Clinical trial Recruiting at 36 sites Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment988 (estimated)
SponsorMeril Life Sciences Pvt. Ltd.
Industry-sponsored
Locations54 sites (Minsk and 53 other locations)
StatusRecruiting
StartedNovember 4, 2020
Main results expectedMarch 7, 2024
Study endsDecember 31, 2033
Registry record updatedAugust 17, 2026
Trial IDNCT04275726 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.