Evaluating the LIRA method for sizing in patients with bicuspid aortic valves
Official title: SUBLIME: Size Up Bicuspid With the LIra MEthod: the SUBLIME Study
Run by IRCCS San Raffaele · NCT06657911 · Data updated 2026-11-12
This study is testing a new sizing method for heart valve replacement in adults with a specific type of heart valve problem to see if it can make the procedure safer and more effective.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 250 (estimated) |
| Sponsor | IRCCS San Raffaele Academic / other |
| Locations | 5 sites (Brescia, Italy and 4 other locations) |
| Status | Recruiting |
| Started | December 21, 2024 |
| Main results expected | December 31, 2025 |
| Study ends | April 30, 2026 |
| Registry record updated | January 3, 2025 |
| Trial ID | NCT06657911 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 18 with severe aortic stenosis and type 1 or 2 bicuspid aortic valves undergoing TAVR.
✕Probably not a fit
Patients who have undergone redo-TAVR, emergency TAVR, or TAVR for severe aortic regurgitation may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to assess the efficacy and safety of the LIRA sizing method for transcatheter aortic valve replacement (TAVR) in patients with raphe-type bicuspid aortic valves (BAV). The study will include patients over 18 years old with severe aortic stenosis and specific types of BAV who undergo TAVR with self-expanding supra-annular prostheses sized according to the LIRA method. The research addresses the challenges faced in treating BAV patients, particularly the high rates of complications associated with traditional sizing methods. By focusing on the unique anatomy of BAV, the study seeks to improve patient outcomes in this population.
Why it matters
Potential benefit: If successful, this study could lead to improved TAVR outcomes and reduced complications for patients with bicuspid aortic valves.
How similar studies have gone: While there is limited data on the LIRA method specifically, recent evidence suggests that alternative sizing methods may improve outcomes in similar patient populations.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All patients over 18 years old with severe aortic stenosis and type 1 or 2 BAV according to Sievers classification) undergone TAVR with self-expanding supra-annular prostheses sized according to the LIRA method between September 2018 and June 2024 Exclusion Criteria: * Redo-TAVR * TAVR performed in emergency setting * TAVR performed for severe aortic regurgitation
Where it's running
-
Fondazione Poliambulanza
Brescia, Italy, Italy Recruiting -
Spedali Civili
Brescia, Italy, Italy Recruiting -
Ospedale San Donato
Milan, Italy, Italy Recruiting -
San Camillo Hospital
Roma, Italy, Italy Recruiting -
Luzerner Kantonsspital
Lucerne, Switzerland, Switzerland Recruiting
Study contacts
- Principal investigator: Prof. Matteo Montorfano, MD — IRCCS San Raffaele Scientific Institute
- Study coordinator: Prof. Matteo Montorfano, MD
- Email: montorfano.matteo@hsr.it
- Phone: 0039/02/26437331
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Comparing two ways to stabilize the bicuspid aortic valve during repair
This trial will test whether an internal HAART 200 annuloplasty device or a double external ring annuloplasty gives better repair results for adults with asymmetric bicuspid aortic valves and severe aortic regurgitation who need valve surgery.
-
Sapien 3 TAVR for younger adults with aortic stenosis in China
This project tries the Sapien 3 transcatheter aortic valve replacement (TAVR) in people aged 50–70 with severe aortic stenosis, including bicuspid valves, to see if it is safe, effective, and durable.
-
Observing the progression of bicuspid aortic valve in Chinese patients
This study looks at how bicuspid aortic valve affects young Chinese patients over time to better understand the condition and improve treatment options.
-
Project to improve cardiovascular health through biobanking
This project is collecting blood samples and health information from people with heart diseases and healthy individuals to help researchers learn more about heart health and its genetic factors.
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.