Comparing Myval THV with Contemporary Valves for Aortic Valve Stenosis
Official title: A Prospective, Multinational, Multicentre, Open-label, Randomised, Non-inferiority Trial to Compare Safety and Effectiveness of Meril's Myval Transcatheter Heart Valve (THV) Series vs. Contemporary Valves (Edwards's Sapien THV Series and Medtronic's Evolut THV Series) in Patients With Severe Symptomatic Native Aortic Valve Stenosis
Run by Meril Life Sciences Pvt. Ltd. · NCT04275726 · Data updated 2026-11-12
This study is testing if a new heart valve called Myval works better and is safer than current heart valves for people with severe aortic valve narrowing.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 988 (estimated) |
| Sponsor | Meril Life Sciences Pvt. Ltd. Industry-sponsored |
| Locations | 54 sites (Minsk and 53 other locations) |
| Status | Recruiting |
| Started | November 4, 2020 |
| Main results expected | March 7, 2024 |
| Study ends | December 31, 2033 |
| Registry record updated | August 17, 2026 |
| Trial ID | NCT04275726 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults aged 18 and older who are eligible for transcatheter aortic valve implantation (TAVI) and can provide informed consent.
✕Probably not a fit
Patients who are not suitable for TAVI or those unwilling to participate in the study will not benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The LANDMARK Trial is a randomized controlled trial designed to evaluate the safety and effectiveness of the Myval THV Series compared to contemporary valves, specifically the Sapien and Evolut THV Series, in patients suffering from severe symptomatic native aortic valve stenosis. This multicentric, open-label trial will enroll a total of 768 subjects, with participants randomly assigned in a 1:1 ratio to receive either the Myval THV or one of the contemporary valves. The study aims to assess outcomes through a transfemoral approach and includes a nested registry for patients requiring extra-large valve sizes. The trial will also involve a lead-in set for initial cases to ensure proper implantation techniques.
Why it matters
Potential benefit: If successful, this trial could provide a new effective treatment option for patients with severe aortic valve stenosis.
How similar studies have gone: Previous studies comparing similar transcatheter heart valves have shown promising results, indicating that this approach is supported by existing evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patient ≥18 years of age. 2. Patient or their legal representative has provided written informed consent as approved by the Institutional Review Board (IRB)/Institutional Ethics Committee (IEC) of the investigational site to participate in the study. 3. As per local Heart Team assessment, patient is eligible for TAVI and the patient is suitable for implantation with all three study devices. Exclusion Criteria: 1. Patients who are not willing to provide informed consent form, or whose legal heirs object to their participation in the study. 2. Any condition, which in the Investigator's opinion, would preclude safe participation of patient in the study.
Where it's running
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Hospital Dante Pazanesse
São Paulo, Brazil Recruiting -
Split Clinical Hospital Center
Split, Croatia Recruiting -
University Hospital Dubrava Avenija Gojka Šuška 6
Zagreb, Croatia Recruiting -
North Estonia Medical Center
Tallinn, Estonia Recruiting -
Hôpital Henri Mondor
Créteil, France Recruiting -
Lille University
Lille, France Recruiting
Show 44 more locations
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Institut Cardiovascular Paris-Sud
Massy, France Recruiting -
Arnault Tzanck Institute
Nice, France Recruiting -
Kerckhoff-KlinikForschungs GmbH
Bad Nauheim, Hesse, Germany Recruiting -
Leipzig Heart Institute GmbH
Leipzig, Saxony, Germany Recruiting -
University Herzentrum Division of Cardiology and Angiology II,University Heart Center Freiburg, Südring 15
Bad Krozingen, Germany Recruiting -
Technology University Dresden Fetscherstraße 76
Dresden, Germany Recruiting -
Klinik für Herz-, Thorax- und herznahe Gefäßchirurgie, Universitätsklinikum Regensburg
Regensburg, Germany Recruiting -
Hippkration Hospital
Athens, Greece Recruiting -
