Melody Transcatheter Pulmonary Valve (TPV) Post-Market Surveillance Study
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Purpose
This non-randomized, prospective, interventional observational multi-center study is designed to assess the long-term clinical performance of the Medtronic Melody™ Transcatheter Pulmonary Valve (TPV) in the post market environment over a period of five years after transcatheter implantation in patients with dysfunctional RVOT conduits. In addition, the quality of life of implanted subjects will be assessed over five years.
| Condition | Intervention |
|---|---|
|
Heart Valve Diseases |
Device: Melody Transcatheter Pulmonary Valve |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Melody TPV Post-Market Surveillance Study |
- Clinical Performance over five years. Freedom from the following events: * explant * reintervention * stent fracture * valve dysfunction * device or procedure related death [ Time Frame: August 2014 ] [ Designated as safety issue: No ]
- Procedural success [ Time Frame: August 2014 ] [ Designated as safety issue: No ]
- Incidence of device and procedure related adverse events [ Time Frame: August 2014 ] [ Designated as safety issue: No ]
- Hemodynamic Performance [ Time Frame: August 2014 ] [ Designated as safety issue: No ]
| Enrollment: | 63 |
| Study Start Date: | October 2007 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
1
The target population includes male and female patients with dysfunctional RVOT conduits.
|
Device: Melody Transcatheter Pulmonary Valve
Transcatheter Pulmonary Valve Replacement
Other Name: Melody Transcatheter Pulmonary Valve
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 5 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Prospective subjects have complex congenital heart defects that have been palliated with RVOT conduits that have become dysfunctional and have a clinical indication for invasive intervention. Prospective subjects must meet all of following inclusion and exclusion criteria:
Inclusion Criteria:
- Age greater than or equal to 5 years of age
- Weight greater than or equal to 30 kilograms
- Existence of a full (circumferential) RVOT conduit that was equal to or greater than 16 mm in diameter when originally implanted
- Any of the following by transthoracic echocardiography
For patients in NYHA Classification II, III, or IV:
- Moderate (3+) or severe (4+) pulmonary regurgitation, or
- Mean RVOT gradient greater than or equal to 35 mmHg.
For patients in NYHA Classification I:
- Severe (4+) pulmonary regurgitation with RV dilatation or dysfunction, or
- Mean RVOT gradient greater than or equal to 40 mmHg.
Exclusion Criteria:
- Active endocarditis
- A major or progressive non-cardiac disease (e.g. liver failure, renal failure, cancer) that results in a life expectancy of less than one year
- Patient or - for patients who cannot legally give consent themselves- the guardian unwilling or unable to provide written informed consent or comply with follow-up requirements
- Obstruction of the central veins (including the superior and inferior vena cava, bilateral iliac veins) such that the delivery system cannot be advanced to the heart via transvenous approach from either femoral vein or internal jugular vein
- Known intravenous drug abuse
Contacts and Locations| Canada, Ontario | |
| The Hospital for Sick Children | |
| Toronto, Ontario, Canada, M5G 1X8 | |
| Denmark | |
| Rigshospitalet Copenhagen | |
| Copenhagen, Denmark, 2100 | |
| Germany | |
| Deutsches Herzzentrum Berlin | |
| Berlin, Germany, 13353 | |
| Deutsches Herzzentrum München | |
| München, Germany, 80636 | |
| Italy | |
| Hospital Bambino Gesu Roma | |
| Rome, Italy, 00165 | |
| Netherlands | |
| Erasmus Medical Center | |
| Rotterdam, Netherlands, 3015CE | |
| Spain | |
| Hospital Reina Sofia | |
| Cordoba, Spain, 14004 | |
| Principal Investigator: | John Hess, Prof. | Deutsches Herzzentrum München |
| Principal Investigator: | Felix Berger, Prof. | German Heart Institute |
| Principal Investigator: | Lars Soendergaard, Dr. | Rigshospitalet, Copenhagen |
| Principal Investigator: | Maria Giulia Gagliardi, Dr. | Ospedale Bambino Gesu Rome |
| Principal Investigator: | Jose Suarez de Lezo, Dr. | Hospital Reina Sofia Cordoba |
| Principal Investigator: | Lee Benson, Dr. | The Hospital for Sick Children |
| Principal Investigator: | Maarten Witsenburg, Dr. | Erasmus Medical Center Rotterdam |
More Information
No publications provided
| Responsible Party: | Medtronic Bakken Research Center |
| ClinicalTrials.gov Identifier: | NCT00688571 History of Changes |
| Other Study ID Numbers: | BRC-CS- |
| Study First Received: | May 30, 2008 |
| Last Updated: | August 8, 2012 |
| Health Authority: | Germany: German Institute of Medical Documentation and Information |
Keywords provided by Medtronic Bakken Research Center:
|
Pulmonary Valve Congenital Heart Disease |
Additional relevant MeSH terms:
|
Heart Valve Diseases Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on June 18, 2013