implanted into the degenerated surgical aortic bioprosthesis.

  • ProcedureSurgical redo aortic valve replacement

    Surgical rAVR serves as the control intervention. The patient's degenerated aortic bioprosthesis is replaced using conventional open-heart surgery.

06

What researchers measure

Primary outcomes

  1. The primary endpoint will be a composite endpoint including all-cause mortality, all-cause stroke, myocardial infarction, and re-hospitalization for heart failure or aortic valve reintervention at 5 years.

    based on VARC-3

    Time frame: 5 years

Secondary outcomes

  1. Each of the individual components of the primary composite endpoint

    based on VARC-3

    Time frame: 5 years

  2. Valve Academic Research Consortium-3 (VARC-3)1-based conduction disturbances and arrhythmia

    VARC-3-based conduction disturbances and arrhythmia (qualitative variable; yes or no)

    Time frame: 5 years

  3. Wound and bleeding complications (based on Bleeding Academic Research Consortium class 3b-5)

    BARC-based bleeding complications (qualitative ordinal variable; 3b-5)

    Time frame: 5 years

  4. New York Heart Association classification III or IV

    New York Heart Association classification (qualitative variable; III or IV)

    Time frame: 5 years

  5. Health status evaluated by the Kansas City Cardiomyopathy Questionnaire

    The KCCQ score, short for Kansas City Cardiomyopathy Questionnaire score, is a disease-specific, patient-reported score used to assess health status in heart failure. It consists of 23 items that assess symptoms, quality of life, and the impact of the disease on physical and social functioning over the past two weeks. Each area is transformed on a scale of 0 to 100, with higher scores indicating better health status. A difference of 5 points is considered clinically relevant, both for improvement and deterioration.

    Time frame: 5 years

  6. Health status evaluated by the SF-36 questionnaire

    The SF-36 measures 3 aspects of health (functional status, wellbeing, overall evaluation of health) using 8 separate scales. Scores are weighted and transformed into a scale ranging from 0 (greatest possible health restrictions, i.e., severe disability) to 100 (no health restrictions).

    Time frame: 5 years

  7. Six-minute walk test

    six-minute walk test (quantitative continuous variable)

    Time frame: 5 years

  8. Treatment Costs per quality adjusted life year Assessment of Safety

    This data will be collected for participating sites of countries in which this data is available. In patient costs will be measured through the collection of hospital billing and resource utilization information.

    Time frame: 5 years

07

Study locations

1 of 1 sites 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 Nov 2025 (actual). Primary completion is estimated for Sep 2033, 94 months after the start.

Of 61 interventional studies with no phase under Aortic Valve Disease, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 61. This study's planned 94 months is above that.

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

Registered
Jan 19, 2026
First posted
Mar 10, 2026
StartActual
Nov 10, 2025
Primary completionEst.
Sep 30, 2033
CompletionEst.
Sep 30, 2033
Last update
Mar 10, 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 Mar 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07462624
Lead sponsor
Heart Center Leipzig - University Hospital
Collaborators
University of Leipzig, Helios Health Institute GmbH
Responsible party
Sponsor
First posted
Mar 10, 2026
Start date
Nov 10, 2025
Primary completion
Sep 30, 2033 (estimated)
Completion
Sep 30, 2033 (estimated)
Last update
Mar 10, 2026

Study contacts

Michael Borger
Contact
Michael.Borger@helios-gesundheit.de
03418650
Matthias Raschpichler
Contact
matthias.raschpichler@helios-gesundheit.de
Michael Borger
principal investigator · University Leipzig

Oversight

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

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