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The HAART 300 Annuloplasty Ring Trial Extended Safety and Performance

The HAART 300 Annuloplasty Ring Extended Safety and Performance Trial Used in Surgical Repair of the Aortic Valve

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01732835
Enrollment
68
Registered
2012-11-26
Start date
2012-12-31
Completion date
2015-11-30
Last updated
2017-03-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Aortic Insufficiency

Keywords

Aortic Insufficiency (AI) Aortic Regurgitation (AR)

Brief summary

This investigation is a prospective, non-randomized, multi-center trial to evaluate the extended safety and performance of the HAART model 300 annuloplasty ring when used to surgically repair the aortic valve using a 3-D intra-annular mounting frame.

Detailed description

Aortic Regurgitation, (also known as Aortic Insufficiency; AI), is the failure of the aortic valve to close completely during diastole which causes blood to flow from the aorta back into the left ventricle. Aortic Regurgitation (AR) is a frequent cause of both disability and death due to congestive heart failure, primarily in individuals forty or older, but can also occur in younger populations. Traditionally management of aortic regurgitation has been by aortic valve replacement, however, as has been observed in patients who have had mitral valve repair, the option of maintaining ones native aortic valve versus a replacement, either bioprosthetic or mechanical, can have added multiple benefits. The advantage of repair is the avoidance of prosthetic valve-related complications with bioprosthetic valves over 10-15 years or the need for anticoagulation with mechanical valves and the related problems of this therapy.

Interventions

Implantation of HAART 300 Annuloplasty Device for aortic valve repair

Sponsors

Biostable Science & Engineering
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Subject is 18 years of age or older * Subject has tri-leaflet aortic valve morphology * Subject has documented aortic valve disease which may or may not include: 1. aortic valve insufficiency 2. aortic root pathology 3. pathology of the ascending aorta 4. patients with associated stable one or two vessel coronary disease requiring concomitant coronary bypass * Subject is willing to comply with specified follow-up evaluations, including transesophageal echocardiography (TEE) if there are inadequate images by transthoracic echocardiography (TTE) to assess the aortic valve * Subject has reviewed and signed the written informed consent form * Subject agrees to return for all follow-up evaluations for the duration of the study (i.e.,. geographically stable)

Exclusion criteria

* The subject has pre-existing valve prosthesis in the aortic position * The subject's aortic valve morphology is not tri-leaflet * The subject has active endocarditis * Heavily calcified valves * The subject has mixed stenosis and regurgitation of the aortic valve with predominant stenosis * Leukopenia * Acute anemia (Hb \< 9mg%) * Platelet count \<100,000 cell/mm3 * Need for emergency surgery for any reason * History of bleeding diathesis or coagulopathy or the subject refuses blood transfusions * Active infection requiring antibiotic therapy (if temporary illness, subjects may enroll 4 weeks after discontinuation of antibiotics) * Subjects in whom transesophageal echocardiography (TEE) is contraindicated * Low Ejection Fraction (EF) EF \< 35% * Life expectancy \< 1 year * The subject is or will be participating in a concomitant research study of an investigational product or has participated in such a study within the 30 days prior to screening * The subject is a minor, an illicit drug user, alcohol abuser, prisoner, institutionalized, or is unable to give informed consent * The subject is pregnant or lactating * Recent (within 6 months) cerebrovascular accident (CVA) or a transient ischemic attack (TIA) * Myocardial Infarction (MI) within one month of trial inclusion * The subject has a known intolerance to titanium or polyester * The subject has documented unstable or \> 2 vessel coronary disease * The subject requires additional valve replacement or valve repair

Design outcomes

Primary

MeasureTime frameDescription
Primary Safety Outcome Measure: Survival Defined as Survival Free From All Cause Death at 6 Months Postprocedure6 months
Primary Efficacy Outcome Measure: Aortic Insufficiency (AI) at 6 Months6 monthsAssessed by transthoracic echocardiography (TTE) and graded as None/Trace (0), Mild (1+), Moderate (2+), Moderate-to-Severe (3+), or Severe (4+)

