Clinical trial Recruiting at 5 sites Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment250 (estimated)
SponsorIRCCS San Raffaele
Academic / other
Locations5 sites (Brescia, Italy and 4 other locations)
StatusRecruiting
StartedDecember 21, 2024
Main results expectedDecember 31, 2025
Study endsApril 30, 2026
Registry record updatedJanuary 3, 2025
Trial IDNCT06657911 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.

    Recruiting at 2 sites University Hospital Augsburg · Augsburg, Bavaria and 3 other locations · NCT06869954

  • 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.

    Recruiting at 2 sites Xijing Hospital · Xi'an, Shaanxi and 3 other locations · NCT06830499

  • 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.

    Recruiting Ruijin Hospital · Shanghai, Shanghai Municipality · NCT06802016

  • 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.

    Recruiting University of Michigan · Ann Arbor, Michigan · NCT02306200

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.