This study is a proof of concept looking at the safety of treating subjects with moderate aortic stenosis using a Non-Invasive Ultrasound Therapy.
Valvosoft, Ultrasound guided Non-Invasive Ultrasound Therapy (NIUT) medical device, delivers focused and controlled, short ultrasound pulses (\<20μsec), directed trans-thoracically at a high acoustic intensity (measured in watts per square centimeter (W/cm2), to produce non-thermal mechanical tissue softening of the targeted calcified aortic valve. Echocardiographic live imaging enables to follow valve movements in real-time and thus target the therapeutic ultrasound on the calcified valve with great precision. This is first in human or proof of concept study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Treatment of moderate aortic stenosis using non-invasive ultrasound therapy delivered by Valvosoft
University Clinical Centre Serbia
Belgrade, Serbia
Rate of MACE
Rate of MACE defined as a composite of all-cause mortality, MI, stroke, rehospitalization for heart failure at 30 days.
Time frame: from baseline to 30 days FU
Improvement in leaflet mobility
Change in leaflet mobility measured by means of a change in AVA
Time frame: at 6 months FU compared to baseline
Rate of MACE
Rate of MACE
Time frame: at 6 , 12 , 18 , 24 months
Rate of all Serious Adverse Events
Rate of all Serious Adverse Events
Time frame: peri-procedural and at 30 days, 3 , 6 , 12 , 18 , 24 months
Rate of Stroke
Rate of stroke (disabling and non-disabling; ischemic and hemorrhagic
Time frame: at 30 days, 3 , 6 , 12 , 18 , 24 months
Change of AS
Change of AS by means of AVA( assessed by an independent echocardiographic CoreLab
Time frame: at 30 days, 3 , 6 , 12 , 18 , 24 months compared to Baseline;
Change in Quality of Life by means of KCCQ
Improvement of quality of life by means of ansas City Cardiomyopathy Questionnaire (KCCQ). KCCQ is a 23-item, self-administered questionnaire.
Time frame: at 30 days, 3 , 6 , 12 , 18 , 24 months compared to Baseline;
Change in Quality of Life by means of EQ-5D
Improvement of quality of life by means of EQ-5D. The EQ-5D descriptive system comprises the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
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Time frame: at 30 days, 3 , 6 , 12 , 18 , 24 months compared to Baseline;
Change in Exercise capacity
Improvement in VO2-max measured during Echo Spiro-Ergometry (ESE)
Time frame: at 30 days, 6 , 12 , 18 , 24 months compared to Baseline;