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NCT02184442: PARTNERII B

The PARTNER II Trial: Placement of AoRTic TraNscathetER Valves - PII B

Completed NA Results posted Last updated 25 September 2018
What this trial tests

NA trial testing TAVR Implantation with SAPIEN XT in Severe in 560 participants. Completed in 30 May 2017.

Timeline
9 March 2011
Primary endpoint
1 May 2013
30 May 2017

Quick facts

Lead sponsorEdwards Lifesciences
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment560
Start date9 March 2011
Primary completion1 May 2013
Estimated completion30 May 2017
Sites53 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Edwards Lifesciences — full company profile →

Who can join

19 and older, any sex, with Severe or Symptomatic. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With All-Cause Mortality and/or Major Stroke and/or Rehospitalization Primary · 1 Year

All-Cause Mortality and/or Major Stroke and/or Rehospitalization at 1 Year

GroupValue95% CI
TAVR - SAPIEN XT105
TAVR - SAPIEN102
NYHA Classification - Change From Baseline Secondary · Baseline and 1 Year

New York Heart Association (NYHA), functional classification of heart failure based on how much a patient is limited during physical activity. The rating ranges from I - IV, with the lowest as no limitations and the highest unable to carry on any physical activity without discomfort.

GroupValue95% CI
TAVR - SAPIEN XT-1.8± 0.92
TAVR - SAPIEN-1.7± 0.91
Total Aortic Regurgitation - Change From Baseline Secondary · 1 Year

Total aortic regurgitation was assessed by the core lab as 'Grade 0' = None, 'Grade 1+' = Trace, 'Grade 2+' = Mild, 'Grade 3+' = Moderate, and 'Grade 4+' = Severe. Total regurgitation at one year was analyzed in the valve implant population.

GroupValue95% CI
TAVR - SAPIEN XT0.2± 1.38
TAVR - SAPIEN0.1± 1.23
Effective Orifice Area - Change From Baseline Secondary · 1 Year
GroupValue95% CI
TAVR - SAPIEN XT0.9± 0.41
TAVR - SAPIEN0.9± 0.38

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data are currently available and reported for all events at 1 year were reported at the time of database lock.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

TAVR - SAPIEN XT
Serious: 196/280 (70%)
Deaths: 10/282
TAVR - SAPIEN
Serious: 180/263 (68%)
Deaths: 12/271

Serious adverse events (73 terms)

ReactionSystemTAVR - SAPIEN XTTAVR - SAPIEN
Heart Failure / CHF / Low output FailureCardiac disorders
OtherGeneral disorders
HemorrhageVascular disorders
ArrhythmiaCardiac disorders
Respiratory InfectionInfections and infestations
Cardiac arrestCardiac disorders
Renal Insufficiency or Renal FailureRenal and urinary disorders
Respiratory FailureRespiratory, thoracic and mediastinal disorders
AnemiaBlood and lymphatic system disorders
DissectionVascular disorders
SepsisInfections and infestations
AnginaCardiac disorders
Urinary Tract InfectionInfections and infestations
Abnormal lab valueInvestigations
Gastro Intestinal EventGastrointestinal disorders
Ischemic StrokeNervous system disorders
FallInjury, poisoning and procedural complications
FractureMusculoskeletal and connective tissue disorders
PerforationVascular disorders
DyspneaRespiratory, thoracic and mediastinal disorders
PseudoaneurysmVascular disorders
Pulmonary EffusionRespiratory, thoracic and mediastinal disorders
SyncopeVascular disorders
Unknown cause of DeathGeneral disorders
HypotensionVascular disorders
Other adverse events (16 terms — click to expand)

ReactionSystemTAVR - SAPIEN XTTAVR - SAPIEN
OtherGeneral disorders
Abnormal Lab ValueInvestigations
Arrhythmia/Conduction System Injury (Defect)Cardiac disorders
Anemia/Hemolytic AnemiaBlood and lymphatic system disorders
Urinary Tract InfectionRenal and urinary disorders
HemorrhageVascular disorders
Pulmonary EffusionRespiratory, thoracic and mediastinal disorders
Renal Insufficiency or Renal FailureRenal and urinary disorders
FallInjury, poisoning and procedural complications
Gastro Intestinal EventGastrointestinal disorders
EdemaEar and labyrinth disorders
ThrombocytopeniaBlood and lymphatic system disorders
HypotensionVascular disorders
ConfusionPsychiatric disorders
Non Structural DysfunctionInjury, poisoning and procedural complications
Respiratory InfectionRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Heart Failure / CHF / Low output Failure, Other, Hemorrhage, Arrhythmia, Respiratory Infection, Cardiac arrest, Renal Insufficiency or Renal Failure, Respiratory Failure.

Data from ClinicalTrials.gov NCT02184442 adverse events section.

Sponsor's own description

The purpose of this study is to determine the safety and effectiveness of the SAPIEN XT™ THV with the associated delivery system for inoperable patients with severe symptomatic native aortic stenosis.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Evolution and Prognostic Impact of Cardiac Damage After Aortic Valve Replacement.
    Généreux P, Pibarot P, Redfors B, Bax JJ, et al · · 2022 · cited 123× · PMID 35595203 · DOI 10.1016/j.jacc.2022.05.006
  2. Prosthetic Valve Endocarditis After TAVR and SAVR: Insights From the PARTNER Trials.
    Summers MR, Leon MB, Smith CR, Kodali SK, et al · · 2019 · cited 77× · PMID 31690104 · DOI 10.1161/circulationaha.119.041399
  3. Cardiac Damage and Quality of Life After Aortic Valve Replacement in the PARTNER Trials.
    Généreux P, Cohen DJ, Pibarot P, Redfors B, et al · · 2023 · cited 45× · PMID 36813373 · DOI 10.1016/j.jacc.2022.11.059
  4. Effect of Baseline Left Ventricular Ejection Fraction on 2-Year Outcomes After Transcatheter Aortic Valve Replacement: Analysis of the PARTNER 2 Trials.
    Furer A, Chen S, Redfors B, Elmariah S, et al · · 2019 · cited 38× · PMID 31525069 · DOI 10.1161/circheartfailure.118.005809
  5. Low and elevated B-type natriuretic peptide levels are associated with increased mortality in patients with preserved ejection fraction undergoing transcatheter aortic valve replacement: an analysis of the PARTNER II trial and registry.
    Chen S, Redfors B, O'Neill BP, Clavel MA, et al · · 2020 · cited 27× · PMID 31883339 · DOI 10.1093/eurheartj/ehz892
  6. Neutrophil-to-Lymphocyte Ratios in Patients Undergoing Aortic Valve Replacement: The PARTNER Trials and Registries.
    Shahim B, Redfors B, Lindman BR, Chen S, et al · · 2022 · cited 19× · PMID 35656983 · DOI 10.1161/jaha.121.024091
  7. IMPACT OF HEART FAILURE ON COVID-19 PNEUMONIA HOSPITALIZATIONS: ANALYSIS OF THE NATIONAL INPATIENT SAMPLE 2020
    · 2023

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