Identifying biomarkers for Hypo-Attenuated Leaflet Thickening in heart patients
Official title: Circulating Biomarkers of Hypo-Attenuated Leaflet Thickening After Transcatheter Aortic Valve Replacement
Run by Massachusetts General Hospital · NCT04552275 · Data updated 2026-11-12
This study is trying to find specific proteins in the blood that can help tell if older heart patients have a condition called Hypo-Attenuated Leaflet Thickening and see how these proteins change after treatment.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Massachusetts General Hospital Academic / other |
| Locations | 3 sites (Boston, Massachusetts and 2 other locations) |
| Status | Recruiting |
| Started | June 22, 2020 |
| Main results expected | June 22, 2030 |
| Study ends | June 22, 2035 |
| Registry record updated | November 10, 2021 |
| Trial ID | NCT04552275 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 65 years with severe aortic stenosis or bioprosthetic valve degeneration undergoing TAVR.
✕Probably not a fit
Patients with chronic anticoagulation therapy or significant comorbidities that limit life expectancy 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
The HALT Biomarker Study aims to identify a panel of circulating proteins that can distinguish between patients with and without Hypo-Attenuated Leaflet Thickening (HALT). It will also assess changes in these proteins after treatment with systemic anticoagulation and identify proteins that may predict HALT occurrence. The study will enroll adult patients over 65 years old who are undergoing transfemoral transcatheter aortic valve replacement (TAVR) for severe aortic stenosis or bioprosthetic valve degeneration. Blood samples and clinical data will be collected at various time points to achieve these objectives.
Why it matters
Potential benefit: If successful, this study could enhance the diagnostic accuracy for HALT and improve patient management strategies.
How similar studies have gone: Other studies have explored biomarker identification in similar contexts, suggesting potential for success, though this specific approach may be novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age \> 65 years 2. Subject with severe native AS or severe bioprosthetic valve degeneration 3. Subject undergoing transfemoral TAVR using a Medtronic Evolut R, Evolut Pro or Evolut Pro+ transcatheter heart valve Exclusion Criteria: 1. Chronic anticoagulation therapy 2. Contraindication to systemic oral anticoagulation therapy 3. Chronic kidney disease with EGFR\<30 ml/min 4. Bleeding diathesis or known coagulopathy 5. Hypercoagulable state 6. Life-expectancy \<12 months due to other medical conditions (e.g., malignancy, severe Alzheimer's disease, etc.) 7. The patient is currently participating in another investigational device or drug study that has not reached its primary objective/endpoint 8. Pregnant, lactating, or planning pregnancy within next 12 months
Where it's running
-
Massachusetts General Hospital
Boston, Massachusetts, United States Recruiting -
Catholic Medical Center
Manchester, New Hampshire, United States Recruiting -
Minneapolis Heart Institute
Minneapolis, Minnesota, United States Not yet recruiting
Study contacts
- Study coordinator: Roukoz Abou Karam
- Email: raboukaram@mgh.harvard.edu
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Exercise and nutrition support before and after TAVI for older adults with aortic stenosis
This trial tests whether a personalized exercise program plus protein and iron supplements before and after a transcatheter valve replacement can help older adults with aortic stenosis recover better than standard care.
-
Association Between Aortic Valve Area Changes and Pulmonary Congestion After TAVI
This study tests whether improvements in aortic valve opening after TAVI relate to reductions in lung congestion measured by ultrasound in adults with severe aortic stenosis.
-
Systematic 14-day ambulatory heart monitoring after TAVI
After TAVI, patients with certain heart conduction abnormalities will try 14 days of wearable ECG monitoring to see if it lowers the chances of sudden death, symptomatic heart rhythm problems, or stroke within a year compared to standard follow-up.
-
Echo-AVCS: Drawing AI-powered clues from heart scans to confirm severe aortic stenosis
This study tests an AI-based echocardiography score to help confirm severe aortic stenosis in adults who are also getting CT calcium scoring.
-
TAVI without on-site heart surgery: can selected centers do it safely?
This trial tests whether transcatheter aortic valve implantation can be done safely in certain hospitals that don’t have on-site cardiac surgery, for patients with severe aortic stenosis who are appropriately selected.
-
Willem AI for early detection of aortic stenosis from a 12‑lead ECG
This project will test whether the Willem AI can detect aortic stenosis from routine 12‑lead ECGs in adults.
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.