Safety and Effectiveness Study of Perceval S Valve for Extended CE Mark (CAVALIER)
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ClinicalTrials.gov Identifier: NCT01368666 |
Recruitment Status :
Terminated
(5 years follow up completed in October 2018, long-term follow up terminated because of low data return)
First Posted : June 8, 2011
Last Update Posted : July 8, 2022
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Condition or disease | Intervention/treatment | Phase |
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Aortic Valve Replacement | Device: Perceval S Valve Prosthesis | Not Applicable |

Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 658 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Perceval S Valve Clinical Trial for Extended CE Mark |
Actual Study Start Date : | February 23, 2010 |
Actual Primary Completion Date : | October 31, 2014 |
Actual Study Completion Date : | January 31, 2020 |

Arm | Intervention/treatment |
---|---|
Experimental: Perceval S Valve Prosthesis
Patients who underwent replacement of diseased or malfunctioning native aortic valve with the Perceval S Valve prosthesis
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Device: Perceval S Valve Prosthesis
Replacement of diseased or malfunctioning native aortic valve with the Perceval S valve prosthesis |
- Evaluation of the safety: incidence of mortality [ Time Frame: 12 months after OP ]Incidence of mortality
- Evaluation of the safety: Incidence of morbidity [ Time Frame: 12 months after OP ]
Incidence of morbidity
Mortality and morbidity, adverse event categories: valvular thrombosis, thromboembolism, hemorrhage, paravalvular leak, endocarditis, hemolysis, SVD, non structural dysfunction, reoperation, explant, death, device dislodgement and device migration
- Evaluation of NYHA functional class [ Time Frame: 12 months after OP ]Change of NYHA functional class
- Evaluation of haemodynamic performance: mean and peak gradients [ Time Frame: 12 months after OP ]Change of aortic mean gradient and peak gradient (mmHg)
- Evaluation of haemodynamic performance: Effective Orifice Area (EOA) and Effective Orifice Area indexed (EOAI) [ Time Frame: 12 months after OP ]Change of EOA (cm2) and EOAI (cm2/m2) PI, cardiac output, cardiac index and degree of regurgitation
- Evaluation of haemodynamic performance: Cardiac Index [ Time Frame: 12 months after OP ]Change of Cardiac Index (l/min/m2)
- Evaluation of haemodynamic performance: Cardiac Output [ Time Frame: 12 months after OP ]Change of Cardiac Output (l/min)
- Evaluation of haemodynamic performance: incidence and degree of regurgitation [ Time Frame: 12 months after OP ]Change of incidence (%) and degree of regurgitation (none, trace, mild, moderate, severe)
- Evaluation of the safety: incidence of mortality [ Time Frame: 3-6 months ]Incidence of mortality
- Evaluation of the safety: Incidence of morbidity [ Time Frame: 3-6 months ]Incidence of morbidity
- Evaluation of NYHA functional class [ Time Frame: 3-6 months ]Change of NYHA functional class
- Evaluation of haemodynamic performance [ Time Frame: 3-6 months ]haemodynamic performance: mean gradient and peak gradient, EOA, EOAI, cardiac output, cardiac index and degree of regurgitation
- Evaluation of the safety: Incidence of mortality [ Time Frame: up to 10 years ]Incidence of mortality
- Evaluation of the safety: Incidence of morbidity [ Time Frame: up to 10 years ]Incidence of morbidity
- Evaluation of NYHA functional class [ Time Frame: up to 10 years ]Change of NYHA functional class
- Evaluation of haemodynamic performance [ Time Frame: up to 10 years ]haemodynamic performance: mean gradient and peak gradient, EOA, EOAI, cardiac output, cardiac index and degree of regurgitation

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Ages Eligible for Study: | 65 Years and older (Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects of age > 65 years;
- Subjects with aortic valve stenosis or steno-insufficiency;
- Subjects in which preoperative evaluation indicated the need for native or prosthetic aortic valve replacement with a biological prosthesis;
- Subjects willing to sign the informed consent;
- Subjects willing to undergo all medical follow-up, echocardiography examinations and laboratory tests planned for the Study
Exclusion Criteria:
- Subjects involved in any other clinical study for drugs or devices;
- Subjects with a previously implanted Perceval S prosthesis, within the clinical study, that requires replacement
- Subjects with previous implantation of valve prostheses or annuloplasty ring not being replaced by the study valve
- Subjects requiring simultaneous cardiac procedures, apart from septal myectomy and/or coronary by-pass
- Subjects who require double or multiple valve replacement or repair in whom the mitral, tricuspid, or pulmonic valve would be replaced with a non-Perceval S valve or repaired
- Subjects with aneurysmal dilation or dissection of the ascending aortic wall
- Subjects needing non elective intervention
- Subjects with active endocarditis
- Subjects with active myocarditis
- Subjects with congenital bicuspid aortic valve
- Subjects with aortic root enlargement, where the ratio between the diameter of the sino-tubular junction and the annulus diameter, assessed by TTE, is > 1.3 (see Attachment 1 for reference)
- Subjects with aortic root height (measured from aortic annulus to sino-tubular junction) ≥ 21 mm for size 21, ≥ 22.5 mm for size 23 and ≥ 24 mm for size 25, and ≥ 25 mm for size XL/27
- Subjects with myocardial infarction < 90 days before the planned valve implant surgery
- Subjects with known hypersensitivity to nickel alloys
- The subject has a documented history of substance (drug or alcohol) abuse
- The subject is a prison inmate, institutionalized, or is unable to give informed consent;
- The subject has a major or progressive non-cardiac disease that, in the investigator's experience, results in a life expectancy shorter than 1 year, or the implant of the device produces an unacceptable increased risk to the patient
- The subject is undergoing renal dialysis for chronic renal failure or has hyperparathyroidism
- The subject has had an acute preoperative neurological deficit, myocardial infarction, or cardiac event that has not returned to baseline or stabilized ≥ 30 days prior to the planned valve implant surgery

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01368666

Principal Investigator: | A. Haverich, Prof. | Hannover Medical School |
Responsible Party: | Corcym S.r.l |
ClinicalTrials.gov Identifier: | NCT01368666 |
Other Study ID Numbers: |
TPS001 |
First Posted: | June 8, 2011 Key Record Dates |
Last Update Posted: | July 8, 2022 |
Last Verified: | August 2019 |
Aortic valve replacement Aortic stenosis Biological valve |
Sutureless valve Stented valve Aortic Valve Disease |