Clinical trial • Phase IV • Cardiology

Clinical trial in Aortic stenosis

Phase IV trial for Aortic stenosis. 300 participants.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Aortic stenosis
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
03-12-2024
First CTIS Authorization Date
07-07-2025

Trial design

Phase IV trial in Austria, Germany.

Target Sample Size
300
Trial Duration For Participant
365

Eligibility

Recruits 300 Vulnerable populations are flagged (isVulnerablePopulationSelected=true). Consent must be signed by the subject prior to any study intervention ("Informed Consent must be signed by the subject prior to any study intervention."). Subjects unable to give consent or follow procedures (e.g. due to language problems, psychological disorders, dementia) are excluded. No assent or proxy-consent process is described in the available documents..

Pregnancy Exclusion
Pregnancy or breast feeding women.
Vulnerable Population
Vulnerable populations are flagged (isVulnerablePopulationSelected=true). Consent must be signed by the subject prior to any study intervention ("Informed Consent must be signed by the subject prior to any study intervention."). Subjects unable to give consent or follow procedures (e.g. due to language problems, psychological disorders, dementia) are excluded. No assent or proxy-consent process is described in the available documents.

Inclusion criteria

  • {"criterion_text":"- Informed Consent must be signed by the subject prior to any study intervention."}
  • {"criterion_text":"- Adult patients (› 18 years) with severe symptomatic aortic stenosis eligible and scheduled for elective TAVR and are able to give consent."}
  • {"criterion_text":"- Indication for B-blocker therapy with a prior treatment duration of at least 1 month before inclusion."}

Exclusion criteria

  • {"criterion_text":"- Emergency or urgent indication for TAVR."}
  • {"criterion_text":"- Being in a dependent relationship with the trial site."}
  • {"criterion_text":"- Participation in another study with investigational drug within the 30 days preceding and during the present study."}
  • {"criterion_text":"- Previous enrolment into the current study."}
  • {"criterion_text":"- Pregnancy or breast feeding women."}
  • {"criterion_text":"- Hemodynamically unstable patients receiving inotropic medication."}
  • {"criterion_text":"- Prior permanent pacemaker implantation."}
  • {"criterion_text":"- Existing indication for pacemaker implantation."}
  • {"criterion_text":"- Hemodynamic relevant left ventricular outflow tract obstruction."}
  • {"criterion_text":"- Prior intolerance of B-blocker medication."}
  • {"criterion_text":"- Life expectancy ‹ 1 year."}
  • {"criterion_text":"- Known or suspected non-compliance, drug, or alcohol abuse."}
  • {"criterion_text":"- Inability to give consent, or follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Composite endpoint of all-cause mortality, rehospitalization due to heart failure, stroke, severe arrhythmia (new onset atrial fibrillation/flutter, ventricular tachycardia/ventricular fibrillation, new high-grade AV-Block) at 30 days","definition_or_measurement_approach":"Composite measured as occurrence of any of the listed events at 30 days post-procedure (all-cause mortality, rehospitalization for heart failure, stroke, severe arrhythmia as specified)."}

Secondary endpoints

  • {"endpoint_text":"- Pacemaker Rate at 30 days and at 1 year","definition_or_measurement_approach":"Occurrence/rate of pacemaker implantation assessed at 30 days and at 1 year."}
  • {"endpoint_text":"- Stroke Rate at 30 days and at 1 year","definition_or_measurement_approach":"Occurrence/rate of stroke assessed at 30 days and at 1 year."}
  • {"endpoint_text":"- All-cause mortality at 30 days and 1 year","definition_or_measurement_approach":"All-cause mortality assessed at 30 days and at 1 year."}
  • {"endpoint_text":"- Cardiovascular mortality at 30 days and 1 year","definition_or_measurement_approach":"Cardiovascular-cause mortality assessed at 30 days and at 1 year."}
  • {"endpoint_text":"- Re-hospitalization due to heart failure at 30 days and at 1 year","definition_or_measurement_approach":"Occurrence/rate of rehospitalization for heart failure assessed at 30 days and at 1 year."}
  • {"endpoint_text":"- Severe arrhythmia requiring treatment (e.g.: new onset atrial fibrillation/flutter, ventricular tachycardia /ventricular fibrillation, new AV Block (I, II or III), new left bundle branch block, new right bundle branch block, intraventricular conduction delay (QRS ≥120ms), new severe bradycardia (HR <60 bpm) requiring treatment or tachycardia (‹40bpm or ›120bpm), sick sinus syndrome, new tachycardia (HR>120 bpm) at 30 days and at 1 year","definition_or_measurement_approach":"Occurrence of severe arrhythmias requiring treatment, as listed, assessed at 30 days and at 1 year."}

