ClinicalTrials.gg
Not yet recruitingNCT07806409SAFESYNC NGUpdated Sep 8, 2026

Safety and Clinical Performance of the Next-Generation SAFESYNC Transcatheter Heart Valve in Patients With Severe Aortic Stenosis

An interventional study of INOVARE® SAFESYNC Next-Generation Bioprosthetic Heart Valve in Aortic Stenosis Senile, Aortic Stenosis Symptomatic and Aortic Stenosis, sponsored by Braile Biomedica Ind. Com. e Repr. Ltda.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Braile Biomedica Ind. Com. e Repr. Ltda. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The objective of this pivotal, prospective, multicenter, single-arm clinical trial is to evaluate the safety and clinical performance of the Next-Generation INOVARE® SAFESYNC Bioprosthetic Heart Valve, implanted via a transcatheter approach, in patients with severe aortic stenosis, an indication for TAVI, and intermediate or higher surgical risk. The study will enroll 40 participants.

02

Conditions studied

  • Aortic Stenosis Senile
  • Aortic Stenosis Symptomatic
  • Aortic Stenosis

Keywords

  • Aortic Valve Stenosis
  • Transcatheter Aortic Valve Implantation
  • TAVI
  • Balloon-Expandable Transcatheter Heart Valve
03

In context

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 40 is below the median of 126 across 554 interventional studies indexed under Aortic Valve Stenosis.

Browse Aortic Valve Stenosis studies →

Lead sponsor

Braile Biomedica Ind. Com. e Repr. Ltda. is the lead sponsor of 8 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 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 aortic valve stenosis diagnosed according to criteria established in current guidelines.
  • Intermediate or higher surgical risk, defined as a Society of Thoracic Surgeons (STS) score ≥4%.
  • Indication for transcatheter aortic valve implantation (TAVI).
  • Willing and able to participate in the study and provide written .

Exclusion criteria

Exclusion Criteria:

  • Any condition considered a to implantation of a bioprosthetic heart valve (e.g., indication for a mechanical heart valve).
  • Known or contraindication to aspirin, clopidogrel, heparin, nitinol (titanium or nickel), or contrast media that cannot be adequately managed with premedication. This includes heparin-induced thrombocytopenia (HIT) or heparin-induced thrombocytopenia with thrombosis (HITTS).
  • Blood dyscrasias, including leukopenia (white blood cell count \<1,000/mm³), thrombocytopenia ( count \<100,000 cells/mm³), history of coagulopathy, or hypercoagulable states.
  • Active infection, including endocarditis.
  • Cardiogenic shock manifested by low cardiac output, vasopressor dependence, or requirement for mechanical hemodynamic support.
  • Stroke or (TIA) within 2 months prior to the index procedure.
  • History of gastrointestinal bleeding or other bleeding that precludes anticoagulant or antiplatelet therapy.
  • Estimated of less than 24 months.
  • Other medical, social, or psychological conditions that, in the investigator's opinion, may prevent the participant from providing or adequately complying with the study protocol.
  • Pre-existing prosthetic heart valve, either biological or mechanical, in the aortic position.
  • Concomitant severe mitral or tricuspid valve disease.
  • Hypertrophic obstructive cardiomyopathy.
  • Successful percutaneous coronary intervention (PCI) performed within 48 hours prior to TAVI.
  • Femoral artery diameter \<5.5 mm for SAFESYNC 20-24 mm, \<6.0 mm for SAFESYNC 26-28 mm, or \<6.5 mm for SAFESYNC 30 mm.
  • High risk of aortic annular rupture or significant residual paravalvular leak due to severe calcification of the aortic valve or left ventricular outflow tract.
  • High risk of coronary obstruction, defined by computed tomography angiography as coronary ostial height \<10 mm with narrow sinuses of Valsalva (SOV), with a mean SOV diameter \<3 mm greater than the bioprosthetic valve size.
  • Left ventricular dysfunction with (LVEF) ≤30%.
  • Severe chronic kidney disease, defined as (GFR) \<30 mL/min/1.73 m².
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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    INOVARE® SAFESYNC Next-Generation TAVI

    Device: INOVARE® SAFESYNC Next-Generation Bioprosthetic Heart Valve

Interventions

  • DeviceINOVARE® SAFESYNC Next-Generation Bioprosthetic Heart Valve

    Participants will undergo TAVI via transfemoral access using the INOVARE® SAFESYNC Next-Generation Bioprosthetic Heart Valve and the B-Delivery System.

06

What researchers measure

Primary outcomes

  1. Device Success According to VARC-3 Criteria

    Technical success; Absence of mortality; Absence of surgery or intervention related to the device or to major vascular, access-related, or cardiac structural complications; Intended valve performance, defined as mean transvalvular gradient \<20 mmHg, peak velocity \<3 m/s, Doppler velocity index ≥0.25, and less than moderate aortic regurgitation.

