The purpose of this study is to conduct the initial clinical investigation of the Foldax Polymer Aortic Valve to collect evidence on the device's safety and performance. The study is anticipated to confirm successful clinical safety and clinical effectiveness with significant improvements in clinical hemodynamic performance.
The Foldax Polymer Aortic Valve is indicated as a replacement for a diseased, damaged, or malfunctioning native aortic heart valve via open heart surgery. This is a first in human study conducted under US FDA's Early Feasibility Investigational Device Exemption and will enroll up to 40 patients. These patients will be followed up to 5 years after implantation.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Aortic Valve Replacement
St. Vincent Hospital
Indianapolis, Indiana, United States
Ascension Via Christi St. Francis Hospital
Wichita, Kansas, United States
William Beaumont Hospital
Detroit, Michigan, United States
The Christ Hospital
Cincinnati, Ohio, United States
Primary Safety Endpoints: Objective Performance Criteria for Flexible Heart Valve Events Assessments
The adverse events consistent with the Objective Performance Criteria (OPC), for flexible heart valves will be compared to those rates defined as acceptable levels in the standard. a. Thromboembolism b. Valve Thrombosis c. Major Paravalvular leak d. Major Hemorrhage e. Endocarditis
Time frame: 12 months following patient enrollment completion
Primary Safety Endpoints: Surgical Valve Events Rate Assessment
The rates of other events will be compared to clinical outcomes for surgically implanted heart valves reported in the literature. a. All-caused death b. Valve related death c. Valve-related reoperation d. Valve explant e. Hemorrhage f. All-cause reoperation g. Valve-related death
Time frame: 12 months following patient enrollment completion
Primary Effectiveness Endpoint: Hemodynamic Performance Assessment
Hemodynamic performance parameters are mmHG mean gradient and derived Effective Orifice Area (EOA). Success is defined as clinically significant improvement in hemodynamic performance (Effective Orifice Area (EOA)) at one year based on literature reports for surgical aortic valve replacement.
Time frame: 12 months following patient enrollment completion
Primary Effectiveness Endpoint: New York Heart Association Improvement Assessment
Clinically significant improvement (one grade) in the New York Heart Association (NYHA) functional classification status at 365 days compared to baseline. a. Class I - No symptoms and no limitations in ordinary physical activity, e.g. shortness of breath when walking, climbing stairs etc. b. Class II - Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity. c. Class III - Marked limitation in activity due to symptoms, even during less-than-ordinary activity, e.g. walking short distances (20-100m). Comfortable only at rest. d. Class IV - Severe limitations. Experiences symptoms even while at rest. Mostly bedbound patients.
Time frame: 12 months following patient enrollment completion
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OhioHealth Riverside
Columbus, Ohio, United States
Secondary Endpoints: Stroke
Assessment of patient experiencing a stroke verified by imaging and or physical exam
Time frame: 5 years following patient enrollment
Secondary Endpoint: Transient Ischemic Attack
Assessment of patient having a TIA verified by imaging and or physical exam
Time frame: 5 Years following patient enrollment
Secondary Endpoint: ICU Duration of Stay
Length of stay in the ICU post valve implantation defined as arrival time/date in hours and minutes to transfer to floor time/date in hours and minutes.
Time frame: 30 days post procedure
Secondary Endpoint: Ventilation Time
Ventilation time in hours defined as arrival time/date in recovery in hours and minutes to date and time extubated in hours and minutes
Time frame: 30 Days post procedure
Secondary Endpoint: New Onset Atrial Fibrillation
New/post-operative atrial fibrillation - confirmed on ECG after closure during initial or subsequent admission or at one-year review
Time frame: 12 Months post procedure
Secondary Endpoint: Length of Stay in Hospital
Post procedure length of stay defined as the date and time in hours and minutes documented for arrival in the recovery unit to date and time in hours and minutes of discharge in hours and minutes.
Time frame: 30 days post procedure
Secondary Endpoint: Readmission
Patient readmission to the hospital post discharge measured by date/time
Time frame: 30 days post discharge
Secondary Endpoint: Hemolysis screen
Hemolysis screen is measured by blood tests including hemoglobin and liver enzyme assessments
Time frame: 12 months post procedure
Secondary Endpoint: Change in Quality of Life (QOL)
Change in QOL as measured by the Kansas City Cardiomyopathy Questionnaire
Time frame: 12 months post procedure