Secondary

MeasureTime frameDescription
Survival Defined as Survival Free From All Cause Death at 2 Years Postprocedure2 years
Aortic Insufficiency (AI) at 2 Years2 yearsAssessed by transthoracic echocardiography (TTE) and graded as None/Trace (0), Mild (1+), Moderate (2+), Moderate-to-Severe (3+), or Severe (4+)
New York Heart Association (NYHA) Functional Capacity Classification at 6 Months6 monthsFour classes describing the effect of cardiac disease on physical activity: Class I - disease does not limit activity; Class II - slight limitation; Class III - marked limitation; Class IV - inability to carry out any physical activity without discomfort
New York Heart Association (NYHA) Functional Capacity Classification at 2 Years2 yearsFour classes describing the effect of cardiac disease on physical activity: Class I - disease does not limit activity; Class II - slight limitation; Class III - marked limitation; Class IV - inability to carry out any physical activity without discomfort
Peak Gradient - Change From BaselineBaseline and 6 monthsTransthoracic echocardiography parameter
Mean Gradient - Change From BaselineBaseline and 6 monthsTransthoracic echocardiography parameter
LV Mass - Change From BaselineBaseline and 6 monthsLeft ventricular mass. Transthoracic echocardiography parameter.
Implant Procedure Successdischarge or 14 days postprocedure, whichever comes firstSuccess is defined as the absence of specified adverse events evaluated through discharge or 14 days after the procedure: - Aortic annular dissection, rupture, or leaflet damage - Mitral valve impingement due to implant - implant dehiscence/migration into aorta - implant dehiscence/migration into left ventricle - Hemodynamics requiring intervention - Other adverse event resulting in reoperation, explantation, or permanent disability.
LVID Systole - Change From BaselineBaseline and 6 monthsLeft ventricular internal dimension. Transthoracic echocardiography parameter.
LV Diastolic Volume - Change From BaselineBaseline and 6 monthsLeft ventricular diastolic volume. Transthoracic echocardiography parameter.
LV Systolic Volume - Change From BaselineBaseline and 6 monthsLeft ventricular systolic volume. Transthoracic echocardiography parameter.
LVEF - Change From BaselineBaseline and 6 monthsLeft ventricular ejection fraction. Transthoracic echocardiography parameter.
Cardiac Output - Change From BaselineBaseline and 6 monthsStroke volume x heart rate. Transthoracic echocardiography parameter.
Cardiac Index - Change From BaselineBaseline and 6 monthsHemodynamic parameter computed as cardiac output divided by body surface area
LVID Diastole - Change From BaselineBaseline and 6 monthsLeft ventricular internal dimension. Transthoracic echocardiography parameter.
Actuarial Freedom From Clinical Cardiovascular Events6 monthsFreedom from specified clinical cardiovascular events at 6 months postprocedure: - Device-related mortality - Complete heart block - Structural device failure - Endocarditis - Periprosthetic leak or dehiscence - Thromboembolism - Bleeding Event - Native Valve Deterioration - Valve Thrombosis - Hemolysis - Reoperation and explant at 6 months

Countries

Czechia, Germany

Participant flow

Participants by arm

ArmCount
HAART 300 Annuloplasty Device
Implantation of HAART 300 Annuloplasty Device for aortic valve repair HAART 300 Annuloplasty Device: Implantation of HAART 300 Annuloplasty Device for aortic valve repair
49
Total49

Withdrawals & dropouts

PeriodReasonFG000
2-year Extended Follow-upAdverse Event3
2-year Extended Follow-upDeath1
2-year Extended Follow-upWithdrawal by Subject1
6-month Primary EndpointAdverse Event3
6-month Primary EndpointDid not receive device19
6-month Primary EndpointWithdrawal by Subject2

