N/A
N=1,000
5 Year Observation of Patients With PORTICO Valves
Aortic Valve Stenosis
Bottom Line
View on ClinicalTrials.gov: NCT01802788 ↗Enrolled (actual)
1,000
Serious AEs
79.4%
Results posted
Jan 2022
Primary outcome: Primary: Percentage of Participants With All-cause Mortality — 12.1 percentage of participants
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- St Jude Medical Portico replacement aortic valve (Device); Transcatheter Aortic Valve Implant (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Abbott Medical Devices
- Primary completion
- Sep 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With All-cause Mortality |
12.1 | — |
| SECONDARY Percentage of Participants With All Cause Mortality in Cohort A |
2.7; 12.0; 19.5; 27.0; 35.7; 44.3 | — |
| SECONDARY Number of Participants With All-cause Mortality (30 Days, Annually From 1 Year Through 5 Years) in Cohort B |
4; 4; 5; 5 | — |
| SECONDARY Percentage of Participants With Cardiovascular Mortality as Defined by the Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
2.5; 6.6; 9.8; 13.1; 18.5; 24.1 | — |
| SECONDARY Number of Participants With Cardiovascular Mortality Occurring at Each Time Window (30 Days, 1 Year, 2 Years, 3 Years, 4 Years and 5 Years) in Cohort B |
0; 4; 2; 4 | — |
| SECONDARY Percentage of Participants With Non-Cardiovascular Mortality as Defined by the Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
0.2; 5.8; 10.8; 16.0; 21.1; 26.6 | — |
| SECONDARY Number of Participants With Non-Cardiovascular Mortality Occurring at Each Time Window (30 Days, 1 Year, 2 Years, 3 Years, 4 Years and 5 Years) in Cohort B |
1; 3; 2; 1 | — |
| SECONDARY Percentage of Participants With Myocardial Infarction as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
1.6; 2.5; 3.2; 3.6; 4.9; 6.5 | — |
| SECONDARY Number of Participants With Myocardial Infarction as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B |
0; 1; 1; 0 | — |
| SECONDARY Percentage of Participants With Vascular Access Site Complication as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
7.0; 6.2 | — |
| SECONDARY Percentage of Participants With Bleeding Events as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
3.3; 8.3; 8.9 | — |
| SECONDARY Percentage of Participants With Stage 1, 2 and 3 Acute Kidney Injury as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
0.4; 1.0; 2.0 | — |
| SECONDARY Mean Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Aortic Valve Area) |
1.78; NA; 1.74; NA; 1.84; 1.88 | — |
| SECONDARY Mean Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Mean Transvalvular Gradient) |
8.58; NA; 8.67; NA; 7.81; 8.04 | — |
| SECONDARY Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure |
113; 11; 174; 14; 54; 8 | — |
| SECONDARY Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure |
113; 11; 174; 14; 54; 8 | — |
| SECONDARY Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure |
113; 11; 174; 14; 54; 8 | — |
| SECONDARY Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure |
113; 11; 174; 14; 54; 8 | — |
| SECONDARY Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure |
113; 11; 174; 14; 54; 8 | — |
| SECONDARY Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure |
113; 11; 174; 14; 54; 8 | — |
| SECONDARY Mean Six Minute Walk Test (6MWT) |
276.3; 250.60; 285.75; 257.18; 276.4; 253.4 | — |
| SECONDARY Mean Quality of Life Assessment in Cohort A |
67.3; 68.8 | — |
| SECONDARY Percentage of Participants With Transient Ischemic Attack in Cohort A |
0.4; 1.4; 1.9; 1.9; 2.5; 2.8 | — |
| SECONDARY Number of Participants With Transient Ischemic Attack in Cohort B |
1; 0; 0; 0 | — |
| SECONDARY Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
7.8; 4.7 | — |
| SECONDARY Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
7.8; 4.7 | — |
| SECONDARY Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
7.8; 4.7 | — |
| SECONDARY Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
7.8; 4.7 | — |
| SECONDARY Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
7.8; 4.7 | — |
| SECONDARY Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
7.8; 4.7 | — |
| SECONDARY Number of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B |
0; 0 | — |
| SECONDARY Number of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B |
0; 0 | — |
| SECONDARY Number of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B |
0; 0 | — |
| SECONDARY Number of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B |
0; 0 | — |
| SECONDARY Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
9.5; 27.7; 25.3 | — |
| SECONDARY Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
9.5; 27.7; 25.3 | — |
| SECONDARY Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
9.5; 27.7; 25.3 | — |
| SECONDARY Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
9.5; 27.7; 25.3 | — |
| SECONDARY Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
9.5; 27.7; 25.3 | — |
| SECONDARY Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A |
9.5; 27.7; 25.3 | — |
| SECONDARY Number of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B |
1; 0; 0 | — |
| SECONDARY Number of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B |
1; 0; 0 | — |
| SECONDARY Number of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B |
1; 0; 0 | — |
| SECONDARY Number of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B |
1; 0; 0 | — |
| SECONDARY Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation) in Cohort A |
29.7; 67.7; 2.6; 0.0 | — |
| SECONDARY Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation) in Cohort A |
29.7; 67.7; 2.6; 0.0 | — |
| SECONDARY Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation) |
69.8; 69.6; 28.6; 30.4; 1.6; 0.0 | — |
| SECONDARY Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation) |
69.8; 69.6; 28.6; 30.4; 1.6; 0.0 | — |
| SECONDARY Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation) |
69.8; 69.6; 28.6; 30.4; 1.6; 0.0 | — |
| SECONDARY Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation) |
69.8; 69.6; 28.6; 30.4; 1.6; 0.0 | — |
Summary
The purpose of this clinical investigation is to further assess the performance and safety profile of the commercially-available Portico™ TAVI System in patients with severe symptomatic aortic stenosis.
Eligibility Criteria
Inclusion Criteria
- Patient has signed the Patient Informed Consent prior to participating in the clinical investigation.
- Patient has been referred for a Portico Valve implant as per Heart Team decision or patient has received a Portico Valve as per participation in an SJM sponsored regulatory or first-in-human trial.
- Patient has senile degenerative aortic valve stenosis confirmed by echocardiographically derived criteria*:
- An initial aortic valve area (AVA) of less than or equal to (≤) 1.0 cm2 (or indexed EOA less than or equal to (≤) 0.6 cm2/m2) AND
- A mean gradient greater than (>)40 mmHg or jet velocity greater than (>)4.0 m/s or Doppler Velocity Index less than ( 40 mmHg." (Baseline measurement taken by echo within 6 months of index procedure.)
- Patient has a life expectancy more than (>) 12 months.
For patients enrolled in a French site:
- Patient is at high risk for surgery as demonstrated by a Logistic EuroSCORE equal or more than (≥) 20 and/or a Society of Thoracic Surgeon (STS) mortality risk score of more than (>) 10% and/or by clinical judgment of the Heart Team based on the individual risk profile (comorbidities).
- Not applicable for a patient who has received a Portico Valve as per participation in an SJM sponsored Regulatory or First-In-Human trial.
Exclusion Criteria
- Any case in which the Portico Valve would not be indicated for the patient as per current instructions for use (i.e any "off-label" use).
- Patient has any other aortic valve than tricuspid one.
- Patient has a prosthetic valve or ring in the aortic position.
- Patient needs a concomitant structural heart procedure..
- Patient needs the usage of an embolic protection device.
- Patient is unwilling or unable to comply with all clinical investigation-required follow-up evaluations.
- Patient is pregnant
Data sourced from ClinicalTrials.gov (NCT01802788). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.