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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05893082
Registration number
NCT05893082
Ethics application status
Date submitted
23/05/2023
Date registered
7/06/2023
Titles & IDs
Public title
Multicenter Feasibility Trial of the F2 Filter and Delivery System for Embolic Protection During TAVR
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Scientific title
A Prospective, Single-Arm, Multicenter Feasibility Trial to Evaluate the Safety and Performance of the F2 Filter and Delivery System Used for Embolic Protection During Transcatheter Aortic Valve Replacement
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Secondary ID [1]
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AS01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Aortic Stenosis
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - F2 Filter and Delivery System
Experimental: Intervention - Placement of the F2 device in the aorta to cover the great cerebral vessels.
Treatment: Devices: F2 Filter and Delivery System
Placement of F2 device in aorta to cover the great cerebral vessels.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Major adverse cardiac and cerebrovascular events
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Assessment method [1]
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Major adverse cardiac and cerebrovascular events
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Timepoint [1]
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30 day
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Secondary outcome [1]
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New lesions
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Assessment method [1]
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Total new lesion volume, average individual new lesion volume, number of new lesions, location of new lesions, territory of new lesions.
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Timepoint [1]
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8 - 72 hours
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Secondary outcome [2]
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Performance
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Assessment method [2]
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Technical success (% of patients with successful device deployment, position and retrieval) and procedure success (% of patients with technical device success and no device-related safety events)
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Timepoint [2]
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Intra-procedure
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Secondary outcome [3]
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Modified Rankin Scale
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Assessment method [3]
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Measures neurological disability on scale of 0-6 (low score is better outcome)
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Timepoint [3]
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30 day
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Secondary outcome [4]
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National Institute of Health Stroke Scale
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Assessment method [4]
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Measures stroke severity on scale of 0-42 (low score is better outcome)
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Timepoint [4]
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30 day
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Secondary outcome [5]
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Montreal Cognitive Assessment
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Assessment method [5]
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Measures cognitive impairment on scale of 0-30( high score is better outcome)
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Timepoint [5]
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30 day
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Eligibility
Key inclusion criteria
1. Age = 22 years.
2. The patient meets the established criteria and indications for commercially available TAVR (Edwards/Medtronic) for transfemoral access.
3. Modified Rankin Scale (mRS) 0 or 1 at screening.
4. The patient is willing and able to comply with protocol-specified follow-up evaluations.
5. The patient or legally authorized representative is able and willing to provide written informed consent.
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Minimum age
22
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Contraindications to MRI (e.g., subjects with MR unsafe implants including implantable temporary or permanent pacemaker or defibrillator, metal implants in field of view, metallic fragments, clips, or devices in the brain or eye before TAVR procedure, or claustrophobia).
2. Severe peripheral arterial, abdominal aortic, or thoracic aortic disease that precludes delivery sheath vascular access or filter deployment.
3. Patients in whom the aortic arch is heavily calcified, severely atheromatous, or severely tortuous.
4. Ascending aortic diameter > 38 mm or transverse aortic diameter > 27 mm.
5. Evidence of an acute myocardial infarction within 1 month before TAVR.
6. Pre-existing prosthetic heart valve or prosthetic ring in any position.
7. Known intracardiac thrombus.
8. Severe allergy or known hypersensitivity or contraindication to aspirin, heparin/bivalirudin, clopidogrel, nitinol, stainless steel alloy, and/or contrast sensitivity that cannot be adequately pre-medicated.
9. History of bleeding diathesis or coagulopathy or patients in whom anti-platelet and/or anticoagulant therapy is contraindicated.
10. Patients who refuse blood transfusion.
11. Active peptic ulcer or history of upper gastrointestinal (GI) bleeding within the prior 3 months.
12. Recent (within 6 months) CVA or a TIA.
13. Renal insufficiency (creatinine > 2.5 mg/dL or GFR < 30) and/or renal replacement therapy at the time of screening.
14. Patients with hepatic failure (Child-Pugh class C).
15. Patients with hypercoagulable states that cannot be corrected by additional periprocedural heparin.
16. Patients presenting with cardiogenic shock or requiring vasopressor or inotropic support at the time of the index procedure.
17. Severe ventricular dysfunction with left ventricular ejection fraction (LVEF) < 20%.
18. Life expectancy < 12 months.
19. Currently participating in an investigational drug or another device study that has not completed the initial primary endpoint evaluation (e.g., long term follow-up study/continued access study subjects are able to be included).
20. Subjects who have had treatment with any other investigational device within 30 days prior to study enrollment.
21. Planned surgery or invasive procedure within 30 days following the index procedure (TAVR with F2 Filter).
22. Patients planned to undergo any other cardiac surgical or interventional procedure (e.g., concurrent coronary revascularization) during the TAVR procedure or within 10 days prior to the TAVR procedure. NOTE: Balloon valvuloplasty during TAVR is permitted. Diagnostic cardiac catheterization is permitted within 10 days prior to the TAVR procedure.
23. Patients with known mental or physical illness or known history of substance abuse that may cause non-compliance with the protocol or confound the data interpretation.
24. Females who are pregnant or nursing or plan to become pregnant during their participation in the study. Female subjects of child-bearing potential must have a negative pregnancy test at screening.
25. Any other condition that in the opinion of the investigator, precludes study participation or poses a significant hazard to the patient.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/09/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/01/2024
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Actual
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Sample size
Target
25
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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North Shore Private - Sydney
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Recruitment postcode(s) [1]
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2065 - Sydney
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
EnCompass Technologies, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The goal of this clinical trial is to learn about the safety and performance of the F2 device for cerebral embolic protection in participants with symptomatic aortic stenosis undergoing a Transcatheter Aortic Valve replacement procedure. Participants will complete several neurocognitive assessments and an MRI procedure.
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Trial website
https://clinicaltrials.gov/study/NCT05893082
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Francis Duhay, MD
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Address
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Sponsor GmbH
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Kathleen Calderon
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Address
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Country
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Phone
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307-250-2726
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05893082