Baseline characteristics

CharacteristicHAART 300 Annuloplasty Device
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
25 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
Age, Continuous61.0 years
STANDARD_DEVIATION 13.6
Aortic Insufficiency
0
0 participants
Aortic Insufficiency
1+
3 participants
Aortic Insufficiency
2+
10 participants
Aortic Insufficiency
3+
18 participants
Aortic Insufficiency
4+
12 participants
Aortic Insufficiency
Not evaluable
6 participants
Cardiac index3.16 l/min/m^2
STANDARD_DEVIATION 1.11
Cardiac output6.20 l/min
STANDARD_DEVIATION 2.17
Left ventricular ejection fraction (LVEF)54.2 %
STANDARD_DEVIATION 4.4
Left ventricular internal dimension (LVID) diastole5.50 cm
STANDARD_DEVIATION 0.86
Left ventricular (LV) mass244.1 g
STANDARD_DEVIATION 85.2
LV diastolic volume155.3 ml
STANDARD_DEVIATION 63.3
LVID systole4.02 cm
STANDARD_DEVIATION 0.83
LV systolic volume76.5 ml
STANDARD_DEVIATION 37.7
Mean gradient5.5 mm Hg
STANDARD_DEVIATION 2.4
New York Heart Association (NYHA) Functional Capacity
I
11 participants
New York Heart Association (NYHA) Functional Capacity
II
25 participants
New York Heart Association (NYHA) Functional Capacity
III
13 participants
New York Heart Association (NYHA) Functional Capacity
IV
0 participants
Peak gradient11.1 mm Hg
STANDARD_DEVIATION 4.7
Region of Enrollment
Czech Republic
5 participants
Region of Enrollment
Germany
44 participants
Sex: Female, Male
Female
17 Participants
Sex: Female, Male
Male
32 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
38 / 49
serious
Total, serious adverse events
23 / 49

Outcome results

Primary

Primary Efficacy Outcome Measure: Aortic Insufficiency (AI) at 6 Months

Assessed by transthoracic echocardiography (TTE) and graded as None/Trace (0), Mild (1+), Moderate (2+), Moderate-to-Severe (3+), or Severe (4+)

Time frame: 6 months

Population: Participants with an echocardiogram evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
HAART 300 Annuloplasty DevicePrimary Efficacy Outcome Measure: Aortic Insufficiency (AI) at 6 Months011 participants
HAART 300 Annuloplasty DevicePrimary Efficacy Outcome Measure: Aortic Insufficiency (AI) at 6 Months1+21 participants
HAART 300 Annuloplasty DevicePrimary Efficacy Outcome Measure: Aortic Insufficiency (AI) at 6 Months2+7 participants
HAART 300 Annuloplasty DevicePrimary Efficacy Outcome Measure: Aortic Insufficiency (AI) at 6 Months3+2 participants
HAART 300 Annuloplasty DevicePrimary Efficacy Outcome Measure: Aortic Insufficiency (AI) at 6 Months4+0 participants
Primary

Primary Safety Outcome Measure: Survival Defined as Survival Free From All Cause Death at 6 Months Postprocedure

Time frame: 6 months

ArmMeasureValue (NUMBER)
HAART 300 Annuloplasty DevicePrimary Safety Outcome Measure: Survival Defined as Survival Free From All Cause Death at 6 Months Postprocedure100 percentage of participants
Secondary

Actuarial Freedom From Clinical Cardiovascular Events

Freedom from specified clinical cardiovascular events at 6 months postprocedure: - Device-related mortality - Complete heart block - Structural device failure - Endocarditis - Periprosthetic leak or dehiscence - Thromboembolism - Bleeding Event - Native Valve Deterioration - Valve Thrombosis - Hemolysis - Reoperation and explant at 6 months

Time frame: 6 months

ArmMeasureValue (NUMBER)
HAART 300 Annuloplasty DeviceActuarial Freedom From Clinical Cardiovascular Events89.6 percentage of participants
Secondary

Aortic Insufficiency (AI) at 2 Years

Assessed by transthoracic echocardiography (TTE) and graded as None/Trace (0), Mild (1+), Moderate (2+), Moderate-to-Severe (3+), or Severe (4+)

Time frame: 2 years

Population: Participants with an echocardiogram evaluable for this measure.

