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Colibri Transcatheter Aortic Heart Valve System Study

Sponsor: Colibri Heart Valve LLC

NCT ID: NCT04029844

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Colibri TAVI System (device)
How long the study runs
Study runs about 82 months (dates as stated)
About the drug or intervention
Colibri TAVI System — device: Implantation of Colibri heart valve
Patient visit burden
Not specified by the sponsor

In plain English

This study is looking at the Colibri Transcatheter Aortic Heart Valve System in people aged over 75 with severe aortic stenosis (narrowing of the heart's main valve) who are at high risk for open-heart surgery. Not stated — ask the trial team for details on what the study is testing and how many people are taking part. The sponsor is Colibri Heart Valve LLC.

Who can take part

  • Aged over 75 years
  • Has severe narrowing of the aortic valve (the heart's main outlet valve), with high pressure across the valve or fast blood flow through it
  • Has symptoms from the valve narrowing, such as breathlessness, at a level above mild (New York Heart Association class II or worse)
  • A local Heart Team of doctors has decided open-heart surgery would be high risk for them
  • A heart scan shows the valve opening measures between 22 mm and 27.4 mm
  • A central review committee agrees the person is suitable
  • Able to understand the study, sign a consent form and agree to follow-up visits

Who may not be able to

  • Blood vessels in the groin or pelvis are too small or unsuitable for the tube used in the procedure
  • A problem with the shape of the aorta or the valve area that would stop the new valve being fitted
  • Aortic narrowing that is not caused by calcium build-up
  • Being born with an unusual valve shape (for example a valve with one or two flaps instead of three)
  • Already has an artificial heart valve in any position
  • Severe leakage of the aortic, mitral or tricuspid valves
  • The heart's main pumping chamber is very weak (pumping out less than 30% of its blood)
  • Has a growth, clot or infection inside the heart seen on a scan
  • Severe coronary artery disease in several vessels, or disease in an important left-side artery that is not protected
  • Is in cardiogenic shock (the heart cannot pump enough blood)
  • Has a conduction problem needing a pacemaker that has not been treated
  • Uncontrolled atrial fibrillation with a resting heart rate over 120 beats per minute
  • Has or may have an infection of the heart lining, or blood poisoning
  • Very low white blood cells or platelets, a history of bleeding or clotting problems
  • Heart attack in the last 30 days
  • Needs emergency surgery
  • Stroke or mini-stroke in the last 6 months
  • Symptomatic disease of the neck arteries, or treatment of neck artery narrowing in the last 30 days
  • Any active bleeding that means blood thinners cannot be used
  • Severe liver failure
  • Kidney failure needing dialysis, or very low kidney clearance
  • Very high pressure in the lung blood vessels
  • Very severe lung disease (COPD)
  • Refuses blood transfusion
  • Allergic to or unable to take blood thinners, or allergic to the valve materials (cobalt chromium, pig tissue, collagen, glutaraldehyde) or the scan dye
  • Any medical, social or psychological problem that would stop them giving proper consent or attending follow-up
  • Currently in another drug or device trial
  • Expected to live less than 12 months
  • Pregnant or planning pregnancy before all follow-up visits are finished
  • Cannot follow the study requirements
  • Is under legal protection or guardianship (France only)

What taking part involves

  • • The new valve is placed through a tube inserted in a blood vessel (transfemoral, via the groin) rather than by open-heart surgery
  • • The tube used is a 16 French sheath (a thin tube about 5 mm wide)

Time commitment: Not stated — ask the trial team about the number of visits, how long the study lasts and what follow-up involves.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
75 Years and over
Who
All
Number of participants
30
Started
2021-09-15
Last checked
2023-02

Plain English Summary

What is this study?

  • • Testing a new treatment for severe aortic stenosis
  • • NA - 30 participants
  • • The Colibri Heart Valve clinical investigation ("COL-01") is a prospective, multicenter, exploratory single arm and controlled clinical investigation compared to recent historical results

Who can take part?

  • • Ages 75 Years and over
  • • Diagnosed with severe aortic stenosis

Where?

  • • Brighton - Brighton & Sussex University Hospital, Roayl Sussex County Hospital
  • • London - Barts Heart Centre / St Bartholomew's Hospital

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The Colibri Heart Valve clinical investigation ("COL-01") is a prospective, multicenter, exploratory single arm and controlled clinical investigation compared to recent historical results. This study will be conducted in about 7 European sites. The study will evaluate the safety and performance of the Colibri Transcatheter Aortic Heart Valve System for the treatment of symptomatic severe aortic stenosis via transfemoral access in high surgical risk patients. 30 subjects suffering from symptomatic severe aortic tricuspid valve stenosis and who are at high surgical risk (logistic EuroSCORE I \> 20% or other risk factors not included in this score such as frailty, porcelain aorta, sequelae of chest radiation or logistic EuroSCORE I \< 20% but considered at high risk by local Heart Team evaluation) will be enrolled in this clinical investigation. The primary objective of this clinical investigation is to evaluate the all-cause mortality at 30 days post implantation. The secondary objectives are to evaluate the safety and performance of the investigational device at 30 days, 6 and 12 months, and 2, 3, 4, 5 years post implantation.