Hygeia hospital
Marousi, Greece Recruiting -
Interbalkan European Medical Center
Thessaloniki, Greece Recruiting -
Semmelweis University
Budapest, Hungary Recruiting -
San Donato Hospital
Milan, Italy Recruiting -
San Raffaele Hospital
Milan, Italy Recruiting -
Clinical Institute Saint Ambrogio
Milan, Italy Recruiting -
St Antonius Hospital
Nieuwegein, Dutch, Netherlands Recruiting -
Radboud University Nijmegen
Nijmegen, Gelderland, Netherlands Recruiting -
Amphia Ziekenhui Hospital
Breda, Netherlands Recruiting -
University Medical Center Utrecht
Utrecht, Netherlands Recruiting -
Auckland City Hospital 2 Park Road
Grafton, Auckland, New Zealand Recruiting -
Uniwersytecki Szpital Kliniczny (USK) Curie-Skłodowskiej 58
Wroclaw, Poland Recruiting -
Centro Hospitalar Lisboa Ocidental EPE- Hospital Santa Cruz, Av. Prof. Dr. Reinaldo dos Santos
Carnaxide, Portugal Recruiting -
Centro Hospital Lisboa Central E.P.E. - Santa Marta
Lisbon, Portugal Recruiting -
University hospital Banska Bystrica Námestie Ludvíka Svobodu 1
Banská Bystrica, Slovakia Recruiting -
University Medical Center, Ljubljana
Ljubljana, Slovenia Recruiting -
Hospital Universitari Son Espases Carretera de Valldemossa
Palma de Mallorca, Balearic Islands, Spain Recruiting -
Hospital Universitario de Gran Canaria Dr Negrin
Las Palmas, Canary Islands, Spain Recruiting -
Hospital Universitario Renei Sofia
Córdoba, Spain Recruiting -
Hospital Cliinico Univertistario de Valladolid
Valladolid, Spain Recruiting -
Sahlgrenska University Hospital
Gothenburg, Sweden Recruiting -
Uppsala University Hospital
Uppsala, Sweden Recruiting -
Republican Scientific-Practical Centre "Cardiology"
Minsk, Belarus Not yet recruiting -
Centre Hospitalier Universitaire De Rennes
Rennes, France Not yet recruiting -
Klinikum Braunschweig Freisestre
Braunschweig, Germany Active not recruiting -
Asklepios Kliniken Hamburg Gmbh Lohmuehlenstrasse 5
Hamburg, Germany Not yet recruiting -
University of Bologna Policlinico S. Orsola-Malpigh
Bologna, Italy Not yet recruiting -
Policlinico di Catania
Catania, Italy Not yet recruiting -
Mauriliano Hospital Largo Filippo
Tortona, Italy Not yet recruiting -
University Hospital Città della Salute e della Scienza Turin Bramante
Turin, Italy Not yet recruiting -
Isala Zwolle Hospital
Zwolle, Overijssel, Netherlands Active not recruiting -
Onze lieve vrouwe gasthuis Oosterperk 9
Amsterdam, Netherlands Active not recruiting -
University Medical Center (UMC)
Groningen, Netherlands Not yet recruiting -
John Paul II Hospital
Krakow, Małopolskie Województwo, Poland Not yet recruiting -
University of Gdansk
Gdansk, Pomorskie Województwo, Poland Not yet recruiting -
Medical University of Silesia
Katowice, Prussian, Poland Not yet recruiting
+4 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Ashok Thakkar, PhD
- Email: ashok.thakkar@merillife.com
- Phone: +91-9879443584
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Transcatheter Aortic Valve Replacement Registry for Outcomes and Quality Monitoring
This registry collects information from hospitals about patients undergoing TAVR to see how care and outcomes compare to guidelines and nationwide data.
-
Vericiguat to slow calcific aortic valve narrowing
This trial tests whether vericiguat can slow the progression of mild-to-moderate calcific aortic valve stenosis compared with placebo.
-
CHATEAU Registry: Real-world outcomes after TAVR
This registry collects real-world data from adults who had TAVR between 2021 and 2025 to see how they do over time and how valve performance holds up.
-
Impact of TAVR on kidney function in people with aortic valve disease
This registry tests how trans-catheter aortic valve implantation affects kidney function and the risk of kidney injury in adults with aortic stenosis.
-
Hydra THV Transfemoral Valve Implantation in Severe Aortic Stenosis
This registry tests how safely and effectively the Hydra THV works when implanted through the femoral artery in adults with severe symptomatic aortic stenosis.
-
How the type of sedation affects recovery after TAVR
This study will test whether three common sedation approaches (propofol, dexmedetomidine, or midazolam with fentanyl) change how people recover on the first day after transfemoral TAVR.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.