ArmMeasureGroupValue (NUMBER)
HAART 300 Annuloplasty DeviceAortic Insufficiency (AI) at 2 Years02 participants
HAART 300 Annuloplasty DeviceAortic Insufficiency (AI) at 2 Years1+25 participants
HAART 300 Annuloplasty DeviceAortic Insufficiency (AI) at 2 Years2+10 participants
HAART 300 Annuloplasty DeviceAortic Insufficiency (AI) at 2 Years3+0 participants
HAART 300 Annuloplasty DeviceAortic Insufficiency (AI) at 2 Years4+0 participants
Secondary

Cardiac Index - Change From Baseline

Hemodynamic parameter computed as cardiac output divided by body surface area

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceCardiac Index - Change From Baseline-0.26 l/min/m^2Standard Deviation 1.07
Secondary

Cardiac Index - Change From Baseline

Hemodynamic parameter computed as cardiac output divided by body surface area

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceCardiac Index - Change From Baseline-0.60 l/min/m^2Standard Deviation 0.85
Secondary

Cardiac Output - Change From Baseline

Stroke volume x heart rate. Transthoracic echocardiography parameter.

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceCardiac Output - Change From Baseline-1.15 l/minStandard Deviation 1.66
Secondary

Cardiac Output - Change From Baseline

Stroke volume x heart rate. Transthoracic echocardiography parameter.

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceCardiac Output - Change From Baseline-0.50 l/minStandard Deviation 2.2
Secondary

Implant Procedure Success

Success is defined as the absence of specified adverse events evaluated through discharge or 14 days after the procedure: - Aortic annular dissection, rupture, or leaflet damage - Mitral valve impingement due to implant - implant dehiscence/migration into aorta - implant dehiscence/migration into left ventricle - Hemodynamics requiring intervention - Other adverse event resulting in reoperation, explantation, or permanent disability.

Time frame: discharge or 14 days postprocedure, whichever comes first

ArmMeasureValue (NUMBER)
HAART 300 Annuloplasty DeviceImplant Procedure Success95.9 percentage of implant procedures
Secondary

LV Diastolic Volume - Change From Baseline

Left ventricular diastolic volume. Transthoracic echocardiography parameter.

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLV Diastolic Volume - Change From Baseline-21.8 mlStandard Deviation 49.2
Secondary

LV Diastolic Volume - Change From Baseline

Left ventricular diastolic volume. Transthoracic echocardiography parameter.

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLV Diastolic Volume - Change From Baseline-19.9 mlStandard Deviation 53
Secondary

LVEF - Change From Baseline

Left ventricular ejection fraction. Transthoracic echocardiography parameter.

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLVEF - Change From Baseline2.49 percentage of blood volumeStandard Error 7.65
Secondary

LVEF - Change From Baseline

Left ventricular ejection fraction. Transthoracic echocardiography parameter.

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLVEF - Change From Baseline0.37 percentage of blood volumeStandard Deviation 7.19
Secondary

LVID Diastole - Change From Baseline

Left ventricular internal dimension. Transthoracic echocardiography parameter.

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLVID Diastole - Change From Baseline-0.22 cmStandard Deviation 0.65
Secondary

LVID Diastole - Change From Baseline

Left ventricular internal dimension. Transthoracic echocardiography parameter.

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLVID Diastole - Change From Baseline-0.48 cmStandard Deviation 0.71
Secondary

LVID Systole - Change From Baseline

Left ventricular internal dimension. Transthoracic echocardiography parameter.

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLVID Systole - Change From Baseline-0.48 cmStandard Deviation 0.71
Secondary

LVID Systole - Change From Baseline

Left ventricular internal dimension. Transthoracic echocardiography parameter.

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLVID Systole - Change From Baseline-0.22 cmStandard Deviation 0.84
Secondary

LV Mass - Change From Baseline

Left ventricular mass. Transthoracic echocardiography parameter.