Severe Aortic Stenosis

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 75 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓1\. Subject of age \> 75 years
  • ✓2\. Subject suffering from severe aortic tricuspid valve stenosis defined as follows: High-gradient aortic stenosis...
  • ✓3\. Subject has causing symptoms aortic valve stenosis with New York Heart Association (NYHA) \> Class II
  • ✓4\. Subject with a documented local Heart Team (HT) agreement of high surgical risk as described in the population
  • ✓5\. ECG-gated Multi-Slice Computed Tomographic (MSCT) measurements determined an aortic annulus \> 22 mm and \< 27.4 mm

Who cannot take part

  • ✗2\. Aortic root anatomy condition or lesion preventing implantation or access to the aortic valve
  • ✗3\. Non-calcific acquired aortic stenosis
  • ✗4\. Native unicuspid/bicuspid aortic valve or congenital aortic valve abnormality
  • ✗5\. Previous implantation of heart valve in any position
  • ✗6\. Severe aortic regurgitation (\> 3+)
See the full criteria
Inclusion Criteria: * 1\. Subject of age \> 75 years * 2\. Subject suffering from severe aortic tricuspid valve stenosis defined as follows: High-gradient aortic stenosis (mean pressure gradient across aortic valve \> 40 mmHg or peak velocity \> 4.0 m/s) * 3\. Subject has symptomatic aortic valve stenosis with New York Heart Association (NYHA) \> Class II * 4\. Subject with a documented local Heart Team (HT) agreement of high surgical risk as described in the population * 5\. ECG-gated Multi-Slice Computed Tomographic (MSCT) measurements determined an aortic annulus \> 22 mm and \< 27.4 mm * 6\. Subject deemed eligible by a TAVI Centralized Case Review Committee (CRC) * 7\. Subject can understand the purpose of the clinical investigation, has signed voluntarily the informed consent form and is agreeing to the scheduled follow-up requirements Exclusion Criteria: * 1\. Arterial aorto-iliac-femoral axis unsuitable for transfemoral access as assessed by conventional angiography and/or multidetector computed tomographic angiography (access vessel diameter incompatible with a 16F sheath introducer) * 2\. Aortic root anatomy condition or lesion preventing implantation or access to the aortic valve * 3\. Non-calcific acquired aortic stenosis * 4\. Native unicuspid/bicuspid aortic valve or congenital aortic valve abnormality * 5\. Previous implantation of heart valve in any position * 6\. Severe aortic regurgitation (\> 3+) * 7\. Severe mitral regurgitation (\> 3+) * 8\. Severe tricuspid regurgitation (\> 3+) * 9\. Severe left ventricular dysfunction (Left Ventricular Ejection Fraction (LVEF) \< 30%) * 10\. Echocardiographic evidence of intracardiac mass, thrombus or vegetation * 11\. Multi-vessel coronary artery disease (CAD) with a Syntax Score or residual Syntax Score \> 22 and/or unprotected left main coronary artery * 12\. Cardiogenic shock * 13\. Untreated cardiac conduction disease in need of pacemaker implantation * 14\. Uncontrolled atrial fibrillation (resting heart rate (HR) \> 120bpm) * 15\. Active and/or suspicion of endocarditis or ongoing sepsis * 16\. Blood dyscrasias defined as: leukopenia (White Blood Cells (WBC) \< 1,000/mm3), thrombocytopenia (Platelets (PLT) \< 50,000/mm3), history of bleeding diathesis or coagulopathy, or hypercoagulable states * 17\. Evidence of acute myocardial infarction (MI) less than 30 days before signing informed consent * 18\. Any need for emergency surgery * 19\. Recent (\< 6 months of signing informed consent) CerebroVascular Accident (CVA) or Transient Ischemic Attack (TIA) * 20\. Symptomatic carotid or vertebral artery disease or successful treatment of carotid stenosis \< 30 days prior to signing informed consent * 21\. Any active bleeding that precludes anticoagulation * 22\. Liver failure (Child-C) * 23\. End-stage renal disease requiring chronic dialysis or creatinine clearance \< 20cc/min * 24\. Pulmonary hypertension (systolic pressure \>80mmHg) * 25\. Severe Chronic Obstructive Pulmonary Disease (COPD) demonstrated by a Forced Expiratory Volume (FEV1) \< 750cc * 26\. Refusal of blood transfusion * 27\. A known hypersensitivity or contraindication to all anticoagulation/anti-platelet regimens (or inability to be anticoagulated for the index procedure), to cobalt chromium, to porcine and/or collagen, to glutaraldehyde or contrast media * 28\. Any medical, social or psychological condition that in the opinion of the investigator precludes the subject from giving appropriate consent or adherence to the required follow-up procedures * 29\. Currently participating in another drug or device trial (excluding observational registries) for which the primary endpoint has not been assessed * 30\. Estimated life expectancy of less than 12 months * 31\. For females, pregnancy or intention to become pregnant prior to completion of all follow-up procedures * 32\. Inability to comply with the clinical investigation requirements * 33\. Subject under judicial protection, tutorship or curatorship (for France only)

Where Is This Study? (2 UK sites)

Brighton & Sussex University Hospital, Roayl Sussex County Hospital

Brighton BN2 5BE, United Kingdom

Recruiting
Site contact (verified)

Barts Heart Centre / St Bartholomew's Hospital

London EC1A7E, United Kingdom

Recruiting
Site contact (verified)
Andreas Baumbach, MD442037658740

How to Get in Touch

R David Fish, MD

Sponsor contact

CONTACT

1 (303) 460 8667 colibriTAVI@colibrihv.com
Data sourced from ClinicalTrials.gov · Last verified: 2023-02