    Time frame: 30 days after the procedure

Secondary outcomes

  1. Percentage of Participants Achieving Technical Success According to VARC-3 Criteria

    Defined as freedom from mortality; successful vascular access, delivery of the device, and retrieval of the delivery system; correct positioning of a single prosthetic heart valve in the intended anatomical location; and freedom from surgery or intervention related to the device or to a major vascular, access-related, or cardiac structural complication. Results will be reported as the number and percentage of participants achieving technical success.

    Time frame: During the procedure

  2. Incidence and Severity of Paravalvular Leak

    Paravalvular leak will be assessed by transthoracic echocardiography and classified according to severity. The number and percentage of participants with paravalvular leak in each severity category will be reported.

    Time frame: 30 days, 6 months, 12 months, and annually through 5 years

  3. Mean Transvalvular Aortic Pressure Gradient Assessed

    Mean transvalvular aortic pressure gradient will be assessed by transthoracic echocardiography and reported in mmHg.

    Time frame: 30 days, 6 months, 12 months, and annually through 5 years

  4. Distribution of Participants by New York Heart Association Functional Class

    Functional status will be assessed using the New York Heart Association (NYHA) Functional Classification. The classification ranges from Class I to Class IV, where Class I represents no limitation of physical activity and Class IV represents inability to perform physical activity without symptoms and/or symptoms at rest. Higher NYHA classes indicate worse functional status. Results will be reported as the number and percentage of participants in each NYHA functional class.

    Time frame: 30 days, 6 months, 12 months, and annually through 5 years

  5. Incidence of New Permanent Pacemaker Implantation

    New permanent pacemaker implantation following the index transcatheter aortic valve implantation procedure will be assessed. Results will be reported as the number and percentage of participants who undergo new permanent pacemaker implantation.

    Time frame: 30 days, 6 months, 12 months, and annually through 5 years

  6. Incidence of All-Cause Mortality

    All-cause mortality will be assessed throughout follow-up. Results will be reported as the number and percentage of participants who die from any cause.

    Time frame: 30 days, 6 months, 12 months, and annually through 5 years

  7. Incidence of Stroke

    Stroke events will be assessed based on clinical neurological evaluation and classified according to Valve Academic Research Consortium 3 (VARC-3) definitions. Results will be reported as the number and percentage of participants experiencing stroke.

    Time frame: 30 days, 6 months, 12 months, and annually through 5 years

  8. Incidence of Bioprosthetic Valve-Related Reintervention

    Bioprosthetic valve-related reintervention will be defined as any surgical or transcatheter intervention performed to treat dysfunction or failure of the implanted study valve. Results will be reported as the number and percentage of participants undergoing valve-related reintervention.

    Time frame: 30 days, 6 months, 12 months, and annually through 5 years

  9. Incidence of Bioprosthetic Valve Dysfunction According to VARC-3 Definitions

    Bioprosthetic valve dysfunction will be assessed according to Valve Academic Research Consortium 3 (VARC-3) definitions. Bioprosthetic valve dysfunction includes structural valve deterioration, non-structural valve dysfunction, valve thrombosis, and endocarditis. Results will be reported as the number and percentage of participants meeting the criteria for bioprosthetic valve dysfunction and according to the corresponding category.

    Time frame: 30 days, 6 months, 12 months, and annually through 5 years

  10. Incidence of Bioprosthetic Valve Failure According to VARC-3 Definitions

    Bioprosthetic valve failure will be assessed according to Valve Academic Research Consortium 3 (VARC-3) definitions. Results will be reported as the number and percentage of participants meeting the criteria for bioprosthetic valve failure.

    Time frame: 30 days, 6 months, 12 months, 24 months, 36 months, 48 months, and 60 months after the index procedure

07

Study locations

No study locations are listed for this record.

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 Nov 2026; primary completion for Jul 2027, 8 months later.

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 8 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
Aug 19, 2026
First posted
Sep 8, 2026
StartEst.
Nov 2026
Primary completionEst.
Jul 2027
CompletionEst.
Jun 2032
Last update
Sep 8, 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 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07806409
Lead sponsor
Braile Biomedica Ind. Com. e Repr. Ltda.
Responsible party
Sponsor
First posted
Sep 8, 2026
Start date
Nov 2026 (estimated)
Primary completion
Jul 2027 (estimated)
Completion
Jun 2032 (estimated)
Last update
Sep 8, 2026

Study contacts

Clinical Research Department - Braile Biomédica
Contact
pesquisa@braile.com.br
+5517 21367000

Oversight

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

Not currently enrolling

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

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