Recruitment

Planned Sample Size
300
Recruitment Window Months
35
Consent Approach
Informed consent must be signed by the subject prior to any study intervention. Subject information and informed consent forms for adults are provided (site-specific ICFs listed). No assent process or proxy consent procedures are described in the available records.

Geography

Total Number Of Sites
7
Total Number Of Participants
400

Austria

Earliest CTIS Part Ii Submission Date
26-06-2025
Latest Decision Or Authorization Date
07-07-2025
Processing Time Days
11
Number Of Sites
2
Number Of Participants
100

Sites

Site Name
Medical University of Graz, Department of Internal Medicine, University Heart Centre Graz
Department Name
Department of Cardiology
Principal Investigator Name
Gabor G Toth
Principal Investigator Email
gabor.g.toth@medunigraz.at
Contact Person Name
Gabor G Toth
Contact Person Email
gabor.g.toth@medunigraz.at
Site Name
University Hospital Salzburg
Department Name
University Clinic for Internal Medicine II, Cardiology
Principal Investigator Name
Matthias Hammerer
Principal Investigator Email
M.Hammerer@salk.at
Contact Person Name
Matthias Hammerer
Contact Person Email
M.Hammerer@salk.at

Germany

Earliest CTIS Part Ii Submission Date
13-06-2025
Latest Decision Or Authorization Date
24-04-2026
Processing Time Days
315
Number Of Sites
5
Number Of Participants
300

Sites

Site Name
Kerckhoff-Klinik GmbH
Department Name
Department of Cardiology
Principal Investigator Name
Samuel T. Sossalla
Principal Investigator Email
s.sossalla@kerckhoff-klinik.de
Contact Person Name
Samuel T. Sossalla
Contact Person Email
s.sossalla@kerckhoff-klinik.de
Site Name
Universitaetsklinikum Giessen und Marburg GmbH
Department Name
Department of Cardiology
Principal Investigator Name
Samuel T. Sossalla
Principal Investigator Email
Samuel.Sossalla@innere.med.uni-giessen.de
Contact Person Name
Samuel T. Sossalla
Site Name
Universitaetsklinikum Schleswig-Holstein AöR
Department Name
Campus Kiel, Department of Internal Medicine III, Cardiology, Angiology and Intensive Care
Principal Investigator Name
Derk Frank
Principal Investigator Email
Derk.Frank@uksh.de
Contact Person Name
Derk Frank
Contact Person Email
Derk.Frank@uksh.de
Site Name
Herz- und Diabeteszentrum NRW Universitätsklinik, Ruhr-Universität Bochum
Department Name
Clinic for General and Interventional Cardiology/Angiology
Principal Investigator Name
Tanja Rudolph
Principal Investigator Email
trudolph@hdz-nrw.de
Contact Person Name
Tanja Rudolph
Contact Person Email
trudolph@hdz-nrw.de
Site Name
University Medical Center Freiburg, University Heart Center
Department Name
Deaprtment of Cardiology and Angiology
Principal Investigator Name
Mirjam G. Wild
Principal Investigator Email
mirjam.wild@uniklinik-freiburg.de
Contact Person Name
Mirjam G. Wild

Sponsor

Primary sponsor

Full Name
Universitaetsspital Basel
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Switzerland

Investigational products

Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised
Maximum Dose
200 mg
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised
Maximum Dose
50 mg
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised
Maximum Dose
400 mg
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised
Maximum Dose
50 mg
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Authorisation Status
Authorised
Maximum Dose
640 mg

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