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLV Mass - Change From Baseline-26.5 gStandard Deviation 60
Secondary

LV Mass - Change From Baseline

Left ventricular mass. Transthoracic echocardiography parameter.

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLV Mass - Change From Baseline-27.4 gStandard Deviation 60.8
Secondary

LV Systolic Volume - Change From Baseline

Left ventricular systolic volume. Transthoracic echocardiography parameter.

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLV Systolic Volume - Change From Baseline-17.5 mlStandard Deviation 30.2
Secondary

LV Systolic Volume - Change From Baseline

Left ventricular systolic volume. Transthoracic echocardiography parameter.

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceLV Systolic Volume - Change From Baseline-11.1 mlStandard Deviation 29.1
Secondary

Mean Gradient - Change From Baseline

Transthoracic echocardiography parameter

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceMean Gradient - Change From Baseline3.1 mm HgStandard Deviation 5.3
Secondary

Mean Gradient - Change From Baseline

Transthoracic echocardiography parameter

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DeviceMean Gradient - Change From Baseline2.6 mm HgStandard Deviation 3.7
Secondary

New York Heart Association (NYHA) Functional Capacity Classification at 2 Years

Four classes describing the effect of cardiac disease on physical activity: Class I - disease does not limit activity; Class II - slight limitation; Class III - marked limitation; Class IV - inability to carry out any physical activity without discomfort

Time frame: 2 years

Population: Participants with an evaluation of this measure.

ArmMeasureGroupValue (NUMBER)
HAART 300 Annuloplasty DeviceNew York Heart Association (NYHA) Functional Capacity Classification at 2 YearsI28 participants
HAART 300 Annuloplasty DeviceNew York Heart Association (NYHA) Functional Capacity Classification at 2 YearsII9 participants
HAART 300 Annuloplasty DeviceNew York Heart Association (NYHA) Functional Capacity Classification at 2 YearsIII1 participants
HAART 300 Annuloplasty DeviceNew York Heart Association (NYHA) Functional Capacity Classification at 2 YearsIV0 participants
Secondary

New York Heart Association (NYHA) Functional Capacity Classification at 6 Months

Four classes describing the effect of cardiac disease on physical activity: Class I - disease does not limit activity; Class II - slight limitation; Class III - marked limitation; Class IV - inability to carry out any physical activity without discomfort

Time frame: 6 months

Population: Participants with an evaluation of this measure.

ArmMeasureGroupValue (NUMBER)
HAART 300 Annuloplasty DeviceNew York Heart Association (NYHA) Functional Capacity Classification at 6 MonthsI30 participants
HAART 300 Annuloplasty DeviceNew York Heart Association (NYHA) Functional Capacity Classification at 6 MonthsII13 participants
HAART 300 Annuloplasty DeviceNew York Heart Association (NYHA) Functional Capacity Classification at 6 MonthsIII0 participants
HAART 300 Annuloplasty DeviceNew York Heart Association (NYHA) Functional Capacity Classification at 6 MonthsIV0 participants
Secondary

Peak Gradient - Change From Baseline

Transthoracic echocardiography parameter

Time frame: Baseline and 2 years

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 2 years.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DevicePeak Gradient - Change From Baseline5.9 mm HgStandard Deviation 10.7
Secondary

Peak Gradient - Change From Baseline

Transthoracic echocardiography parameter

Time frame: Baseline and 6 months

Population: Participants with an echocardiogram evaluable for this measure at baseline and at 6 months.

ArmMeasureValue (MEAN)Dispersion
HAART 300 Annuloplasty DevicePeak Gradient - Change From Baseline5.3 mm HgStandard Deviation 6.7
Secondary

Survival Defined as Survival Free From All Cause Death at 2 Years Postprocedure

Time frame: 2 years

ArmMeasureValue (NUMBER)
HAART 300 Annuloplasty DeviceSurvival Defined as Survival Free From All Cause Death at 2 Years Postprocedure97.6 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026